THREAD on UK covid situation, Omicron and what's happening...

TLDR: Omicron increasing very fast and we are getting increasing evidence of significant ability to infect previously infected or vaxxed people.

Expect UK response to change rapidly in response. 1/10
First, UK cases are climbing, back to near January pandemic peak levels. Scotland and England are rising fastest in recent days.

In England, London is rising faster than other regions.

Cases highest in 5-14 yr olds but rising fast in 20 somethings recently... 2/10
As of end last week, people in hospital going down everywhere except England, where admissions are now going up, driven by 18-64 year olds.

Unfortunately, if cases go up sharply in next few weeks, admissions will follow. By how much is the question... 3/10
The govt, SAGE, UKHSA are all warning of a big new wave in cases driven by rise of Omicron over the coming weeks.

What we don't know is how bad the consequences will be - but it is certain that they will be worse than they would have been without Omicron. 4/10
Latest UKHSA report confirms that Omicron is doubling every 2-3 days in UK & does have a large growth advantage vs delta.

Also that vax efficacy takes a big hit - you *really need* the booster dose to protect against Omicron infection.

Full thread:
5/10
Since data for tech report, Omicron was almost 10% of cases in England by last Wednesday (now likely much higher). Also likely dominant in London by now -> already 30% cases by Weds.

Highest Omicron in 20 somethings in London. 6/10
So about 35% of UK has that third dose right now. We're giving about 400k+ doses a day which is good but we need to speed up given speed of Omicron.

Plus millions of children don't even have 1 dose let alone 3. 5-11 a priority for vax if we want to protect them next term. 7/10
The NHS is under a lot of strain already - *without* Omicron added pressure. See this thread:


Unfortunately many over 50 have waned 2nd doses & NO booster. Vax is *lowest* in London where Omicron is highest (68% 1 dose in over 12s vs 89% in England) 8/10
With the some Omicron cases now being admitted to hospital, we know that even vaccines blunt a lot of the severity of illness the sheer size of the Omicron wave could be overwhelming. Hence also the rising threat level. 9/10
Cases likely to escalate quickly in coming weeks, with potentially severe NHS consequence in Jan.

Expect response to change v rapidly too.

Best case is any vax dose stays great vs severe illness. We don't know about Long Covid.

We do need to protect kids & vulnerable. 10/10
PS quite possible that we can't test all the people wanting tests so *confirmed* cases might well not rise as fast - but because of testing capacity and not because cases aren't there to be found.

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More from @chrischirp

11 Dec
Quick thread on some omicron thoughts with @BBCNews today.

1. At population level, Omicron's sheer growth advantage is likely to outweigh any reduction in severity from existing immunity, at least in short term. More covid patient to NHS -> less NHS for everything else.
2. We can do more and we should do more - but how much more is the really hard question.
3. But *when* govt might do something is much harder to answer because Christmas is round the corner. If this were any other time, I suspect we'd there would be more public health measures in place already.
Read 4 tweets
10 Dec
THREAD: Am going to post some clips of my interview just now with @SkyNews which hopefully will explain a bit more about omicron, UK and what we can do...

and I address *that* xmas party

1. Is it ok just cos it boosters should protect against severe disease?
2. importance of isolation if you are a household contact! and need for support...

England should follow Scotland in this.
3. And the government will *not* struggle to get measures through - the CRG are a minority and there is a large parliamentary majority for doing more. That is comes from other parties should not stop govt from doing the right things.
Read 5 tweets
8 Dec
Boosted with Moderna! #GetBoosted
I celebrated with a bag of Wotsits on my walk home
so far (6 hrs later) no side effects. Must be the wotsits
Read 4 tweets
6 Dec
THREAD on exponential growth, Omicron & what we might see in England over next few weeks.

In Gauteng province SA, cases (now almost all Omicron) have been growing at 25% a day for last three weeks.

Omicron rapidly increasing here, at roughly similar rate (so far). 1/12
Boosters might well slow it down, and vax + booster should reduce severe illness, but even a small percentage of large number can be a very large number.

And no reason to think Omicron can't sustain 25% daily growth here for at least a few weeks (*in absence of measures*). 2/12
Meanwhile, Delta is actually increasing slowly at the moment in England - Omicron might not replace it straight away, so much as co-exist and overtake it.

Sajid Javid said 276 sequenced cases of Omicron in England to date - all would likely have been infected pre 1 Dec. 3/12
Read 13 tweets
1 Dec
Short thread on case growth in Gauteng province, SA.

I compiled daily reported cases in November from sacoronavirus.co.za/category/daily… and had a look at growth...

TLDR pure omicron growth there looks pretty scary. We do NOT yet know how it will translate here. 1/7
Just plotting daily reported cases (dots) and the rolling centred average shows rapid increase in cases last few weeks of November. Blue dots are weekend reporting effects (Sundays and Mondays).

But for exponential growth we really need log scales... 2/7
Same chart on log scale looks like 2 periods of exp growth - one slower in 1st half Nov & then faster in 2nd half. Can interpret as period when Omicron gaining dominance over Delta (so smaller % of cases) & from 15th purer Omicron growth (now considered >90% of Gauteng cases) 3/7
Read 8 tweets
26 Nov
Very quick thread on UK covid situation:

TLDR: boosters going well now, cases rising particularly in children, admissions & deaths dropping 1/5
First vaccination: boosters now in about quarter of population - NI is a bit behind other nations.

Very good booster coverage in over 70s - would be great to get it higher.

Significantly lower uptake in more deprived areas.

Teen vax ongoing (slowly). 2/5
Second cases: cases climbing in UK. Over 50K again today. By date of test, climbing in NI & England and falling (a little) in Wales & Scotland. But positivity rates falling in NI so could be more testing.

Slightly diff picture from ONS with nations either rising or flattish. 3/5
Read 5 tweets

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