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

May 10
HANTAVIRUS OUTBREAK

Following my thread yesterday which criticised aspects of the WHO’s strategy, I’m pleased to see they’ve done a 180° turn in the updated guidance published today:

who.int/docs/default-s…

EVERYONE from the ship will now be treated as HIGH-RISK contacts…

🧵 x.com/_catinthehat/s…Image
…and ALL high-risk contacts will now be required to ISOLATE in a designated facility or at home (depending on each country’s capabilities) for 42 days from last known exposure…

…and for the MV Hondius passengers & crew, the last day of exposure is the date of disembarkation. Image
So for the passengers & crew leaving the ship today, the clock for their 42 days in isolation starts ticking TODAY…

…and their isolation & monitoring will end on 21 June. Image
Read 7 tweets
May 9
HANTAVIRUS OUTBREAK 🧵

Following the WHO press briefing, I wanted to compile a thread with the key points.

1/ ISOLATION OF PASSENGERS

Concerningly, it seems the WHO are NOT recommending to isolate cruise ship passengers (even high-risk contacts) UNLESS they develop symptoms.
Just to quickly recap, it has been confirmed that the passengers & crew (including the 30 who disembarked on 24 April in St Helena) come from a total of 28 different countries.

The full breakdown of countries for both passengers 🟥 & crew 🟦 is detailed below ⬇️ Image
When the 146 people remaining on the ship are repatriated to their home countries, each country will adopt their own local protocols.

However, the WHO are only recommending:

▪️SYMPTOMATIC cases ➡️ isolation
▪️ASYMPTOMATIC cases ➡️ monitoring
Read 41 tweets
May 5
HANTAVIRUS OUTBREAK ON CRUISE

“Human-to-human transmission suspected on board hantavirus cruise ship, WHO says”

▪️7 cases identified so far.

▪️3 people (2 Dutch, 1 German) have tragically died.

▪️1 Briton is in intensive care in South Africa.

edition.cnn.com/2026/05/05/afr… x.com/cnn/status/205…Image
The exact Hantavirus has not yet been identified, but given the ship departed from Argentina, it’s a distinct possibility it’s the Andes Virus.

This strain is known to be transmissible between humans & previously caused superspreader events in Argentina.

nejm.org/doi/pdf/10.105…Image
Below are further details about the Andes Virus superspreader events in Argentina (in 2018):

▪️ Transmission event: Birthday Party
5 guests infected
Symptom onset 17-24 days later

▪️ Transmission event: Funeral/Wake
10 guests infected
Symptom onset 14-40 days later Image
Read 48 tweets
Mar 22
MENINGITIS B TRANSMISSION

There’s been a lot of discussion online and in the media about how exactly Meningitis B spreads.

A lot of it is conflicting & confusing.

So let’s put opinions & hearsay aside and take a proper look at what the latest science actually tells us…

🧵 Image
The UK National Institute for Health & Care Excellence (NICE) states that bacterial meningitis and meningococcal disease is transmitted by the following 3 modes:

▪️ aerosol
▪️droplets
▪️direct contact

cks.nice.org.uk/topics/meningi…Image
The first of these modes of transmission, AEROSOL, has been the subject of heated debate.

Let’s look at why…

Notice the second line:

“Transmission usually requires either frequent or prolonged close contact.”

At first, this may seem contradictory with aerosol transmission… Image
Read 22 tweets
Mar 19
COVID INQUIRY: MODULE 3 REPORT

“Fundamental flaws in the UK’s approach to IPC [infection prevention & control] guidance, for example in relation to the use of PPE, put patients and healthcare workers at risk.”

— Baroness Hallett, Chair of the Covid Inquiry

Read more here… ⬇️
These are the words we were all hoping to hear:

“Initial guidance on preventing the spread of infection was flawed. It assumed the virus was spread by contact transmission, failing properly to consider the extent to which it was also spread by AIRBORNE transmission.” Image
But it wasn’t just the “initial guidance” that was flawed!

To this very day, the IPC guidance STILL does not reflect the latest science on AIRBORNE transmission.
Read 4 tweets
Mar 18
Last week, CATA released two explosive reports which revealed a scandal of monumental proportions.

Flawed decisions were made at the start of the Covid pandemic - and then covered up for years to come.

In this series of videos, @SafeDavid3 talks us through the key findings…
The CATA Executive team have worked tirelessly in their pursuit of the truth, forensically analysing over 17,000 Covid Inquiry documents & submitting countless FOI requests.

Concerningly, they discovered around 100 key emails which have not been disclosed to the Covid Inquiry…
Their report explores 7 separate occasions when the IPC Cell was challenged re: the adequacy of its guidance on respiratory protection for healthcare workers.

This included challenges from PHE/UKHSA, Chief Nursing Officers & even the CMO.

Each time, concerns were brushed aside.
Read 17 tweets

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