Dr. Anders Tegnell @ Annual meeting KI&Mayo

Thread with the most important findings.
My own favourites: 3, 9, 11, 18 (schools) 19 and 20.

1/x
"Experience Sweden vs. USA"
"Perhaps Covid will be surprising us also in the future"
"Sweden: 20% of population > 65 years"

2/x
Governing structure
"Agencies: Long history, 300-400 years"
"High sustained level of trust between public authorities and citizens"
"Legal framework gives a lot of responsibilty to the individuals"

3/x
Webbased reporting tool, Real-Time.

4/x
Short break.
Real-Time integrated & webbased. Wow.
My own opinion: That's cutting the edge.
Many other countries are still using fax machines
and results will be manually "transformed" into fancy spreadsheets. ...

5/x
Covid-19 in Sweden
"known cases (maybe 10-15%) only a small fraction of all cases"
"large proportion of death in nursing homes, very old, very multi-sick"
"peak late March/early April"
"currently less cases per capita than many other countries in Europe"

6/x
Daily new confirmed COVID-19 cases per million people

7/x
"Main factor nursing homes"
"Nursing homes not very well prepared, a lot of introductions"
"Need to improve quality in eldery homes"

8/x
"Test capacity problems at the beginning"
"End of March pos. rate almost 20% but only those
tested admitted to health care"
"Now 130.000 tests a week, down to only a few % positive"

9/x
"What data to look at? No good indicators:
1. Mortality as it depends on the structure of your population
2. Cases as it depends on test capacity and strategy
3. ICU admissions is a better indicator
ICU's in Sweden always had capacities (20% free)"

10/x
Watch out for @HaraldofW graphs to get the latest information https://twitter.com/HaraldofW/status/1306209517760385024

11/x
"incidence by age"
"at the beginning eldery very high proportion"
"since summer decrease for all age groups"

Two notes:
1. Decrease 0-19 even after the end of school holidays!!
2. Recommend Dr. Tegnell's interview regarding "flu impact 2019"

https://twitter.com/PishPishCat/status/1306505512305950722

12/x
"Mortality very age specific"
"Very old much higher level of mortality"
"Almost non existing for younger"

13/x
"Immunity - what does it mean for the spread"
"Spread very heterogeneous (even within Stockholm)"
"Superspreading events more critical than individuals"
"Latest randomised survey among 3000: zero positive!!"

14/x
Management of the pandemic
similar to other countries

15/x
Public Health Agency Sweden's
COVID-19 Response
"Ease concern and axienty"
"protecting risk groups >70 years of age"
"Closing down completly and opening up will not work"

16/x
"Concerned about other health issues will pop up"
"We did not close (primary) schools!"
"Bans of mass gatherings"
"Clear communication and recommendations"
"Basic hygenie, wash hands" (No Masks)

17/x
Health care services
"Number of ICU doubled (not all needed at the end, now closing down)"
"spread within the healh care limited"

Public response
"High level of compliance"
"Trust have been very high and still on a high level"

18/x
Primary schools
"Very important for child health, we kept them open"
"Same recommendations: stay home if you are sick"
"Strong support in society to keep schools open"
"Rationale has been that children are not driving the pandemic!"

19/x
Face Masks
"Different opinion then Dr. Fauci"
"Medical face masks essential in health care"
"Still considering recommendations (only?) in fall during local outbreaks at certain settings"

20/x
Swedish - key points
"At the moment we still don't know who did the right thin at the pandemic"
"Comparable with other countries"
EXCEPT
1. a lot of voluntary measures
2. primary schools & kindergarten open
3. no mandatory masks

Full video: