Table: Deaths/100K & change last 7 days for provinces, Canada, rest of world
Graphs
-Total deaths (mid top)
-Total deaths per 100K (mid bottom)
-Wkly rate of change in deaths (bottom right)
Mar 19
1 of every 5 #Canadians with #COVID19 in long-term/ personal care & retirement homes has died since Feb 2020
1 in 5 BC
1 in 7 AB
1 in 5 SK
1 in 4 MB
1 in 8 ON
1 in 4 QC
There are 1,969 LTC/RH cases in last 28 days
Mar 19
Since Feb 2020
For every 1 Atlantic and Northern #Canadian in long-term care & retirement homes who DIED of #COVID19, this many people in LTC/RHs died of C19 in other regions*
BC 6X
AB 11X
SK 4X
MB 13X
ON 11X
QC 32X #Canada 14X
*adjusted for population differences
Mar 19
#COVID19#Canada long-term care & retirement home DEATHS since Feb 2020
Tables: Per capita deaths + change last 7 days, % total deaths in LTC/RH
Graphs:
-Total & per capita values (L)
-% total deaths in LTC/RH (R top)
Mar 19
Since Feb 2020
For every 1 Atlantic & Northern #Canadian DIAGNOSED with #COVID19 this many people were diagnosed with COVID-19 in other regions*
BC 9X
AB 17X
SK 14X
MB 13X
ON 12X
QC 19X
Rest of #Canada 13X
Rest of World 8X
Table: Cases/100K & change last 7 days for provinces, Canada, rest of world
Graphs
-Total cases (mid top)
-Total cases per 100K (mid bottom)
-Wkly rate of change in cases (bottom right)
Mar 19
Since Feb 2020
For every 1 Atlantic & Northern #Canadian in long-term care & retirement homes DIAGNOSED with #COVID19, this many people in LTC/RHs were DIAGNOSED in other regions*
BC 4X
AB 10X
SK 2X
MB 7X
ON 10X
QC 16X #Canada 10X
*adjusted for population differences
Mar 19
#COVID19#Canada long-term care & retirement home CASES since Feb 2020
Tables: Per capita cases + change last 7 days, % total cases in LTC/RH
Graphs:
-Total & per capita values (L)
-% total cases in LTC/RH (R top)
Mar 19
WHAT TO WATCH FOR:
-Weekly rate of change in CASES
WHY?
This shows: 1) if our efforts over the last month are helping 2) when there are warning signs that epidemic may be speeding up again.
Mar 19
WHAT TO WATCH FOR:
-Weekly rate of change in HOSPITALIZATIONS
WHY?
This shows: 1) if our efforts over the last month are helping 2) when there are warning signs that hospitalizations may be speeding up again.
Mar 19
WHAT TO WATCH FOR:
-Weekly rate of change in DEATHS
WHY?
Shows: 1) if efforts ONE MONTH AGO helped 2) warning clues if deaths may be speeding up
ALSO: Rates of change in deaths help us estimate effects of measures such as vaccination in LTC/RHs, where reporting is slow
Link to explainer of excess mortality estimates and what they mean:
Thread on Canadian excess deaths during #COVID19, round 3.
Why do I keep posting about this?
Because I'm worried we've missed a lot of C19 deaths outside LTC and that we may see many more during the 3rd wave because of slow rollout of vaccination of older adults in community.
When did I start thinking about this?
Last year, after reading a paper from @LauraCRosella & colleagues about excess mortality during first wave in Ontario, estimated from cremation data (which is reported fast and includes place of death information).
Actually, it dates back further, to a @CIHI_ICIS report on #COVID19 deaths in congregate care in #Canada, which found that 80% of deaths in the first wave were in congregate care (long-term care, retirement homes), which in turn is twice the OECD average.
2. Added excess deaths for each province/region starting first week when 1 death/million people reported to Nov 15 (last week when we have fairly complete Canadian excess death data): CUMULATIVE
For those who don't know, "excess death" is the number of deaths MORE than what you'd expect in any given period. More than all the normal deaths that occur in the population yearly.
Concerns about possible under-reporting of #COVID19 deaths in 4 #Canadian provinces:
Ontario, Saskatchewan, Alberta, BC
This thread will be fairly long. I've assembled it to try to crowd-source insights from those knowledgeable about provincial C19 death reporting.
First, I'll start with plots of cumulative excess deaths in Canada until Nov 14 (the last date when we have fairly complete excess death reporting for most of Canada).
I've set the start date as the first week when a province or territory reached 1 reported C19 death/million pop
Here are the excess deaths/100K, for those interested.
Excess deaths/100K in #Canadians 45+ years old
(fold difference compared to Atlantic & Northern Canadians)
-from 1st week province reached 1 reported #COVID19 death/million people
-to Nov 14, 2020 (latest date of full excess mortality reporting in all provinces)
Excess deaths/100K in #Canadians (all ages, and 45+ years) compared to reported #COVID19 deaths
-from 1st week province reached 1 reported #COVID19 death/million people
-to Nov 14, 2020 (latest date of full excess mortality reporting in all provinces)
Total excess deaths in #Canadians (all ages, and 45+ years) compared to reported #COVID19 deaths
-from 1st week province reached 1 reported #COVID19 death/million people
-to Nov 14, 2020 (latest date of full excess mortality reporting in all provinces)