1/6
This trajectory is worrisome.
Brief https://abs.twimg.com/emoji/v2/... draggable="false" alt="🧵" title="Thread" aria-label="Emoji: Thread"> from my perspective as to why: https://twitter.com/jkwan_md/status/1380522746652848135">https://twitter.com/jkwan_md/...

2/6
https://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Pfeil nach oben" aria-label="Emoji: Pfeil nach oben"> presence of VOC
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer">B.1.1.7 lineage being increasingly detected. This variant has been linked to higher transmissibility.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer">Cases of P.1. & B.135 also being detected.

Info on SARS-CoV-2 B.1.1.7 Lineage ... https://www.cdc.gov/mmwr/volumes/70/wr/mm7003e2.htm">https://www.cdc.gov/mmwr/volu... via @CDCgov

3/6
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer"> 6.3% +ve rate with total number of new cases/day almost as high as peak of second wave with possibility that peak of this wave will surpass last.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer"> Currently circulating variants could bring more severe illness in younger populations. https://www.cbc.ca/news/canada/toronto/ontario-covid-third-wave-younger-patients-1.5955838">https://www.cbc.ca/news/cana...

4/6
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer"> Less than 20% of Ontario& #39;s total population has received a #COVID19Vaccine

https://www.publichealthontario.ca/-/media/documents/ncov/epi/covid-19-vaccine-uptake-ontario-epi-summary.pdf?la=en">https://www.publichealthontario.ca/-/media/d...

5/6
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer"> Order issued to increase hospital capacity
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer"> Question is who will staff these beds? Where will personnel power come from?

Ontario issues emergency orders to bolster hospital capacity as cases soar https://toronto.ctvnews.ca/ontario-issues-emergency-orders-to-bolster-hospital-capacity-as-cases-soar-1.5381845">https://toronto.ctvnews.ca/ontario-i... via @CTVToronto

6/6
With spread of #COVID19 there is often a time after maximal +ve cases that the curve will still rise due to transmission & lag of sx/testing. Will Easter be the peak? Does that mean we have weeks lefthttps://abs.twimg.com/emoji/v2/... draggable="false" alt="⬆️" title="Pfeil nach oben" aria-label="Emoji: Pfeil nach oben"> cases? This emergency order, will it align with best possible care?

7/n
Just adding a bit more of my thoughts to this thread:

Today @jkwan_md& #39;s thread showed:
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer">10.3% positivity rate & about 30% of those hospitalized are in ICU.
https://abs.twimg.com/emoji/v2/... draggable="false" alt="📎" title="Büroklammer" aria-label="Emoji: Büroklammer">We& #39;ve now seen mortality in younger age groups & increased prevalence of VOC. https://twitter.com/jkwan_md/status/1381974714629947398?s=20">https://twitter.com/jkwan_md/...