TLDR things are looking pretty good right now. Caveat is variants (which is a whole other thread). 1/16
Overall UK cases are hoevering at just over 2K a day and back to levels back at the end of last summer. We can see drop over Easter hols (partly due to less testing) - but clear that opening outdoor spaces & shops has not caused an uptick (good!!). 2/16
Looking at types of tests done, clear upticks in twice weekly rapid LFDs when schools are open.
The drop off in LFDs over last few weeks also obv. School kids doing them less? other people? no idea. But clearly govt aim for loads of people to do them not happening. 3/16
Worryingly, the proportion of positive cases that are rapid tests *unconfirmed* by PCR tests has gone up (70% of LFD +ves!) - even though confirmatory PCR is available. Why? Who? Means it's hard to know how to interpret case numbers. 4/16
Still, looking at positivity rates for each nation (PCR tests only), clear that positivity is reducing and back at levels last seen summer 2020. ONS infection survey has same picture.
This is a good thing. 5/16
Regionally in England, Yorks & Humber still has highest rates (ONS agrees). Slight increase in NW. Everywhere else flat or declining. ONS says similar but says London, Yorks, East of England might not be declining. 6/16
Hospitalisations and deaths are both back at levels last seen in the summer. This is a combination of low case rates after months of lockdown *and* highly effective vaccines in over 90% of our most vulnerable people. Excellent. 7/16
We're steady at around 3m jabs a week for vax and still mainly on second doses. Expect this to continue for a few more weeks but we are on track to offer 1st jab to all adults by end July and 2 jabs to all by end Sept. 8/16
Currently we're doing first jabs in the 40s - 75% of 45-49 yr olds already have one. For second jabs we're on the 65-74 yr olds and hopefully finding the last few % of older groups. All good. 9/16
That said, ONS released a comprehensive breakdown by different demographics. Similar to what we've seen from before, lower take up in black & minority ethnic populations, more deprived communities. There seem to be some language barriers too. 10/16
Let's have a closer look at schools... From public health england data, although 10-19 year olds have highest case rates, we have not (yet?) seen the increase in cases we saw in March.
ONS says cases in school age kids falling. 11/16
PHE also show a small increase in school outbreaks but levels much lower than in March and massively lower than last winter.
This is all good and shows that low levels of Covid in communities + mitigations such as masks can and do make schools safer. 12/16
Finally the international picture... Cases globally remain very high. The last week saw the most cases ever recorded. 13/16
Although US is doing ok (although they still have rates 2x ours), Europe is high (even if coming down) & S. America & Asia (driven by India & neighbours) are experiencing terrible Covid surges.
They also have much lower vax rates. Helping vaccinate the globe is crucial! 14/16
(NB I've not put on same plot cos denominators not really comparable - Asia looks v low cos such a large pop inc China which is basically zero Covid, S America also has very large and very geographically spread pop). Both also have worse testing. 15/16
Anyway, to sum up everything going in right direction.
I wish I knew who was doing LFDs and why (eg are symptomatic using them instead of PCR cos quicker?)
The fly in the ointment is variants - but that's the next thread...
Thx as ever to Bob Hawkins for his help. 16/16
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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