Here's an analysis of cases, deaths and vaccinations, for Australia, broken down by state/territory.

First at the national level. Cases have more than tripled in the latest week, as "let it rip" policies have allowed rampant Omicron spread in most regions.
Denmark was the only comparable country with a higher case rate in the prior week.

Their Omicron outbreak built on many weeks of Delta spread, which was not the case in much of Australia.
New South Wales has led the "let it rip" / "live with the virus" charge. They have not yet started including RAT counts, so the cases are only what could be processed by their overwhelmed PCR testing capacity.

Deaths typically lag cases by 3 weeks, so are starting to increase.
Victoria's case counts include almost a full week of (self-reported) RAT test results, which made up ~40% of this weeks' cases. RAT supply is still utterly inadequate everywhere in Australia.

The Omicron spike is a few weeks behind NSW, so has not yet impacted death rates.
Queensland's Omicron spike is just astonishing. After months of near-zero cases, they threw open their borders to neighbouring NSW, where Omicron super-spreader events had just occurred.

Deaths are just getting started - 3 weeks ago there were only 129 cases for an entire week.
South Australia is another former "zero-COVID" state that opened it's internal borders to Omicron. From sequencing data, they have the purest Omicron outbreak in the world - close to 100%.

Notably, deaths are already climbing, at a faster pace than Delta.
In Western Australia, there has been some Delta and Omicron community spread this week, however, that might now be under control.

It's a mystery to me why the other zero-COVID states did not follow the same course, or at least postpone re-opening a few weeks to assess risk.
Tasmanian cases have shot up in just a few weeks to rival the worst-affected countries in Europe.

Very high vaccination rates might keep deaths low.
The Northern Territory is now facing the familiar steep Omicron wave.
The Australian Capital Territory (surrounded by NSW) has been battling a long Delta outbreak, but now Omicron has certainly arrived.
The QLD, SA & TAS case counts include 1 day of self-reported RAT results.

COVID-19 stats from @covidliveau.

Interactive DataViz here:
github.com/Mike-Honey/cov…

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More from @Mike_Honey_

10 Jan
Victoria time-shifted distribution update for 10 Jan 22:

A forecast of outcomes from severe COVID-19, based on active cases:

- hospitalisations (2,210* by 15 Jan)
- ICU (737 by 20 Jan*)
- cases needing ventilation (246 by 25 Jan*)
- deaths (2,304 by 30 Jan)
🧵 Image
* As actual numbers had drifted from the forecasts for some series, I've adjusted the settings:
- hospitalisations now 0.9% (was 1.4%)
- ICU now 0.3% with 10-day lag (was 8-day)
- ventilation now 0.1% with 15-day lag (was 10-day)

A big drop in the hospitalisation % - good news!
The lags for ICU and ventilation have now returned to their pre-Delta settings, which appear to give a closer fit.
Read 4 tweets
10 Jan
New South Wales time-shifted distribution update for 10 Jan 22:

A forecast of outcomes from severe COVID-19, based on active cases:
- hospitalisations (3,387* by 15 Jan)
- ICU (677 by 20 Jan*)
- cases needing ventilation (339 by 25* Jan)
- deaths (3,291 by 30 Jan)
🧵 Image
* As gaps were opening up between the actual and forecast for some series, I've adjusted the % Expected:
- hospitalisations now 1.0% (was 1.4%)
- ICU now 0.2% with 10-day lag (was 8-day)
- ventilation now 0.1% with 15-day lag (was 10-day)
The lags for ICU and ventilation have now returned to their pre-Delta settings, which appears to give a closer fit.
Read 5 tweets
8 Jan
Queensland time-shifted distribution update for 8 Jan 22:

A forecast of outcomes from severe COVID-19, based on active cases:
- hospitalisations (1,096* by 13 Jan)
- ICU (129* by 16 Jan)
- cases needing ventilation (64 by 18 Jan)**
- deaths (467 by 28 Jan)
🧵 Image
As actual numbers had drifted from the forecasts for several series, I've adjusted the % Expected:
- hospitalisations now 1.7% (was 2.4%)
- ICU now 0.2% (was 0.3%)

** actual cases currently needing ventilation are so low they are below the bounds of this forecasting tool.
Sadly, deaths are slightly ahead of the forecast, noting the sample size is very small.

With very high levels of Omicron, QLD might be experiencing the same affect as SA - deaths occurring sooner than for Delta outbreaks.
Read 4 tweets
8 Jan
South Australia time-shifted distribution update for 8 Jan 22:

A forecast of outcomes from severe COVID-19, based on active cases:
- hospitalisations (322* by 13 Jan)
- ICU (69* by 16 Jan)
- cases needing ventilation (23 by 18 Jan)
- deaths (167 by 23 Jan)
🧵 Image
* As actual numbers had drifted from the forecasts for several series, I've adjusted the % Expected:
- hospitalisations now 1.0% (was 1.3%)
- ICU now 0.2% (was 0.3%)

** actual cases currently needing ventilation are so low they are below the bounds of this forecasting tool.
South Australia is the purest Omicron outbreak worldwide, based on genomic sequencing data.

Comparing to other Australian states (where Delta is more prevalent), the differences are:
- hospitalisation & vent % are lower
- death lag is shorter (note: small sample size)
Read 6 tweets
8 Jan
Victoria outbreak update for 8 Jan 22:

Here's the current snapshot of Active Clusters by category, highlighting today's new clusters.

The Aged Care category returned today, with 2 new large clusters.
🧵 Image
It's hard to follow what the thinking is with Aged Care clusters. Since 2 Jan they've disappeared, then re-appeared, then repeated that again.

For months this dataset has proven over and over to be the shoddiest I've ever encountered, in my career of 30+ years.
Clusters with added cases today:

+41 3642 Fronditha Care Aged Care Clayton South*
+14 Novotel ibis Melbourne Central Melbourne*
+11 4314 Estia Health Altona Meadows*
+4 Beyond the City New Years Festival 30 to 31 Jan Melbourne
+3 Confirmed Omicron Sircuit Bar Fitzroy
Read 6 tweets
7 Jan
Here's an analysis of the frequency of the Spike R346K mutation in BA.1 (Omicron) samples from the USA and Mexico. This mutation is understood to help evade immunity.

Firstly for the USA at the country level, they recently represent 40-60%, roughly double the global rate.
🧵 Image
Samples from California are driving that trend, with 40-60% including the Spike R346K mutation. Image
Ohio samples show an even higher frequency: 80-90% include the Spike R346K mutation. Image
Read 8 tweets

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