COVID HOSPITALISATIONS, a thread🧵

In case anyone still believes that changing the Covid testing policy in hospitals back in April hasn’t really affected the hospitalisation data, this chart is just for you.

Please take a good look at it.

It tells a very interesting story… Image
You can quite clearly see the point where Covid hospitalisations decouple from the PCR positivity rate…

…and it’s no coincidence that it falls on EXACTLY 1 April 2023. Image
1 April is the date that Covid testing policy in hospitals changed.

Since that date, there has been no routine Covid testing in hospitals, even for those with Covid symptoms. Image
Since 1 April, PCR tests have only been given to those where having a Covid diagnosis would change their prescribed clinical treatment plan.

Even clinically vulnerable patients eligible for anti-viral treatment are only given an LFT test.

gov.uk/guidance/covid…
Image
And yet, despite there now being no routine Covid testing for hospital admissions, we’ve still seen a rapid increase in Covid hospitalisations over the last 3 months.

It’s not just increased a bit; it’s QUADRUPLED! Image
When we look back a bit further, the data appears more reassuring as the recent hospitalisation figures are nowhere near the peaks we used to get.

But remember, prior to 1 April, every single hospital admission would be routinely tested for Covid.

It’s like comparing 🍎 & 🍐! Image
If there hadn’t been the change in testing policy, perhaps that trough in July would be at the same baseline as other recent dips?

If you extrapolate a 4x increase on top of that, the numbers start to look extremely worrying.

But, of course,without testing, we can’t be sure. 🤷🏻‍♀️ Image
Either way, this 4-fold increase in Covid positive hospital admissions, despite there being *no* routine testing, is quite something.

But what’s even *more* remarkable is that there’s not even been any noticeable increase in PCR testing volumes (grey bars on chart below).

👇🏻 Image
The thing which has shot up massively is the % of PCR tests which give a positive result.

It’s just peaked at 16.9%.

With the same number of tests but a big increase in positivity rate, that tells us we’re almost certainly missing a LOT of Covid hospital cases in those figures. Image
Rumour has it that some hospitals have even been told they’re not *allowed* to test patients for Covid.
But even without much testing, doctors on the front line are confirming that they’re definitely seeing a marked increase in Covid cases…
There’s two aspects to this story though:

1) the data and the fact that we’re not seeing the full picture here.

But more importantly:

2) the real-world impact of all those hospital patients who are infected with Covid but haven’t been tested for it.
The really tragic thing is that it’s no longer deemed necessary to test to identify Covid positive patients because there are not really any infection controls for Covid anymore.

There are no isolation wards for Covid patients.

They don’t test them. They don’t isolate them.
If you have to be admitted to hospital, it’s quite possible there will be someone on your ward with Covid.

They may not even know it themselves as there’s hardly any testing anymore…
Even if there’s not someone on your ward with Covid, maybe there is on the ward next door.

And then you’ve got doctors and nurses who are busily doing their jobs, moving from ward to ward, patient to patient, seeing dozens of sick patients a day… day in, day out…
…but those doctors and nurses who have been attending to all those sick patients won’t be wearing a face mask.

Masks are no longer required in the vast majority of hospitals.

Apparently it’s more important to see doctor’s smiles 😁 than to prevent the spread of infection. Image
It’s little wonder that Covid is spreading like wildfire through hospitals.

Part of the reason it spreads so easily is that people are highly contagious just before the onset of any symptoms.

In fact, nearly 60% of all Covid infections are from people with NO symptoms (yet).
Image
Without routine testing, these asymptomatic cases will of course go undetected.

But it’s even worse than that.

They’re not even protecting against SYMPTOMATIC transmission!

Healthcare workers who have Covid symptoms and/or test positive are told they should still come to work. Image
Surely the one place that people should be afforded a higher level of infection control is in hospitals…

…a place where people go when they are sicker, weaker and more vulnerable than they would usually be.

Isn’t that the very essence of the Hippocratic Oath? Image
Numerous studies tell us that clinical outcomes from hospital-acquired Covid infections are pretty dire, far worse than those who remained infection free.

“1 in 5 people who caught Covid in hospital, died with it.”

mirror.co.uk/news/uk-news/w…

Image
This isn’t just impacting patients, it’s impacting doctors too.

@TheBMA recently released a report outlining the devastating effect which Long Covid is having on many doctors’ lives.

It ended with a powerful quote from @fearnley_k 👇🏻

bma.org.uk/bma-media-cent…
Image
This week, the Covid Inquiry has been hearing evidence from doctors saying they didn’t feel adequately protected during the early stages of the pandemic.

But Covid is not over.

This is still happening in hospitals TODAY.

And there are even LESS mitigations now than back then.
Image
In Scotland, doctors formally wrote to the Government in July opposing the withdrawal of face-masks in healthcare.

They state that they consider this decision to be “flawed and dangerous”.

You can download a pdf copy of the letter from here:

covidactionscotland.org/2023/07/17/sco…

Image
If you’ve read this far, hopefully you understand why we need to do more to prevent the spread of Covid in hospitals.

Please help us by signing & sharing this petition to bring back #MasksInHealthcare:

✍🏻

We need to hit 10,000 signatures by 12 October! petition.parliament.uk/petitions/6363…
Image
We also need to filter the air on wards to remove viruses and other airborne pathogens…

…just like they are doing in the East Suffolk & North Essex NHS Foundation Trust.

