Dr. Birinder Narang MBBS CCFP Profile picture
Dec 3, 2021 10 tweets 8 min read Read on X
1/ #COVID19BC - @CDCofBC Data Update

This data is up until Nov 23rd (posted yesterday).

Important to go through to give a reference point of where we are at & where we can look at the potential #Omicron impact over next few weeks.

Cases/Hospitalizations dropping.

#BCPoli
2/ #COVID19BC - Vaccines + Kids

Will come back to this.

Slight uptick in cases from 9-11 yo recently.

Only ~35% of kids from age 5-11 yo are registered for #COVIDVaccine right now.

Recent data in 12-18 yo from @CDCgov showed Pfizer 93% effective.

Expect similar in 5-11 yo.
3/ #COVID19BC - Hospital Admissions

New hospitalizations declining.

Deaths continue to be in >age 60.

@WHO has said that if over 60 yo they are recommending against international travel

W/ risk of reinfection + #Omicron unknown, this is reasonable.

who.int/news-room/arti…
4/ #COVID19BC - Outcomes Over Last Month

Over the past month, unvaccinated individuals accounted for:
- 19% of the population but,
- 57% of cases
- 69% of hospitalizations
- 81% of critical care admissions

Again, power of vaccination is strong in preventing severe disease.
5/ #COVID19BC - Vaccine Outcomes

Over the last 4 weeks, compared w/ fully vax individuals & after adjusting for age, unvax individuals:

•≈ 8x more likely to become a case
•≈ 34x more likely to be hospitalized
•≈ 61x more likely to be admitted to critical care (NEW)
6/ #COVID19BC - Percent Positivity

Slowly declining provincially
- Lowest in @VCHhealthcare 3%
- @Fraserhealth low as well - 4.1%
- Highest in NH 18% (down from 21.5)

Also note differences by vaccination status (slide 44). Testing rates are declining across the province.
7/ #COVID19BC - Delta

Delta sublineages AY.25 & AY.27 most prevalent Variants in BC across all ages throughout province.

AY.4.2 & AY.4.2.1 are Delta sub-lineages that are slowly increasing in prevalence in the UK since mid-October, 2021.

12 cases of AY.4.2/AY.4.2.1 in BC.
8/ #COVID19BC - Dynamic Modeling

Rt is <1 in most regions (Reproductive number)

Highest on Vancouver Island at 1.3 (small numbers though)

Lowest in Northern Health - hopefully this continues, as we see cases dropping there.

Hopefully, Omicron doesn't disrupt this trend.
9/ #COVID19BC - Adolescents & Vaccines

Highlighting from the Pediatric section.

Lower case rate in 0-11 vs 12-17.

Yet to see a single hospitalization among fully vaccinated 12-17 year olds.

We will keep an eye on this as the numbers start coming in for age 5-11 population.
10/ #COVID19BC - Percent Positivity - Kids

Testing rates among 5-17 yo continue to decrease but remain elevated and stable among 0-4 yo.

Test positivity highest among 9-11 yo (>10%) and lowest in the 0-4 yo (<3%).

W/ positivity >10% in 9-11, good reason to get your kids vax.

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More from @BirinderNarang

Feb 16, 2022
1/ Following up on this with a few things.

Quick update on what I read on South Africa & some reflections on Denmark as many people have had questions/comments about it.

We continue to do a disservice to South Africa by not recognizing their experience.

#COVID19
#cdnpoli
2/ South Africa - Hospitalizations

Peaked at ~10K in mid December during Omicron surge, now down to 1500ish.

From the very beginning their brilliant physicians would tell us, this is behaving differently.

Our Western arrogance refused to acknowledge this reality.
3/ South Africa - Critical Care

In a country of 60 Million there are currently 374 people on Oxygen and 124 who are ventilated (From #COVID19)
Read 10 tweets
Feb 15, 2022
1/ BC: "Ensuring Balance in Easing Restrictions"

Today BC outlined their approach to phased re-opening.

Starting tomorrow night with removing capacity restrictions at 11:59 PM & reviewing masks/vaccine card in the next 1-2 months.

