@UofRegina wastewater analysis shows rebounding viral load levels week-over-week, suggestive of ongoing high rates of viral transmission in community.
BA.1 remains dominant but 18% BA.2 reported too. We expect BA.2 to dominate in coming days. /2
Also, note that @UofRegina plot is time-lagged by 13 days, as the most recent analysis comes from the time period b/w Feb 6-12 inclusive.
So presumably proportion of BA.2 in Regina is higher now, just don't know how much higher. /3
Not much better in Saskatoon. @usask_water analysis for week ending Feb 16 shows 98.1% INCREASE in viral load burden compared to week prior.
No breakdown of proportion of BA.1 vs BA.2 included that I could find. "All Omicron". /4
Levels of wastewater viral load in Saskatoon are now the HIGHEST they have ever been throughout the course of the pandemic.
In summary, NO clear signal that Omicron has peaked in either Saskatoon or Regina.
I am guessing that BA.2 is driving more transmission, but not sure. /5
Things are different in 'rural' Saskatchewan. Prince Albert shows week-over-week DECREASE of nearly 64%. That's good.
However, rural #SK has lagged the major cities w/ Omicron, so guessing that BA.2 hasn't quite 'arrived' in smaller Saskatchewan cities quite yet. /6
You can see the significant decrease in viral load burden in Prince Albert week over week. We'll see whether BA.2 plays a potential role in increasing viral load burdens in the coming days. /7
However, what's unclear is that only 77% of viral load burden is being driven by Omicron. Delta is now "undetectable".
What's the remaining 23%? Is this potentially BA.2?
Would depend on the gene targets used for sequencing, but would be helpful to get clarification. /8
North Battleford's week-over-week virall load burden is also increasing, up nearly 40%. This represents the highest viral load burden North Battleford has ever seen, and ~86% is Omicron. Delta undetectable. Is remaining 14% BA.2? /9
Summary:
- Omicron continues to surge across ALL of Saskatchewan
- Removal of protections (e.g. indoor masking) will prolong Omicron wave in Saskatchewan
- BA.2 will dominate in #SK 'soon'
- With no publicly available data, impossible to know where we're at
Between February 1-26, 143 Saskatchewan citizens have died from #COVID19, despite Omicron being "less severe".
That's an INSANELY high number.
Saskatchewan's most deadly month thus far was October 2021, when 156 people died during our horrific Delta wave. /1
As highlighted by @DrKyle, Saskatchewan's death rate from #COVID19 is more than DOUBLE that of the 2nd highest province, Manitoba.
No province is even remotely close in terms of deaths per capita at this point with Omicron. So embarrassingly bad. /2
With 2 days left, February 2022 might not technically be Saskatchewan's deadliest month during this pandemic, but remember... there's only 28 days in February vs 31 days in October.
If you pro-rate 5.5 deaths per day (February 2022's deaths per day) x 31 days? *170* deaths. /3
KEY POINTS:
- 37 deaths over 7 days. 1 b/w 20-39, all others >= 40
- Hospitalizations & ICU admissions decreasing (phew)
- Weekly test positivity 14.4% (last wk ~20%)
- ALL Omicron (no breakdown of BA.1 vs BA.2)
Brief 🧵 /1
Let's start with key data around hospitalizations & ICU admissions.
Week-by-week hospitalizations down 9% to 372, ICU down 18% to 27. Slowly coming down, thankfully.
Of those with known COVID status, 42% in hospital/ICU "due to COVID", 58% "incidental". /2
We can see that overall hospital admissions per day definitely decreasing now across all regions of Saskatchewan, but it's a relatively slow decrease, likely driven by limited protections we have in place provincially.
"Hi Alex, what's BA.2? Is it a little bad or is it REALLY bad?"
BA.2 is a sub-lineage of Omicron. The 'original' lineage of Omicron is designated as BA.1 & remains the dominant strain circulating in most parts of Canada currently.
A brief 🧵 of what we know thus far. /1
BA.1 & BA.2 are both classified by @WHO as Omicron, but are distinct viruses. See the phylogenetic diagram below (thx @kallmemeg).
BA.2 has over 25 mutations that differentiate it vs BA.1.
Many questions still exist around how similar BA.1 & BA.2 are clinically. /2
Danish pre-print data comparing transmission of BA.1 vs BA.2 in household settings suggests BA.2 IS more transmissible than BA.1.
BA.2 also LIKELY possess more immune-evasive properties vs BA.1 that could reduce vaccine efficacy. /3
Great @SaskHealth Town Hall last PM re: #COVID19 in Saskatchewan. Key points:
- Community MAY have peaked w/ Omicron.
- Non-ICU/ICU numbers STILL rising
- #SK non-ICU system capacity MAXED OUT.
- Relaxed public health measures in #SK = LONGER & MORE SEVERE Omicron wave