1) One in ten positive #COVID tests is now screening for the more transmissible variants in Quebec — a situation that worries public health officials and Premier François Legault, who acknowledged that next week’s March break will be a “big test” in the #pandemic.
2) On Tuesday, the number of presumptive #COVID19 variant cases jumped by 69 to 484. Recall that less than two week ago, on Feb. 10, Quebec reported just 23 presumptive cases involving the B.1.1.7 and B.1.351 variants.
3) Ontario, by comparison, has posted a cumulative total of 1,527 presumptive variant cases — that is positive test results with the N501Y gene mutation of the sticky spike protein on the #coronavirus. All three major variants, including P.1, share that mutation.
4) Unlike Quebec, Ontario has published much more detailed stats on the #COVID19 variants, including presumptive cases by region. But covidecolesquebec.org, a purely volunteer effort, has performed stand-out work in compiling variants by school in Quebec.
5) As you can see from the chart below, the vast majority of presumptive #COVID19 variant cases are occurring in elementary schools. Does this have something to do with the fact that — except for Grades 5 and 6 — pupils at the primary level don’t have to wear masks in class?
6) Nearly three weeks ago, a village in Italy reported that 10% of residents tested positive for B.1.1.7, and 60% of the cases were children from kindergarten and elementary school, “who in turn, infected their families,” the mayor of Corzano said.
7) The experience in the Italian village might explain why Quebec public health officials haven’t hesitated to shut down a school at the slightest hint of a variant. It also explains why Legault said next week will be a "big test," when parents are at home with their children.
8) On Tuesday, the number of #COVID19 outbreaks in schools rose by 15 to 297. The Education Ministry noted that 97 more classrooms were shuttered, likely the result of the proliferation of the variants. Please see the chart below.
9) But public health authorities in Quebec shouldn’t simply presume the variants are limited to schools only. At least one epidemiologist, Benoît Mâsse, said the province can expect the more contagious variant cases in the workplace, too.
10) And during next week’s March break, shopping malls will likely be packed, along with retail stores, swimming pools, hockey arenas and possibly cinemas — minus the popcorn. At the same time, city emergency rooms will likely be as overcrowded as ever. End of thread.
Addendum: The following charts could not fit into this thread. The first chart shows the number of #COVID19 cases in Montreal declining to 360 on Tuesday. The city’s seven-day rolling average stands at 17.96 cases per 100,000 residents.
Addendum 2: At the neighborhood level, the chart below shows that transmission of the #coronavirus is picking up in the centre and West Island of Montreal. See the chart below.
Addendum 3: And finally, the chart below shows what appears to be an undeniable and welcome trend of #COVID19 deaths dropping in Montreal. This is likely the result of #COVID19 vaccination, plus the #pandemic restrictions.

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More from @Aaron_Derfel

25 Feb
1) The more transmissible B.1.1.7 variant now appears to be circulating widely in Montreal, the latest data by the public health department suggest. The variant been responsible for at least 22 #COVID19 outbreaks in Montreal since January, mainly in schools and daycare centres.
2) And since last week, the number of #COVID19 outbreaks in schools has jumped by 19 to 117 in the city, with nearly 600 positive cases. In fact, the contagion in schools stands out because clusters have been dropping in nearly every other sector. See the chart below. Image
3) And three more Montreal schools — Antoine-de-Saint-Exupery, Adélard-Desrosier and Beth Jacob de Rev Hirschsprung — reported four more suspected cases on Wednesday involving the B.1.1.7 variant that originated in the U.K. in December, according to covidecolesquebec.org. Image
Read 14 tweets
23 Feb
1) On Feb. 10, Quebec’s top health officer disclosed two confirmed #COVID19 cases of the B.1.351 variant first identified in South Africa. On Monday, an Abitibi-Témiscamingue official revealed 40 presumptive B.1.351 cases. Why did authorities not release this information sooner?
2) Dr. Horacio Arruda said at the time the B.1.351 cases were associated with two “well-controlled” outbreaks. Arruda spoke more about the B.1.1.7 variant that originated in the U.K. in December and that is now circulating in Montreal. But he hardly mentioned B.1.351. Why not?
3) At a Monday afternoon news conference in Abitibi-Témiscamingue, public health doctor Omobola Sobanjo disclosed that 20 presumptive B.1.351 cases came from an outbreak following a party after the holidays, and 13 from a school cluster.
Read 14 tweets
22 Feb
1) At least four more schools in the greater Montreal region confirmed over the weekend #COVID19 cases likely arising from the B117 variant, raising the question as to the extent of the contagion of the new more transmissible strain in the community at large.
2) On Sunday night, covidecolesquebec.org reported the “circulation of a #COVID19 variant” at École de l’Équinoxe de Ste-Rose in Laval. This followed news earlier Sunday of the temporary closing of a Blainville school due to an outbreak linked to a variant.
3) The other schools include École Lévis-Sauvé in Verdun and Monseigneur Gilles-Gervais in Saint-Bruno-de-Montarville on the South Shore. That’s in addition to three other Montreal schools that have reported variant #COVID19 cases last week.
Read 10 tweets
21 Feb
1) As Quebec City public health officials launched massive screening on Saturday of the B117 variant among students, teachers, and families after a #COVID19 outbreak at a now-closed school, newly released data by neighboring Ontario show the variant spreading in the community.
2) In the chart below, Ontario Public Health has found that only 6.7% of cases involving the more contagious B117 variant arose from travel. In contrast, 80.6% of such cases were associated with outbreaks or close contact of a confirmed case.
3) This would suggest that a similar scenario is playing out in Quebec, with most variant cases having been detected in Montreal (19), but also in Abitibi-Témiscamingue (two), Laval (one) and the Eastern Townships (one). Please take a look at the chart below.
Read 10 tweets
20 Feb
1) The number of cases involving #COVID19 variants now appears to be rising faster in Quebec than in Ontario, the latest tallies by the two provinces suggest. In this thread, I will examine what this means as Quebec considers easing restrictions even after the March break.
2) Since Feb. 13, Ontario has reported an increase of 82 cases of the more contagious B117 variant and three more cases of the B1351 variant. Quebec is not reporting its numbers the same way, with only 16 confirmed cases of variants.
3) However, during the same period Quebec has confirmed an increase in five cases of variants and has reported 236 presumptive cases (up by 63 from the day before), with most likely occurring in the Montreal area and involving the B117 lineage.
Read 11 tweets
19 Feb
1) In the past three days, the number of presumptive #COVID19 variants has more than doubled from 86 to 173 in Quebec, with most cases occurring in Montreal. The proliferation of the variants, most likely B117, has prompted the government to consider new measures for schools.
2) Education Minister Jean-François Roberge defended his handling of the #pandemic in schools on Thursday, asserting the government has acted with agility. Still, Roberge stopped short of going into detail about possible measures. Will he finally allow air purifiers in schools?
3) Quebec reported on Thursday that the number of #COVID19 outbreaks in schools rose by nine to 283, the only sector to observe an increase. One more school closed temporarily, but the total number of cases did decline. See the chart below.
Read 10 tweets

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