Aaron Derfel Profile picture
Feb 23 11 tweets 5 min read
1) Breaking: Quebec may be on the verge of a new wave of #COVID infections, driven by the ultra-contagious Kraken subvariant that is now predominant in the province, according to the latest data by public health authorities. In this thread, I will examine what this could mean.
2) Quebec on Wednesday reported a surge of 33 hospitalizations with and for #COVID, a day after posting a modest increase of only two such hospitalizations. Obviously, a two-day rise does not a trend make, but it's worth examining this situation in a larger context. Image
3) As my La Presse colleague @PaNormandin pointed out this afternoon, hospitalizations directly for #COVID have increased by 12% in a week. Please take a look at the La Presse chart below showing the salmon-colored section beginning to rise. Image
4) This rise in hospitalizations for #COVID follows an increase in wastewater samples of SARS-CoV-2, the constantly mutating coronavirus that has killed nearly 18,100 people in Quebec in the past three years. Please review the chart below showing a resurgence for all of Quebec. Image
5) Given the rapid spread in Quebec of Kraken, or XBB.1.5, displacing the Omicron subvariant BQ.1.1, it's not surprising that #COVID hospitalizations may be on the rise. We'll have to wait a few more days to know definitely one way or the other. Image
6) Perhaps Quebec might be spared a new wave of COVID hospitalizations. Perhaps the wave may turn out to be — to borrow a phrase of Dr. Luc Boileau, chief of public health — a mere wavelet. Regardless, such hospitalizations continue to place hospitals under enormous strain.
7) This is what a Montreal ER source told me tonight in response to my question: Are you still getting COVID patients?

"Yes. Not many, but yes. They complicate things because they must be isolated. That's very hard to do."
8) The continuing presence of COVID patients in ERs is contributing to overcrowding. The chart below shows that on Wednesday night, Jewish General Hospital's ER was filled to 217% capacity, followed by Lakeshore General at 200%. Pediatric Sainte-Justine was also packed. Image
9) "Nobody obeys the N95 protocol anymore," the source told me about their ER colleagues. "Most of the staff have their masks half off for most of their shift, and it's those shitty surgical masks."
10) COVID's continuing presence in Quebec will also make it much more difficult to whittle down the record backlog of surgeries, as I wrote about last week in the @mtlgazette. This is the price we pay for collective apathy in a #pandemic. End of thread.

montrealgazette.com/news/quebec/pa…
ADDENDUM: Quebec on Thursday posted an increase of 11 #COVID hospitalizations, the third rise in as many days. Still, I caution that we'll need to wait a few more days to confirm whether this is, indeed, a new wave. Image

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More from @Aaron_Derfel

Feb 18
1) As a lark and also out of fear of AI, I asked #ChatGPT this question: How do you fix health care in Quebec? In less than 30 seconds, this was its verbatim answer. You be the judge.👇
2) “Fixing healthcare in Quebec, or any other place, is a complex and multi-faceted challenge that requires a systemic approach.”
3) “However, there are a few key strategies that can help improve the quality of healthcare services and ensure better health outcomes for patients in Quebec:
Read 28 tweets
Feb 17
1) Conséquences de la pandémie : au moins 46 000 patients ont été ajoutés à l'arriéré des chirurgies dites non urgentes au Québec. Mais cela ne dit pas tout.
montrealgazette.com/news/quebec/pa…
2) Selon le texte ci-dessous, un total de 162 000 Québécois étaient sur des listes d'attente pour une chirurgie élective à la fin du mois dernier. Mais il y avait aussi 4 160 autres patients sur des listes d'attente pour une chirurgie urgente du cancer.
montrealgazette.com/news/quebec/pa…
3) Et parmi les personnes inscrites sur les listes d'attente pour une chirurgie du cancer, près de 750 patients languissaient depuis plus de 57 jours - le délai médicalement acceptable. Et comme nous le savons tous, la pandémie n'est toujours pas terminée.
Read 5 tweets
Feb 17
1) Pandemic fallout: at least 46,000 patients have been added to the backlog for so-called non-urgent surgeries in Quebec. But this doesn't tell the whole story. montrealgazette.com/news/quebec/pa…
2) As you will note when reading the story below, a total of 162,000 Quebecers were on wait lists for elective surgery at the end of last month. But there were also another 4,160 patients on wait lists for urgent cancer surgery.

montrealgazette.com/news/quebec/pa…
3) And among those on cancer wait lists, nearly 750 cancer patients were languishing for more than 57 days — the medically acceptable time limit. And as we all know, the pandemic is still not over.
Read 5 tweets
Jan 30
1) On the eve of the World Health Organization's announcement tomorrow on whether it will declare the #COVID pandemic effectively over, it's worth surveying the current situation around the globe to gain a better idea of what's going on with SARS-CoV-2 as the virus evolves.
2) Ultimately, it will be up to the director-general of the World Health Organization, Dr. Tedros Adhanom Ghebreyesus, to decide whether to renew or discontinue the designation of #COVID as an "public health emergency of international concern" following a meeting with experts.
3) The W.H.O. was supposed to announce a decision Friday, suggesting there may be some disagreement over what action to take. In a speech before the committee met, Ghebreyesus noted "since the beginning of December, the number of weekly reported deaths globally has been rising."
Read 14 tweets
Jan 21
1) Despite record high pandemic hospitalizations and deaths, Japan on Friday is believed to have become the first jurisdiction in the world to announce plans to downgrade #COVID on a par with the seasonal flu. In this thread, I will examine the implications of this decision.
2) First, though, it's worth reviewing the state of the #pandemic in the nation of nearly 126 million. Japan Today is reporting that ambulance workers are struggling to find hospitals to admit patients for the 4th week in a row amid the country's latest wave of #COVID infections.
3) And Japan is not merely struggling with its highest resurgence in #COVID hospitalizations since the pandemic's start. It's also recording its highest number of fatalities, as the chart below shows. Japan's COVID death rate is likely now the world's 2nd highest after China's.
Read 10 tweets
Jan 14
1) As the world approaches the third anniversary of the #pandemic, it's worth nothing that two nations — China and Japan — are now observing their highest number of fatalities since the crisis began. And Sweden is also recording its highest #COVID death toll in almost two years.
2) On Friday, the research firm Airfinity updated its #COVID forecast for China, predicting the world's most populous nation will hit a peak of 25,000 #pandemic deaths per day in 10 days. Ultimately, China's death toll is projected to soar to 1.7 million by the end of April.
3) Meanwhile, Japan has declared record highs in the number of #COVID deaths in recent days, calling into question that country's plans to end its #pandemic measures. The country reported 489 SARS-CoV-2 fatalities on Thursday, but officials are now playing down those numbers.
Read 9 tweets

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