Aaron Derfel Profile picture
Feb 17, 2022 11 tweets 6 min read Read on X
1) There are at least two jurisdictions that are now in the grip of rising #COVID deaths from the so-called #Omicron stealth variant BA.2 – Denmark and Hong Kong. Each has taken a different approach to managing the #pandemic. In this thread, I will show the failings of each.
2) First, though, let us focus on Hong Kong, where the BA.2 contagion is now so severe that a hospital in the city of 7 million has run out of space, with patients receiving care on gurneys. It’s the worst such outbreak in Hong Kong since the start of the #pandemic two years ago.
3) Hong Kong has taken the so-called Zero COVID approach throughout the #pandemic, using sophisticated track-and-tracing, quarantining entire apartment blocks, even culling 2,500 hamsters after a pet store worker and some rodents tested positive.
4) Yet despite those stringent measures, #COVID deaths in Hong Kong are now rising after the special administrative region reported few deaths for many months. This clearly confirms that BA.2 is far more contagious and far more lethal than previous #coronavirus strains.
5) But arguably the one missing element from Hong Kong’s #pandemic strategy has been the widespread vaccination of its elderly. Although young Hongkongers have mostly embraced vaccination, those over the age of 80 are resisting.
6) Only 36% of Hong Kong’s population above 80 has received a first dose, compared with Québec, where 95% of those over the age of 60 got the first jab. And as the chart below reveals, Hong Kong lags far behind Canada and Denmark in administering booster shots to counter BA.2.
7) Now let us turn to progressive Denmark, which for months had adopted the “vaccines-plus” strategy – widespread immunization along with track-and-tracing, #COVID testing and public health protections like vaccine passports and having to wear a mask while using public transit.
8) But on Feb. 1, Denmark ended vaccine passports to enter bars and restaurants, among other measures, after the Danish Epidemic Commission concluded #COVID19 no longer posed a “critical threat” to society. Meanwhile, the more pathogenic BA.2 strain was on the loose in Denmark.
9) As a result, Denmark has had to defend its lifting of public health measures following a spike in #pandemic deaths, asserting that many of these were “with COVID” rather than “from COVID.” Regardless, excess mortality seems to be trending higher, as the chart below suggests.
10) Time and again during this #pandemic, #COVID variants of concern have arisen (mostly in areas with low vaccination), causing surges in hospitalizations in many jurisdictions. People in much of the world still haven’t received a first dose, let alone a booster shot. See below.
11) Under such conditions, the examples of Hong Kong and Denmark serve as reminders the “vaccines-plus” strategy remains best option for now as we face what Scientific American has described as “the fastest-spreading virus in human history.” End of thread. scientificamerican.com/article/omicro…

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More from @Aaron_Derfel

Nov 30
1) Author @GadSaad, who has taken an unpaid leave from Concordia University, has just written this commentary in the New York Post, headlined: "How Montreal became the antisemitism capital of North America." Here are my thoughts on this topic.

nypost.com/2024/11/30/opi…
2) Obviously, it's debatable as to whether Montreal is indeed the antisemitism capital of the continent. As many Jews are painfully aware, antisemitism sadly exists everywhere. But recent events in Montreal have caused many Jews here to feel unsafe.
montrealgazette.com/news/local-new…
3) A friend just sent this text: "Recently, several of my Jewish friends - lifelong Montrealers - have made the difficult decision to leave the city. They’re not leaving for better opportunities or a change of scenery, but because they and their children no longer feel safe...+"
Read 6 tweets
Aug 16
1) BREAKING: The lengthy #COVID19 summer wave is continuing unabated in Quebec, along with other parts of North America and even around the world. Here in Quebec, it has been associated directly and indirectly with 1,100 hospitalizations for the past 12 days in a row. Image
2) As you can glimpse from the chart below, the #COVID testing positivity rate in Quebec was 20.9 per cent as of Aug. 11, the most recent date available. The trend line suggests the positivity rate has yet to peak. Image
3) Although nowhere near as fatal as it was back in 2020 (when vaccination was unavailable), #COVID this year has nonetheless been linked to 675 deaths, 38.7 per cent of which have occurred in octogenarians. But 30 Quebecers in their 50s have also died from #COVID in 2023-2024. Image
Read 8 tweets
Mar 13
1) On Tuesday, the Quebec government unveiled its 2024-2025 budget, with the biggest expenditure to be made on health and social services. In this Twitter thread, I assess whether this "Health/Education Priorities" budget lives up to its hype, especially when it comes to seniors.
2) As you can see from the chart below, the lion's share of spending in the budget is for health and social services, pegged at $61.9 billion — up by 4.17% from the year before. In contrast, spending on education — so vital to Quebec's future — will rise 9.35% to $22.3 billion. Image
3) But as far as health and social services is concerned, Tuesday's budget may be indulging in a bit of spin. The chart below states that Quebec will spend an extra $3.7 billion over the next five years to "support a humane and effective organization of health care." Image
Read 9 tweets
Jan 5
1) "The pandemic is far from over," one of the preeminent experts on #COVID19, Dr. Eric Topol, declared today, Jan. 4, 2024 — three years after the world first learned of a novel virus that was killing people in China. In this thread, I take stock of what's going on in Quebec.
2) "The pandemic is far from over, as evidenced by the rapid rise to global dominance of the JN.1 variant of SARS-CoV-2," Topol noted in a Los Angeles Times op-ed. In Quebec, nearly one in two genetic samples collected was from JN.1 as of two weeks ago. It's likely higher now. Image
3) "Clearly this virus variant, with its plethora of new mutations, has continued its evolution ... for infecting or reinfecting us," Topol added. Although the updated booster is considered 60% protective against hospitalization, only 17% of the Quebec population has taken it.
Read 10 tweets
Dec 17, 2023
1) BREAKING: By every major indicator, Quebec's health-care system is now arguably the worst it's ever been. Please click on my story below on Quebec wait lists for cancer and other surgery setting record highs — again. via @mtlgazettemontrealgazette.com/news/local-new…
2) Although Quebec has made it a priority to tackle wait lists for cancer surgery, more than 4,400 oncology patients are still waiting for their operations. More than 600 are waiting longer than the medically acceptable delay of 57 days, potentially putting their health at risk. Image
3) Even the wait list for so-called non-urgent surgery has now swelled to nearly 164,000 people. Almost 14,000 Quebecers today have been waiting more than a year for their surgery. At a year's wait, a non-urgent surgery starts to become urgent. Image
Read 14 tweets
Dec 6, 2023
1) BREAKING: Quebec, like other jurisdictions across North America, is now in the midst of a new #COVID19 resurgence — nearly 4 years into the #pandemic. In this thread, I will assess the implications of this latest wave of infections, likely driven by a new SARS-CoV-2 variant. Image
2) On Dec. 5, Quebec declared a total of 2,214 hospitalizations with and for #COVID. Please note this increase also reflects a change in the way Quebec's public health institute has been compiling such hospitalizations. But make no mistake: Quebec is still facing a resurgence. Image
3) The United States is also facing a #COVID hospitalizations resurgence, with 20,000 new admissions per week, according to preeminent expert @EricTopol. In the U.S., the JN.1 variant is becoming dominant, with wastewater levels surging with SARS-CoV-2. See Topol's tweet below. Image
Read 10 tweets

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