today's Ontario cases are down almost 50% from Jan 1 max. Fully-vax cases accounted for ~85% of all cases; on a per million basis, fully vax cases still are higher than unvax cases. SciTable shows increasing cases, with "adjusted" unvax cases exceeding vax cases on per MM basis.
2/ here is today's NON-ICU hospitalizations, absolute and per million, by status. About 75% of non-ICU hospitalizations are full vax, flipping ratio that applied earlier in pandemic. Relative unvax rates remain higher.
3/ to estimate "excess" unvax non-ICU occupancy, I calculated what non-ICU numbers for unvax "should have been" if they had same relative occupancy as full-vax. It was ~100 extra for most of 2021, now ~150. This is 8% of present 1925 non-ICU occupancy.
4/ the 8% excess from unvax contributes to the present record hospitalization levels, but, for policy, it is a secondary issue to the 92% arising from hospitalization of fully vax (and non-excess unvax).
5/ unfortunately, we don't have data thus far on impact of boosters. The omicron wave seems to be receding anyway, just as it did in South Africa. I doubt that relative contribution of boosters can be disentangled from "ordinary" decline of Gompertz curve tho people will try.
6/ here's a plot showing theoretical non-ICU occupancy by unvax if they had same occupancy rate as fully-vax. As noted above, lowering their rate would be nice, but 92% of problem arises from occupancy from fully vax since rise of Omicron.
7/ comparison of absolute and perMillion ICU occupancy from offical data vs SciTable. Fullvax ICU has increased dramatically in past 3 weeks and now exceeds unvax ICU for first time ever. Per million ICU occupancy by unvax much higher than vax, but ratio diminished rapidly in Dec
8/ the reason why ICU unvax occupancy is similar to September while relative ICU unvax has doubled is that unvax population is currently only half of unvax population in Sept. Thus relative increase in unvax did not result in absolute increase. Fully vax in ICU is new problem.
9/ from an analysis perspective, Science Table's "adjusted" unvax ICU occupancy per MM is about four times higher than unvax occupancy per MM reported by Ontario govt. Look at y-scale for similar shaped curves. SciTable adjustment minimizes contribution of fully vax to problem.
10/ the data up to December showed a profound benefit for vaccination in ICU data, but a disturbing emergence of fully vax in ICU in past few weeks and continuing substantial but reduced vax advantage (though probably much less than inflated SciTable calculation.)
11/ Pfizer CEO says that "fully vax" (as defined only a few weeks ago) are "only about 10% effective" against infection after 20 weeks. Because Canadian federal government regulations mandated 6 month interval before boost, reality was that nearly everyone was "unvax" in mid-Dec.
12/ this is consistent with observations that show as high (actually higher) case rates among fully-vax than among unvax starting in mid-December.
13/ morale: shouldn't Science Table and Public Health Canada have recommended boosters after 20 weeks, instead of 6 months? If boosters are the solution (and they might be), then leaving gap between 20 weeks and 6 months was a major error by Trudeau govt and Science Table
14/ on a more positive note, cases in South Africa are returning to pre-wave levels after short sharp casedemic. ICU lags and persists after wave declines, but much less than earlier level as are deaths.
15/ Science Table had argued that South African data contradicted claims that Omicron was less severe than earlier waves. Their characterization of SAfrican data in Gauteng was bogus. It was much less severe in SAfrica. (But still a wave.)
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the actual operating problem for Ontario govt - what puts pressure on hospitals and ICUs - is most likely the dramatic resurgence of cases among Ontario seniors, even including 99.99% fully-vax 80+s.
2/ it is well known that hospitalization and ICU rates for senior COVID cases are FAR higher than younger cohorts. In Toronto, where fine-grained data is available, 34% of cases among 80-90s are hospitalized; 25% of cases among 70-79s hospitalized, 5.8% into ICU
3/ in November, the priority of federal government and Science Table appears to have been vaccinating 5-11 year olds, as opposed to boosting seniors. "Younger" seniors (60s and 70s) mostly wer not eligible for boosters until December due to 6-month federal regulation.
today's disinformation from Ontario Science Table. Local to me, but prob representative of science advice elsewhere. Left- ACTUAL hospitalization data by vax status. Right - hospitalization infographic from Science Table. Look at difference,
2/ up to mid-Dec, actual COVID hospitalizations were dominantly unvax, with only handful of full_vax. In last 3 weeks, reported hosp'ns exploded, with vast majority being two-plus vax. While unvax proportion is higher, "problem" arises from absolute count. Which is now mostly vax
3/ SciTable infographic implies that onslaught of hospitalizations is coming from unvax, with vax hospitalizations making only a minor contribution. No wonder politicians are demonizing unvax. While unvax "over-contribute", they are not driving the increase. Contrary to SciTable
Here's a startling graph illustrating a point that people are beginning to talk about, but not visualizing well. And showing that concepts from 6 weeks ago aren't applying. Changes in ratio of new cases PER 100K of fully vax to unvax.
data is from Ontario, but it sounds like US experience is at least directionally similar. Vaccines were doing excellent (even if not perfect) job against cases, not just against ICU and hospitalization. In midDecember, with arrival of omicron, advantage disappeared, then reversed
the erosion of relative advantage of fully vax to unvax in respect to non-ICU hospitalization also began in mid-December, eroding rapidly. Opinions based on data prior to mid-December are no longer valid.
To give perspective on difficulties for policy-makers, this graph shows the ratio of full vax non-ICU hospitalizations per MM to unvax non-ICU hospitalizations. Very very rapid erosion of advantage.
Nothing in SciTable Dec 16 briefing even hints at such a possibility.
SciTable and other perpetual government critics like to claim that if only govt had listened to them, none of this would have happened. Then Trudeau and others blame unvax for tribulations.
I'm pro-vax, but the problem that govt is facing right now isnt from the unvax, but from infections and hospitalizations among the fully vax as relative protection of fully vax has eroded.
Three weeks ago, Ontario Science Table covid19-sciencetable.ca/wp-content/upl… challenged claims of lower Omicron severity using data from Gauteng (population 15 MM) shown below.
SciTable are supposed to be non-partisan SCIENCE advisors.
here's a comparison of actual Gauteng data up to Dec 16 (github.com/dsfsi/covid19z…). The boxes on right correspond to the excerpts shown in the SciTable figure. In full context, data shows exactly the opposite of SciTable claim. ICU and deaths had risen FAR less than previous waves
if the entire data for pandemic had been shown, together with corresponding case data, Ontario politicians and policy-makers would probably have drawn logical conclusion: that data showed Omicron as less severe. But SciTable didn't show them the full story.
Trudeau, like Biden, purports to blame unvaccinated for COVID case explosion, but vast majority of cases are among fully vax and current rate of infection per 100K among fully vax higher than among unvax. Problem is not as simplistic as Trudeau says.
I say this as someone that got vaccinated and boosted at earliest opportunity and am glad that I did. Nor do I fault anyone for rapid spread of Omicron even among fully vax. It's frustrating and discouraging. But Trudeau's hatemongering is no help.
nor is Trudeau correct to blame increase in hospitalizations on unvax. The sudden increase in Ontario hospitalizations is almost entirely due to non-ICU hospitalizations among fully_vax. Something that we all expected (and were assured) would be forestalled by vaccines.