Apr 9

1 of every 45 #Canadians with #COVID19 has died since Feb 2020

1 in 73 BC
1 in 79 AB
1 in 79 SK
1 in 37 MB
1 in 51 ON
1 in 30 QC

1 of every 5 Cdns w/ C19 in long-term care & retirement homes has died

LAST 28 DAYS: 812 deaths, 1,183 LTC/RH cases, 303 LTC/RH deaths
Apr 9

-#COVID19 is in top 4 largest mortality events in #Canadian history

-Last 28 days: 812 Canadians died of C19

-If every week is like this week, 868 Canadians may die in next 28 days
Apr 9

#COVID19 #Canada

CASE FATALITY RATES

Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)
Apr 9

Since Feb 2020

For every 1 Atlantic & Northern #Canadian who DIED of #COVID19 this many people died of COVID-19 in other regions*

BC 9X
AB 14X
SK 11X
MB 21X
ON 15X
QC 38X

Rest of #Canada 18X
Rest of World 11X

*after adjusting for population differences
Apr 9

#COVID19 #Canada DEATHS since Feb 2020

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)
Apr 9

#COVID19 #Canada

DEATHS/100K

Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)
Apr 9

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 1,183 LTC/RH cases in last 28 days
Apr 9

#COVID19 #Canada

Long-term care/retirement home CASE FATALITY RATES

Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)

Note: some of deaths reported in W3 may have happened in W2 due to slow reporting in this sector.
Apr 9

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 8X
AB 13X
SK 5X
MB 17X
ON 14X
QC 41X
#Canada 18X

*adjusted for population differences
Apr 9

#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)
Apr 9

#COVID19 #Canada

Long-term care/retirement homes
-DEATHS/100K
-% TOTAL DEATHS IN LTC/RH

Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)
Apr 9

Since Feb 2020

For every 1 Atlantic & Northern #Canadian DIAGNOSED with #COVID19 this many people were diagnosed with COVID-19 in other regions*

BC 14X
AB 23X
SK 19X
MB 16X
ON 17X
QC 24X
Rest of #Canada 17X
Rest of World 11X

*after adjusting for population differences
Apr 9

#COVID19 #Canada CASES since Feb 2020

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)
Apr 9

#COVID19 #Canada

CASES/100K

Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)
Apr 9

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 6X
AB 11X
SK 3X
MB 9X
ON 13X
QC 19X
#Canada 12X

*adjusted for population differences
Apr 9

#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)
Apr 9

#COVID19 #Canada

Long-term care/retirement homes
-CASES/100K
-% TOTAL CASES IN LTC/RH

Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date)
Apr 9

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.
Apr 9

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.
Apr 9

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
Sources of collated official data (in addition to @StatsCan_eng & provincial sites), with huge thanks:

@NoLore

@RyersonNIA

@CU_IIJ

@covid_canada

@OurWorldInData

Thank you to everyone protecting themselves & others by choosing vaccination.

/end

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More from @MoriartyLab

6 Apr
Update on excess death story:

So far, journalists @ericandrewgee of @globeandmail @arthurwhiteLP of @leaderpost have on record confirmation that ON and SK do NOT include probable #COVID19 deaths in reported C19 deaths.

This is counter to guidance of @GovCanHealth and @WHO.
By contrast, QC DOES report probable
C19 deaths in their reported numbers.

This goes at least some of the way toward explaining why excess deaths in ON and SK are greater than reported C19 deaths from March-Nov 14, 2020, and why this is not true in QC.
Today's @ericandrewgee story is below. @arthurwhiteLP story is going to press now.

Looking foward to hearing how BC, AB, MB report C19 deaths.

Looking forward even more to learning why ON, SK, possibly others don't follow @GovCanHealth, @WHO guidance.

Read 36 tweets
3 Apr
Apr 2

1 of every 43 #Canadians with #COVID19 has died since Feb 2020

1 in 69 BC
1 in 75 AB
1 in 78 SK
1 in 36 MB
1 in 49 ON
1 in 29 QC

1 of every 5 Cdns w/ C19 in long-term care & retirement homes has died

LAST 28 DAYS: 817 deaths, 1,335 LTC/RH cases, 368 LTC/RH deaths Image
Apr 2

-#COVID19 is in top 4 largest mortality events in #Canadian history

-Last 28 days: 817 Canadians died of C19

-If every week is like this week, 834 Canadians may die in next 28 days Image
Apr 2

#COVID19 #Canada

CASE FATALITY RATES

Wave 1 (to Aug 17)
Wave 2 (to Feb 18)
Wave 3 (Feb 19 to date) Image
Read 33 tweets
22 Mar
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).

medrxiv.org/content/10.110…
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.

cihi.ca/sites/default/…
Read 73 tweets
21 Mar
Mar 19

1 of every 41 #Canadians with #COVID19 has died since Feb 2020

1 in 64 BC
1 in 72 AB
1 in 76 SK
1 in 36 MB
1 in 45 ON
1 in 28 QC

1 of every 5 Cdns w/ C19 in long-term care & retirement homes has died

LAST 28 DAYS: 1,026 deaths, 1,969 LTC/RH cases, 838 LTC/RH deaths Image
Mar 19

-#COVID19 is in top 4 largest mortality events in #Canadian history

-Last 28 days: 1,026 Canadians died of C19

-If every week is like this week, 925 Canadians may die in next 28 days Image
From Mar-Nov 14, 2020

For every excess death of Atlantic and Northern Canadians 45 years and older

This is how many excess deaths in same age group there were in other regions:

BC 62X
AB 39X
SK 51X
MB 24X
ON 65X
QC 108X
Canada outside Atlantic & Northern regions: 68X Image
Read 17 tweets
17 Mar
On Sunday night I posted an analysis of excess deaths in #Canada since start of #COVID19 deaths.

The results were concerning, but interpretation was complicated by parallel toxic drug death epidemic.

I have now corrected for toxic drug deaths.

The results are still concerning.
Methods:

1. Took weekly excess deaths data from StatsCan (www150.statcan.gc.ca/t1/tbl1/en/tv.…).

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.

Here's how excess death is calculated...
Read 49 tweets
15 Mar
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.
Read 30 tweets

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