Dr. Alexander Wong Profile picture
Jan 21 11 tweets 6 min read
On January 18, @PremierScottMoe posted a graphic comparing "real-time" QC / ON / MB hospitalizations / ICU admissions vs. SK.

Problem: SK is ~3 weeks behind those provinces w/ our Omicron surge.

We MUST be careful interpreting this data. We're NOT OK, Saskatchewan.

🧵👇 (1/n)
A more reasonable and appropriate comparison would be to look at where MB/QC/ON were at ~3 weeks from Jan 18 to create a more fair "apples vs apples" graphic.

For those 3 provinces, that would take us to about Dec 28. Let's see what the data shows us. (2/n)
We have #QC data from Dec 28 & Jan 18 in the graphics below courtesy @sante_qc:

Dec 28: 804 in hospital (including ICU), 128 in ICU
Jan 18: 3425 in hospital (including ICU), 285 in ICU

(3/n)
We have #MB data from Dec 28 & Jan 18 courtesy of #MB's dashboard, linked below.

Dec 28: 231 in hospital (including ICU), 30 in ICU (total)
Jan 18: 644 in hospital (including ICU), 45 in ICU (total)

(4/n)

geoportal.gov.mb.ca/datasets/manit…
We have #ON data from Dec 28 & Jan 8 courtest of #ON's dashboard, linked below.

Dec 28: 491 in hospital (including ICU), 175 in ICU (active = testing positive)
Jan 18: 4183 in hospital (including ICU), 573 in ICU (active, testing positive)

(5/n)

covid-19.ontario.ca/data/hospitali…
So per capita hospital/ICU numbers for MB/QC/ON on Dec 28?

MB: 16.0/100,000 hospital, 2.2/100,000 ICU
QC: 9.3/100,000 hospital, 1.6/100,000 ICU
ON: 3.3/100,000 hospital, 1.2/100,000 ICU

SK Jan 18? 16.0/100,000 in hospital, 1.5/100,000 in ICU.

Apples vs apples. No spin. (6/n)
So, stating the obvious: if we compare #SK's Omicron wave with reasonably similar timepoints for ANY of MB/QC/ON Omicron waves, we're AT or WORSE than ALL OF THEM for hospitalizations per capita.

Here's a "new" (amateur, sorry) graphic that reflects this new comparison. (7/n) SK has highest hospitalization rates when using a more appro
ALL of MB/QC/ON put SIGNIFICANT public health measures in b/w X'mas & New Year's Eve to curb Omicron spread. Why?

Because they saw the models. They KNEW what would happen to hospitals & ICUs.

You don't need a Ph.D. in epidemiology to see what's going to happen here. (8/n)
So, put plainly, comparing #SK's curve in 'real-time' vs others, fine. Just make sure you explain clearly the caveats of your comparison.

When we compare #SK's Omicron reality vs other provinces at same time points, we're in BIG trouble. Like everyone else. (9/n)
Using this type of flawed 'comparison' to justify that #SK is fine and doesn't need to do anything, is ignorant at best. At worst, IMO, it's disingenuous and purposely deceitful.

No matter the explanation, it's either a competency issue or an integrity issue. Or both. (10/n)
This is my personal opinion, but I believe ALL #SK citizens deserve to be treated respectfully by elected officials who should exemplify BOTH competence & integrity.

This means being TRANSPARENT with data.

Sorry, Saskatchewan: we're NOT OK.

@SKGov, help us, please.

(end)

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More from @awong37

Jan 21
"Hi Alex, I have 2 doses of vaccine & JUST recovered from COVID. I'm eligible for a 3rd dose. When should I get it?"

Great Q. You assuredly had Omicron, so while you're eligible to get your booster 'right away', I'd personally wait at least 6-8 weeks. Why?

Short 🧵 👇 (1/n)
First, getting a 3rd dose even AFTER you've recovered from Omicron makes sense. You're further bolstering your immune response from whatever the 'next' variant will be. *Big sigh.*

Better for your immune system to be ready for whatever this pandemic throws at it next. (2/n)
Second, DON'T get a booster dose when you're symptomatic.

You're putting persons at risk of exposure to Omicron, and your immune response to vaccine WON'T be as good as when you've fully recovered and your immune system has had a chance to calm down. (3/n)
Read 7 tweets
Jan 20
OK. #SK COVID-19 mega-thread.

