THREAD latest Covid numbers in England:

TLDR: lots of covid around, hospitalisations going down, no idea what's next or how we'll know...

Inc Long Covid and pilot ONS data 1/12
ONS infection survey has stopped so no new prevalence data. Hospital admissions are going down, suggesting the latest wave is receding. 2/12
5% (!) of 70+ were infected in week to 11 March and this was reflecting in over 65 hospital admissions, but those are coming down - good! But remain relatively high at the moment. 3/12
But hospital testing has been reducing since last summer and is about to reduce further still. So hospital data is become less comparable to previous eras & also less reflective of community prevalence. So we are losing this info alongside the ONS infection survey. 😪 4/12
Deaths in England & Wales are still going up reflecting the increase in prevalence since late Jan. Since this is only just starting to fall, it is likely that Covid deaths will increase for a few more weeks yet. 5/12
Almost 80% of the population is more than 6 months out from their most recent vaccine dose and about 40% more than a year out. Two thirds of over 80s are more than 6 months out too - thankfully their immunity will be topped up by the Spring booster starting soon. 6/12
The (last?!) Long Covid report is out - numbers reporting long covid for at least 12 weeks are stubbornly between 1.7-1.9m over last 6 months. People are recovering but people also developing new Long Covid. Still a v high number! 7/12
Of those reporting ongoing symptoms, about 1 in 5 say it has no impact on them and 1 in 5 say it has a big impact. The remaining 3/5 say it has some impact. So vast majority reporting some impact - it's not inconsequential. 8/12
So data on Covid is going away but Covid isn't. Pilot ONS data this winter looked at flu & RSV alongside main Covid survey (all random testing). Covid clearly higher outside winter season and all three spiked in December 2022 9/12
The 3 coming together in Dec would have contributed significantly to the winter NHS disaster that we had in Dec/Jan. Unsurprising cos we've added a serious 3rd disease to our population - and no reason it won't happen winter 2023 too! How are we going to deal with it?! 10/12
Outside of winter, Covid remains a significant burden on NHS and with significant in hospital transmission.

How many more waves will there be this year? Or will it be more of a high constant level between 2%-3% of population infected? 11/12
Continuing high levels of Covid mean that kids will be out of education and adults out of work as they fall sick - on top of the pre-pandemic illnesses. A minority will become longer term sick.
Not great as we struggle for economic recovery. 12/12
PS thank you as ever to Bob Hawkins for his help in producing the slides!

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More from @chrischirp

Oct 19, 2024
Important 🧵on our new peer-reviewed paper:

The pandemic is as bad as it ever was for babies - in year to Aug 2023, 6,300 babies under 1 were admitted to hospital wholly or partly BECAUSE of Covid.

They are ONLY age group where admissions have NOT gone down over time 1/17 Image
Our study, led by Prof @katebrown220, looked at all hospitalisations in England in children with a Covid diagnosis or positive test from Aug 2020-Aug 2023.
We then *excluded* all admissions where a Covid diagnosis was incidental (ie not why they were in hospital)
2/17 Image
Infants (babies under 1) are generally at higher risk from respiratory infections, plus they are the age group that, if infected, are overwhelmingly meeting the virus for the first time.

They are not vaccinated and have not had it before. 3/17
Read 18 tweets
Sep 26, 2024
Prof @Kevin_Fong giving the most devastating and moving testimony to the Covid Inquiry of visiting hospital intensive care units at the height of the second wave in late Dec 2020.

The unimaginable scale of death, the trauma, the loss of hope.
Please watch this 2min clip.
And here he breaks down while explaining the absolute trauma experienced by smaller hospitals in particular - the "healthier" ICU patients were transferred out, leaving them coping with so much death.

They felt so alone.
Here Prof Fong explains how every nurse he met was traumatised by watching patients die, being only able to hold up ipads to their relatives and how it went against their normal practice of trying to ensure a dignified death, with family there.
Read 5 tweets
Aug 28, 2024
THREAD: I asked what the point of Public Inquiries is for @bmj_latest

We've spent hundreds of millions of £ on Inquiries over last decades, generating deep understanding of failures & 1000s of recommendations.

But v few recommendations get implemented!
What is going on?

1/12 Image
E.g. Covid-19 Inquiry has cost £94 million so far - and is projected to cost over £200m by its end (it still has years to go).

1st report published (out of at least 9) found major flaws and proposed 10 recommendations.

Chances are low that they will be implemented :-( 2/12


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Inst for Government looked at 68 Inquiries from 1990-2017.
The Inquiries cost over £630 million and made 2,625 recommendations.

Only 6/68 Inquiries have received full scrutiny by a parliamentary select committee on implementation of recommendations. 3/12 Image
Read 12 tweets
Aug 9, 2024
🧵War causes direct civilian deaths but also indirect deaths over the following years.

Recent paper estimates eventual total direct & indirect deaths in Gaza attributable to the war - 10% of entire pop'n.

I want to explain these estimates and why deaths must be counted. 1/13 Image
Why count casualties from war anyway? For moral, legal and strategic reasons.

1 - owe it to those who have died
2 - International law says must count & identify dead as far as possible
3 - monitor progress of war & learn from tactics

2/13 Image
There are direct and indirect casualties of war. Direct deaths include those who killed by fighting or bombs.

Indirect deaths are those that die when they would otherwise have lived because of one or more of: lack of food, healthcare, housing, sanitation, income, hope. 3/13 Image
Read 14 tweets
Aug 1, 2024
THREAD: the summer Covid wave in the UK continues.
Basically, there is a LOT of Covid around and not a lot of other respiratory viruses.

If you have cold or flu symptoms, it's probably Covid.

The latest hospital data from England shows steady, quite high levels. 1/8 Image
But admissions don't tell us how much virus is circulating more generally. The best (but imperfect) measure we have is wasterwater measurements, and only in Scotland and not England.

Scotland's wastewater is showing a huge July peak - highest since Omicron's 1st yr in 2022 2/8 Image
Because different people shed different amounts of virus and variants can matter too, you can't for sure infer how many people were infected between different wasterwater peaks. BUT given the size, I'd say it's pretty likely this is the largest peak since 2022 in Scotland 3/8
Read 8 tweets
Jul 23, 2024
THREAD:
I wrote about Baroness Hallett's Inquiry Module 1 report for @bmj_latest .

She found that there was *never* a plan to keep a pandemic death toll down - I discuss this and what it means going foward.

Main points below: 1/14 Image
The headline most seen is that the UK planned for the wrong pandemic.

While it is true that was far too narrow a focus on a flu pandemic, that is not the most telling bit.

To me the most telling bit, is what the plan did NOT do 2/14


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The issue is less the wrong disease, but that there was never a plan to prevent one at all – of any disease type.

The plan was *never* about reducing the number of pandemic deaths. 3/14 Image
Read 14 tweets

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