"What's the situation in Europe?"
Yes - cases are rising in many places πŸ“ˆ
But it's difficult to talk about 'Europe' 🌍 as one entity right now: as the pandemic continues, things are getting more heterogeneous. πŸ“Š

*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 πŸ“‰, others with lower numbers might be seeing a concerning sharp increase πŸ“ˆ

2/16

ourworldindata.org/covid-cases
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 πŸš«βš–οΈ

For example, different countries have different measures in place & perhaps more importantly, more or less ability & *willingness* to adapt measures as situations changeπŸ˜·πŸ›‚

4/16
The long-term cost in lives, hospitalizations, & economy for a country with a sharp rise ("bad") who can respond early πŸ• & fast ⏩ might be quite different from a country with a slow rise or long plateau ("not so bad?") who is unable πŸ¦₯ or unwilling πŸ™…πŸ» to change course.

5/16
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 πŸ“ˆβž‘οΈπŸ₯πŸ’€

Now *cases alone* may not be so bad, if people don't get seriously ill πŸ“ˆβž‘οΈπŸ€§

6/16
This is where many things will start to come into play: previous infections πŸ€’ (& when), age groups infected πŸ‘§πŸ»πŸ‘΄πŸ», availability & ability of the healthcare system πŸ‘©πŸ»β€βš•οΈπŸš‘, and more...

But *most importantly* - how the vaccine rollout has gone πŸ’‰

7/16
Europe spans a huge range in % vaccinated: from ~20% in Ukraine & Belarus 🀏🏻, through 30-50% in Russia, Romania, & Croatia βš–οΈ, right up to almost >80% in Spain, Portugal, & Iceland πŸ™ŒπŸ»!

8/16

ourworldindata.org/covid-vaccinat…
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.

9/16

cdc.gov/mmwr/volumes/7…
So countries with higher vaccination rates can expect:
- An easier time containing outbreaks (hopefully fewer restrictions needed) πŸ€πŸ»πŸš§πŸ“‰
- Fewer hospitalizations (less healthcare pressure) πŸ‘¨πŸ»β€βš•οΈπŸ‘πŸ»πŸ©Ή
- Fewer deaths 🀏🏻☠️

10/16
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 πŸ€·πŸ»β€β™€οΈ
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.

12/16

ourworldindata.org/covid-hospital…
So what can Europe do?

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 ⬆️ vaccination.
I personally support things like vaccine passports πŸ›‚: they mean things can stay open, but decrease overall risk.
We *all* have a part to play in protecting both livelihoods & lives. 🀝

14/16
Additionally: stay flexible. πŸ§˜πŸ»β€β™€οΈ
Politicians, don't promise you'll never do X, Y, Z again πŸ˜Άβ€πŸŒ«οΈ. You back yourself into a corner that could cost lives.

Reduce the chance you'll need harsh measures by being ready & willing to act early πŸ• & fast ⏩ as the situation changes.

15/16
So many times in the pandemic, people have declared we have it all figured out - #SARSCoV2 keeps showing us otherwise.

Listen to the science, stay grounded, & be ready to react. Implement necessary measures, build trust, & publicly fight misinformation.

And #Vaccinate!

16/16

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More from @firefoxx66

12 Aug
"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"

theguardian.com/commentisfree/…
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.
Read 4 tweets
11 Aug
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...

1/N
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.

3/N

indiatoday.in/coronavirus-ou…

news18.com/news/india/ker…
Read 7 tweets
28 Jul
Today, my best birthday present is being fully vaccinated! πŸŽ‚

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.

2/

who.int/news/item/15-0…
The pandemic has hit a lot of people hard in many ways, including financially. Please do not give if it would cause you hardship. ❀️

There are other ways you can help!
Talk to an unvaccinated friend πŸ—£οΈ, or put pressure on your government to do more to help globally! πŸ“¨

3/
Read 4 tweets
19 Jul
I want to repeat what others have said:

**If you do not get vaccinated against SARS-CoV-2, you /will/ get infected one day.**

We won't eliminate SARS-CoV-2.
The choice isn't "vaccine or not" - it's "vaccine or infection". This is critical for weighing up risks/unknowns.

1/5
If the mindset is "vaccine or not", it is easy to think that waiting & watching is safer, because you stay in 'nothing happens' territory.

But this isn't accurate. As we see now: unvaccinated people are where cases are spiking & this is going to remain true for a long time.

2/5
I still hear concern from people about the 'unknown long-term effects' of vaccination.

But what I don't hear people also considering is the unknown long-term effects of COVID-19.

Or a fair comparison of the well-known shorter-term effects & risks of both.

3/5
Read 5 tweets
16 Jul
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 πŸ€·πŸ»β€β™€οΈ

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
Read 5 tweets
15 Jul
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 Image
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.

2/8

nextstrain.org/groups/neherla… ImageImage
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.

3/8

nextstrain.org/groups/neherla… Image
Read 8 tweets

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