Aaron Derfel Profile picture
Feb 19 16 tweets 7 min read
1) South Korea, which has long taken one of the most aggressive approaches in fighting the #COVID19 pandemic, declared a case count on Friday surging past 100,000 — its highest to date by far. In this thread, I will delve into what this means.
2) South Korea is attributing this latest wave of cases to #Omicron. On Friday, Lim Sook-young, an official with the Korea Disease Control and Prevention Agency, said authorities were also monitoring the Omicron stealth sub-variant, BA.2.
3) South Korea is also recording its highest number of #COVID hospitalizations than at any other point in the #pandemic. The chart below by Our World in Data shows a peak 192 hospitalizations per million population on Feb. 10 and another peak of 193 on Saturday.
4) South Korea’s current #COVID hospitalizations rate is now higher than those in the United States, United Kingdom, France and Germany, but considerably below the rate of 480 per million in Denmark, now in the grip of BA.2. Please take a look at the chart below.
5) COVID fatalities are also rebounding in South Korea, as the trend line in the chart by Our World in Data reveals. But to put that death rate in context, it’s 0.86 per million population compared with a rate of 6.6 in the United States and 6.12 in Denmark.
6) In response to the proliferation of #Omicron and possibly BA.2, South Korea announced it is extending its nightly curfew for restaurants and cafés until at least March 13. However, the curfew will be moved from 9 p.m. to 10 p.m. following a backlash from business owners.
7) Elsewhere in Asia, Japan and Hong Kong are observing rises in COVID deaths amid BA.2 contagion, as the chart below by Our World in Data indicates. Hospitalizations have also been ramping up in Japan and have overwhelmed some hospitals in Hong Kong.
8) In my last thread, I wrote about how the World Health Organization devoted a “special focus” to BA.2 in its latest epidemiological weekly update. It noted the highest prevalence of BA.2 in Denmark and in South Africa.
9) When I first tweeted about Denmark earlier this week, Danish experts were quick to point out most of the latest deaths in the progressive nation were “with COVID” rather than “from COVID.” Denmark’s rate of COVID deaths climbed from 2.09 per million on Jan. 1 to 6.12 Friday.
10) My two tweets about South Africa have elicited a similar reaction. In fact, legendary international correspondent @geoffreyork, who covers Africa for the Toronto Globe and Mail, urged me repeatedly to correct my “misleading” reporting about South Africa’s rising deaths.
11) Mr. York alluded to South African experts who explain that their apparently rising #COVID deaths are actually mostly the result of the recent addition of older backlogged fatalities. The addition of backlogged deaths has occurred regularly in many nations during the pandemic.
12) Mr. York suggested the best way to track the death rate in South Africa is by examining so-called excess deaths. He even graciously provided a link to a comprehensive report on the subject, which I am including here as well: samrc.ac.za/reports/report…
13) So let me quote from the latest report on this topic: “The weekly number of deaths (all ages) from all causes decreased to 9,677 in Week 6 (6-12 Feb 2022) but remain higher than the upper prediction bound.” Remain higher than the upper prediction bound? What does that mean?
14) Since the preeminent Mr. York is based in Johannesburg, I suggested he might check into what this last point means about excess deaths. His response? “Unlike you, I trust the scientists in South Africa, and I don’t assume that I can correct them from Canada.” All right, then.
15) So let us assume as fact that nearly all of the rising deaths in South Africa are the result of backfilling older deaths from months ago. What, then, should authorities make of the rising prevalence of BA.2 in that country, as noted by the World Health Organization?
16) Rather than dwell on whether #COVID deaths are with or from COVID or whether most deaths are backfilled from months earlier, perhaps the focus should be on what the WHO suggests: the accelerating spread of the stealth sub-variant BA.2. End of thread. who.int/publications/m…

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More from @Aaron_Derfel

Feb 18
1) In its #COVID19 epidemiological report this week, the World Health Organization noted the stealth #Omicron sub-variant BA.2 was “steadily increasing” in its spread, particularly in South Africa and Denmark. In this thread, I will report the latest developments concerning BA.2.
2) The WHO found that BA.2 prevalence soared from 27% in South Africa on Feb. 4 to 86% by Feb. 11. In Denmark, BA.2 prevalence climbed from 20% in the last week of 2021 to 66% by the third week of January. These two countries are now recording rises in #COVID deaths. See below.
3) “Early evidence from limited studies suggest BA.2 is more transmissible as compared with BA.1,” the WHO concludes in its report. “Estimates of growth rates in Denmark indicate that BA.2 is 30% more transmissible than BA.1.”
Read 16 tweets
Feb 18
1) As Russia masses more than 150,000 troops along Ukraine’s borders, it’s worth noting #COVID deaths are rising in both nations, with the #Omicron variant causing the latest viral fatalities. In this thread, I will assess the #pandemic's impact on a potential war and vice versa.
2) First, though, let us review the impact of the 1918 influenza pandemic on World War I. “It might seem like a coincidence that a global pandemic of influenza happens at the same time as the First World War, but in fact they’re related,” says historian Christopher Capozzola.
3) “This is a time when you have tons of people living in close quarters together, particularly those serving in the military,” Capozzola recounts of that period. “You have shortages of food and good housing that mean that people are just not as healthy.” theworldwar.org/learn/pandemic…
Read 11 tweets
Feb 17
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.
Read 11 tweets
Feb 16
1) Soon after the #Omicron coronavirus strain was detected in South Africa last November, public health experts the world over insisted this was a “milder” variant than Delta. But as I will show in this thread, at least in Québec, Omicron is now causing more death than Delta.
2) Since Jan. 1, Québec’s Health Ministry has declared a cumulative total of 2,038 deaths (with some of those fatalities occurring in late 2021 but only recorded at the start of the year.) That compares with 1,914 for the corresponding period last year. Please see below.
3) In fact, the peak of Québec's current mortality wave is the second highest after the #pandemic’s first wave two years ago. However, the Delta-driven mortality wave that peaked last January started much earlier than the current one. Please review the panoramic chart below.
Read 12 tweets
Feb 16
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.
Read 12 tweets
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

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