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. πŸ€·πŸ»β€β™€οΈ 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).

πŸ‘‡πŸ» 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.

β€œ1 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 πŸ‘‡πŸ»

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 β€œflawed 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.
οΏΌ
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 πŸ‘‡πŸ»



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@kallmemeg Actually, I should say trends are still β€œreliable”, rather than β€œgood”…

…because the trends actually don’t look too β€œgood” 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. πŸ‘‡πŸ»

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.

β€’ β€’ β€’

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More from @_CatintheHat

Sep 29
If you’re wondering why so many people are sick right now, here’s your answerπŸ‘‡πŸ»

People infected with Covid exhale high amounts of virus during the first 8 days after symptoms start, as high as 1,000 copies per minute - even those with only mild symptoms.

news.northwestern.edu/stories/2023/0…
This is why schools have such high levels of sickness absences right now.

Some are even having to partially close their doors to pupils since so many teachers are off sick…
This is why over 160 flights had to be cancelled from Gatwick airport this week after Covid spread like wildfire amongst air traffic controllers, leading to major staff shortages.

standard.co.uk/news/london/ga…
Image
Read 7 tweets
Sep 28
ILLNESS IN SCHOOLS, a thread 🧡

And so it begins…

17 members of staff are off sick with Covid at Uppingham Community College and they’ve been forced to partially close their doors to pupils.

bbc.co.uk/news/uk-englan…
Image
It’s not just that one school…

I’ve seen numerous reports of schools β€œcreaking” under pressure because so many teachers are off sick with mysterious β€œflu-like” symptoms.
By the way, the government’s β€˜National Influenza & COVID-19 surveillance report’ shows that there is basically *no* flu around at the moment… but there’s an awful lot of Covid.

The test positivity rate for Covid is currently around 16%, the highest it’s been for over a year. Image
Read 26 tweets
Sep 16
The UK government recently published their 2023 edition of the National Risk Register (NRR).

This document is a summary of the most serious risks facing our country.

The risks identified are then grouped into 9 core risk themes.

Can you guess what the #1 top risk is?

🧡 Image
So here’s the Risk Matrix for the UK. It plots the likelihood vs impact for each key risk.

There’s one that stands out from the crowd…

Number 54.

Its impact is great enough to be considered β€˜catastrophic’ & its likelihood is considerably higher than other catastrophic risks. Image
Here’s the key πŸ‘‡πŸ»

Let’s see how long it takes you to find that β€˜riskiest of all risks’, number 54. Image
Read 17 tweets
Sep 10
SCHOOL ATTENDANCE 🧡

Are you a headteacher losing sleep over how to improve your pupil attendance rates?

If so, THIS πŸ‘‡πŸ» is the most important chart you need to see.

This chart holds the answer to your problem.

And, even better, it’s a fixable problem.

Read on… 🧡 Image
Pupil absences due to illness alone have increased from a pre-pandemic average of 2.6% up to 3.9%.

That’s a 50% rise!

The pandemic has been going on so long, it seems we’ve forgotten what it was like before.

Children never used to be off school sick nearly as much as this. Image
Now let’s look specifically at this time last year: last Autumn term 2022/23.

This is when our kids were hit hardest.

By the end of that term, absences purely due to illness were even higher than they’d been the year before when the first Omicron wave had just hit full force. Image
Read 31 tweets
Sep 9
𝙐𝙆 π™ƒπ™Žπ˜Ό: β€œπ™‹π™§π™€π™©π™šπ™˜π™©π™žπ™£π™œ π™₯π™šπ™€π™₯π™‘π™š 𝙛𝙧𝙀𝙒 π˜Ύπ™€π™«π™žπ™™ π™§π™šπ™’π™–π™žπ™£π™¨ π™€π™£π™š 𝙀𝙛 𝙀π™ͺ𝙧 π™π™žπ™œπ™π™šπ™¨π™© π™₯π™§π™žπ™€π™§π™žπ™©π™žπ™šπ™¨!”

In this thread, I’ll share the Top 5 things that @UKHSA are doing to prioritise protecting us from Covid-19…

🧡
1/

β€œπ™‹π™§π™€π™©π™šπ™˜π™©π™žπ™£π™œ π™₯π™šπ™€π™₯π™‘π™š 𝙛𝙧𝙀𝙒 π˜Ύπ™€π™«π™žπ™™ π™§π™šπ™’π™–π™žπ™£π™¨ π™€π™£π™š 𝙀𝙛 𝙀π™ͺ𝙧 π™π™žπ™œπ™π™šπ™¨π™© π™₯π™§π™žπ™€π™§π™žπ™©π™žπ™šπ™¨β€¦β€

…so we’ve removed all masking, self-isolation & routine Covid testing mandates for both staff & patients in hospitals.
2/

β€œπ™‹π™§π™€π™©π™šπ™˜π™©π™žπ™£π™œ π™₯π™šπ™€π™₯π™‘π™š 𝙛𝙧𝙀𝙒 π˜Ύπ™€π™«π™žπ™™ π™§π™šπ™’π™–π™žπ™£π™¨ π™€π™£π™š 𝙀𝙛 𝙀π™ͺ𝙧 π™π™žπ™œπ™π™šπ™¨π™© π™₯π™§π™žπ™€π™§π™žπ™©π™žπ™šπ™¨β€¦β€

…so we’re encouraging children with symptoms of Covid to come to school anyway and spread it to all of their classmates & teachers.
Read 6 tweets
Sep 8
β€œπ™‹π™§π™€π™©π™šπ™˜π™©π™žπ™£π™œ π™₯π™šπ™€π™₯π™‘π™š 𝙛𝙧𝙀𝙒 π˜Ύπ™€π™«π™žπ™™ π™§π™šπ™’π™–π™žπ™£π™¨ π™€π™£π™š 𝙀𝙛 𝙀π™ͺ𝙧 π™π™žπ™œπ™π™šπ™¨π™© π™₯π™§π™žπ™€π™§π™žπ™©π™žπ™šπ™¨!”

In this thread, I’ll unpack all the wonderful things that @UKHSA are doing to prioritise protecting us from Covid-19…

🧡


β€œπ™‹π™§π™€π™©π™šπ™˜π™©π™žπ™£π™œ π™₯π™šπ™€π™₯π™‘π™š 𝙛𝙧𝙀𝙒 π˜Ύπ™€π™«π™žπ™™ π™§π™šπ™’π™–π™žπ™£π™¨ π™€π™£π™š 𝙀𝙛 𝙀π™ͺ𝙧 π™π™žπ™œπ™π™šπ™¨π™© π™₯π™§π™žπ™€π™§π™žπ™©π™žπ™šπ™¨!”

…so we’ve removed all masking, self-isolation & Covid testing mandates in hospitals.

πŸ‘‡πŸ»
β€œπ™‹π™§π™€π™©π™šπ™˜π™©π™žπ™£π™œ π™₯π™šπ™€π™₯π™‘π™š 𝙛𝙧𝙀𝙒 π˜Ύπ™€π™«π™žπ™™ π™§π™šπ™’π™–π™žπ™£π™¨ π™€π™£π™š 𝙀𝙛 𝙀π™ͺ𝙧 π™π™žπ™œπ™π™šπ™¨π™© π™₯π™§π™žπ™€π™§π™žπ™©π™žπ™šπ™¨!”

…so we’re encouraging children with symptoms of Covid to come to school anyway and spread it to all of their classmates & teachers.

πŸ‘‡πŸ»
Read 6 tweets

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