1) More than three weeks have gone by since Quebec completed the first round of #COVID19 vaccinations among the residents of long-term care centres (CHSLDs). These residents have yet to receive their booster shots. In this thread, I will re-examine the vaccination effort.
2) Quebec launched its #COVID19 vaccination campaign Dec. 14, giving shots to the residents and staff of CHSLDs. On that date, there were 811 active #COVID19 cases among the residents of CHSLDs. I will compare this cohort with those living in private seniors’ residences (RPAs).
3) On Dec. 14, there were 1,465 #COVID19 cases among those living in seniors’ residences or RPAs. The government did not start vaccinating these individuals in earnest until last week because of delays in shipments by Pfizer.
4) Thus, I’m comparing one group of mostly non-autonomous elderly who were vaccinated in CHSLDs with a cohort of mostly autonomous elderly in RPAs who for the most part have not yet been vaccinated. How did the two groups fare?
5) By Jan. 9, the day Quebec activated its nightly curfew, the number of active #COVID19 cases in RPAs soared by 25.73% to 1,842. In contrast, the number of cases in CHSLDs actually dipped by 2.22% to 793. Perhaps this was a one-time blip.
6) By Sunday, Feb. 7, Quebec reported that the number of #COVID19 cases in RPAs decreased by 61.02% to 718 since Jan. 9. By comparison, the number of cases dropped by 66.83% to 263 in CHSLDs. That’s a difference of 5.81% in the once-vaccinated group.
7) In recent days, new #COVID19 cases have been declining at a faster rate in the CHSLDs than in the RPAs. For example, the number of new cases decreased by 2.18% Sunday in RPAs, compared with 3.53% in CHSLDs, from the day before.
8) Obviously, this is not an entirely fair comparison because the CHSLD and RPA groups are not identical. What’s more, 7,000 orderlies were hired to improve infection control in CHSLDs. But the preliminary data would appear to suggest some benefit to the first shots.
9) But I think the more pertinent question to ask is what the results would have been had CHSLD residents been given the second shots three weeks later, as recommended under strict protocols by Pfizer and Moderna. Would there have been more of a reduction in cases?
10) Another question to ask is whether it would have made more sense to administer to CHSLD residents the booster shots on the schedule recommended by the vaccine manufacturers, given the likely presence of the more transmissible #COVID19 variants in Quebec.
11) Meanwhile, the number of #COVID19 hospitalizations continued to trend downward on Sunday to 963. In Montreal, such hospitalizations went down by one to 481. Three hospitals — Sacré-Cœur, Maisonneuve-Rosemont and the Lakeshore posted modest increases.
12) But #COVID19 outbreaks in schools remained a stark outlier, increasing by two to 274. Clusters in all other sectors, including the workplace, have been sloping downward. However, one can expect workplace outbreaks to go back up as stores reopen on Monday. End of thread.
Addendum: Here are two charts I made that didn’t quite fit today’s thread. In the first chart, on Montreal’s #COVID19 cases, one can glimpse a possible plateauing of infections in the metropolis.
Addendum 2: in the second chart, on Montreal’s #COVID19 deaths, it’s a bit harder to tell whether such fatalities are plateauing, but they are down from more than two weeks ago.

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More from @Aaron_Derfel

7 Feb
1) Although the number of Quebec's #COVID hospitalizations dipped below 1,000 Saturday for the first time since Dec. 15, Health Minister Christian Dubé urged anyone with the slightest symptoms to get tested. In this thread, I'll try to explain why the situation is still so dire.
2) The Health Minister explained that #COVID19 cases were on the increase in the past few days. This is true for both the province and Montreal, with the number of infections rising for three days in a row to 1,204 in Quebec. But there’s a lot more to this story.
3) Although #COVID19 outbreaks have been declining in the workplace and in health-care institutions, they’ve been rising sharply in schools across Quebec. The government reported that the number of clusters in schools jumped by 17 to 272 on Saturday.
Read 11 tweets
6 Feb
1) It’s a question I’ve been asked many times during the #COVID19 pandemic: Why has Quebec reported far more deaths than any other province? On the eve of Quebec crossing the 10,000-death threshold, I will try to provide an answer. montrealgazette.com/news/local-new…
2) First, respectfully, I’m not persuaded by Premier François Legault’s argument Quebec is “more Catholic than the Pope” compared with other jurisdictions in declaring #COVID19 deaths. Making that argument risks absolving the government of its responsibility in the #pandemic. Image
3) Quebec, like Ontario, failed our elders living in long-term care centres. For at least two decades, report after report in Quebec denounced the horrific living conditions in these centres. Nothing was done. Then the #pandemic hit, mostly killing people in these facilities.
Read 11 tweets
4 Feb
1) Montreal on Wednesday reported the total number of #COVID19 outbreaks jumped by 67 to 549 since a week ago, with most clusters erupting in schools and the workplace. In this thread, I will gauge the potential impact that reopening stores Monday will have on viral transmission.
2) Outbreaks in the workplace are linked to the second greatest number of #COVID19 cases after those in hospitals and eldercare homes. The manufacturing sector was responsible for most of the outbreaks in Montreal workplaces last week. Please review the chart below.
3) Clusters of #COVID19 rose by two to 22 in Montreal’s retail stores. This slight increase doesn't augur well for the reopening of these businesses Monday, especially as authorities are bracing for the more contagious B117 variant to hit Quebec possibly as early as next month
Read 9 tweets
3 Feb
1) In his news conference on Tuesday evening, Premier François Legault, Health Minister Christian Dubé and chief public health officer Horacio Arruda did not address at all the #COVID19 surge in schools. In this thread, however, I will dwell again on this important subject.
2) It’s the facts that compel me to do so, given that the number of classrooms that schools across Quebec have had to shutter since a week ago Tuesday is nearly 400. What’s more, the Education Ministry reported that three more schools closed because of #COVID19 outbreaks.
3) In Laval, Hillcrest Academy announced Tuesday it was shutting temporarily as well after confirming 16 active #COVID19 cases. At the current pace, the province is poised to report as early as Wednesday more than 3,000 cases among students and staff in less than four weeks.
Read 12 tweets
2 Feb
1) As #COVID19 continued to subside in hospitals and in the workplace across Quebec Monday, it nonetheless surged in schools, raising questions as to whether the government intends to beef up its plans to curb transmission of the #coronavirus in classrooms.
2) On Friday, the Quebec Education Ministry reported that five schools had to close temporarily because of #COVID19 outbreaks, up by two from the day before. Over the weekend and into Monday, another four schools had to shut, three in Montreal and one in Longueuil.
3) What’s more, the Education Ministry revealed that schools had to shutter another 101 classrooms Friday due to #COVID19 exposure, bringing the total to 1,008. In addition, there were 2,662 active cases among students and staff, up by 193 in a day. Please see the chart below. Image
Read 10 tweets
30 Jan
1) Nearly three weeks into Quebec’s nightly curfew and closing of non-essential businesses, the #pandemic is trending down in nearly every category except two: daycares and schools. In this thread, I will assess whether the current measures are protecting them enough.
2) Before focusing on schools and daycares, though, it’s worth noting that the number of people hospitalized for #COVID19 dropped by 47 to 1,217 across Quebec on Friday. That total is also down by 175 from the day the curfew came into effect.
3) Declining #COVID19 hospitalizations are most notable in Montreal. The city reported 593 on Friday, down from 744 about three weeks ago. Of the city’s 17 hospitals, five reported one or two new admissions and the rest observed decreases.
Read 11 tweets

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