THREAD on cases in UK:

Since Delta became dominant in the UK and the opening of indoor spaces in England and the other home nations in May, cases have rapidly increased. 1/14
Cases & positivity rates (showing that it's not just more testing) are going up in all nations except N Ireland (where Delta is not yet dominant).

See same picture in ONS infection survey released today.
ons.gov.uk/peoplepopulati… 2/14
Still driven by regional hotspots in Scotland and England.

In England the NW remains a hotspot, but cases now also rapidly rising in NE, Yorks & Humber & Cornwall.

But most local authorities in Wales, Scot & Eng are going up. 3/14
Digging into English cases, it's mainly in younger people where vaccination rates are (obviously) lowest.

Since step 3 of roadmap, rates in young adults have overtaken school age children, but cases in school children starting to increase rapidly again since half term. 4/14
Vaccination is certainly working to keep cases down in older age groups, although cases are rising in all age groups. 5/14
The number of school children missing school due to covid is rocketing up since half term... with English schools still a few weeks away from end of the term, expect this to worsen in short term.

See also this detailed thread from @Kit_Yates_Maths
6/14
Looking at cases by deprivation we can see that the more deprived areas are disproportionately representing in covid hotspots compared to least deprived areas. Again. 7/14
Vaccination programme continuing well, although slowing down of late.

Still 50% of population only partially protected or unprotected - including all children.

We should celebrate our vaccine roll out but not act as though it's finished yet. It hasn't. 8/14
The Imperial React study released detailed data on over 76,000 adults in England who had Covid between Sept 2020 and Feb 2021.

Over 37% had at least 1 symptom persisting for at least 12 weeks...

spiral.imperial.ac.uk/bitstream/1004… 9/14
And in particular, older people more likely to have long covid than younger people (althougb still 30% of 18-24 yr olds affected).

Women more likely than men and more deprived more likely than less deprived to have long covid. 10/14
So we're now having rising cases in young people, more in deprived communities, more kids off education (disadvantaging them and, disproportionately, women). 11/14
"Living with" high infections disrupts lives, disrupts education, leaves very many with long covid, and provides more chances for further mutations to arise.

Rising infections over next month could easily lead to tens of thousands of more people living with long covid. 12/14
And, given demographic of cases, will result in yet more burden on the young, those in more deprived areas and women. 13/14
We should be doing all we can to reduce cases.

This needn't be restrictions - better contact tracing, support for isolation (see for dive into issues), investing in ventilation in workplaces & schools...

We aren't doing any of it. Why not? 14/14
PS thanks as always to Bob Hawkins for his help in collating the data and charts

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More from @chrischirp

Oct 19
Important 🧵on our new peer-reviewed paper:

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 Image
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 Image
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
Read 18 tweets
Sep 26
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.
Read 5 tweets
Aug 28
THREAD: I asked what the point of Public Inquiries is for @bmj_latest

We've spent hundreds of millions of £ on Inquiries over last decades, generating deep understanding of failures & 1000s of recommendations.

But v few recommendations get implemented!
What is going on?

1/12 Image
E.g. Covid-19 Inquiry has cost £94 million so far - and is projected to cost over £200m by its end (it still has years to go).

1st report published (out of at least 9) found major flaws and proposed 10 recommendations.

Chances are low that they will be implemented :-( 2/12


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Inst for Government looked at 68 Inquiries from 1990-2017.
The Inquiries cost over £630 million and made 2,625 recommendations.

Only 6/68 Inquiries have received full scrutiny by a parliamentary select committee on implementation of recommendations. 3/12 Image
Read 12 tweets
Aug 9
🧵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 Image
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 Image
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 Image
Read 14 tweets
Aug 1
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 Image
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 Image
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
Read 8 tweets
Jul 23
THREAD:
I wrote about Baroness Hallett's Inquiry Module 1 report for @bmj_latest .

She found that there was *never* a plan to keep a pandemic death toll down - I discuss this and what it means going foward.

Main points below: 1/14 Image
The headline most seen is that the UK planned for the wrong pandemic.

While it is true that was far too narrow a focus on a flu pandemic, that is not the most telling bit.

To me the most telling bit, is what the plan did NOT do 2/14


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The issue is less the wrong disease, but that there was never a plan to prevent one at all – of any disease type.

The plan was *never* about reducing the number of pandemic deaths. 3/14 Image
Read 14 tweets

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