Scotland, PHS Weekly COVID report
Others cover this report so we don’t post much on it, but it is a really interesting resource, and thanks to PHS for bringing it together.
Wanted to put a few observations out there taken up to and including the latest report.
1/ Overall trend
‘Cases’ are heavily skewed by who is tested, but even so cases are now >50% in vaccinated population.
‘Acute covid hospital admissions’ also now >70% vaccinated, and trend *very* clear.
‘Deaths with covid’ remains >80% fully vaccinated
2/ Acute covid hospitalisation
This is key, as the main focus of the vaccine.
Below summarised the *fully* vaccinated and unvaccinated populations, and the hospital admissions from each.
Unvaccinated risk is 1 in 406, and fully vaccinated is 1 in 607.
That’s a 33% reduction - so not the 95%, but not insignificant. The trouble is we have far MORE hospital admissions. Success?
We can also then model - what if everyone were vaccinated, 100%?
The unvaccinated admissions may reduce 33% - looks like this.
Rather a small reduction.
So what’s the impact, can we ‘Save the NHS’?
It looks like this. The yellow is current ‘covid admissions’, the black line is how it might be.
The blue is all other admissions, and the green is the capacity we do not/cannot use now
Covid admissions barely change, & far above 2020.
The other is covid deaths. PHS used to publish by age and vaccine status, but stopped that, now showing ‘Age Standardised Mortality Rate’ (ASMR) instead.
ASMR averages 6.97 for unvaccinated, rises for 1 dose, then down to 1.91 for fully vaccinated.
However,
(1) Why only ‘covid deaths’ - surely ‘all-cause mortality’ must be the focus? No point reducing covid and increasing other deaths?
(2) That 6.97 is per 100,000. In percentage terms that is 0.00697%. Yes, the risk of covid is 0.00697%, reduced to 0.00191%.
To put in context, latest Scotland ASMR was 1,184, which was 1.184% chance of death from ALL causes.
Fully vaccinated - & assuming no adverse events at all - that risk becomes 1.179%.
Year by year natural variation in ASMR is hugely more than this reduction.
So much pain, for..?

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More from @scojw

13 Oct
Scotland: 2021 mortality through week 40 (NRS)
1/ Overall
Actually shocked to see the jump this week, far above the 5 year average
By some margin this was the highest mortality rate of Week 40, in all the history back to 1974. Image
2/ Excess mortality by cause of death
Deaths with covid remains a significant proportion, but coming dow. By far the majority of excess mortality continued to be non-covid. Image
3/ Excess mortality by location of death
Deaths at home the main proportion, but as with recent weeks we continue to have excess mortality in hospital (despite lower than normal admissions to hospital), and last week saw for the first time some excess mortality at care home. Image
Read 10 tweets
6 Oct
Scotland: 2021 mortality through week 39 (NRS)
1/ Overall
Week 39 not only in excess of 5 year average, but in keeping with recent weeks it is above the max range of the last 20 years.
Now 19 consecutive weeks of above average mortality in Scotland.
2/ Excess mortality by cause
Showing now as a little more than half of the excess is covid, although that proportion coming down. Mortality classed as covid is nearly 3x higher than summer 2020.
3/ Excess mortality by location
Again this week some excess in hospital, but by far predominantly remains excess mortality at home. Through summer this has been about 1,800 deaths higher than normal.
Read 8 tweets
29 Jul
Scotland: Mortality week 29 (NRS data)
Last few weeks have been above the average, and this week 29 sets a new high, by a small margin the highest week 29 for more than 20 years.
Mortality rank
2021 rank has moved slightly higher, but still 15th. Now higher (worse) than 2015 and 2018, which we have been below so far.
Note 2020 now ranks third, behind the dreadful 1993 and 1999 that we all remember…?
3/ Excess mortality by cause
This breaks down cause into covid and non-covid. We can see that we continue to have significant non-covid excess, and some excess as covid now creeping in.
Will come back to this.
Read 9 tweets
1 Apr
Scotland: NRS all-cause mortality data, week 12
1. Overall
2021 continues to develop as normal year, in the range of normal mortality. We continue slightly better than 2018 in terms of overall mortality rate. Nothing unusual going on.
2. Overall
More classic style showing week be week versus normal range. We can see the entire year has been within the normal range, and the most recent 3 weeks have been below average, and near the bottom end of the range.
No alarming signal at all this year.
3. Excess mortality by cause
Mortality classified as covid is offset by lower than normal mortality in cancer, heart disease, respiratory etc. Essentially it appears we are wrongly / overly classifying other causes of death as covid (or heart dieases etc suddenly better)
Read 8 tweets

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