Ed Tubb Profile picture
Apr 16, 2021 6 tweets 6 min read Read on X
1/6 Ontario is going to see new COVID-19 modelling at 1 p.m. today.

If anyone tells you the takeaways are a surprise: They've lied to themselves, they can't read numbers, or they think you can't.

These slides are from Jan. 28:

They highlight every problem we're seeing now.
2/6 And these are from Feb. 11.

They *clearly* warn of the extreme risk posed by the COVID-19 variants that were, at that time, running rampant in other countries.

They also tell us what we have to do to prevent that from happening here: suppress R, harder than we have done.
3/6 And these are from Feb. 28.

They clearly and correctly warn of coming exponential growth in cases and hospitalizations due to the growth in the U.K. variant B.117.

This, of course, happened.

They even told us how important it is to focus on vaccinating hard-hit places.
4/5 These are from Mar. 11.

Here, the threat from the variants isn't hypothetical — this is now Ontario data.

And it matches everything we were warned about, repeatedly.

The *incredibly bad* trend in Ontario hospitals since Mar. 11 is no worse than what we see in these slides.
5/6 And these are from the last modelling package, on April 1.

These have more local data on the variants: we learned they're causing worse outcomes in our hospitals — something we knew to expect from overseas.

And again: Our ICU trend since this is no worse than these slides.
6/6 I strongly encourage you to watch the modelling presentation we're going to hear today.

It's streaming live starting now:

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More from @EdTubb

Jul 14, 2022
The ongoing ups and downs of COVID-19 transmission in Ontario are important.

To me, one big forward-looking question is: What will be the baseline COVID burden moving forward, years into the future?

2022 is giving few reasons to expect that burden will be particularly low.
Consider hospitalizations.

This is the chart of Ontario's hospitalization burden since Jan. 2021.

Moving forward, a v. good future w. COVID would look like late 2021 — the low part in the middle.

200 or so hospitalized on any given day. Less in the summer. More in winter.
I just can't see a good reason to think that's a reasonable expectation.

In 2022, Ontario has averaged 1,450 concurrent hospitalizations daily; 1,012 if you exclude the initial Omicron spike.

That's with vaccination and boosters.

And this summer isn't bottoming out like 2021.
Read 5 tweets
Jun 1, 2022
The Star's front page this morning includes @MarcoOved, @KenyonWallace & me on how Ontario is spending billions to entrench a system of mostly for-profit long-term care that disproportionately failed to keep elders alive in the pandemic.

thestar.com/news/investiga…
The expansion is going to facility construction and beds with permits that last decades. It will define a generation of care.

The expansion has no correlation with how each operator actually performed — some of the worst chains by pandemic death rates are among the most awarded.
The industry continues to say that this fact — that for-profits saw far more COVID death per capita — is explained by other factors, specifically: The for-profits' generally older facilities and higher local infection rates.

The Star has checked this.

This is through May.
Read 4 tweets
May 31, 2022
Headley lead-singer Jacob Hoggard has been charged with an unrelated 2016 sex assault in Kirkland Lake, Ont., a fact @alysanmati can report now that his Toronto jury has just been sequestered for deliberations.

thestar.com/news/gta/2022/…
Another fact @alysanmati can now report:

The jury only learned that Hoggard's defence had mistakenly played a clip from a CBC interview detailing another entirely different woman's allegations against Hoggard because a CBC producer noticed the error in court and spoke up.
(Those allegations involve a 2013 incident in Toronto, so they are *not* the ones Hoggard has been charged over in Kirkland Lake.)
Read 4 tweets
Apr 9, 2022
1/n PHO has a new risk assessment on the spread of the current BA. 2 wave.

Among other things it says:

- The wave is associated with lifting mask mandates
- We're likely to see ++ serious illness in children
- Reintroducing masking would be an effective + practical intervention
2/n Source is here: publichealthontario.ca/-/media/Docume…

Some observations follow, but the main one is this document is *remarkably* frank and matter-of-fact about our current state of risk and what might be effective interventions.

I encourage you to read it.

The topline risk assessment:
3/n Some key lines, and there are a lot of them:

"Timely, temporary re-implementation of increased public health measures and continuation of
existing measures can help mitigate current epidemiological trends."

(ie: We can do something about this)
Read 7 tweets
Apr 8, 2022
It's reasonably clear Ontario's current wave has not yet peaked in infections; with lag time, we're at least a couple weeks from hospitalizations peaking.

To me, the key question in the next 7-10 days is whether this hospitalization rate continues to accelerate in the meantime.
We're kind of on a knife's edge:

If the current rate of hospitalization growth continues through late April, it is likely to look similar to Wave 3, (but with fewer ICUs.)

If it accelerates in the next 7-10 days, we're really not that far from a wave that looks most like Jan.
Why would it accelerate?

- If infection rates are further from peak than we might think (if they double again, hospitalizations will too.)
- If seniors avoided infection in the first part of this wave, but that changes (this happened in Jan.)
Read 5 tweets
Apr 7, 2022
Not so fun fact: It took me nearly two years before realizing this week that the previous owners had installed the gas stove's fume hood in "recirculation" mode, rather than vent out the hole in the wall it's hooked up to.

cbc.ca/news/science/g…
Gas is relatively nice to cook with, for sure, but that's really only in comparison to bad electric stoves, and the downsides are very real.

If I was to replace it, it would be with electric/induction.
(And I care a lot about cooking.)
Read 4 tweets

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