1) Tragically, the wave of COVID deaths may be ramping up in Quebec. The province declared 68 deaths today from the day before, the biggest single-day increase since the start of the Omicron-fuelled resurgence. In this thread, I will examine this ominous trend.
2) In the past six weeks, the number of COVID deaths in Quebec jumped from 11,581 on Dec. 1 to 12,193 — an increase of 612. In just the past four days, the province has declared 227 deaths. So how does Quebec compare with its more populous neighbor, Ontario?
3) Ontario’s latest seven-day average stands at 30 COVID deaths. In contrast, Quebec’s most recent seven-day average is 46. Does this mean that Quebec is declaring its deaths more accurately than Ontario? I can’t answer that question.
4) But what is beyond dispute is that Quebec’s rate of death is outpacing those of all other provinces in the past few days. Please consult the chart below prepared by the Institut nationale de santé publique du Québec (INSPQ).
5) Premier François Legault was correct when he stated earlier this week that excess mortality is arguably the best indicator to assess the severity of the #pandemic. But the excess mortality Legault was alluding to concerned 2020 and 2021 — not what is now occurring.
6) Excess mortality in Quebec will take longer to calculate. Thus, the only reliable indicator at present are the INSPQ inter-provincial comparisons to evaluate the severity of the #COVID wave of death in Quebec in contrast with the rest of Canada.
7) During this pandemic, #COVID deaths have followed hospitalizations — something one would expect. So although the latest increases in hospitalizations are now trending downward, one could expect the number of deaths to remain high in the coming days.
8) One final observation. It appears that Quebec is catching up to the United States in its latest seven-day average of COVID deaths per million population. On Jan. 12, Quebec’s average stood at 4 per million population, compared with 5.2 for the U.S.
9) As the INSPQ chart below shows, Quebec’s seven-day average of #COVID deaths has climbed to 4.6 per million population, while the seven-day average in the U.S. has dipped to 5. However, please note the INSPQ urges prudence in making such comparisons. End of thread.

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More from @Aaron_Derfel

16 Jan
1) The wave of #pandemic deaths in Quebec is not only poised to rise higher in the coming days, but it may even surpass last January’s wave. In this thread, I will examine this baleful trend while explaining who is now dying from #COVID19 in the province.
2) First, today’s announcement of 96 COVID deaths is the highest to date in the Omicron-fuelled wave that started last month. The tally likely includes deaths not only from yesterday but previous days, too. These are people who died from #COVID and with COVID.
3) Quebec is using the same methodology in compiling #COVID deaths as it did last January. Thus, on the same date last year, Quebec declared 62 COVID deaths. Please review my chart below comparing the past five days with the corresponding period last year. Image
Read 29 tweets
13 Jan
1) There are faint, tentative signs that #COVID hospitalizations may be peaking or plateauing in Quebec. If true, this would be a heartening and welcome development. In this thread, I will examine the upsides and downsides of the latest #pandemic developments in the province.
2) First, the downsides. The latest wave of #COVID deaths in Quebec is undeniable, with the Health Ministry declaring a total of 159 in just the last three days. The chart below provides further evidence of how Quebec is sadly pulling ahead of all other provinces in this regard. Image
3) Since mortalities are the final lagging indicator of a #pandemic — after infections and hospitalizations — we can expect Quebec’s wave of #COVID deaths to continue for some time yet even if hospitalizations indeed decline.
Read 9 tweets
12 Jan
1) Unfortunately, the #pandemic is once again causing a surge of #COVID deaths across Quebec, even outpacing the latest mortality rates in all other provinces and many jurisdictions around the world. In this thread, I will examine this tragic turn for the worse in the fifth wave.
2) First, it’s important to pause and reflect on a grim milestone in Quebec that largely went unnoticed: on Tuesday, the province crossed the threshold of 12,000 deaths. On Wednesday, the official #pandemic death toll rose to 12,080. May all these souls rest in peace.
3) To put this toll in context, COVID was the third leading cause of death in the province in 2020 (8,349) after cancer (21,583) and heart disease (15,653), according to the most recent data by the Institut de la statistique du Québec. The flu, by comparison, caused 340 deaths.
Read 12 tweets
9 Jan
1) As Quebec is now in the grip of an Omicron-driven wave — with #COVID19 hospitalizations up by 140 to 2,436 — it’s worth noting how the #pandemic is worsening elsewhere, too. In this thread, I will examine the impact in other parts of the world, and the implications for Quebec.
2) First, #COVID19 infections are now rising in 132 countries around the world, up by two since yesterday alone, according to a reliable tally by Reuters. As you can see from the chart below, it’s proliferating again in Italy and India, among other nations.
3) Lest skeptics dismiss this latest wave as a “casedemic,” I would like to point out that #COVID deaths are tragically once again climbing all over the world. The chart below by the Washington Post shows such deaths now surging on every continent.
Read 10 tweets
7 Jan
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.
Read 11 tweets
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

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