First they find that the largest *increase* in Covid admissions by age was in children, particularly under 12s and under 5s. This was both in admissions *for* and admissions *with* - about 60% were directly for Covid.
About half had no pre-existing health conditions. 2/4
They do a very preliminary comparison between Omicron and Delta (unvaccinated patients only) and find that while Omicron seems to be causing fewer hospitalisations in *adults*, the opposite is true in *children*.
Again this is preliminary but needs to be looked into further. 3/4
In England we've had more admissions in <18s with Covid in *first 9 days of this year* than the whole of the first wave. Most increase in <5s.
Under 12s are unvaxxed.
There might well be non-worrying explanation, but we too need to urgently understand what is happening. 4/4
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A virus isn't endemic just cos a govt minister says it is and just cos people want it to be.
The current pattern of waning vax, new immune evasive variants, and minimal public health response seem set to doom us to massive surges once or twice a year. 1\5
If that continues we'll keep picking off the vulnerable, keep stressing a weakening NHS, create more chronic illness & mass disruption through people off sick every time. Lower quality of life for all of us.
Uncertainty in being able to plan months ahead cos of variants 2\5
And when the next pandemic comes, do we just add that disease to our repertoire after a period of mass death?
What when diseases like malaria move north through climate change?
TLDR: not over yet. Good news is high booster coverage in over 50s & no rise in ICU. Bad news is high strain on hospitals, no plan for schools & worsening admissions & long covid for kids.
+ Indie Sage has some suggestions...
1/21
Firstly Omicron - now dominant in Scotland, Wales & England. Probably in NI but no recent data. N Ireland is about week behind other nations.
Omicron dominant in all English regions, London c. 1 week ahead.
Omicron's rise has been very rapid! 2/21
Omicron is v good at infecting vaxxed people - even being boosted only gives you about 40% protection after 10 weeks.
Booster gives *88%* protection against hospital admission - GET IT!
NB booster hosp protection for Delta was close to 100%, Omicron has made things worse. 3/21
TLDR: things are pretty bad and I'm sad & bewildered at lack of govt action and general levels of hopium. 1/18
First off cases... reported levels in England now more than twice as high as previous peak last January and more than three times higher than at start of December.
Positivity rates are also rising v steeply - testing is not keeping up with cases.
All regions rising fast, London highest and earliest. Do not take London small case drop too seriously - drop in pre xmas tests & positivity still rising. Plus xmas likely to boost again. 3/18
I wrote this with @adsquires because next term is coming quickly and we need to plan for how to *minimise* infection in kids & teachers and *minimise* disruption to education.
Govt still not doing anything - so this thread summarises what I am afraid will happen:
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 ☹