Quick THREAD on current Covid situation in UK

TLDR: cases, hospitalisations and deaths going down everywhere except Scotland where all are going up. BUT admissions going up last few days in England too.

1/8
Prevalence from ONS infection survey shows that it's falling everywhere *except* Scotland where it's going up quickly.

ALL nations are still much higher than at any point pre Omicron. 2/8 Image
Hospitalisations show exactly the same pattern with Scotland going up sharply.

While overall deaths within 28 days in UK are still falling, in Scotland they have started rising again.

Scottish cases increases have been in older adults H/T @PaulMainwood 3/8 ImageImageImageImage
In England, prevalence is still going down in all regions apart from the SW. Recent drops driven by kids - prevalence in older adults has barely changed & boosters are waning.

Hospital admissions are going up last few days - driven by older adults, mainly in SW & London. 4/8 ImageImageImageImage
The Omicron subvariant BA.2 is definitely dominant in England and NI and most likely in Scotland and v soon in Wales. In England, it's highest in London and SW.

No vax difference for BA.1 or BA.2 but even boosters wane quite fast against Omicron (mostly infection but hosp) 5/8 ImageImageImage
Latest ONS Long Covid data is in too with infections in December now added. We see overall increase, especially high in adults 20-50 yrs reflecting Dec Omicron surge.

2/3 report some impact on daily life, 685K have had it > 1 year.

Some professions at high risk of exposure 6/8 ImageImageImageImage
Recently, ONS also published long covid report on school children. 1% & 2.7% of *all* primary & secondary school kids fulfilled all criteria for long covid. *before* the massive surges since Dec.
That is a lot of children. See also this thread: 7/8
Image
It's not clear what is happening in Scotland - prob combo of waning vax, fewer mitigations, rising BA.2 and less previous infection than e.g. England.

Also not clear whether England & Wales will follow (NI has had its BA.2 wave).
theguardian.com/uk-news/2022/m… 8/8
PS thanks as ever to Bob Hawkins for his help in getting the charts ready every week!

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More from @chrischirp

Mar 2
THREAD on all the reasons why I think Omicron does *not* signal the end of the pandemic

TLDR: vaccines & mitigations can hasten its end but we're not done yet & Omicron is just another milepost on the road.

So here goes: Omicron is the 4th major variant to dominate here 1/10
But variants aren't single blocks either - Delta in the UK ended up being mostly subtype AY.4 and AY.4.2 was taking over when Omicron came - and now BA.2 is taking over from BA.1.1. which took over from BA.1. 2/10
Covid evolves rapidly, but this isn't straightforward.

None of the main variants evolved *from* each other - instead so far they are all distinct, becoming gradually fitter via subvariants until replaced by an entirely new variant. 3/10

H/T
Read 10 tweets
Feb 11
THREAD: quick overview of where we are with Covid in UK - and end of a dashboard era...

TLDR: going to move to using ONS infection survey only from now on, cases still high, trend uncertain, hospitalisations and deaths falling 1/12
firstly, vaccination isn't really happening - very low numbers of 1st, 2nd or 3rd vaccinations now 2/12
PCR tests are dropping like a stone - and this is what we used to calculate to positivity rates. So they are becoming more unreliable. And then, different nations are now changing how they are reporting nations and Scotland is stopping positivity reporting. 3/12
Read 12 tweets
Feb 10
THREAD: I keep being asked when we can go "back to normal" or "like it was before". My personal thoughts:

We've added a new disease to our population, more infectious and more severe than flu.

The world pre 2020 no longer exists - we may want it to, but it just doesn't. 1/13
Vaccines are amazing but do wane - esp vs sympomatic infection. Immunity from infection wanes too.

Surely Omicron has proven that high levels of antibodies in your population are no guarantee against v high levels of illness & disruption. 2/13
We *could* act as we used to & accept millions of people getting sick once or twice a year. Yearly education, business disruption. And gradually, a slightly sicker pop'n. That seems to be the current plan in UK and e.g. US.

But that's NOT the *old normal* - it's worse 3/13
Read 13 tweets
Feb 4
THREAD - STATE OF COVID IN UK

Quite long but hopefully comprehensive thread on where we are...

TLDR: cases increasingly hard to interpret, hosp & deaths declining, schools big issue, new (but not more severe) subvariant growing 1/18
Vax - vaccinations have dropped off a cliff in 2022. 80K a day vs almost 1 million before Xmas.

And it's not cos we've finished! Esp NI has only 50% of pop boosted.

We need to keep trying to increase uptake - messaging that pandemic is over and omicron mild doesn't help. 2/18
PCR tests have dropped off massively too since we've stopped requiring confirmatory tests for LFDs. *Reported* use of LFDs is also dropping.

Some is less infection, but not all. Will make both reported cases & positivity rate (based on PCR) hard to interpret. 3/18
Read 19 tweets
Jan 24
So, we're back - as predicted in mid Dec (!) - in two epidemics - a growing one in children (& flat in their parents' generation) and declining in everyone else.

Unvaxxed children in schools have highest and fastest growing rates - ie 5-9 yr olds. Cases >2x higher than Dec. 1/5
And equally, while hospital admissions fall in adults, they are higher than ever and rising in children.

While most admissions are short and children recovering quickly, they are still sick enough to come to hospital.

We don't know about Omicron & PMS-TS, Long Covid etc 2/5
Most other high income countries are far ahead of us in vaccinating teens and 5-11 year olds.

We know the vaccines are safe and protect against severe illness. SAGE reported that recent teen Covid admissions to ICU were all unvaccinated. 3/5
Read 6 tweets
Jan 18
THREAD: Quick UK Covid update...

I didn't get chance to do thread after Friday @IndependentSage briefing (viewable here: )

so here is a quick update.
TLDR: cases and admissions have likely peaked, but expect schools to prolong the wave... 1/10
Reported cases have peaked and in all nations.

While many things affect case reporting, positivity rates are also falling (good). ONS always lags by a week or two, but hopefully we will see sustained drops in a week or two.

BUT prevalence is still *extraordinarily* high. 2/10
Cases are now falling in all English regions - you can see a clear pre-Xmas change in London likely driven by people cancelling plans to avoid being sick at Xmas.
NE last to peak, but it has.

Again ONS is a bit lagged, but shows London has and other regions flattening 3/10
Read 10 tweets

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