COVID case numbers in Bolton do look rather scary.
BUT...
These cases are very heavily weighted towards younger age groups who are less likely to have been offered a vaccine and are less likely to end up in hospital.
There has been a rise in cases in people in their 50s/60s in the last few days of complete data, which we need to watch
Overall the age profile of cases in the current outbreak in Bolton is quite different to what we've seen before.
Some of this will be differences in testing, particularly among schoolchildren, but I doubt we're testing people aged 50+ less than we were back in January.
The latest admissions data only runs up to 9th May (we'll get another week's tomorrow) but absolutely no signs of danger here.
If we compare hospital admissions rates in Bolton to the rest of England, then things don't look particularly different to anywhere else.
It's also worth pointing out that although there are a few other areas which have seen recent jumps in the numbers of cases, Bolton is very much an outlier.
No sign yet of anywhere else following the same trajectory.
Obviously that's no reason to take unnecessary risks, but I'm still not panicking just yet.
Finally, in terms of vaccination rates. It is true that the parts of Bolton at the centre of the current outbreak do have lower vaccination rates than the rest of Bolton. But overall vaccination rates aren't particularly low compared to the rest of the country.
If you adjust for age, to account for the fact that areas with younger populations *should* have lower overall vaccination rates as fewer people will have been invited yet, Bolton looks even less remarkable.
Here's a zoomed in set of maps for Bolton.
We know cases are largely in age groups who haven't even been offered vaccinations yet. The story in Bolton isn't that low vaccination uptake has caused this outbreak. It might exacerbate it's effects, but it wasn't the cause.
R code for all these plots is in here somewhere. Let me know if you want code for a specific plot (sorry, short of time and these plots are from all over the place!)
Here's the whole story in Bolton on a single plot, showing case *numbers* rather than *rates* this time so everything isn't dominated by very high 90+ case rates in January.
The age profile of this outbreak is clearly different to what has gone before.
It's too early for any uptick in case rates in Bolton (or anywhere else) to have fed through into hospital admissions or deaths yet (not that we would expect them to), but enough people have complained about it, so here's a graph showing that these measures still look just fine.
The other UK nations also looking just dandy.
And every region in England also looking fine. We're pretty close to the lowest levels we hit at any point last year after march. 👍
But in absolute terms, the number of confirmed cases of the 'Indian' variant is small compared to the number of cases of the 'Kent' and other variants we have seen in recent months.
(I'm interested, incidentally, if anyone can explain to me why there were so many more genomes being sequenced in the North West and Yorkshire in the last few months, compared to the rest of the country)
Out now in @AddictionJrnl a really important and excellent piece of work from @jenniferevab systematically reviewing all of the explanations that have been posited for the 'Alcohol Harm Paradox' of inequality in alcohol-related harm
New data today from @NISRA shows all-cause deaths have fallen, but remain very slightly above the peak in 2010-19 for this time of year, and a fair way above the average.
The number of deaths from COVID-19 has fallen, but is still higher than at any point during 2020.
In the context of the rest of the UK though, Northern Ireland isn't doing too badly...
Forgot to update these plots when the latest ONS mortality data came out the other day.
There were ~ 250 COVID-19 deaths a day in English care homes in the week to 29th January. This is pretty grim, but the numbers have at least stopped rising.
Care home residents are still mostly dying in care homes, rather than in hospital.
There's a lot of variation in these figures across the country, but in Essex, Portsmouth, West Sussex and Wirral, over two thirds of care home deaths in the last week were from COVID.