Aaron Derfel Profile picture
Sep 3 13 tweets 8 min read
1) For most of the #pandemic, Canada’s #COVID death rate has been much lower than the United States’, reflecting the fact that a much greater percentage of the Canadian population has been vaccinated. But that mortality gap has been closing recently. Why is this happening?
2) Back at the beginning of February, for example, the #COVID19 mortality rate in the U.S. was a grim 7.73 deaths per million population, almost double Canada’s rate at the time, according to the chart below by Our World In Data.
3) The wide mortality gap on Feb. 1, 2022, could easily be explained by the fact that Canada’s #COVID19 vaccination rate was much higher than the one in the U.S. Canada’s higher vaccination rate was likely saving a lot more lives, proportionally, than south of the border.
4) But in an ominous twist, Canada’s #COVID death rate now nearly matches that of the United States. True, both the Canadian and U.S. death rates have fallen since Feb. 1, but recently Canada’s rate has been creeping up. (Please see below.) What’s going on?
5) What’s odd is the #COVID death gap between Canada and the U.S. is narrowing even though overall vaccination rates between the two countries is widening. Logically, a tightening mortality gap should be explained by a faster rising U.S. vaccination rate, but that's not the case.
6) At this point in this thread, some anti-vaxxers may be jumping for joy, claiming that this proves that #COVID vaccination does not work. This is an absurd fallacy that is clearly disproved by the huge mortality gap between the two countries back on Feb. 1.
7) What are the possible explanations? Has Canada or the United States started compiling their #COVID data differently? I doubt that’s the case. Are more virulent #COVID strains entering Canada? That’s unlikely, too.
8) Perhaps the #COVID death rates between the two countries is narrowing as a reflection of the fact that immunity is building up to higher levels in both countries as a result of repeated infection and vaccinations. That may be possible, but I’m not totally sure about this.
9) What adds to the mystery is that to date, 12.41% of the Canadian population has received two #COVID boosters following the primary series of shots, compared with a rate of just 7.04% of the U.S. population.
10) As bizarre as it may seem, could it be that Canada has been relaxing its #COVID precautions to a greater extent than in the United States? After all, Canada was beset by the angry truckers’ protests last winter against #pandemic precautions.
11) The chart below, compiled by Our World In Data, features a so-called stringency index. The index reveals an uptick in #pandemic measures in the United States compared with Canada. This difference might help explain why Canada’s #COVID mortality rate may be creeping up.
12) The uptick in #COVID deaths in Canada is at risk of rising as the weather grows colder and more people gather in offices, factories, shopping malls, schools and universities while the more transmissible #coronavirus variants circulate.
13) If there’s anything we’ve learned from the #pandemic is it’s unwise to underestimate it. In light of the closing #COVID mortality gap between Canada and the U.S., perhaps it’s time to reconsider some #pandemic precautions in addition to booster vaccination. End of thread.

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More from @Aaron_Derfel

Aug 31
2) In less than a year, the number of Québecois on wait lists for elective surgery jumped by more than 7,100, as the chart below makes clear. This is directly as a result of délestage, the policy of postponing operations to make way for #COVID hospital beds.
3) In fact, since the start of the #pandemic in 2020, the number of patients on wait lists for so-called non-urgent surgery in Québec has soared by nearly 36% or more than 41,000. Many of these are orthopedic patients who are waiting in excruciating pain for a joint replacement.
4) On Wednesday, Quebec reported a welcome drop of 30 #COVID19 hospitalizations, but the total was still 1,777, and nearly 3,700 health workers were absent because of COVID. That compares with 1,181 hospitalizations at the end of May.
Read 10 tweets
Aug 21
1) As Most Quebecers prepare to return to work and school in 2 weeks' time, it’s worth revisiting the #COVID10 #pandemic in the province. In this thread, I will compare this point in time with the same periods in the last two years. Unfortunately, the comparison is not favorable.
2) This is not to suggest that Quebec will be crashing into an apocalyptic 8th wave this fall, but simply to underscore that the #pandemic is still with us, still churning out new virus variants, still hospitalizing people and still killing Quebecers amid stalled vaccination.
3) On Aug. 19, Quebec declared 999 new #COVID cases; a total of 1,997 hospitalizations (down by 14 from the day before); a dozen new fatalities, raising the death toll to 16,207. ICU stays were up by two, increasing the tally to 47.
Read 11 tweets
Mar 14
1) In a horrible déjà vu, China is again closing schools and locking down cities two years after first confronting the #pandemic. In this thread, I will focus on the latest resurgences worldwide and what this means as North America continues phasing out public health precautions.
2) For several weeks now, I’ve been writing about how Denmark’s battle with the more contagious #Omicron variant and BA.2 sub-variant should serve as a warning to Québec, the rest of Canada and the United States. In the United Kingdom, BA.2 infections are also now rising.
3) What’s more, BA.2 is proliferating in Finland (up by 43% in just four days), the Netherlands (up 29%), Italy (up 17%), Portugal (up 16%), Germany (up by 16%), France (up by 11%) and Spain (up by 7%). In retrospect, these countries lifted public health protections prematurely.
Read 10 tweets
Mar 9
1) Although the trend has received zero mention by the mainstream British media, epidemiologists and other experts in England are now warning about an uptick in #COVID hospitalizations in the United Kingdom since last week. In this thread, I will assess what this could mean.
2) If the increase in hospitalizations continues in the U.K., it would naturally serve as a warning to other jurisdictions — including Québec, the rest of Canada and the United States — that have been lifting public health precautions amid stalled booster vaccination campaigns.
3) Professor Christina Pagel, head of the Clinical Operational Research Unit at University College London, produced a Twitter thread Tuesday suggesting that the proliferation of the BA.2 sub-variant, waning booster immunity and a reduction in masks may be behind this increase.
Read 11 tweets
Mar 7
1) Since Vladimir Putin’s army invaded Ukraine on Feb. 24, no other nation has accepted as many Ukranian refugees than Poland. In this thread, I will assess the potential impact of this mass displacement of a brave people on the #pandemic.
2) Poland’s Health Minister, Adam Niedzielski (@a_niedzielski) tweeted on the day the Russian invasion started that “every citizen of Ukraine who comes to Poland fearing for his health and life can count on access to medical care” – a truly noble statement, if there ever was one.
3) Since then, more than 756,000 Ukrainians have sought refuge in Poland. But news reports also surfaced of some Polish nationalists attacking and abusing refugee students of African, south Asian and Middle Eastern origin who attempted to cross the Polish border from Ukraine.
Read 9 tweets
Mar 6
1) In the past few days, numerous publications around the world have all but pronounced that the #COVID19 pandemic is over. In this thread, I will stress-test whether such optimism may be justified as we enter the third year of this horrific health crisis.
2) In a March 4 article about the state of the #pandemic in the Big Apple, the highly influential New York Times proclaimed that “this week, more than at any other point during the past two years, who we are finally began to feel more like who we were.”
3) In a March 2 Vox article, the authors interviewed 8 experts in "public health, virology, infectious disease ecology, medical anthropology, and medical history" who concluded “in the U.S. and much of Europe, the most destructive waves of COVID-19 are in the rearview mirror.”
Read 14 tweets

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