Covid update: bigger jump in England hospital admissions with Covid this week (40%⬆️). Also now seeing increase (28%⬆️) in number of patients in hospital primarily because of Covid.
Definitely in a wave but starting from much lower base than previous ones 1/6
Not sure how much it will take it off in Aug with holiday season (and biggest increases are in England holiday areas like the South West). There is a new Omicron variant around called EG.5.1 alongside XBB.1.16, and UKHSA estimate it's got about a 20% weekly growth advantage. 2/6
But, as @kallmemeg pointed out, we've not seen big waves in variants with growth advantage of around 20% - previously needed 50% growth advantage+ to get big wave...
3/6
UKHSA estimate EG.5.1 about 12% of UK sequences as of mid July (of which there are sadly not many anymore). Cov-Spectrum estimate (very roughly!) about 33% of cases by end of July 4/6
So... I suspect we'll keep seeing modest increases in cases over August, but then by Sept EG.5.1 will prob be dominant, school, uni start & people back at work and most people >18 months out from last vax & a while from last infection. So I think Sept could see a bigger wave. 5/6
We could of course spend the summer improving indoor air quality in schools, public buildings, workplaces, restaurants, bars, etc which has all sorts of benefits beyond Covid + plan a broader winter booster campaign, but sadly the govt seems to have given up. 6/6
@kallmemeg PPS, the low base we had got to is demonstrated by a record low number of weekly Covid deaths in the last ONS report (70 in a week). They will unfortunately now start to increase again.
THREAD: what I think is happening with Covid in England right now.
TLDR: while data is sparse & comes with lots caveats, it's all pointing to pretty low Covid prevalence right now. 1/13
Firstly let's look at hospital data. Recorded Covid admissions are lower than they've been in a LONG time.
People often doubt this data because testing has changed (there is less testing in hospitals now). And that's true - but we can dig further into the data too. 2/13
The main testing that's stopped is testing of people with no symtpoms. But if you are in hosp cos of respiratory symptoms, you do get tested! You also get tested if Covid might affect your treatment - this is likely to be true of people in ICU.
THREAD: update on how the NHS is doing across ambulances, A&E, diagnostics & treatments.
TLDR: better than last winter (worst ever) but still much worse than pre pandemic. 1/10
Ambulance response times are much faster than they were this winter which is good, but still significantly slower than there were before "freedom" day in July 2021. 2/10
A&E also better than Dec 2022 but still far higher than pre pandemic & pre summer 2021. A quarter of people still waiting longer than 4 hours.
We are currently (red line) tracking last year (orange line) - which is not a good thing! 3/10
The paper was led by @katebrown220 & specialist docs, with number crunching by @HarrisonDWilde using @BHFDataScience data on all admissions, tests etc.
We looked at all recorded first infections in kids 0-17 rys & any associated hospitalisations from Jul 2020 - March 2022. 2/15
Overall we found almost 30,000 hospital admissions, with peaks coinciding with prevalence peaks as measured by ONS infection survey.
Admissions higher since 'freedom day' & Delta and highest since Omicron. 3/15
TLDR: Disappointing uptake of Spring Booster but good news is that hospitalisations and deaths are going down and are at lowest we've seen in a while... 1/8
almost 60% of over 75s have had the Spring booster but only about a quarter of immuno-compromised. This is disappointing uptake - at equivalent time last autumn, about 80% of 75+ had been booster. 2/8
sadly disparities by ethnic minority persist, with much lower take up among minority communities.
Additionally too many people - of any age - remain unvaccinated AND primary vaccination will be withdrawn from July! So GET JABBED & GET PROTECTED! 3/8
Benefits depend on time since infection, strength of protection from inf & vax, future waves
Vax can be v beneficial if future attack rates high & long time since last inf. More benefit for Long Covid than hosp, cos LC is more common & prev infection offers less protection. 2/26
Circumstances where vax for kids can give marked benefit even after prev infection include NOW, when many kids >1 yr out from last infection & covid still at high level
Matters cos 5-11s soon no longer eligible for ANY covid vax for yrs. Is it time to revisit that decision? 3/26