This should be rolled out across ALL healthcare settings.
Everyone should have the right to access safe healthcare.

Hospitals must be made safe again.

Below is a Open Letter written by the distinguished team of experts at the John Snow Project which you can use to help advocate for better infection controls in your local hospital 👇🏻



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@kallmemeg Actually, I should say trends are still “reliable”, rather than “good”…

…because the trends actually don’t look too “good” at all, do they?

It’s been a while since we’ve seen hospitalisations quadruple in the space of just 3 months.
@kallmemeg By the way, I’m not sure if you saw my reply to your kind offer to take me through your data sources on another thread. 👇🏻

Please could you let me know if I’ve missed any data that allows us to estimate the current prevalence of Covid.

I’d really like to learn more.

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More from @_CatintheHat

Dec 17
“When it comes to flu, the focus is often on droplet transmission, but there’s also evidence of aerosol transmission. That means that ventilation & air filtration are HUGELY important.

“Are the Govt looking to improve that to help deal with all the respiratory infections?”

/1
It’s absolutely brilliant to hear Baroness Bennett raising this crucial question in the House of Lords this week.

Thank you, @natalieben 🙏🏻

You can read a transcript of the full question and response received below ⬇️



/2 hansard.parliament.uk/Lords/2025-12-…Image
Given the shocking state of ventilation in UK hospitals ⬇️…

3/
Read 4 tweets
Dec 11
This feels like an important breakthrough moment…

On the BBC News this evening, Medical Editor @BBCFergusWalsh clearly stated:

“As for facemasks, simple surgical masks are *not* good at stopping viruses. You really need a properly fitted tight respirator mask for that”…

/1
…which begs the question, why does the NHS infection control guidance STILL only recommend surgical masks for treating patients with airborne viruses like flu & Covid… and not proper FFP3 masks?

Even Baroness Hallett was rather perplexed by this during the Covid Inquiry.

/2
The IPC experts (Dr Warne & Dr Shin) who provided independent specialist advice to the Covid Inquiry both stated that IPC guidelines should be updated to recommend routine use of FFP3 masks when caring for patients with ANY respiratory virus.

So why has this not been done?

/3
Read 7 tweets
Dec 10
CEO, NHS Providers, @danielelkeles:

“It’s a v nasty variant of flu that we have this year.”

“We need to get back into the habit that, if you’re coughing & sneezing […] then you must wear a mask when you’re in public spaces.”

I’m so pleased to hear Daniel promoting masks BUT…
…I have 3 questions for @danielelkeles:

1️⃣ He only mentions that people who are sick “must wear a mask in public spaces”…

…but why did he not also suggest that people who are *not* sick should wear a mask to prevent themselves getting sick in the first place?!

Like this ⬇️ Image
2️⃣ Why didn’t @danielelkeles mention FFP masks?

Surgical masks DON’T protect against airborne transmission of flu.

“Live viruses could be detected in the air behind ALL surgical masks tested. By contrast, properly fitted respirators could provide at least a 100-fold reduction.” Image
Read 5 tweets
Dec 8
UK ‘SUPERFLU’ OUTBREAK

Schools in England & Wales have been forced to close amid escalating flu outbreaks with hundreds of pupils off sick at a time.

Simon Kidwell, headteacher of Hartford Manor Primary told BBC Breakfast: “The winter bugs spread really easily in schools”…

/1
Headteacher Simon Kidwell is not wrong.

Children are crammed into poorly ventilated classrooms, shoulder-to-shoulder with up to 29 other kids, for around 6 hours a day, 5 days a week.

It’s the perfect environment for airborne diseases to spread…

/2 Image
We had a big wave of Covid in Sept/Oct, followed in very quick succession by the current wave of flu and RSV.

It’s been one perpetual cycle of illness hammering schools.

I often hear people say: “oh, but it’s always been like this”.

But it *hasn’t* always been like this.

/3 Image
Read 18 tweets
Dec 4
NHS England: “It will not be possible to halt the spread of a new pandemic virus, and it would be a waste of public health resources and capacity to attempt to do so.”

This has got to be one of the most 🤯 things I’ve ever seen written down in an official document. Image
And this is an important point from @mdc_martinus ⬇️

The NHS constitution states that they’re meant to PREVENT health problems…

…so how can their pandemic response strategy say it’d be a WASTE of public health resources to attempt to halt the spread of a new pandemic virus?!
@mdc_martinus Here is the full letter from CATA (an alliance of medical organisations, royal colleges & trade unions) raising the alarm about the NHS pandemic response strategy to the Chair of the Covid Inquiry.

For more details, please read the excellent thread from @cv_cev linked below ⬇️ Image
Read 5 tweets
Nov 22
Two countries.

Two charts.

A very similar (and concerning) trend.

…………..

Can you think of anything that happened in 2020 which is still affecting huge swathes of people on an ongoing basis and which may help explain this worrying trend?

/1 Image
If you haven’t figured it out yet, here’s a little clue… 🔎

/2 Image
Still not worked it out?

Here’s another clue from Jim Reed, the BBC’s health reporter… 

/3
Read 10 tweets

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