Aaron Derfel Profile picture
Feb 24 11 tweets 6 min read
1) Montréal’s public health director said Wednesday the city was entering a “transition phase” amid falling #COVID hospitalizations. But 10,500 kilometers away, South Korea's prime minister was appealing for calm amid an unprecedented spike in cases. montrealgazette.com/news/local-new…
2) In just four days, the number of declared #COVID infections in South Korea has soared from 100,000 to more than 171,000 – that nation's highest by far than at any other point in the #pandemic. “There is no reason at all to fear or panic,” Prime Minister Kim Boo-kyum said. Image
3) South Korea has now surpassed the United States in its rate of new weekly #COVID hospitalizations, at a rate of 201.81 per million population compared with the U.S rate of 138.18. This is astonishing given South Korea’s Zero COVID approach in dealing with the #pandemic. Image
4) South Korea confirmed five cases of the original Omicron variant of concern on Dec. 1. By Dec. 22, the nation of nearly 52 million marked its deadliest day in the #pandemic, with 109 #COVID deaths declared. Deaths then started to trend downward until the beginning of February. Image
5) Pandemic deaths started rebounding there Feb. 7. At a seven-day average of 0.90 deaths per million on Feb. 19, South Korea’s rate is far below the U.S.’s rate of 6.53, but it’s surging. Why is this occurring now? Could it be related to the #Omicron stealth sub-variant, BA.2? Image
6) Korea News reported Monday the prevalence of BA.2 in South Korea rose to 4.9% from about 1% two weeks earlier, likely an underestimate. By comparison, the Centers for Disease Control notes that BA.2 currently accounts for 3.8% of circulating SARs-CoV-2 lineages in the U.S. Image
7) In Denmark, the more contagious BA.2 sub-variant accounted for nearly half of all new cases on Jan. 20, according to the Statens Serum Institut. BA.2 prevalence has risen to more than 66% since then, prolonging the Scandinavian nation’s ongoing surge of #COVID deaths. Image
8) South Africa has recorded the highest BA.2 prevalence in the world at more than 86%. It’s likely BA.2 also extended the Omicron death wave in that country, but the impact has not been as severe, perhaps because of its much younger population (only 5.5% are over the age of 65). Image
9) Which brings us back to Québec. Dr. Mylène Drouin, head of Montréal public health, noted BA.2 represented less than 10% of new #COVID cases in Québec, well below the 15% estimate of her boss more than a week ago, but still almost triple the U.S. percentage. That is indeed odd.
10) Since Québec is no longer screening for the #coronavirus to the extent it used to, one wonders how Drouin could arrive at a BA.2 prevalence of about 10%, which would be double the prevalence in South Korea, which had already gone through a first Omicron wave in December.
11) More likely, the experience in Denmark and now South Korea suggest the full impact of BA.2 may not yet have been felt in Québec, the rest of Canada or the U.S. Yet Québec will continue lifting public health protections, including school masks as of March 7. End of thread.

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More from @Aaron_Derfel

Feb 20
1) As COVID hospitalizations trend downward in Québec — dipping by 31 to 1,758 Saturday — everyone is wondering what will happen as the province continues lifting public health protections with the BA.2 sub-variant on the rise. In this thread, I will try to answer that question.
2) First, it’s worth noting the Omicron variant had the hardest impact on hospitalizations in Québec than at any other point in the pandemic. In contrast, although Omicron caused a wave of hospitalizations in South Africa (where it was first detected), past ones there were worse. Image
3) Omicron has also produced the second highest wave of #COVID deaths in Québec. Again in contrast, although Omicron caused a wave of death in South Africa, previous waves there were higher. So what explains the difference between Québec and South Africa? Image
Read 14 tweets
Feb 19
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.
Read 16 tweets
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

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