QUICK(ISH) THREAD ON UK COVID UPDATE:

TLDR: cases dropping (partly but not wholly a half term effect), but hospital admissions & deaths rising (in England). Vax still not fast enough.

1/13
Vaccination: NI v behind on boosters *and* highest rate of unvaxxed.

England v behind still on 12-15 yrs compared to Scotland & Wales. Disappointing. 2/13
In terms of speed, boosters are getting quicker but first jabs (teens) are not (in England).

Projecting forward *current* rates, the teen and priority group booster programme won't be done till Feb.

We need to increase availability *and* demand. 3/13
Overall, cases in UK have fallen this week. Positivity rates are lagged (about a week behind), but up the time of drop were going up in England and Scotland.

Wales was declining but still *very* high positivity rate.
4/13
Looking at lateral flow & PCR tests in England, you can see the steep half term drop - mirroring what we saw in summer. On avg we're doing 150K and 20K fewer LFD & PCR tests respectively.

➡️maybe 4K cases might be being missed. Be careful of assuming it's all a real drop! 5/13
That said, cases do looked to have peaked (for now) in school age children, but not yet in adults.

However, prevelence in primary and secondary school children remains very high - 3rd week in a row that ONS shows >8% for 11-15 yrs... 6/13
Since so many infections have been school age kids, I do expect half term to break many chains of transmission and I expect to see cases in kids fall for at least another 10 days... But they might pick up again once school is back. We'll see. Disappointing low vax. 7/13
In terms of regions, both in cases and positivity, the SW is a clear outlier - doubtless at least in part due to Immensa false neg test scandal.

ONS also shows highest cases in SW - and that's randomly sampled people. 8/13
Overall people in hospital rising in all nations apart from NI. In Scotland it's not growth in overall cases but growth in adults offset by drop in kids that is driving up admissions. Waning? (graph @TravellingTabby ) 9/13
In England, hospital admissions have risen quite steeply this week. Last time we had >955 admissions was 23 February :-(

This is not good news for the NHS - and they are likely to keep rising in near future because cases in adults have not dropped (yet?). 10/13
In terms of hospital, NE & Yorkshire still bearing the brunt. Both SW and NW are rising rapidly - and clear differences in SW by Immensa...



11/13
Deaths are also now going up - over 1000 deaths last week in the UK.

Rising cases recently suggests deaths will keep rising - but hopefully boosters will at least prevent some deaths in infected vulnerable people.

I do not think current level of deaths is acceptable. 12/13
So that's that. All eyes on what happens after return to school next week - will take a few weeks to know. We do need to get teen vax *much* higher. And where are the CO2 monitors for schools now that winter is here? 13/13

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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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