Aaron Derfel Profile picture
Mar 5 9 tweets 5 min read
1) Excess deaths in the #pandemic dropped below Quebec's baseline to a negative 3% at the end of January after surging by more than 23% early last December. In this thread, I will examine what the latest mortality statistics may augur.
2) First, though, it's worth defining excess mortality. It's "a more comprehensive measure of the total impact of the pandemic on deaths than the confirmed COVID-19 death count alone," according to our World in Data, which has been tracking this international crisis reliably.
3) On Jan. 22 last year, in the midst of the first #Omicron wave, excess deaths in Quebec soared by 26.2%. You will recall that intensive-care units were overflowing at the time, and this compelled Premier François Legault to declare a months-long curfew across the province.
4) In terms of #COVID19 deaths alone, the province reported a total of 91 such fatalities for the month of February this year. That compares with 742 fatalities for the same month in 2022 and 504 for the same month in 2021. So clearly, the mortality situation is improving here.
5) Worldwide, #COVID19 deaths have plunged to their lowest level in nearly three years, as the chart below reveals. In light of all these statistics — both locally and globally — does this mean the #pandemic is over? The short answer is no.
6) True, decreasing mortality suggests higher immunity as a result of mass vaccination and previous infections. But COVID is still killing people, 19 Quebecers to be exact, in the first two days of March alone. And the virus is still mutating at a much faster rate than expected.
7) What's more, persistent and debilitating symptoms are afflicting an estimated 140 million — yes, that's 140 million — #pandemic survivors around the world. And people continue to be hospitalized for and with #COVID, more than 1,300 in Quebec alone as of last Friday.
8) These #COVID hospitalizations are placing enormous pressure on weakened health-care systems around the world, and making it harder to reduce the backlog of surgeries. In Quebec, the backlog stands at more than 166,000 elective and urgent operations. montrealgazette.com/news/quebec/pa…
9) As the third anniversary of the #pandemic approaches on March 11, no one can predict with certainty when it will end, given its highly unpredictable nature. But at the very least, decreasing #COVID mortality is a welcome trend. End of thread.

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More from @Aaron_Derfel

Feb 23
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
Read 11 tweets
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

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