Ireland and transatlantic differences

Ireland

Colm Henry, Chief Clinical Officer, Health Service Executive

Treat others as if they had the virus

Increasing exponentially

We know the virus is out of control

Chief Medical Officer Dr Tony Holohan

Unfortunately, we expect this to get worse before it gets better.

Our health system will not continue to cope with this level of impact

We have also seen a significant increase in positive laboratory tests in recent days reflecting a true increase in the incidence of the disease

Non-essential shops closed

Travel limit, 5km

Restrictions on household gatherings

Schools staying closed.

New variant

16 cases diagnosed

Proportion, 24.9%

ICU beds

Estimates vary from 230 up to 350

Flights between the UK and Ireland resumed

UK

Cases, 54,990 + 58,784 + 60,916 = 2,774,479

Hospitalised, + 2,434 + 3,075 = 23,857 (ventilated, 1,847)

Previous peak, 12 April = 21,683

Deaths, + 830 = 76,305

Deaths, + 3,270 = 82,624

ONS, 12 to 18 December 2020

England, 645,800, 1 in 85

Wales, 1 in 60

Scotland, 1 in 140 people

Last week, 1 in 4 deaths involved COVID-19

United States

CDC trends

https:/covid.cdc.gov/covid-data-tracker/#trends_dailytrendscases

Cases, + 214,378 = 20,825,758

Up 7.8% in 7 days

Hospitalizations, 131,195 (23,509) (7,976)

Deaths, 348,286

Los Angeles county is running out of oxygen

Army Corps of Engineers has also been called in

Ambulance crews instructed to use oxygen only for their worst-case patients

Not to bring patients to the hospital if they have little hope of survival

Several Los Angeles hospitals have turned away ambulances

Arizona, highest rate of coronavirus hospitalizations

Atlanta area, nearly every major hospital is almost full

Field hospitals reopening

South and West

Arizona, Nevada, Alabama, California, Georgia, Tennessee, Oklahoma, Mississippi, Texas, Delaware

Deadly results of holiday gatherings yet to arrive

Saskia Popescu, epidemiologist, George Mason University

And all signs point to things getting a whole lot worse before they get better

Infection points

Infections picked up at Christmas were contagious by New Year

US, New variant B.1.1.7

Colorado,

California, San Diego County 32 cases

Florida

New York

Georgia

Vaccine administration protocols

FDA Statement on Following the Authorized Dosing Schedules for COVID-19 Vaccines

Without appropriate data supporting such changes in vaccine administration, we run a significant risk of placing public health at risk,

Pfizer-BioNTech COVID-19 vaccine, 21 days

Moderna COVID-19 vaccine, 28 days

Statement from the UK Chief Medical Officers on the prioritisation of first doses of COVID-19 vaccines

Medicines and Healthcare products Regulatory Agency (MHRA)

Oxford AZ, 2 doses 4 to 12 weeks apart

Pfizer, 2 doses 3 to 12 weeks apart

The Joint Committee on Vaccination and Immunisation (JCVI)

will protect the greatest number of at risk people overall

in the shortest possible time

and will have the greatest impact on reducing mortality,

severe disease

and hospitalisations

and in protecting the NHS and equivalent health services.

second doses of both vaccines will be administered towards the end of the recommended vaccine dosing schedule of 12 weeks

Vaccine trackers

United States from CDC

United States and Global

Canada

Italy