"What's the situation in Europe?"
Yes - cases are rising in many places π
But it's difficult to talk about 'Europe' π as one entity right now: as the pandemic continues, things are getting more heterogeneous. π
*What one country can manage, may not be true for another*
1/16
First, we have to look both at absolute case numbers & change in case numbers - some places with high cases may see a decrease but remain high π, others with lower numbers might be seeing a concerning sharp increase π
Some, like the UK, seem to be dipping up & down around fairly high numbers, making 2-week changes harder to interpret - will there be another bump..?
Others, like Norway, have recent spike, but are at relatively lower cases. Will current spike be contained as before..?
3/16
But importantly - these case numbers also do not always mean the same thing in each country π«βοΈ
For example, different countries have different measures in place & perhaps more importantly, more or less ability & *willingness* to adapt measures as situations changeπ·π
But we also need to consider how we look at cases: Last year it was easy - cases by age group translated fairly straightforwardly (unfortunately) into hospitalizations & deaths πβ‘οΈπ₯π
Now *cases alone* may not be so bad, if people don't get seriously ill πβ‘οΈπ€§
But *most importantly* - how the vaccine rollout has gone π
7/16
Europe spans a huge range in % vaccinated: from ~20% in Ukraine & Belarus π€π», through 30-50% in Russia, Romania, & Croatia βοΈ, right up to almost >80% in Spain, Portugal, & Iceland ππ»!
Vaccinations aren't perfect (nothing is, in life) but they're incredibly effective - vaccinated people are less likely to catch & transmit #COVID19 & *critically* - *much* less likely to become seriously ill or die.
A remaining unknown is how this translates *in real life* to what X rise in cases might mean for a country with Y vaccination rate π€·π»ββοΈ
How many cases = maintain optimal care?
How many cases = overburdened health system?
Figuring out the 2nd just before it happens - hard!
11/16
Hospitalizations & deaths always lag behind cases - & data is often slower to come in. We can look at general trends, but for many of the recent rises, we aren't yet seeing the rise in healthcare pressure & death that current trajectories lead to.
Number 1 - keep vaccinating!! Aim as high as possible - you will always fall short.
Focus particularly on getting very high vaccination levels in the elderly & vulnerable - the most likely to have bad outcomes.
13/16
In different countries, different strategies may be most effective to β¬οΈ vaccination.
I personally support things like vaccine passports π: they mean things can stay open, but decrease overall risk.
We *all* have a part to play in protecting both livelihoods & lives. π€
14/16
Additionally: stay flexible. π§π»ββοΈ
Politicians, don't promise you'll never do X, Y, Z again πΆβπ«οΈ. You back yourself into a corner that could cost lives.
"Thing is, we have a chance to build office work from the ground up: to re-evaluate the old 9-to-5, to relocate city centre offices, to let people work tight 4-day weeks, to realise that working smart is better than the old-fashioned idea of working hard"
From chatting to people, I think the main reason those high up want people to come back to the office is simple: control.
Even when productivity metrics indicate all is well, bosses don't trust employees & like to be able to physically check on them. Not related to actual output.
I'd be super curious in any survey difference between how much superiors miss "stopping by to chat" vs how much their employees feel similarly.
Headlines like the one circulating about India always need to be taken cautiously: until we have sequence data, speculation about a new variant or new mutations is entirely that - speculation.
But let's dig into what's being reported right now about 40,000 breakthroughs...
Headlines are saying things like "40,000 breakthrough COVID cases". But what does breakthrough mean here? Most generally, at least in Western media, this is used to refer to infections in fully-vaccinated (commonly 2-dose) people.
2/N
However, 1 site reporting the 40,000 defines this as "people contracting the disease a second time or fully vaccinated".
Another implies this is infection after 1 or 2 doses.
Today, my best birthday present is being fully vaccinated! π
But so many still aren't - & the pandemic has wrecked havoc on routine vaccinations too.
Donate to @gavi, @UNICEF or others & I'll match up to $500! Send your receipt to vaccine_donations@protonmail.com & plz RT!
1/
As well as desperately requiring stronger action towards more equitable #COVID19 vaccination, the pandemic has meant so many children weren't able to get basic vaccines.
This could add unnecessarily to the already too-large burden of the pandemic.
The underlying problem isn't that the UK COVID-19 app is 'too sensitive.'
With a quarter-million cases & few restrictions, even if only correct contacts were pinged, that would be a huge number of alerts & isolations!
And yes - that's going to cause a lot of disruption π€·π»ββοΈ
1/5
We're papering over the consequences of huge case numbers with debates around sensitivity.
Yes, we can turn sensitivity down - but # of alerts will continue to grow with cases - still potentially annoying people (who uninstall) & certainly continuing to cause disruption.
2/5
This isn't to say we shouldn't try to make pings more accurate, rather, that this isn't an actual solution to high number of pings right now.
Even if 30% pings were bad & we could get perfection now, UK cases rose 33% this week - so we are still at crazy high notifications.
3/5
I've run preliminary @nextstrain focal builds on 20B/S:796H (B.1.1.318) (pictured) & 20A/S:210T (B.1.619).
These aren't part of CoVariants (yet?) but they've caught a couple eyes and I thought it was worth taking a closer look.
1/8
20B/S:796H (B.1.1.318) is behind most of the recent increase in 'other' variants circulating in Greece (shown in grey on the CoVariants plot, below - disregard last point, low sequence #'s).
It's very prominent in Greece, but also found worldwide.
Taking a closer look at Europe only, we can see there's a large cluster in Greece, but also distinct clusters in Switzerland & Ireland, & many sequences from other countries scattered between.