tern Profile picture
Dec 4, 2023 32 tweets 8 min read Read on X
A quick thread on the history of reported positive covid tests in England, and the relationship to PCR testing. Image
What's going on in that graph...
The left hand axis tracks the blue line, reported positive covid tests.
The right hand axis tracks the orange line, pcr tests.
The bottom axis tracks time, from left to right. Image
The lines are a 'rolling 7 day average', so the spreadsheet adds up the totals from each of the previous seven days, and averages them out, to smooth out the high peaks and troughs of individual days.
Here's what pcr tests looks like without the rolling average: Image
Let's just zoom in briefly on the early days: Image
The relationship back in the early days between the number of tests being done, and the number of positives being returned started pretty constant... Image
But when restrictions kicked in, cases dropped, and testing increased dramatically... Image
That previous graph runs up to the start of term in Autumn 2020.
Testing in orange, cases in blue.
That's when the rest of the kids went back to school, and covid went nuts... Image
So during the 2020/2021 winter, the pattern of testing and positives tracks very closely.
More tests, more positives, fewer tests, fewer positives. Image
That relationship is chicken and egg.
If more people are sick, you test more, if the capacity is there.
But also if you improve capacity and test more people, you'll discover more positives.
But do you see how closely those patterns are linked? Image
But there's also a difference in pick up of positives during different points.
Look at these two peaks and the trough in between. Image
At this point it's worth reminding that the scales on the two lines are different.
That's why we have two axes for the two sets of data. Image
Without the different scales, the graph looks like this and is far harder to read: Image
But the relationship between the peaks of testing and positives are different at different points.
In January 21 you're getting about 12% of tests positive, and July 21 you're getting about 8% of tests positive. Image
And then at New Year 2022, you're getting 25% of tests coming back positive, and a huge number of them. Image
But during that whole period, while you get ebbs and flows of cases and tests, the general rising tide is more and more tests and more and more confirmed cases until... Image
A change in approach.
From here on out there was a constant attempt to reduce testing and reduce coverage.
Minimisation was literally the policy from here on. Image
And, yes, there's chicken and egg here.
As that horrific wave finished, cases did drop.
But testing dropped harder.
See how testing exceeded the previous waves, but now cases exceed testing?
(again, bearing in mind that those scales are different) Image
But now we hit the part of the pandemic that the minimisers love to point at. "look, it's over" they say, "because there aren't so many people testing positive".
But there's been a consistent restriction on testing from that point. Image
As Trump put it, you don't test and it goes away.
I've just heard of yet another person admitted to hospital while sick with Covid (admitted for a heart attack while ill) and the hospital haven't tested them.
It's a deliberate policy.
If you don't test, it goes away.
But it's still worth zooming in on this part to get a deeper understanding of what is going on. Image
But before we do, do you see how the nature of the relationship has changed?
Earlier the peaks tracked exactly. Chicken and Egg.
But later, do you see how the peaks of cases remain, and yet the testing line is less connected? Image
That's because they reduced testing on admission and in response to any sudden illness, and they narrowed symptoms based testing to a very narrow definition...
And so the definition of both sets of lines is lost. Image
But as we hit April 2023 and progress further in to the year... do you see how testing does not respond or correlate in any way to the increase in positives? Image
Testing is not completely disconnected from illness, as I have seen repeatedly throughout this year as people have been admitted to hospital for problems caused by Covid. Image
Heart attacks, bronchitis, pneumonia, dizziness, dehydration, fever, weakness, falls, breakages from falls - all **during Covid infections** but none of them tested for Covid. Image
Honestly, I don't even know who they're doing these PCR tests on anymore.
So when you get a minimiser pointing to this information and saying that cases are low, they are lying to you.
When they say that admissions for Covid are low, they're lying to you.
Testing volume is low, and testing has been disconnected from illness and admission, that's all.

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More from @1goodtern

Aug 2
Ok.

This is a shit thread, and very depressing, so, yes, please, flick past it, or just block me.
I'm in my fourth decade of working with young kids. I've done it in different roles in different places, but I've done it steadily throughout that time.
Throughout that time I've interacted closely with different age groups within 0-10s.
Read 47 tweets
Jul 30
This one still concerns me.

There could be lots of possible explanations for it, but no one's providing them.

If you know what John Cunningham Virus does... then it would concern you too. Image
It could be down to:
Increased testing and monitoring in at-risk groups.
Increased usage of MS drugs like natalizumab and ocrelizumab.
Increased immunosuppression from broader therapies (e.g., for transplants or autoimmune diseases).
Improved lab detection and reporting standards.
Read 8 tweets
Jul 24
Young doctors in England are getting sicker - and fast.

For decades the levels of sickness absence of NHS Staff were stable, until Covid infections arrived.

Now, in all three of these groups, sickness absence rates have *more than doubled*.

And they're STILL CLIMBING. Image
I have no idea why young doctors are assenting to this.
Data from the monthly NHS Sickness Absence Reports here:
digital.nhs.uk/data-and-infor…
Read 14 tweets
Jul 15
Here's another one to look out for.

Someone this morning said, "it's another one with leg problems, there are so many with leg problems".

And there are. There really are.
There's a wave of people here with lower leg problems that all feel kind of similar.
Wounds not healing
Skin ulcers
Infections like cellulitis
Tissue death
Blood clots
Swelling and oedema
Varicose veins
Cold, numb, blue toes
Loss of strength
Loss of balance
Loss of feeling
Read 6 tweets
Jul 5
Ten things people mean when they say "no one could have predicted this".
1
Actual people did predict this, but we ignored them.
2
We didn't want to dent our profits by considering it might happen.
Read 57 tweets
Jun 28
There's a six month old in our community just been admitted to hospital because they've been affected badly by a covid infection.

I am concerned about the effect of Covid on this age group.
Covid infection does two things:
It causes short term health problems.
It causes long term health problems.
The main reason that covid infection isn't causing even worse short term health problems for *everyone* is vaccination and previous covid infections.
Read 12 tweets

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