After my example of 🇩🇰 yesterday, @EricTopol shares the case of the 🇺🇸 which underlines again two points
A) the differences in immunity between countries can lead to very different levels of perceived mildness
B) a milder omicron can still create a lot of trouble
@EricTopol Despite all the affirmations made, we still have a poor understanding of
/ The immunity wall in each country, i.e. who has what type of protection
/ How much Omicron evades this immunity
And these factors can lead to very different outcomes in different countries
2/
This does not mean that we may not see a very positive outcome from Omicron on 🇧🇪
It just means that it is very difficult to estimate this with confidence
On top, 🇧🇪 has a most contrasted vaccination coverage so Omicron may also pan out differently by region
3/
As I mentioned yesterday, I sincerely hope that the authorities are tracking the Omicron impact closely via sequencing of any positive case ending in hospital
Because, at the moment, this is the only hard information that can be of any concrete help
4/
In the meantime, I will continue to track admissions vs. cases and vs. ICU and report on how the link between them is changing
But these are, at best, very lagged indicators marred with biases (especially if testing doesn't follow / collapses), but it's the best we have got
END
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Covid in 🇧🇪: Admissions are still growing and I sincerely hope that the authorities had some sequencing done on admission cases to find out if they are related to Delta or Omicron
Why? Because any action decided by the #Codeco#overlegcomité will essentially depend on this
1/
What is interesting is that the admissions to cases ratio seems to have gone down over the last few days
Is is due to a change in admissions from Delta to Omicron?
Or is it simply an effect of cases shooting up in younger age bands first?
2/
On the cases front, things unfold as I expected
➡️High growth rate (also the Tu figure is likely to be around 28k)
➡️Record cases in BRU (4k exceeding the highest level so far by 33%!) and in Flag of Belgium overall (which I didn't anticipate)
Covid in 🇧🇪: Monday's figs under the spell of growth
➡️likely ~ 24k cases (under cautious assumptions) with almost certainly a daily case record in Brussels (and by a mile at >3.5k)
➡️More worryingly, admissions (FOR covid) hit 210 and continue to grow at 25% per week
1/
What is worrying (and somewhat surprising given international experience) is that admissions still trail cases so far rather well at "Delta rates of severity" ... just seemingly quicker
2/
Why is 🇧🇪 currently not seeing the same benefits of mildness as in 🏴🇩🇰?
It could of course be that much of the admissions are still from Delta (and the fact that admissions trail cases as with Delta plays in favor of this hypothesis)
3/