Covid data in the UK again worrying. Here's the overall picture before looking more closely. tl;dr - we are on the edge of the precipice (1) Image
In a break from tradition I feel I must cover recorded cases first. We've gone over 100k reported cases in a day for the first time. 106,122 to be precise. The trajectory is bonkers (2) Image
643,216 cases over the last 7 days. 2nd day in teh 600k's. we were in the 500k's for 3 days, the 400ks for 4 days. In the 300k's for 21days. The recent rate of growth is extraordinary. (3) Image
Maybe its settling down at about a 7% rise a day but at this stage who knows? This is bonkers. We've seen nothing like this. (4) Image
Cases are currently doubling every 16 days, but we're stretching testing capacity to the limit and that could create some strange phenomena in the data. So we need to be a bit more creative to work out whats really happening (5) Image
Astonishingly despite the fact that cases have been trending up for such a ling time, deaths are still static. (6) Image
...but if you're happy with stasis at 112 deaths a day then I'm sorry but you're not ok. This is still awful (7) Image
But this is still the best news we have - deaths as a proportion of infections at a 15 day delay has been falling steadily since the booster program took hold in the UK. Vaccines save lives. But deaths aren't falling because infections have been rising. (8) Image
That figure of 0.232% is the lowest since Delta took hold. (9)
Because cases were rising while the proportion of cases becoming deaths was falling, and because the 15 day delay is a mid-point, its peak deaths but thats quite a variable figure, its hard to pick out any trends in the change daily deaths (10) Image
Hospital admissions data lags, with Scotland, Wales and Northern Ireland reporting on different schedules to England. So that data lags behind. Hospitalisations typically track cases - this doesn't look promising (11) Image
Deaths don't always track hospitalisations as closely. But again, its not promising (12) Image
We only have national hospitalisations data until the 18th. Data for England is available for the 19th and 20th and that shows a steep rise - this may be hospitalisations catching up with cases. We'll get UK Data soon enough, I'll update with another thread when we do (13)
Bluntly, we'll see in the next 2-3 days of national hospitalisation data whether or not hospitalisations are starting to follow the fast rise in cases. England data makes it look likely. We shall see. (14)
And I'm saying 2-3 days because we know how long it takes to get to peak infectivity from being infected, and the average time to die from that point, from which we can work out a proxy value for R from each data set (15)
....and if we look at trends for R through the whole pandemic we can line them up to work out what those delays are (16) Image
As you can see from cases (red), deaths (blue) and hospitalisations (green) the three calculations line up well. Look now a the recent trends in all 3 (17) Image
English data makes it look like hospitalisations are starting to go crazy. Cross your fingers thats a blip, that this time, for the first time, cases won't drag admissions and deaths up (18)
To me it still seems a hell of a roll of the dice, to gamble that they won't, to bet the house on Omicron being massively less hazardous than Delta. Booster vaccines are helping -enormously-, thats easily demonstrated (19)
...but to risk so many lives? I do not, and will never, understand. Take care folks, look after yourselves and each other. Because Boris Johnson is willing for your body to be one of those left to pile high. (fin)

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More from @gnomeicide

24 Dec
Record Covid cases again in the UK today, deaths up, hospitalisations rising FAST. Here's the overall picture, I'll go into each trend over the next however many tweets. (1) Image
Deaths are rising again. Two of the last 3 days have seen big rises. Its not in itself huge yet but its cause for concern (2) Image
Todays total of 137 is way over trend, sufficient to change things from a weekly fall of 0.3% to a rise of 0.3% after today. (3) Image
Read 19 tweets
23 Dec
Not a full thread today. Obviously cases continue to skyrocket. But hospitalisations are, as I said, the next marker to look at. And there they go. We know that for the 20th and the 22nd they're also over 1000, we have English data but not all the rest (1)
20th of December we already know will be over 1080, and the 21st over 1100 (waiting on Scottish data for that). Hospitalisations are starting to rise quite fast. If that follows the trend for cases, even a little, its a huge problem (2)
I guess my point is that hospitalisations are rising right on schedule - it remains only to be seen how far they rise. With cases rising so fast, even the reduction in proportion being hospitalised won't be enough to keep pressure on the NHS down (3)
Read 4 tweets
23 Dec
Reminder, should you feel the urge to back the Allison Pearson horse in the columnist vs. science race - she is always, but always wrong.
Here she spuriously and performatively doesn't understand infectious disease
The second wave of infection had already started in July last year. It would go on to kill tens of thousands of people.
Read 7 tweets
20 Dec
Covid data has gone bonkers. I wasn't planning to do a thread today, but what the hell, why not. Here's the overall picture before some more detailed analysis. (1)
Deaths continue to fall ever so slowly, which is a remarkable testament to the incredible inroads made with vaccines and treatments - by now cases should be rising, following cases haven risen for weeks (2)
But 111 deaths a day remains terrible. And the rate of fall, under 1% a day, is barely perceptible (3)
Read 26 tweets
18 Dec
You may be under the misapprehension that crap bought mince pies with sweet shortcrust pastry are the right mince pies. They are not. They're terrible. Make real mince pies, do it right. Start with making butter puff paste... Image
Make lots, it freezes. Then roll out and cut out some circles, and roll the scraps up and roll out THIN, and cut the same number of slightly smaller circles. The small, thin circles are your bases. Put mince on each (about which more later) on each... Image
...seal the larger, thicker circles on top with egg, then egg glaze... Image
Read 8 tweets
18 Dec
So... Today, projections for Covid cases in the UK based on the 7 and 14 trends are almost irrelevant. Last Saturday it was 54073, on trend we're looking at 67000-75000 (a broad spread because of the recent stratospheric rise) but after 93045 yesterday thats unlikely (1)
Deaths continue to fall very slowly, on average. 126-129 after 132 last Saturday. The rate of fall is almost imperceptible, 0.6% a day right now, and that is trending the wrong way. Hospitalisations are rising (2)
...and its only falling because boosters are keeping the proportion who are infected dying falling. But cases have been rising -fast- for a while now (3)
Read 4 tweets

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