#COVID19AB Balanced Scorecard
Sat 5 June

Nothing remarkable in general downward trend of "Old Covid" - Original Wild Strain and B117.

BIG πŸ”₯ in "New Covid" of B.1.617 and P1 Variants of Concern.

(see rest of thread) Balanced scorecard of #COVID19AB metrics showing general dow8 Pie Charts showing the explosion of variants from 17 March
B.1.617 has exploded and appears to be drastically under screened in May.
β€’ ⏫38 in last day, to 74 in just 4 days of June, vs 51 in all of May.
β€’ πŸ”₯from 0.4% of variants thru May, to 9.1% so far in June.
β€’ Pushing P1 down relatively from 8.8% thru May, to 5.1% so far in June.
I have been warning about B.1.617 undercount in Alberta since early May in increasingly stronger terms. Not an epidemiologist, but I can see issues hidden in stats or spin.

I built my Variant Spreadsheet with cumulative stats, to find hidden problems between any points in time.
I know that testing 20K swabs/day, and then having 2400 cases to screen for variants (esp B.1.617) was incredibly difficult on our labs.

But in 2nd half of May, with daily tests & genetic screening down below 1/3rd of lab capacity, staying under <50% sampling is questionable.
A savvy reporter may want to ask:

Overall, 48.2% of May cases were screened for assorted variants. But B.1.617 = only 51 cases out of 12,606 variants identified = 0.4%.

First 4 days in June: 74 cases = 9.1%.

How many cases of #COVID19AB were screened for B.1.617 in May?

β€’ β€’ β€’

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More from @ZiadFazel

4 Jun
I think we’re seeing the same thing in Alberta:
β€’ β€œOld Covid” of B117 πŸ“‰
β€’ β€œNew Covid” of P1 & B.1.617 πŸ“ˆ
β€’ New Covid masked by under 50% screening for variants since 1 May, despite restrictions imposed to contain variant-driven spread.

@GosiaGasperoPhD
To illustrate:
β€’ Active cases (all strains) falling in AB Health graph
β€’ Cumulative variant cases rising in @ArynToombs graphs

Smarter people than me eg. Aryn, @CBCFletch, @ByMatthewBlack may be able to graph Total or Active Cases, then subtract selected variants from this. ImageImageImageImage
Recent illustration from @GosiaGasperoPhD for further background.

She saw this early with #B117 overtaking the original wild strain, and now again with P1 and maybe a fast-rising B.1.617.

Their geographic distribution in Aryn's graphs is interesting.

Read 4 tweets
3 Jun
#COVID19AB Balanced Scorecard
Wed 2 June

Keys:
β€’ Most leading indicator Wastewater Sampling bounced up to pre-3rd wave level. Nice work @ucalgaryCHI to publish on 48-hr target. πŸ‘
β€’ @CBCFletch 7-day average of New Cases up. Daily used to pull average down - now lifting it up. Wastewater sampling showing...Daily New Cases have crosse...Image
Variant Crunches.

AHS claims it is screening ~90% of cases, but cases ⏬80%.

In real numbers, AHS has been performing as few as 160 tests daily. See @ByMatthewBlack πŸ“‰.

edmonton.ctvnews.ca/infographics-c…

Since 1 May, AHS did NOT screen more cases 17,224 than it screened 16,006 (48.2%). AHS claim of nearly 90% var...Matthew Black CTV Graph of ...Ziad's Spreadsheet Crunchin...Growing Unused Variant Scre...
Almost as if AB Health wants to be wilfully blind since May, for Optics of Reopening.

Appears to be bare minimum screening, dictated by outbreaks. Not for community cases with substantial unused capacity.

B.1.617 ⏫ 10 cases today to 51
P1 ⏫ from 4.6% before 1 May; now 8.8% ImageImageImageImage
Read 4 tweets
6 May
Premier Kenney imposed #COVID19AB restrictions without any exit criteria.

4.4m Albertans aren't going to do this again without a clear "Are we there yet?"

Let's meet or beat last summer:
β€’ We did it before
β€’ We have vaccines to help us now
β€’ Summer-Summer comparison is fair
I propose this clear, balanced scorecard.
β€’ Mix of leading & lagging indicators.
β€’ Existing, official data sources.
β€’ Measures of success or trouble we already know
β€’ Simple to update or replicate

#LastSummer #BalancedScorecard #COVID19AB
I propose targets from 1 July 2020 (Canada Day).
β€’ We were out of lockdown
β€’ We thought we had #COVID19 under control then
β€’ Symbolic date for all πŸ‡¨πŸ‡¦ (like 4th of July πŸ‡ΊπŸ‡Έ)
β€’ Achievable again, especially with vaccines

Specific, Measurable, Actionable, Realistic, Timed
#SMART
Read 8 tweets
17 Apr
Because #COVIDisAirborne + Canada's worst-governed provinces are now in a massive 3rd wave, I decided to upgrade from mask to N95-style respirator.

Just in time, @cbcmarketplace lab-tested 14 available respirators. 7 passed. I found 3 in Calgary stores.

cbc.ca/news/canada/ma…
I am sharing my buying experience, including links and prices, to help others. H/T @RajBhardwajMD for the Marketplace story.

The new Variants of Concern are much more transmissible (stickier) than the coronavirus we encountered last spring. We need better than the usual masks.
Demand >> supply for true N95 respirators for healthcare workers exposed to infected people, so @cbcmarketplace looked at respirators meeting Chinese KN95 & Korean KF94.

These are now available because #ZeroCOVID countries no longer need as many.

blogs.cdc.gov/niosh-science-…
Read 13 tweets
18 Dec 20
Thread: Doubts & Questions about Preparedness of @AHS_media to safely distribute COVID-19 vaccinations.

An open letter to Deputy Minister Paul Wynnyk
cc: MGen Dany Fortin @GovCanHealth
@shandro @PattyHajdu @HarjitSajjan

@RachelNotley @Dave_Khan
My doubts began right away, when I saw pallets stacked on their sides inside the walk-in freezer.

But my concerns are not just limited to violations of Alberta's Occupational Health & Safety Code, meant to protect workers, and the risk of damaging vials.

For another example, why is this Ultracold Freezer so warm that the Manager, Immunization Business, a Registered Nurse, is able to touch it with her bare hand?

It is not below -70ΒΊC as required for the Pfizer vaccine. How can DM Wynnyk claim Alberta is prepared without this? ImageImage
Read 29 tweets
2 Nov 20
Thread.

Last week I decided to dig into the life-threatening Precondition & Excuses from Alberta Health to resist enabling the National COVID-19 Exposure Notification App.

@Dave_Khan @DShepYEG @shandro @jkenney @RachelNotley ImageImage
The Precondition and Excuses became clear enough last week to analyze and examine critically against the facts.

@Jantafrench @jasonfherring @ctvedmonton @PattyHajdu @JustinTrudeau ImageImage
Frustrated with the lack of answers, or evasive answers from provincial elected officials, municipal officials and provincial media have been asking @CMOH_Alberta.

@iceTyyc @nenshi @CBCFletch @Adam_Toy ImageImage
Read 77 tweets

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