#COVID19BC
#BCPoli
2/ Principles Driving Next Steps

Focusing on:

Response: Immunization, self management, protecting those most at risk

Recovery: Rescind restrictions + adopt sustainable strategies

Readiness: Prepare for ongoing waves & troughs

"Shifting to Sustainable"
3/ Goals & Tools

Goals: Minimize deaths/serious illness, protect system, minimize societal disruption

Tools: Endemic Management (that's essentially what the list is) including: vaccines, surveillance, individual driven decisions, managing high-risk out breaks & treatment
Read 10 tweets
Feb 15, 2022
1/ Reopening: #COVID19BC

Loosening of restrictions are expected to be announced today.

Sure to be some backlash from those who are not ready.

Let's look at the UK, where they removed many restrictions on January 15th. (~ 1 month ago)

Declines across the board.

#BCPoli
2/ UK Patients admitted to hospital.

Daily numbers of patients admitted to hospital (Don't think this distinguishes from the "for" or "with")

7 day average was ~2000/day 1 month ago, decreased to ~1300/day (Feb 8th)

Lowest since Pre-Christmas.
3/ UK Hospital Census

Daily count of confirmed COVID-19 patients in hospital.

Was ~19,500 1 month ago, latest numbers ~12,000.
Read 6 tweets
Dec 20, 2021
1/ #COVIDVaccine in Age 5-11 - Dec 13 - @CDCgov

Committed to sharing data as I understand it, both positives & negatives so you can make your informed decisions.

Lots of good, some to keep an eye on.

Read through.

#COVID19BC
#BCPoli #CDNPoli
2/ #COVIDVaccine Age 5-11 - V-Safe & VAERS

Data from both V-Safe (@CDCgov smart phone monitoring) & VAERS systems in the States here, looking at trends.

Majority white populations from V-Safe.

Data for Dose 1 & 2 presented.
3/ #COVIDVaccine Age 5-11 - V-Safe Reactions

Summary of health impact shows: ~1-2% needed some type of medical care post vaccination.

~50-60% had some injection site reaction (mostly pain) as expected for most shots.
Read 10 tweets
Dec 18, 2021
1/ @VCHhealthcare - 🦠 PCR Result Changes

Reminder:

IF you test NEGATIVE --> don't need to self-isolate, but if you still have respiratory symptoms, stay home until you feel better.

IF you test POSITIVE --> you must self-isolate, but some changes now ➡️➡️

@CDCofBC
#BCPoli ImageImage
2/ Symptoms: Reminder

Key symptoms of COVID-19 include:

• Cough 😷
• Fever/chills🥵
• Shortness of breath/difficulty breathing 🫁
• Loss of taste & smell 👃🏾
• Headaches, muscle aches, fatigue 🤯
• Nausea/Vomiting/Diarrhea 🤢
• Sore Throat 😜

#OmicronBC
#BCPoli
3/ Self-Isolation:

"Do not go to work, school, or to any public places for
7 days from when your symptoms began, OR from your test date if you’re not sure

(10 days for those who are not fully vaccinated)"

- @VCHhealthcare
Read 8 tweets
Dec 12, 2021
1/ #Omicron 🧵

Been a few weeks since we heard of #OmicronVariant

Thought I would look at what we have learned so far, and some questions that remain, using @OurWorldInData & some global reports.

So at peak, South Africa has had ~400% increase in cases.

#COVID19BC
#cdnpoli
2/ #Omicron - South Africa

Can we attribute the rise of cases directly to Omicron?

Looks like the answer is yes.

South Africa cases are 100% Omicron now.
Botswana ~20%.
Canada/UK/USA still low, but increasing.

(Other countries where it has been found for comparison)
3/ #Omicron - What's happening with Delta?

This seems obvious, but just to confirm with the sharp increase in Omicron, there is a concurrent steep decline of #DeltaVariant as it is displaced.

This makes us all tense as we still have a lot to learn, but it's not all doom & gloom
Read 15 tweets

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