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)
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)
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)
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.
"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)
- 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.
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)
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)
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)
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.
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.