HSE PCR Test Availability Report

This is the worst day on record.

Just 220 left in Donegal. These will run out shortly.

The average wait time for a PCR test is now in excess of 2 days across the country.

About 3,000 appointments/hr are being missed.

gets worse tomorrow.
Any attempt by the HSE to report on the total volume of cases is now hopelessly wrong.

Any reporting of HSE case rates without explaining this is now lying by omission.

nobody knows how many cases there are now, but we can make reasonable extrapolations.
The first method is to extrapolate the known omicron case volume from Sunday when it accounted for 51% of cases, extrapolating known case rate growth for omicron, and assuming delta is static or declining moderately.

That gives a cautious 20k cases today and about 25k tomorrow.
The second way is to estimate total demand for testing, and use the positivity rate to estimate how many would convert to infections.

Demand for self referral is about 3k/hr over 24 hours, which gives a 72k/day to which we add referred testing which is running at about 17k.
that totals at about 89k tests a day demand, of which about 20% are positive, giving a very rough 18k cases a day.

These two methods of estimating correlate quite well.

The conclusion is that we are in or around 18-20k cases. a day.
The known growth rate with omicron is a doubling every 2 days, and has been seen there, based on growth in prevalence of 30% a day.

We are safe to assume that this growth rate will continue for some time.

Those who claim it will stop rapidly have no evidence basis for this.
We have never seen covid cases arrest sharply without the introduction of significant containment measures.

Dr. David Nabarro is special Envoy on covid for the WHO. knows more about covid that you ever will.

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More from @Styo28183449

23 Dec
We really have to hit this nail of the head: omicron is less severe so it will be all right.

Lets take the extreme new claim. 70% less severe.Lets believe it for a moment.

so if 100 cases was delivering 10 hospitalisations, not it's only delivering 3.
Here is the problem.

omicron grows the number of cases, doubling every 2 days.

So after 4 days you have 400 cases.

3% of 400 is 12.

So you have more cases that with the original strain.
And from here it gets worse.

because omicron keeps doubling every 2 days, the next doubling will yield 800 cases, of which, I'm sure you're getting it now, 24 will be hospitalisations.
Read 29 tweets
23 Dec
What I've learned during covid.

There is a very thin line between optimism and denial, and most people seem to cross it regularly.
The "optimist" looks at this graph, for example, and says "at least there is availability in donegal".

The realist looks at the optimist and wonder what is he smoking?
my conclusion is that anyone who consistently looks for the up side of a situation has a kind of mental brittleness has a character flaw not a strength.

I'm actually an infuriatingly optimistic person. But there is nothing optimistic about our position with covid. it's all bad.
Read 4 tweets
23 Dec
HSE PCR Test Availability

The first graph of the day, and we're close to done.

No availability in the east for a record 50 hrs+

Welcome to Omicron.
What this means is that 3,000 or more people an hour who’ll arrive this morning to find that the earliest they can get a self-referral PCR test is Saturday, if they try at midnight tonight. In many parts of the east they may have at most a 4/7 minute window to book then.
Read 5 tweets
22 Dec
and we're off.
22,673 appointments at midnight as follows:

Carlow: 191
Cavan: 201
Clare: 1,152
Cork: 2,061
Donegal: 947
Dublin: 5,142
Galway: 2,013
Kerry: 294
Kildare: 278
Kilkenny: 120
Laois: 321
Leitrim: 132
Limerick: 1,388
Longford: 1,071
Louth: 498
Mayo: 390
Read 23 tweets
22 Dec
HSE PCR Test availability

You are not seeing things. There is no mistake.

No availability till Friday anywhere except Donegal which is running out also.

I knew it was collapsing but the scale of this collapse for anyone who has watched this data for the last few weeks is ...
...is hard to express.

What it means essentially, is that about 20,000 additional test appointments are needed to capture the DAILY test requirement.

Some 32,000 appointments were made today by people looking for appointments today, having largely to settle for tomorrow.
And the really bad news is that this problem will rise by about 40% tomorrow.

It's really hard to find words to express how bad this situation is. I think the best word is unmeasurable.

for reference

Read 6 tweets
22 Dec
HSE PCR Test Appointment availability

The graphs are back, because availability has once again collapsed.

This is omicron. Dublin has about 13 appointments left fro Thursday.
The HSE booking system is under severe load as people try to book appointment slots that simple don't exist.

It's hard to convey the speed at which availability has collapsed. It's gone from quite good, with slots available within a few hours, to this in two days really.
Read 14 tweets

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