Belgium are also seeing another big spike according to their Covid wastewater surveillance, albeit not as extreme (yet) as the waves being experienced in the Netherlands, Austria and Germany.
I think perhaps you’re starting to see the trend by now.
Another huge spike in the viral load of SARS-CoV-2 in the wastewater signal (purple line) which, in some areas, is the highest it’s EVER been since the start of the pandemic.
Since September, there has been a steady and sustained rise in the SARS-CoV-2 viral load in their wastewater surveillance, once again reaching levels that are as high, if not higher, than the previous record high.
@michael_hoerger has been keeping a close eye on the data and predicts that this has the potential to be the 2nd largest COVID surge of all-time in the U.S.
So that concludes our whistlestop tour of the Covid wastewater surveillance in Europe (& beyond).
Two key questions arise from my research:
1️⃣ Given that practically every developed nation in the world is conducting Covid wastewater surveillance, why did England stop theirs?
As explained in this briefing note for SAGE back in Nov 2020, “wastewater surveillance is a reliable, timely & cost-effective method” of keeping track of Covid prevalence in the community.
So why was the budget for wastewater monitoring axed in England?
2️⃣ My second question is, given the huge surges in Covid prevalence across Europe, when are our government going to take action to reduce transmission here?
The WHO, BMA & RCN have called for improved infection control in health facilities - this would be a good place to start.
Millions of Covid vaccine doses have been stockpiled for a potential “surge” campaign this Winter.
Perhaps now would be a good time to release those vaccine doses to protect people in the coming weeks, rather than just leaving them until they expire & need to be destroyed?
Perhaps the gov could also consider bringing back free Covid tests.
In the US 🇺🇸, free Covid tests can be ordered by all households and are sent out by mail:
Here in England 🏴, tests are no longer free for most people. A pack of 6 tests costs ~£10. axios.com/2023/09/20/cov…
Another thing on my wishlist would be for some decent public health messaging, advising people in England to wear high quality masks (FFP2/3) in public indoor spaces and crowded places…
…like this recent public health campaign from New York. 👇🏻
There will be a huge amount of inter-generational mixing taking place over the next few days, so a public health message reminding people of the importance of VENTILATION could also make a huge difference right now.
Perhaps they could even re-release this video from 2 years ago?
Schools have broken up for the Christmas holidays now - but, by the time they return in a few weeks, Covid prevalence will be almost certainly be far higher.
We desperately need mitigation measures to reduce transmission - especially via improved ventilation & air filtration.
“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?”
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”…
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…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.
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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.
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 ⬇️
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.”
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.
@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 ⬇️
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?
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If you haven’t figured it out yet, here’s a little clue… 🔎
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Still not worked it out?
Here’s another clue from Jim Reed, the BBC’s health reporter…