Adam Briggs Profile picture
Apr 22, 2021 18 tweets 12 min read Read on X
PHE's surveillance report for 12th to 18th April now out. 🧵

Second week of school holidays for most, but some schools will have gone back.

Tl,dr:
- case numbers down & vaccination up
- persistent inequalities by geography, ethnicity, & deprivation

gov.uk/government/sta…
Case rates & positivity continue to fall across the age groups with no clear sign of pre-Easter rise in school-age cases leading to more infection in older ages.

Highest in 10-19y/o (42 per 100,000) and lowest among 70-79y/o at just 7.2/100,000.

A pattern matched by ONS survey
Case rates also falling across all the regions, with slightly higher rates in Yorkshire and Humber (45 cases per 100,000 compared with just 14/100,000 in the SW).

Again not dissimilar to ONS and good to see case rates come down (next ONS update due tomorrow)
This does mask some differences by age - particularly look at Y&H, as well as 10-19y/o in EofE, London, and SE.
The upper tier local authority data show this even more starkly.

Whilst case rates are generally falling everywhere, the same places still have the highest rates.

They range from 74 cases per 100,000 in Doncaster to just 7/100,000 in Torbay.

A factor of 10.
And just to emphasise this point, the places with high case rates in the most recent week generally overlap with the cumulative highest case rates, and highest death rates.
As have said multiple times, this is largely driven by structural inequalities - job security, housing - @louisemarsha11 and I wrote about this again just this week.

Percentage of tests that are positive for PCR now just 0.89% (PCR uptake relatively static)

and for LFDs it's 0.15%, falling as LFD use increases (LFDs were available to everyone from 9th April).
Differences by ethnicity may not be particularly obvious overall, but they are still apparent when looking at the regional data.
And for deprivation it's easier to see.

Both the inequalities in case rates by deprivation and ethnicity will underlying much of the difference in case rates seen at local authority level.
When it comes to outbreaks, care home and hospital outbreaks remain as low as they've ever been.
As do schools given the Easter hols.
Perhaps still a little early but a good sign to see no signal (yet) for outbreaks/incidents in workplaces notified to PHE either.
As has been widely reported, hospital admissions continue to fall across the country.
And as community infection rates fall and younger people start getting their first jab, ICU admissions are also still falling.
It's important to remember that people are still dying from COVID-19, but the numbers are orders of magnitude better than they have been.
And finally, first dose vaccine uptake is now over 90% for *ALL* age groups >65yrs.

This is pretty incredible and a huge achievement for everyone involved. Bear in mind that most years flu vaccination uptake for over 65y/os peaks at around 70%. /end

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More from @ADMBriggs

Jun 28, 2023
Out in @Telegraph today (no ££-wall)

Tl,dr: Scotland has shown that minimum unit pricing works but as deaths from alcohol rise, the government remains silent on alcohol policy in England.

telegraph.co.uk/global-health/…
Yesterday, the Scottish government published the final Minimum Unit Pricing (MUP) evaluation report.

It showed:
- alcohol deaths ⬇️13%
- hospital admissions ⬇️4%
-⬇️inequalities
- no obv impact on business

publichealthscotland.scot/publications/e…
Public Health Scotland now supports MUP and Wales implemented it in 2020.

But England hasn't had a national alcohol strategy since 2012.

gov.uk/government/pub…
Read 16 tweets
Jun 17, 2023
I know I'm late to this news and shouldn't be in any way surprised, but it is still so utterly infuriating.

Delayed again until 2025 pending a review.

Very short🧵

bbc.co.uk/news/uk-659367…
Gov data shows how price promos are more likely to be applied to unhealthy junk food rather than healthier foods.

And rather than saving people ££, they can lead to around 22% *more* purchases than would otherwise happen, with *more* money spent and *more* consumption. Image
That's why companies use these promotions.

That's also why the policy was in the obesity strategy in the first place. The irony being that it is more likely to help than hinder the impact of the cost of living crisis on individuals and families.
Read 11 tweets
Mar 10, 2023
In today's @Telegraph, Sally O'Brien & I discuss @HealthFdn / @IpsosUK polling results on public attitudes to gov policy on alcohol, tobacco, & unhealthy food (no £-wall🔓)

🧵Tl,dr: While gov has a preference for individual responsibility, the public still think gov should act.
Gains in healthy life-expectancy have stalled, childhood obesity continues to rise, alcohol-related hospital admissions are up, and tobacco still causes over 500,000 admissions a year.

And there are huge inequalities with more deprived areas disproportionately impacted. ImageImageImageImage
Yet the recent trend of unwinding public health policy continues.

The tobacco control plan is unpublished, junk food ad bans have been delayed, plans for a national approach to health inequalities have gone & there's been nothing on alcohol since 2012.

health.org.uk/news-and-comme…
Read 19 tweets
Oct 27, 2022
This week's @UKHSA COVID and Flu surveillance report came out today.

tl,dr: COVID rates are falling but Flu case rates on the up, as is RSV.

gov.uk/government/sta…
First the good news. COVID cases in hospital clearly falling, in all ages, regions (except perhaps still plateauing in Yorkshire and Humber).

There's still a lag on cases in intensive care and on deaths, but they'll drop soon as well.
Flu, however, seems to be on the rise.

Overall case & admission rates are relatively low, but trending up.

And with a higher % of lab respiratory samples (sent in by dr from people with chest symptoms) testing for flu than at the same time in the past 5 yrs. i.e., it's early
Read 12 tweets
Oct 26, 2022
This is a really helpful and timely piece of work by @davidfinchthf.

Along with last week's @TheIFS report on how government ££ are spent, it's clear that we need to do more to align public health funding with local needs. 🧵

ifs.org.uk/publications/d…
Over the last decade, gains in life expectancy in England have stalled.
And it will be no surprise that the impact has not been felt evenly by everyone.

While life expectancy continues to increase for people living in the least deprived parts of the country, people from the most deprived communities are dying earlier.

It's entirely avoidable.
Read 22 tweets
Sep 13, 2022
This type of shortsighted policy review has reared its head again.

Health is an *asset* & the types of obesity policies being looked at here are exactly the ones that are both most effective AND most likely to narrow inequalities. 🧵

theguardian.com/politics/2022/…
Rates of obesity and overweight among children took a huge jump during the pandemic - particularly among more deprived communities.

In an average yr 6 class of 30, 12 will have overweight or obesity.

This thread discusses the data in detail 👇
Image
The government is aiming to halve childhood obesity by 2030 and reduce inequalities.

As have said previously, obesity is complex and multifaceted. No one policy will do it and instead it needs a multifaceted solution.

health.org.uk/publications/r…
Read 13 tweets

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