In Victoria's (Aus) Wave 2 in 2020, there was a lag to hospitalisations (blue) following the initial wave of detections (orange). A small portion of those went to ICU and some died (black line). But in the current New South Wale's Wave 2...
...the daily number of COVID-19 cases hospitalised doesn't show that lag.
Is this due to a different policy for faster admission of cases, or home hospitalisation from the outset, or something else in NSW compared to VIC?

NSW sure got the testing amped up early on (green line)
I have no idea if there's a well-known & simple reason for this.

Chime in if you know it.

Data copied from covidlive.com.au
Also interesting (the reason I wanted to plot these data in the first place) - deaths.
Caveat: no two different jurisdictions (also separated by viral variant and time) can be directly compared.
I still thought this was interesting.
I've chosen an arbitrary >10 cases per day limit to start counting when deaths consistently hit a(nother arbitrary) value of >3 per day. 36 for Wave 2, VIC.
It's been more than 36 days in NSW since 10 cases per day was consistently hit...and yet still no consistent 3 daily deaths.
Is this the impact of protecting *some* of each of our most at-risk populations with vaccines?
And also, is this working even with the evil Delta VOC?
Time will tell of course - let's give the lag more of a chance to appear, but it is looking that way to me.
This is great news if so, and not unexpected, but you'd be forgiven for being sucked into the gloom on this platform and some of the mainstream media.

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More from @MackayIM

10 Sep
The first year of COVID-19 in Australia: direct and indirect health effects

aihw.gov.au/reports/burden…
A reminder of how vaccine development has been speeding up - but scicne and medicine did especially amazingly for this pandemic. A new benchmark?
A nice reminder that while most of COVID-19 is mild and moderate, a sizable portion is not at all - from hospitals through to death.
Polio was a rare outcome from poliovirus infection - but it wasn't something anyone wanted.
Vaccines work in these severe outcomes spaces.
Read 18 tweets
7 Sep
In Australia we are talking about lifting some restrictions once 70% of the eligible population is fully vaccinated ("double-dosed"); more will lift at 80%.
It's important to be fully aware that "70% of" anything often doesn't look like this - one homogenous group all at the same level.
Here the shape might be Australia, or all people, or one jurisdiction (e.g. a State, territory, building) or an age band (e.g. 16-25 year olds).
Overall, these two groups could, as an average of both ("=all of Australia"?), be considered vaccinated to a level of 70%.
And yet one group hasn't even cracked 70% fully vaccinated.
Read 5 tweets
11 Aug
This animal reservoir thing is not a factor in SARS-CoV-2 - the animal providing the virus opportunities, is us.
RVs, RSV - they don't have animal reservoirs. *We* are their reservoirs. So it seems like this person has no understanding of endemic respiratory viruses.
Summer respiratory viruses? Um. Summer flu? Every year. Enteroviruses which are in fact also spread by a respiratory route? Did this person miss the global bounce back of RSV as the world came out of Wave 1 COVID-19 lockdowns? That's traditionally not a summer virus.
Read 6 tweets
8 Aug
What would I do? Okay. Keeping in mind I'm not in the room, not an Epi and I don't run this stuff. So a big pinch of salt.
But to answer this question for people angry at me for negatively pointing out that NSW is putting the rest of Australia at risk..
..because they started too slow (my key point, which doesn't help now, I know).
I'd reset.
I'd look at what the most stringent of the "Lockdown" rollouts from anywhere in NZ and Aus (planned or enacted) is, add anything more that can be added, ensure food and money can get to..
..those who will suffer most, and roll that out across all of NSW at once, all the same. And lots of different Comms. There is more that can be added if today's Penrith additions are a guide. So do that. Set a new benchmark. And this has to be done before any more of those..
Read 10 tweets
7 Aug
🦠13 new linked cases in QLD
🦠total now at 102
🦠40,835 tests in past 24h
🦠will see household (HH) cases continue - so long as they are not one the community, this is good
🦠10,091 heroes in quarantine right now -
🦠Supermarket deliveries seeing high demand for groceries - their staff are also in quarantine;2-3d delays. Plan ahead. Use family and friends. Uber Eats partnering with IGA
🦠Shop alone - don't all go together
🦠CHO wants more testing Cairns
🦠Premier out of quarantine tomorrow after Japan Olympic trip (thx Dr Miles for holding the fort)
🦠
Read 8 tweets
6 Aug
Putting too many eggs in the vaccination basket in order to prevent a local *transmission* has issues.
One is, what happens when, like the US, people stop getting vaccinated at the initial most enthusiastic initial rates?
cdc.gov/coronavirus/20…
What happens is massive exponential rise in cases and hospitalisations in that location because of too few/weak NPIs in place due to the earlier narratives which paraphrase as "we can live with it".
Another issue for interrupting transmission is it takes time to build up full immunity-even with shortened dosing intervals between doses. Yes, one dose makes a difference & is better than none. Get vaccinated if you can & if supply allows it & your GP has addressed your concerns
Read 7 tweets

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