NEW #SK Omicron models (via @DennisKendel) Jan 19:

- Measures implemented to SIGNIFICANTLY reduce social mixing, MAYBE we avoid disaster/triage in #SK hospitals.

- Do NOTHING, #SK hospitals crushed, triage ensues.

Get comfy - here we go.

(1/25)
Let's begin with history.

@SKGov was provided w/ models from WORLD-CLASS #SK modeler Dr. Nate Osgood in late August 2021 that predicted EXACTLY how #SK ICUs would be overwhelmed w/ Delta in Fall 2021.

Nothing was done. Everything left wide open.

(2/n)

thestarphoenix.com/news/local-new…
Also August 2021, consensus letter sent by #SK MHOs (led by @CoryNeudorf) to @SKGov recommends NUMEROUS measures to stem Delta:

Universal indoor masks, proof of vaccine, gathering/capacity limits, increased contact tracing capacity.

Nothing.

(3/25)

Read 25 tweets
Jan 9
NO doubt now. BOTH Quebec & Ontario are in huge pain now w/ #Omicron. The GTA now is being hit hard.

It's a numbers game. Too many patients, not enough staff or beds.

Many HCWs & first responders out, too.

It's ALL bad. Everyone's reality is in plain sight.

🧵 below. (1/n)
The number of ICU admissions & ventilated patients in Ontario continues to rise VERTICALLY.

The primary risk for ICU admission remains being unvaccinated, but more elderly persons now with comorbidities & waning immunity also. (2/n)

Multiple physicians in Scarborough, a suburb of the GTA, have noted a surge of critically ill patients with COVID in the last 2 days.

For reference, Scarborough has ~70 ICU beds. EVERY single bed is now taken. They have NO ventilators left. (3/n)

Read 13 tweets
Jan 2
Trends w/ Omicron & RAPID INCREASES in hospitalizations are now clear.

'Leading indicator' jurisdictions w/ advanced Omicron waves (e.g. Ontario, Quebec, NYC, UK) are ALL showing BIG increases in adult hospitalizations.

All are strained further by HCW shortages. Brief 🧵 (1/n)
Let's start with the UK. Hospitalizations are rising quickly, as evidenced by the graph below.

Yes, not as bad as January surge w/ Alpha - yet. But additional challenges including system & HCW burnout, significant staff absences due to COVID, etc. (2/n)
Excellent description of pressures that National Health Service (NHS) currently faces via @ChrisCEOHopson.

Hospitalization challenges now DIFFERENT w/ Omicron. It's a "sheer numbers" issue of persons needing ward/medicine beds, less ICU capacity. (3/n)

Read 10 tweets
Jan 1
Many #SK families are worried re: return to school Jan 3. How safe are our kids & school staff?

Omicron in Regina and Saskatoon is surging. We'll continue to see record case numbers for weeks.

@SKGov, what's your plan? We NEED to know.

A 🧵 on safe schools, below. (1/n)
Let's begin with other provinces who are RIGHT in the storm of their Omicron surges. Quebec has delayed opening of 'everything' to Jan 17. Ontario has delayed opening till Jan 5 to try to distribute HEPA filters & N95s for staff (not students). (2/n)

cbc.ca/news/canada/to…
A respected colleague in Toronto, @drmwarner, reasonably argues for a 1-2 week delay IF a delay will increase booster doses for school/daycare staff, improve vaccine uptake for ages 5-11, & solidify distribution of HEPA/N95s/RATs in schools. (3/n)

Read 18 tweets
Dec 21, 2021
Modelling released by @SKGov predicts DRAMATIC rise in cases, hospitalizations, & ICU admits w/ #Omicron if no additional measures to reduce contacts (i.e. gathering & capacity limits).

Briefing today: NO measures to be implemented at present. Wait and see.

1/ #COVID19SK
Here is ICU / non-ICU modelling data. Not great, as you can see. Also not being taken into account - scores of HCWs taken out of circulation as a result of widespread community transmission.

Who will look after all the patients? Many HCWs have already moved on.

2/ #COVID19SK
Once again, there is an appeal to personal responsibility for #SK citizens to make good choices, do the right thing.

No surprises here. Get vaccinated, improve ventilation, use your best mask, etc.

3/ #COVID19SK
Read 6 tweets

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