Aaron Derfel Profile picture
Jan 22 11 tweets 6 min read
1) Guy Lepage, host of Quebec’s most-watched TV talk show, hit the nail on the head Saturday when he tweeted it’s not the province’s #COVID hospitalizations that freak him out so much as the daily toll of deaths. In this thread, I'll explain why Lepage is right to think this way.
2) According to the Seattle-based Institute for Health Metrics and Evaluation (IHME), “daily deaths (are) the best indicator of the progression of the pandemic.” No doubt COVID hospitalizations are an important metric, but high mortality underscores the truest threat level.
3) In the past couple of weeks, Premier François Legault has focused much of the public’s attention on #COVID hospitalizations, not deaths. When he has discussed deaths, he’s suggested Quebec’s “surmortalitè” might ultimately be lower than other provinces.
4) Unfortunately, what this does is deflect attention from the heart-stopping seriousness of the current wave of #COVID deaths in Quebec. Please consult the chart below that suggests that this wave of death is thus far more intense than the one last January.
5) As I wrote in a 29-tweet thread last Saturday, most Quebecers dying from #COVID in this 5th wave are people in their 80s and 90s who are likely living alone, shut-ins, who may have received their third vaccine dose too late.
6) At the risk of enraging the Premier’s defenders, I would like to draw your attention to Quebec’s latest seven-day average of #COVID deaths per million population. It has surged to 8.5 from 3.3 on Jan. 11, outpacing other industrialized jurisdictions. See the INSPQ chart below.
7) I can foresee a flood of tweets now from people insisting that Quebec’s method of declaring #COVID deaths is arguably the best in the world, and when one ultimately factors in excess deaths or "surmortalité," the province's #pandemic death toll will plummet among nations.
8) I wrote a Twitter thread on surmortalité but scrapped it because I don’t think it’s wise to go down that rabbit hole of distraction. Suffice it to say calculating excess death varies, too, from country to country. The INSPQ comparison, as flawed as it may be, is still helpful.
9) There’s another reason to focus on #COVID mortality during Quebec's #Omicron wave. On Dec. 30, South Africa declared its Omicron wave had already peaked. More than three weeks later, however, the country is still declaring plenty of #COVID deaths. Please see the chart below.
10) Without question, tracking #COVID hospitalizations makes a lot of sense, especially in the context of a collapsed health system, as I wrote about yesterday. But to avoid talking about deaths risks conveying a false sense of security. End of thread. montrealgazette.com/news/local-new…
11) ADDENDUM: Stay tuned for my #COVID Twitter thread tomorrow, when I will be comparing what’s going on in Quebec with the free-for-all in the Sunshine state of Florida. As always, that new thread will contain lots of pertinent stats.

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More from @Aaron_Derfel

Jan 24
1) Since the pandemic's start, Florida’s cumulative death toll has surged to 290 per 100,000 population — likely an undercount because the state is likely suppressing data. Quebec’s cumulative rate stands at 146.7 per 100,000. In this thread, I will compare the two jurisdictions.
2) Despite Florida’s much higher #COVID death toll, there are virtually no #pandemic restrictions in the state. As Josh Freed observed in his perceptive weekend column in the @mtlgazette, Florida feels like another planet, or a Cowboyland. montrealgazette.com/news/local-new…
3) COVID denialists and anti-vaxxers have seized on Freed’s column to argue that #pandemic restrictions don’t make sense and that we should let the #coronavirus rip through Quebec and other places. Forget that Florida’s death toll is at least twice as high as Quebec’s.
Read 15 tweets
Jan 23
1) So many times in this #pandemic, people have held out hope that the end may be near, only for those hopes to be dashed. Think of how many times Premier François Legault has said he could see the light at the end of the tunnel (“On voit enfin la lumière au bout du tunnel”).
2) But in this short thread, please let me indulge in a sliver of hope. At least for one day. First, 39% of Quebec’s population above the age of 5 has received a third vaccine dose — up from 17% on Jan. 1. So for those who are vaccine hesitant, I plead for you to get your shot. Image
3) We know that the number of #COVID cases is not a reliable indicator because Quebec is no longer testing adequately for the #coronavirus. A better indicator are ICU stays, which have dipped to a net 273 from 286 a week ago.
Read 6 tweets
Jan 23
1) Evidence is emerging that in addition to Quebec, other provinces are now resuming délestage, purposely ramping down clinical activities in the #pandemic so as to not overwhelm hospitals. In this thread, I'll try to assess the potential long-term impact of délestage in Canada. Image
2) During the first wave of the #pandemic, Quebec hospitals stopped screening for cancer. Promising clinical trials were halted. McGill University researchers attempted to quantify the potential impact of this form of délestage in Quebec and across Canada.
3) The researchers warned that “cancer care disruptions during the COVID-19 pandemic could lead to 21,247…more cancer deaths in Canada in 2020 to 2030.” That’s likely an underestimate because that projection was made last year — before the latest resumption of délestage.
Read 10 tweets
Jan 21
1) On the day Quebec registered 98 new #COVID deaths — the highest since May 2020 — Premier François Legault appeared more interested in talking about the concept of excess deaths (surmortalité) while citing figures from last September. Why did he do this?
2) Before I return to the topic of surmortalité, I would like to draw your attention to what is now going on in the #pandemic in Quebec and the fact that this latest wave of deaths is poised to surpass the one last January. Please see the chart below.
3) The current mortality wave in Quebec looks to have started on Jan. 10. Quebec is compiling #COVID deaths the same way it has since the start of the #pandemic. Thus, the chart from last January (please see below) suggests the current wave is deadlier.
Read 13 tweets
Jan 20
1) Here's a brief Twitter thread before Quebec Premier François Legault holds a 2 p.m. news conference today on the #pandemic. Please view the chart below of last January's #COVID mortality wave in Quebec, prior to Omicron. 👇
2) Please note that for the purposes of this chart, the cumulative #COVID deaths start as of Jan. 10, 2021. At this point in time, vaccination efforts had started only weeks earlier in Quebec's long-term care centres.
3) Now review the chart below for the corresponding period this year. Note the daily #COVID deaths and cumulative total are higher. This comparison isn't intended to slam the effectiveness of vaccination. On the contrary, without the shots, the deaths would have been much higher.
Read 4 tweets
Jan 20
1) There are signs daily #COVID deaths may be starting to subside in the U.S. Unfortunately, that doesn't appear to be the case in Canada. And within Canada, it’s Quebec that's likely driving up the country’s wave of #pandemic deaths. In this thread, I will examine these trends.
2) The chart below by the Washington Post shows clearly that the latest seven-day average of #COVID deaths in Canada is still rising, with the latest rate being 0.32 deaths per 100,000 population or 3.2 per million inhabitants. Please see below.
3) In contrast, the U.S. seven-day rolling average of #COVID deaths may have peaked. To gain a better idea of this trend in the United States, it makes sense to look at the chart below compiled by Our World in Data. That international chart shows the U.S. drop more clearly.
Read 11 tweets

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