Aaron Derfel Profile picture
Feb 16 12 tweets 6 min read
1) Denmark is in the midst of a BA.2-fuelled wave that is currently driving up #COVID19 deaths, even as that country has lifted public health protections. In this thread, I will assess the potential impact of this sub-variant on Québec, which is also phasing out safety measures.
2) BA.2 has been labelled a “stealth” sub-variant of #Omicron. As you can see from the chart below released last week by Danish public health authorities, the BA.1 Omicron sub-variant flared up in Denmark in late November. It’s coded in blue.
3) But in the new year, BA.1 has quickly been superseded by sub-variants BA.2 (in pink in the chart below) and BA.2_H78 (in green). A preliminary Danish study has found that BA.2 is not only more contagious than original Omicron, it’s more likely to infect vaccinated individuals.
4) The way these #Omicron sub-variants have swiftly invaded Denmark, a country with high social cohesion (trust in government and among citizens), a robust health system and the highest booster vaccination rate in Europe is a cautionary tale for Québec and the rest of the world.
5) The chart below by Our World in Data shows a new spike in #COVID deaths in Denmark, even after it lifted health protections. Denmark, however, has dismissed this spike, arguing it’s mostly deaths “with COVID,” not deaths “from COVID" – a distinction certainly lost on the dead.
6) The spike in #COVID deaths in Denmark has come even though that progressive country was quick to provide vaccine boosters to its population. Today, more than 62% of the population has been boosted, as the chart below reveals. But the boosting has plateaued, a clear problem.
7) In contrast, Québec is among many other jurisdictions where booster vaccination has plateaued at lower levels. The chart below shows that 49% of Québec's population above the age of 5 has been boosted. That percentage has not budged in four days.
8) Before the #pandemic, Danes reported being in better health than their European counterparts. Trust in government and among Danish citizens is among the highest in the world and its vaccination campaign has been among the most successful. Yet #COVID deaths there are resurgent.
9) If deaths can spike anew in Denmark because of stealthy BA.2, what might the potential impact be in jurisdictions where there's less social cohesion, where the population is not as healthy, where the medical systems are fragile and where boosters have stalled at lower levels?
10) If you guessed that the rhetorical questions were aimed at Québec (as well as much of the rest of Canada, and to a much greater extent, the United States) you would be right. Yet public health protections are being phased out in all these jurisdictions.
11) Québec’s public health director, Luc Boileau, estimated that BA.2 now comprises up to 15% of #COVID cases in Montreal. That percentage is likely higher in the U.S. Given the easing of public health protections, is Québec setting itself up for a deadly 6th wave? End of thread.
12) ADDENDUM: Scientific American reports #Omicron is "likely the fastest-spreading virus in human history” – much more so than measles. “The virus is going to come up with more ways to transmit—including ones that scientists haven’t even thought of yet." scientificamerican.com/article/omicro…

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More from @Aaron_Derfel

Feb 13
1) Throughout the pandemic, Sweden has distinguished itself dubiously from its Scandinavian neighbors with its much more laissez-faire approach, even at one point promoting the now-discredited notion of herd immunity. And last Wednesday, it claimed the #COVID pandemic was over. Image
2) In recent days, a number of Canadian provinces have rushed to eliminate public health protections – in effect, following Sweden’s example. In this thread, I will compare how the two countries have fared in the #pandemic – from public health measures to vaccination.
3) First, though, it’s worth examining the impact of the #pandemic on the death rates of the two countries. Sweden, with a population of 10.3 million, has to date declared a cumulative total of 16,501 #COVID deaths, according to the Johns Hopkins Coronavirus Resource Center.
Read 10 tweets
Feb 12
1) Some Québec parents are now traveling to Plattsburgh to get their teenagers boosted with a third #COVID dose because the government here has chosen not to expand booster immunization for this entire age group. In this thread, I will examine the science behind this decision.
2) First, though, let me share with you what I’ve learned about this example of medical tourism, which is somewhat reminiscent of Québec cancer patients traveling to Plattsburgh in 1999 (but at the government's expense) because of a lack of oncology resources in the province.
3) One Montreal mother drove across the U.S. border on Friday to get her two teens boosted. The shots were free, but the mom had to pay $125 for each child for a #COVID test to return with the all-clear to Canada.
Read 14 tweets
Feb 10
1) As countries around the world rush to lift public health protections in the #pandemic, it’s instructive to check out what's happening now in areas that were first hit by the super contagious Omicron variant: South Africa and Denmark. Are they much better off? The answer is no.
2) On Dec. 30, the government of South Africa declared its #Omicron-fuelled wave officially over and proceeded to ease restrictions, including eliminating a nighttime curfew. The country was first buffeted by the supposedly mild variant in mid-November. How is it doing today?
3) It’s true #COVID deaths in South Africa peaked on Jan. 24 and then plunged soon afterward. But the mortality wave has since rebounded, as the chart below by Our World in Data reveals. Epidemiologically, the most reliable indicator of the severity of the pandemic are deaths.
Read 13 tweets
Feb 9
1) In China’s version of “bread and circuses,” the Winter Olympics are in full swing, with journalists unable to report on what is going on outside the Games. Meanwhile, the nation of 1.4 billion declared just three #COVID deaths – on July 23, 2021.
2) On Jan. 31, the Foreign Correspondents’ Club of China issued a report warning that “as the number of journalists forced out by the Chinese state grows, covering China is increasingly becoming an exercise in remote reporting.”
3) “State-backed attacks against foreign journalists, particularly trolling campaigns online, have made it increasingly hard for journalists remaining in China to operate,” the report adds. You can read the full report here: fccchina.org/2022/01/31/med…
Read 9 tweets
Feb 9
1) Countries and jurisdictions around the world are rushing to lift a wide range of public health restrictions despite the fact that #COVID hospitalizations remain high and testing has dropped off. In this thread, I will survey what I’m calling the Great Resignation. Image
2) In Germany, where #COVID ICU stays have been climbing for the past three weeks, several German states are loosening #pandemic requirements. Bavaria, for example, is opening up for sports and cultural events, while Brandenberg might allow the unvaccinated to shop with a mask. Image
3) In the United States in Connecticut, New Jersey and Delaware, schoolchildren will no longer have to wear masks. On Tuesday, New York State announced businesses won't have to ask for proof of full vaccination. Meanwhile, #COVID deaths are still rising in the U.S. See below. Image
Read 11 tweets
Feb 8
1) In less than three weeks – 18 days to be precise – the total number of #COVID hospitalizations in Québec plummeted by 1,000 to 2,425, still high but more manageable. In this thread, I'll focus on this fragile progress while drawing attention to a new blind spot: vaccinations. Image
2) Jan. 18 had marked the highest number of #COVID hospitalizations at any point in the pandemic in Québec. It was at that juncture that the government considered activating its Plan B, which would have meant sending family members into hospitals to care for their loved ones.
3) Another reassuring trend appears to be a steady decrease in #COVID deaths. Québec has posted declining deaths in the past six days. Please see the red line in the chart below and compare the latest daily toll with the 98 deaths declared on Jan. 20. Image
Read 11 tweets

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