Was going to do a quick pre-xmas thread on where we are but SAGE minutes from their meeting yesterday covers all my points!
So here is a whistestop tour of the main bits
Omicron Growth might be slowing, but only from ~2 day doubling to ~3 day doubling. So still growing fast.
Not clear why growth is slowing: likely combo of more cautious behaviours, Plan B (e.g. work from home), moving to different age groups, more reluctance to test
Number of people in hospital with Omicron doubling every 4 to 5 days – this is rapid and so far they are younger. Also increases in transmission within hospitals. SAGE expects large increase in admissions as older people get infected over Christmas ☹
There is increasing evidence that Omicron *outcomes* are milder than Delta. How much is intrinsic to the virus, or that Omicron infects many more with vax or prev infection (with milder disease) is unclear.
Many omicron infections simply would NOT HAVE HAPPENED with Delta.
However sheer numbers of infections remain important.
For the NHS – what age groups they happen in and how much a waning booster protects against hospitalisations (hopefully a lot) is crucial.
Timing and peak of (hosp) wave depend on these factors.
The hosp peak might still be as high as previous peaks (very very bad for NHS). The sooner interventions happen to prevent infection the better - particularly if they stop older people getting infected.
DO NOT READ TOO MUCH INTO NUMBERS THIS WEEKEND.
Test seeking, test processing and data updates all go screwy over Christmas – we have to wait till next week now.
Plus the impact of Christmas mixing won’t be seen until end of the year at the very earliest.
Finally, wishing you all a happy (and safe) Christmas.
Please test regularly using LFDs and don't mix if positive OR if you have *any* cold like symptoms or otherwise feel ill.
The pandemic is as bad as it ever was for babies - in year to Aug 2023, 6,300 babies under 1 were admitted to hospital wholly or partly BECAUSE of Covid.
They are ONLY age group where admissions have NOT gone down over time 1/17
Our study, led by Prof @katebrown220, looked at all hospitalisations in England in children with a Covid diagnosis or positive test from Aug 2020-Aug 2023.
We then *excluded* all admissions where a Covid diagnosis was incidental (ie not why they were in hospital)
2/17
Infants (babies under 1) are generally at higher risk from respiratory infections, plus they are the age group that, if infected, are overwhelmingly meeting the virus for the first time.
They are not vaccinated and have not had it before. 3/17
Prof @Kevin_Fong giving the most devastating and moving testimony to the Covid Inquiry of visiting hospital intensive care units at the height of the second wave in late Dec 2020.
The unimaginable scale of death, the trauma, the loss of hope.
Please watch this 2min clip.
And here he breaks down while explaining the absolute trauma experienced by smaller hospitals in particular - the "healthier" ICU patients were transferred out, leaving them coping with so much death.
They felt so alone.
Here Prof Fong explains how every nurse he met was traumatised by watching patients die, being only able to hold up ipads to their relatives and how it went against their normal practice of trying to ensure a dignified death, with family there.
🧵War causes direct civilian deaths but also indirect deaths over the following years.
Recent paper estimates eventual total direct & indirect deaths in Gaza attributable to the war - 10% of entire pop'n.
I want to explain these estimates and why deaths must be counted. 1/13
Why count casualties from war anyway? For moral, legal and strategic reasons.
1 - owe it to those who have died
2 - International law says must count & identify dead as far as possible
3 - monitor progress of war & learn from tactics
2/13
There are direct and indirect casualties of war. Direct deaths include those who killed by fighting or bombs.
Indirect deaths are those that die when they would otherwise have lived because of one or more of: lack of food, healthcare, housing, sanitation, income, hope. 3/13
THREAD: the summer Covid wave in the UK continues.
Basically, there is a LOT of Covid around and not a lot of other respiratory viruses.
If you have cold or flu symptoms, it's probably Covid.
The latest hospital data from England shows steady, quite high levels. 1/8
But admissions don't tell us how much virus is circulating more generally. The best (but imperfect) measure we have is wasterwater measurements, and only in Scotland and not England.
Scotland's wastewater is showing a huge July peak - highest since Omicron's 1st yr in 2022 2/8
Because different people shed different amounts of virus and variants can matter too, you can't for sure infer how many people were infected between different wasterwater peaks. BUT given the size, I'd say it's pretty likely this is the largest peak since 2022 in Scotland 3/8