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Rupert Pearse Profile picture
@rupert_pearse
Jul 10, 2021 • 10 tweets • 4 min read • Read on X
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COVID sitrep: The latest UK wave continues to grow. The good news is (compared to previous waves) there are definitely fewer hospital admissions in relation to the number of infections. But the number of infections is now very large. TLDR: The link is weaker but not broken. 1/10 @jometsonscott
We are still seeing a significant number of people who need hospital care for COVID. They are mostly people who have not yet been vaccinated. A few have medical problems that leave them at greater risk of infection. Others are young and previously fit & well. 2/10
The daily number of new COVID cases in the UK continues to rise (now more than 35,000/day) and is bigger than the November peak. We expected a peak of infections in late July but as we are relaxing not tightening public health measures, the timing is now harder to predict. 3/10 https://coronavirus.data.gov.uk/
The number of patients admitted to hospital with COVID also continues to rise and is currently around 500/day. The rate of patient admissions per infection is much lower than the winter wave but still a significant number. The link is weaker but not broken. 4/10 https://coronavirus.data.gov.uk/
Just over 400 COVID patients are being treated in intensive care. This is 15% of all COVID patients in hospital, and a slightly larger proportion than the winter wave. This probably reflects the fact that most ICU’s have capacity to admit patients when referred. 5/10 @jometsonscott
The current major hotspots for infection are parts of Scotland, the north-west and north-east of England. However, the rates of hospital admissions seem slightly different between areas. It looks like the NHS in NW England is worst affected. 6/10 https://coronavirus.data.gov.uk/
Again, most COVID patients are not vaccinated, or have an illness which affects their immune system. But vaccination rates have right down. Please get vaccinated if you can. The benefits far outweigh any risks. People are dying from COVID every day. 7/10 https://coronavirus.data.gov.uk/
The NHS is being pulled in several directions. We have extremely busy Emergency Depts, an epidemic of viral infections in children and a huge backlog of surgery, while we care for patients with ‘usual’ illnesses and once again those with COVID. 8/10 bbc.co.uk/news/uk-577860…
The extraordinary events of the past two years have changed our perceptions. The current level of COVID admissions to hospital may seem small but this is still a major epidemic. There will inevitably be many deaths in the coming weeks. 9/10
We are relaxing nearly all our public health rules at the very moment we expect this wave of COVID infections to peak. The virus is all around us right now. Please think how you can protect others. #HandsFaceSpace and fresh air. Because the link is not yet broken. 10/10

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More from @rupert_pearse

Rupert Pearse Profile picture
Jan 29, 2022
COVID Sitrep: Only a short update as on call this weekend with this amazing team covering covid ICU. TLDR: Things may be settling but the work is far from over. 1/8 Image
Lots of talk this week about new covid infections hitting a plateau. This is probably driven by children going back to school. So not ideal, but better than the rebound peak we feared would happen after New Year. 2/8 https://coronavirus.data.go...
New hospital admissions continue to fall but slowly. A large proportion of these are those 'incidental' covid patients admitted for other 'usual' medical problems not covid disease. 3/8 https://coronavirus.data.go...
Read 9 tweets
Rupert Pearse Profile picture
Jan 22, 2022
COVID sitrep: Some positive news to report this week. We are definitely feeling a fall in NHS hospital and ICU admissions with covid in London this week. The rest of the UK should see a similar pattern in the coming days. This below appeared on our ICU board this week! 1/10
As mentioned in previous weeks, being confident we are past the peak is a big deal for the NHS. Every day things get a little easier, a little simpler. We can do more ‘usual’ NHS work. We can get back to clearing the backlog of surgery and other patient care. 2/10
The colours on the national map are getting lighter every week which reassures us that the number of new infections continues to fall in most areas of the UK. 3/10 https://coronavirus.data.gov.uk/
Read 10 tweets
Rupert Pearse Profile picture
Jan 15, 2022
COVID sitrep: Lots of topics to choose from this week. Good news is we have probably passed the peak in new COVID-19 infections in several UK regions. This week’s map (right) is not so dark. But what will happen next is not so clear. A thread from the NHS perspective. 1/12 https://coronavirus.data.gov.uk/https://coronavirus.data.gov.uk/
All eyes have been on London as the first UK region to get hit by the omicron variant. Cases seem to have peaked both in younger and older people (light blue line=<60yrs, dark blue line=60+ yrs). But we aren’t sure whether new case rates will fall quickly or plateau out. 2/12 https://coronavirus.data.gov.uk/
Why so cautious when others seem confident cases are falling? Well, passing the peak defines the NHS response. When we know we are past the worst we stop planning extra covid capacity, re-focus on the patients we have, and plan more routine NHS work. A big shift in strategy. 3/12
Read 12 tweets
Rupert Pearse Profile picture
Jan 8, 2022
First COVID sitrep of the New Year: The number of omicron variant COVID-19 infections remains extremely high in the UK and still far higher than anything we have seen up until last month. Here’s what’s happening in the NHS… 1/14 https://coronavirus.data.gov.uk/
London was the first UK region to get hit by the omicron variant before spreading across the country. This week’s million dollar question is whether new infections have peaked in London. Many say yes, but it seems too early to be sure…. 2/14 https://coronavirus.data.gov.uk/
…and being sure we are past the peak is a key moment in the NHS response to each wave. Once we *know* we are past the worst, we can stop planning extra covid capacity, we can re-focus on the patients we have, and all the other routine NHS work. This makes a big difference. 3/14
Read 14 tweets
Rupert Pearse Profile picture
Dec 31, 2021
COVID sitrep for New Year’s Eve: The wave of omicron variant COVID-19 infections continues to spread around the world. Hospital admissions are rising across the UK but there are important differences to earlier waves…. 1/12
This omicron variant seems to spread much more easily. Infection rates are smashing all previous records. 189,000 ‘cases’ yesterday. Yes, we are testing a lot more people, but the proportion who test positive is also going up (blue line in graph). 2/12 https://coronavirus.data.gov.uk/
The big discussion now is how harmful the omicron variant might be. Lots of reports of high rates of ‘incidental’ infections in hospital - patients testing positive for coronavirus who were admitted to hospital for a different illness. So what’s happening on the ground? 3/12
Read 14 tweets
Rupert Pearse Profile picture
Dec 24, 2021
COVID sitrep for Christmas Eve: The huge wave of COVID-19 infections, driven by the new omicron variant, is spreading across the country. Hospital admissions are now rising in London but the good news is we think things won’t be as bad as last winter. 1/12 bbc.co.uk/news/uk-597587…
The wave of infections with SARS CoV-2 is simply huge, passing 100,000 ‘cases’ two days in a row and way in excess of the previous record peak of 81,000 in January 2021. Yesterday 119,000 people tested positive 2/12
Before anyone suggests it, this is NOT simply because we are doing more tests. Firstly, the proportion of tests done which are positive has increased too (blue line in graph). Secondly, people get tested for a reason - symptoms or a covid contact – it’s not random behaviour. 3/12
Read 12 tweets

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