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

Mar 31
THREAD on CEV & COVID:
A reminder of how Covid has disproportionately impacted the clinically extremely vulnerable (CEV) community and that they remain less well protected now. 1/6
First deaths - ONS data is from 2022 but clearly shows that after adjusting for age, men and women with disability had much higher rates of death from Covid compared to those with no disability. 2/6
You can adjust for more factors (not just age), adjusting for everything (residence (e.g. care home); region; deprivation; ethnicity; diagnoses & vax status) still resulted in mortality that was 30%-60% higher in disabled vs non disabled people 3/6
Read 7 tweets
Mar 31
In today's @IndependentSage briefing we covered the situation for the clinically extremely vulnerable (CEV) for whom Covid remains a big risk.

Here is @MarkOak04974342 telling @drlennardlee what being CEV has meant over last 3 years & his wife & 3 kids, 2 at home, one not. 1/5
Before the pandemic he ran his own business and lived a relatively normal life, which has now been taken away. He explains why and that it affects 0.5-1 million people in the UK. 2/5
Mark sums up by saying it's hard to be forgotten by everyone - and that it's not ok that protections AND the information CEV people have relied on to assess their own risk are being removed. 3/5
Read 5 tweets
Mar 24
LONG COVID 🧵:
Clips from today's @IndependentSage from world leading experts. PLEASE WATCH!

1. @EricTopol We know a LOT MORE now about how Long Covid manifests in people & physiological mechanisms (loads) BUT are FAR BEHIND on finding treatments. Signifcant pandemic legacy 1/9
2. Laura Moore Vogel, who has Long Covid herself for over 2 years, explains what impact it has has on her and how it has been utterly life changing 2/9
3. Following on from this - it is NOT in the mind. Evidence of physiological causes are incontrovertible and many.
Long Covid *can* though *cause* psychological conseqeunces such as depression as a consequence of significant suffering. 3/9
Read 10 tweets
Mar 22
🧵
Excellent @bmj_latest article by Steve Reicher, @SusanMichie , @robertjwest & @ProfJohnDrury pointing out that while govt whatapps talk about trying to frighten life out of people this WAS NOT THE ADVICE FROM SAGE

bmj.com/content/380/bm…

Short thread on its main points!

1/5
While the advice from SAGE behavioural subgroup SPI-B was that people needed to understand the threat,they ALSO said people to understand what they could do about it and how they would be SUPPORTED. It should be about empowerment - not fear! 2/5 Image
When advising this, SPI-B emphasised the need for supporting more marginalised & deprived communities, where action was harder to take (e.g. because of housing, work and money pressures).

They also said coercive language should NOT be used 3/5 Image
Read 5 tweets
Mar 12
THREAD:
On the eve of junior doctor strikes, let's examine what the latest NHS Staff Survey which came out last week has to say about how our valuable NHS staff are feeling about their jobs and their future

TLDR: things getting worse, particularly around understaffing & pay

1/6
First some context: 2020 survey was done just as the devastating winter wave was starting, the 2021 survey was during a Delta autumn, before Omicron hit. 2022 survey was on the downswing from Sept/Oct BA5 wave. So you might have expected some improvement this year... 2/6 Image
Instead morale is falling, with more staff thinking of leaving and more experiencing work pressure - they're not dramatic drops, but they still matter.

Only 25% of staff think there are enough staff at their organisation and just over half say thay have adequate supplies 3/6 Image
Read 7 tweets
Mar 10
QUICK UPDATE ON NHS SITUATION IN ENGLAND:
So the good news is that ambulance response times have come right down again from their scary December peak. Below is example for C2 (serious but not life threatening) calls.

1/5 Image
Pressures in A&E have also reduced with waiting times coming down BUT we are still far higher than in previous years with 28% of patients waiting longer than 4 hours (prev target 5%).

% waiting more than 12 hours also down but remains v high (7.4% from 10%, historically 0%) 2/5 Image
But this reduction in emergency care has not yet reduced pressure on other services. Waits for diagnostic tests are not rising as fast, but not coming down and still v high 3/5 Image
Read 5 tweets

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