FRIDAY GOOD NEWS THREAD:
how about some positivity?
Here's a brief overview of state of Covid in UK right now.
TLDR: pretty good, couple of things to keep an eye on. 1/13
Case rates are below 50/100,000 people/week in all nations (orange), dropping from prev week (grey) and approaching levels last seen Sept 1 last year (green). 2/13
England is the flattest in terms of case rates and this is reflected regionally (orange and grey dots close together). Yorks & Humber still highest region, confirmed by the ONS infection survey too. 3/13
One thing to note is that although all positive LFD tests are now encouraged to get confirmatory PCR, about a third of cases are now positive LFD without confirmation. 4/13
Cases by age are also flat or falling which is good news. This chart is from the ONS infection survey data so is not affected by whether someone has symptoms or changes in LFD test numbers.
All good but note only covers a few days of summer term.
Case data also flat 5/13
So great news that all going in right direction - so much of a better picture compared to where we were a few months ago and also where much of the rest of the world is now.
Couple of warning things to note... (wouldn't be me without some warnings!) 6/13
Firstly, the impact of deprivation has been stark for the last 8 months - Imperial REACT study shows that if anything the disproportionate impact is larger when prevalence is lower. 7/13
Secondly, while overall vaccination is great with 62% of adults having had 1 dose and 26% 2 doses, there are (obviously) differences by age. 8/13
and these differences have also translated (naturally) into presence of antibodies (which arise either from vaccination or from previous infection).
ONS released its latest population antibody survey today. 9/13
So roughly half of people between 16 and 34 don't have any Covid antibodies, maybe 8 million people... (plus 11 million children who've not been vaccinated, although some will have antibodies through prev infection). 10/13
Having so many people with some immunity will do a great deal to slow down any spread as we open up, but might not be enough to keep R<1 (which is what SAGE is worried about after June).
Adding better contact tracing, ventilation etc could keep R<1 + continuing to vax. 11/13
Finally there are variants. These remain the biggest medium term threat to our vax programme and we need to stay on top of them here.
The pandemic is as bad as it ever was for babies - in year to Aug 2023, 6,300 babies under 1 were admitted to hospital wholly or partly BECAUSE of Covid.
They are ONLY age group where admissions have NOT gone down over time 1/17
Our study, led by Prof @katebrown220, looked at all hospitalisations in England in children with a Covid diagnosis or positive test from Aug 2020-Aug 2023.
We then *excluded* all admissions where a Covid diagnosis was incidental (ie not why they were in hospital)
2/17
Infants (babies under 1) are generally at higher risk from respiratory infections, plus they are the age group that, if infected, are overwhelmingly meeting the virus for the first time.
They are not vaccinated and have not had it before. 3/17
Prof @Kevin_Fong giving the most devastating and moving testimony to the Covid Inquiry of visiting hospital intensive care units at the height of the second wave in late Dec 2020.
The unimaginable scale of death, the trauma, the loss of hope.
Please watch this 2min clip.
And here he breaks down while explaining the absolute trauma experienced by smaller hospitals in particular - the "healthier" ICU patients were transferred out, leaving them coping with so much death.
They felt so alone.
Here Prof Fong explains how every nurse he met was traumatised by watching patients die, being only able to hold up ipads to their relatives and how it went against their normal practice of trying to ensure a dignified death, with family there.
🧵War causes direct civilian deaths but also indirect deaths over the following years.
Recent paper estimates eventual total direct & indirect deaths in Gaza attributable to the war - 10% of entire pop'n.
I want to explain these estimates and why deaths must be counted. 1/13
Why count casualties from war anyway? For moral, legal and strategic reasons.
1 - owe it to those who have died
2 - International law says must count & identify dead as far as possible
3 - monitor progress of war & learn from tactics
2/13
There are direct and indirect casualties of war. Direct deaths include those who killed by fighting or bombs.
Indirect deaths are those that die when they would otherwise have lived because of one or more of: lack of food, healthcare, housing, sanitation, income, hope. 3/13
THREAD: the summer Covid wave in the UK continues.
Basically, there is a LOT of Covid around and not a lot of other respiratory viruses.
If you have cold or flu symptoms, it's probably Covid.
The latest hospital data from England shows steady, quite high levels. 1/8
But admissions don't tell us how much virus is circulating more generally. The best (but imperfect) measure we have is wasterwater measurements, and only in Scotland and not England.
Scotland's wastewater is showing a huge July peak - highest since Omicron's 1st yr in 2022 2/8
Because different people shed different amounts of virus and variants can matter too, you can't for sure infer how many people were infected between different wasterwater peaks. BUT given the size, I'd say it's pretty likely this is the largest peak since 2022 in Scotland 3/8