Recommendations this week are still cautious, even for regions where forecast is currently ELEVATED or HIGH.
Why? Because waste water data are nearly 2 weeks old, but had started increasing in multiple places. Most Canadian provinces are likely now in or will soon enter a surge.
A key concern is that we're seeing increasing ICU admissions in the most recent 2 weeks of data compared to the preceding 2 weeks.
This is happening in multiple provinces, and in some it's quite a fast increase.
So, prudence is definitely warranted right now.
Canadian COVID Forecast Feb 19-25, 2023
CANADA
VERY HIGH
About 1 in every 43 people is infected.
HOW TO HELP:
Mask, get your booster, avoid non-essential indoor public places, social gatherings.
Higher risk: also avoid outdoor social gatherings.
Seeking help from scientists, journalists anyone who may have been archiving COVID-19 epidemiologic reports for Nova Scotia PRE-March 30, 2022.
If these exist and you have copies/know where to find them, please let me know.
We're writing a paper on provincial reporting of severe outcomes over the COVID pandemic, and want to make sure our coverage for Nova Scotia includes these reports, in addition to reporting from other official sources and Canadian Critical Care Society.
We're also seeking any official reports we can find for Newfoundland and Labrador, in particular reports that document the numbers of cumulative hospital and ICU admissions by specific dates. Not hopeful about finding more NL sources, in addition to @PeterCBC and journalists.
Recommendations this week are still cautious, even for regions where the forecast is currently ELEVATED or HIGH.
Why? Because @INSPQ survey of RAT/PCR+ people for week of Feb 5 found 69% increase compared to week before. It's often the first indicator to go up at start of surges
The graphs I'll show are a bit complicated. But they're simplified versions of what you can find on the tracker, because I've deselected % excess mortality for individual age groups to make it easier to see patterns.
This graph here shows the data for fast-reporting provinces (NL, QC, AB, BC), with a comparison to the values for Canada as a whole (including the slow-reporting provinces).
For the last year, I've found that positive test (RAT or PCR) survey data from @INSPQ have provided the fastest early warning indicator of new waves.
QC test positivity in survey ending Feb 5 increased 64% compared to week before.
It had declined from Dec 25 to Feb 5.
@INSPQ It's still only at half the infection numbers from the week of Dec 25 (the highest point in the most recent surge in QC), but if we've seen a 64% increase in the most recent week, I'd guess QC will be at the height of the Dec 25 surge by the week after.
@JustinTrudeau@GovCanHealth One third of Canada's 215,000 COVID hospitalizations up to March 31, 2022 have not yet been reported to PHAC.
And there is some serious under-reporting of severe COVID outcomes happening in multiple provinces, including Canada's largest province.
@JustinTrudeau@GovCanHealth Plus all-cause mortality reporting so slow that we're only now learning specific causes of death from 2021, including but not limited to COVID.
Apologies for missing a week last week--it was my fault, not the team!
For the weekly recommendations we provide, we're still using recommendations for VERY HIGH and SEVERE scores even for regions that have dropped below these thresholds.
Why? Because the projections we do are based on data that is already nearly 2 weeks old d/t reporting delays.