Not happy to be doing this but the #Covid19Ireland hospital stats over last few days are not great - the 808 in hospital today are 132% last Monday so the obvious rise in the graph is not just the usual weekend increase /1
The number of new hospital cases each week has also risen almost as rapidly, 749 new hospital cases this week are 124% of the previous week /2
ICU is less definitive but it lags hospital cases by a few days and we *might* be seeing the start of a rise with the 21 new ICU cases this week at 110% previous /3
Probably too early for this to be driven by removal of requirement to wear masks although the announcement may have led to 'anticipatory behaviour' ahead of the actual date. Other possibilities are rising proportion of older people being infected as they start to take risks /4
Or waning effectiveness of booster doses against infection & as a carry over from that against severe consequences (if you aren't infected then you won't become a hospital case). Probably all of the above contribute /5
Could it simply be 'incidental' Covid - people going to hospital for other reasons & happening to be positive. No way of knowing from available public data but mask requirement removal could cause a fasxt rise in 'incidental' infections /6
Something to at the very least watch over the next days - its likely that we will see waves for some time to come although this does feel very soon & with hospital rates still at a high level so there can't be much capacity /7
Northern Ireland doesn't provide much data over the weekend but up to Friday the proportion of those over 80 infected had more than doubled to 2.7% cases & hospital cases rose the previous week but then appeared to stabilise (484 on Friday). Update at 14.00 may be informative /8
Todays figures for the north are out
Hospital admissions this week 135% previous
In hospital 103% last Monday
ICU 33% (and its only 2 total, still puzzled by the very different proportion of hospital to ICU north & south) /9

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More from @andrewflood

Jan 22
#Covid19Ireland ICU admissions are now very clearly post peak with
44 new ICU this week is 79% previous
New ICU is 0.03% cases, 5.15% new hospital cases
78 in ICU this morning is 88% last Saturday
I'm going to be posting less often with a focus on trends 'just in case'
/1
The post peak trend is also clear in hospital figures, everything points to an infection peak in the 1srt week of January
804 new hospital cases this week is 82% previous
New hospital cases are 0.6% cases
836 hospital is 89% last Saturday
/2
As with yesterday my biggest note of caution is the way cases (and deaths) are now rising again in the north of Ireland
3476 cases is 121% last Saturday
25268 cases this week is 118% previous
5 DoH deaths
32 DoH deaths this week is 110% previous
/3
Read 4 tweets
Jan 21
NPHET recommending lifting of most restrictions is onbasis of overall strategy & our recent experience of Omicron post booster where hospitalisation rates are low & stays short. 892 hospital cases is 87% last Friday as we continue to descend from a peak in lower range of fears/1
It's always tempting to want for data 1st & I have concerns around age incidence but with 819 new hospital cases this week at 82% previous we are also seeing a consistent post peak decline in numbers being sent to hospital /2
When we last had 'its almost all over' messaging in late September the case hospitalisation rate was about 4 times the current rate & it then peaked at about 8 times the current rate. Today New hospital cases in week are 0.58% cases in week to 6 days earlier /3
Read 29 tweets
Jan 20
896 #Covid19Ireland hospital cases is 89% last Thursday - this view of hospital cases during the entire pandemic shows we peaked at about all last year but also that this & last Autumn we had peaks that were unfortunately brief interludes /1 Image
The 853 new hospital cases this week is 84% previous, this measure normally leads hospital occupancy so its a useful warning of a change in direction /2 Image
New Hospital cases are 0.58% cases, that rate of decent has slowed & for now hard to know how much of that is testing being overwhelmed and how much the large increase in incidence in older populations in the new year /3 Image
Read 10 tweets
Jan 9
Common Sunday increase in #Covid19Ireland hospital cases due to delayed discharges at weekend with 984 in Hospital 137% last Sunday - that rate has slowed & this day last year there were 1,285 in hospital. Discharges typically catch up Tuesdays so tomorrow may see over 1,000 /1
Today last year there were a similar number of new hospital cases (134) but we were in the middle of a rapid escalation of occupancy due to xmas intergenerational mixing - so far this year is different because of higher discharge rate, probably vaccine driven /2
Again due to vaccination the proportion of cases going to hospital is a tiny fraction of last year. New hospital cases are 0.83% cases in week to 6 days previous - just as well as there were 123k cases detected that week & probably as many again that could not access testing /3
Read 15 tweets
Jan 8
Actual #Covid19Ireland ICU occupancy added as a black dot onto NPHETs mid December scenarios for Omicron - if anything we have more cases than expected so ICU being this far below expected is remarkable & very good news indeed - see thread Image
This tweet is doing number so added context
1. Cases appear to me to be at the worst end is scenarios but we lack capacity to detect that many
2. Hospitalisations until 3 days ago we’re heading for upper 1/3 of worst outcomes
… /2
…My guess would be vaccination is proving to be much more effective against severe outcomes with Omicron than anticipated but I’m still nervous about a surge in older grps. A very good thing as those ICU demand scenarios were for far more ICUs than we have at the worst 1/2
Read 4 tweets
Jan 8
Todays 917 #COVID19Ireland hospital cases are 140% last Saturday but 2nd day of a row of falling numbers. I don't want to prematurely call that a peak, it will rise tomorrow, but it is very good news indeed which I'll explain in detail /1 Image
Looking at last years hospital graph makes it clear we are on a very different trajectory. Today had 1153 in hospital and was the first 1/3 of several days of rapidly rising hospital cases as a consequence of xmas intergenerational mixing - we are not seeing that /2 Image
We have seen a period of rapidly rising new hospital cases but they are no longer doubling despite cases more than doubling in the week 6 days back, 1007 new hospital cases this week is 136% previous rather than 200%+ /3 Image
Read 19 tweets

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