1) Quebec on Friday posted 102 more presumptive #COVID19 cases involving the more transmissible variants. But there are still many stats about the variants that Quebec has not yet made public, unlike in neighboring Ontario. In this thread, I will highlight those information gaps.
2) The first gap to highlight is the fact that Ontario has to date reported a cumulative total of 2,099 presumptive #COVID19 variant cases, 140% higher than Quebec’s tally of 874. This suggests that Ontario is screening for the variants a lot more than Quebec.
3) But it’s impossible to confirm that Ontario is, in fact, screening more for the variants, because Quebec is not releasing the data on the total number of positive tests that have undergone “criblage.” In Ontario, the figure for screened tests is 18,125.
4) The next thing the public is in the dark about in Quebec is the positivity rate for the variants. Two days ago, Health Minister Christian Dubé estimated it’s 10% — meaning that one in 10 positive #COVID19 test results that is screened for the variants comes up positive again.
5) In contrast, Ontario’s cumulative positivity rate is 11.5%. Digging deeper, one observes that the positivity rate for variants in Ontario has been creeping upward in the past few days, suggesting increasing transmission of the B.1.1.7 and other variants.
6) Although Quebec does provide a regional breakdown for confirmed variant cases, it doesn’t for presumptive ones. So Quebecers don’t know the variant positivity rate for presumptive cases or where they’re cropping up.
7) And as for confirmed variant cases, the number in Quebec is 34, compared with 493 in Ontario. How is it possible Quebec has so many fewer confirmed cases? Premier François Legault’s assertion that it’s because Ontario has closer ties with the U.K. is far from persuasive.
8) Again, in the absence of detailed data from the Quebec Health Ministry about the presumptive variant cases, a non-governmental volunteer website that tracks #COVID19 outbreaks in schools — covidecolesquebec.org — can tell us indirectly how the variants are spreading.
9) According to the chart below by Olivier Drouin of covidecolesquebec.org, one daycare and four schools on Friday reported suspected or presumptive variant cases. What’s noteworthy is that two schools are located south of Montreal and another north of the city.
10) Thus, the data by covidecolesquebec.org — and not by the government — suggests that most likely the B.1.1.7 variant that originated in the U.K. in December and that has established itself in Montreal is now spreading far beyond the metropolis. End of thread. Stay safe.
Addendum: The following threads which could not fit into tonight’s thread are reproduced here. In the first one by the Quebec Education Ministry, one can see that the number of schools that have had to close fully or partially rose by two to 14 on Friday.
Addendum 2: The incidence of #COVID19 in Montreal is still on a plateau of daily cases in the 400-range, as one can glimpse from the chart below. This may be because public health authorities are still testing a lot probably because of the presence of the B.1.1.7 variant.
Addendum 3: Nurses on Thursday vaccinated 4,094 Montrealers, the highest one-day tally so far in the #pandemic. Fortunately, a lot more vaccines are on the way. The vaccines have likely saved some lives already. See the chart below of the lowering death toll in the city.
Addendum 4: Amid the ramp-up in vaccinations, Montreal has reopened considerably for the March break, even with the #COVID19 variants on the loose. Let us hope that people don’t start showing up in packed emergency rooms infected with B.1.1.7. See below.

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More from @Aaron_Derfel

28 Feb
1) Quebec on Sunday confirmed that the more contagious #COVID19 variants are indeed spreading across the province. This news comes amid a second outbreak in an eldercare home and an uptick in #pandemic hospitalizations in Montreal.
2) In the chart below, Quebec’s public health institute confirmed another 103 variant cases for a total of 137. Most involve the B.1.1.7 variant in Montreal. Six more were found in Laval and two in Lanaudière. B.1.1.7, originating in the U.K., is considered 50% more contagious. Image
3) Authorities also confirmed through genetic sequencing 38 more cases of the B.1.351 variant which first appeared in South Africa. Quebec now has far more cases of the B.1.351 variant than any another province in Canada. Image
Read 10 tweets
28 Feb
1) Covidecolesquebec.org on Saturday recorded the 30th school to date with suspected or presumptive #COVID19 variants. That news coincided with revelations of an uptick in cases in the greater Montreal region of multi-system inflammatory syndrome in children. Image
2) The rise in cases of the rare pediatric syndrome at the Montreal Children’s and Sainte-Justine hospitals started before January’s emergence of the more transmissible B.1.1.7 variant, and challenges the myth that #COVID19 is harmless in children. montrealgazette.com/news/local-new…
3) Meanwhile, Premier François Legault exhorted Quebecers on Saturday to avoid private gatherings during the March break, warning of the presence of B.1.1.7, which originated in the U.K. in December and is now responsible for a surge in cases throughout Europe. Image
Read 9 tweets
26 Feb
1) As Quebec plans to ease #pandemic restrictions Friday for the coming March break, it’s worth noting what some European countries that were hit with the B.1.1.7 variant much earlier than here are now doing, while the same strain spreads in Montreal.
2) In France, Prime Minister Jean Castex warned on Thursday of increased measures to fight the proliferation of B.1.1.7 in 20 regions, including Paris, following Wednesday’s count of 30,000 new #COVID19 infections.
3) The Czech Republic declared it will tighten its lockdown, including a ban on travel between counties for the next three weeks. Daycares and elementary schools will close on Monday. The government may send some Czech #COVID19 patients to Germany for treatment.
Read 15 tweets
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.
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.
Read 14 tweets
23 Feb
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.
Read 13 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

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