1) Despite the fact #COVID hospitalizations, ICU stays and deaths are surging once again in Quebec, several hospital mangers have told me that they’re cautiously optimistic this fifth wave will soon start subsiding. In this thread, I'll assess whether such optimism is justified.
2) Much of this optimism is based on the experience in South Africa, where #Omicron emerged in November. On Dec. 30, the South African government released a statement saying that “all indicators suggest the country may have passed the peak of a fourth wave at a national level."
3) What’s more, South African doctors were declaring less severe illness among those who contracted Omicron. Here, front-line doctors have been observing a similar trend in Quebec’s Omicron-driven wave.
4) The optimism in Quebec may also be based on what appears to be a drop in the number of #COVID outbreaks. The chart below shows clusters peaking on Dec. 20 at 2,185. Since then, the number has been dropping steadily, down to 1,192 on Wednesday.
5) On Thursday, Health Minister Christian Dubé suggested that Quebec’s latest curfew might counter government projections that #COVID hospitalizations will surge to 3,000 within the next two weeks, and worse, breach intensive-care unit capacity.
6) So is this optimism justified? To answer this question, let us turn back to the situation in South Africa. Although new infections have been dropping in the past three weeks, the lagging indicator of deaths has been rising. See below.
7) The lesson to draw is that contrary to much media reporting that Omicron is mild, South Africa’s experience shows it's anything but. The World Health Organization reiterated Thursday that “just like previous variants, Omicron is hospitalizing people and it is killing people.”
8) Let us now turn to Denmark, a nation of 5.8 million, which began experiencing its Omicron wave a few weeks before Quebec. Denmark has administered a booster shot to 50.7% of its population as of Tuesday. That’s in contrast to 20% thus far in Quebec.
9) As the chart below shows, the Omicron wave has not yet started to subside in Denmark. The country’s top health official, Tyra Grove Krause, warned this week that the wave will last another two months in her country.
10) All this suggests that this cautious optimism in Quebec among certain hospital managers may not be justified. According to tracking by Reuters, average #COVID infections have been increasing in the past two weeks all around the world. See the chart below.
11) The upshot is Quebec must do everything in its power to stop the spread of Omicron, which is as contagious as an invisible smoke. For that reason, Quebec should consider following Ontario in providing N95 masks to school staff. End of thread. Stay safe and get your booster.

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More from @Aaron_Derfel

19 Dec 21
1) Happy Holidays, everyone! Although I will be returning to work on Jan. 4, I wanted to underscore the seriousness of this, the 5th wave of the #COVID19 pandemic in Quebec. In this thread, I will focus on rising hospitalizations among the doubly-vaccinated.
2) First, I can’t emphasize enough the importance of getting vaccinated against #COVID19. The non-vaccinated are nearly 15 times more likely to be hospitalized with #COVID in Quebec than those who have received two shots. But it’s become clear even two shots may not be enough.
3) As the chart below shows, on Nov. 18, the province recorded 17 new #COVID19 hospitalizations. Of that number, a dozen were among the non-vaccinated or those who got a first dose. But five individuals were hospitalized despite two doses. Who were those five?
Read 12 tweets
24 Jun 21
1) Quebec on Wednesday fell from second to third place in its #COVID19 vaccination rate among provinces, behind British Columbia. Surprisingly, Ontario is now in first place among provinces, as the chart below indicates.
2) What’s more, nearly 24% of Ontario’s population is fully vaccinated compared with 18.86% in Quebec. Clearly, Quebec has a lot more to do to find ways for younger adults to get vaccinated, including the possibility of paid leave to workers seeking second shots.
3) Despite lower-than-expected vaccinations and #COVID19 testing, Montreal continues to report reassuring numbers under the direction of its apolitical head of public health, Dr. Mylène Drouin. The chart below shows a decrease of 30 #COVID19 outbreaks in the city since last week.
Read 11 tweets
23 Jun 21
1) Quebec on Tuesday fell from first to second place in its #COVID19 vaccination rate among provinces, ceding the coveted spot to British Columbia. This reflects the fact that Quebec has been struggling to encourage younger adults to go get their shots. Image
2) On Tuesday, Quebec Premier François Legault again suggested a vaccine lottery for those who have been immunized fully, but there are other incentives that might be more effective, like giving workers a paid time off to get their shots, as other provinces are doing.
3) As things now stand, at least 17.79% of Quebec’s population has been fully immunized and 70.3% partially. At the current rate of 600,000 vaccination a week, it would probably take another nine weeks to fully vaccinate most of the province’s population.
Read 8 tweets
22 Jun 21
1) Quebec Premier François Legault floated the idea on Monday of a vaccine lottery to encourage younger adults to get their #COVID19 shots, this after a relatively low 57,000 doses were administered in the province on Saturday. montrealgazette.com/news/quebec/qu…
2) Although Quebec is facing a delay in a Pfizer shipment that was supposed to be delivered over the weekend (and will arrive instead on June 24 or June 25), the latest stats show that Quebecers aged 18 to 29 still trail other demographics, including 12 to 17-year-olds.
3) With the province opening up this summer and #COVID19 variants circulating, full vaccination is critical. But on Monday, just 16.87% of Quebec’s population was fully immunized, up from 16.25% the day before. Quebec can and should do much better.
Read 9 tweets
1 May 21
1) Quebec on Friday reported five more cases of the feared P.1 variant, including a single case for the first time in the Capitale-Nationale region. In this thread, I will provide an update on the more transmissible variants circulating in the province.
2) The P.1 variant has been responsible for the massive third wave in Brazil that has caused tens of thousands of #COVID19 deaths. But to date, Quebec has reported 30 confirmed cases of P.1. That compares with 645 in Ontario, 944 in Alberta and 2,063 in British Columbia.
3) The predominant variant by far in Quebec is B.1.1.7. Quebec’s public health institute reported 364 more sequenced cases of B.1.1.7., which was first detected in the U.K. Montreal continues to post the highest number of B.1.1.7 cases in the province.
Read 9 tweets
30 Apr 21
1) Even as Quebec has made laudable progress in reducing the number of #COVID19 hospitalizations while ramping up vaccinations, hot spots remain — a warning that the #pandemic will probably continue here for months to come. In this thread, I will examine some of those hot spots.
2) As of Wednesday, 35% of Quebec’s population had been partially inoculated and 3.69% had received the second dose. Federal guidelines recommend vaccine coverage of 75% with one dose and 20% with two doses to achieve collective immunity.
3) Among the potential #COVID19 hot spots are hospitals and eldercare homes. Emergency-room workers at St. Mary’s Hospital received their first doses of the Pfizer vaccine in January, and 18 still got infected in an outbreak. montrealgazette.com/news/local-new…
Read 10 tweets

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