covid query

Summary

The requester asked Manx Care for weekly COVID-19 admission data, total hospital admissions for 2019-2020, missing annexes regarding medication, and details on Ivermectin and Remdesivir usage. Manx Care provided the requested statistical data, confirmed the missing annexes were posted online, and stated that Ivermectin is not used for COVID-19 treatment.

Key Facts

• Manx Care provided a weekly breakdown of COVID-19 admissions from March 2020 to October 2021.
• Total hospital admissions for any reason were provided monthly from March 2019 to February 2020.
• Missing annexes for midazolam and morphine from a previous request were confirmed as now available online.
• Manx Care explicitly stated they do not use Ivermectin for COVID-19 treatment or trials.
• The response regarding COVID-19 treatment protocols and Remdesivir usage appears to be cut off in the provided text.

Data Disclosed

• Weekly COVID admissions ranging from 0 to 21
• Total admissions in Mar 2019: 1773
• Total admissions in Oct 2019: 1956
• Total admissions in Feb 2020: 1639
• Date of request: 2021-10-08
• Date of response: 2021-11-04
• PCR threshold cycle 40

Original Request

1. As per FOI request 1863957 please could you issue an update to numbers for Q3, weekly breakdown of number of covid19 or sars covid 2 admissions to hospital from March 2020 to now October 8th 2021? 2. Continuing from Q1 above, please also provide the total hospital admissions as a monthly figure for any reason, for March 2019 to December 2019, and Jan2020 - Feb 2020. 3. The annexes to FOI request 1950073 Q1 are missing online, please post them online for midazolam and morphine, annex a and b. 4. Is Ivermectin being used at Nobles hospital or anywhere as part of a trial or treatment? If so, please provide the results of that trial and details. 5. What was the covid treatment protocol for covid care at Nobles Hospital? Is remdesivir used as part of the treatment? Has the protocol changed since the beginning of covid? This question was asked in FOI request as Q2 1950073, however the link given did not provide the information, neither did 111 and it does not seem to be readily visible anywhere, or reasonably accessible. Please reconsider proving these details. CDC has theirs visible on their website. Thank you 6. As stated on 1863957, the PCR threshold remains at cycle 40. Has that changed since June 2021?

Data Tables (3)

Full Response Text

1 Weekly breakdown of number of covid19 or sars covid 2 admissions to hospital from March 2020 to now October 8th 2021? Week ending Number of COVID admissions Week ending Number of COVID admissions 29.03.2020 5 03.01.2021 1 05.04.2020 13 10.01.2021 0 12.04.2020 11 17.01.2021 1 19.04.2020 8 24.01.2021 0 26.04.2020 1 31.01.2021 0 03.05.2020 2 07.02.2021 0 10.05.2020 2 14.02.2021 0 17.05.2020 1 21.02.2021 0 24.05.2020 0 28.02.2021 0 31.05.2020 0 07.03.2021 4 07.06.2020 0 14.03.2021 8 14.06.2020 0 21.03.2021 7 21.06.2020 0 28.03.2021 4 28.06.2020 0 04.04.2021 0 05.07.2020 0 11.04.2021 0 12.07.2020 0 18.04.2021 0 19.07.2020 0 25.04.2021 2 26.07.2020 0 02.05.2021 0 02.08.2020 0 09.05.2021 0 09.08.2020 0 16.05.2021 0 16.08.2020 0 23.05.2021 0 23.08.2020 0 30.05.2021 0 30.08.2020 0 06.06.2021 0 06.09.2020 0 13.06.2021 0 13.09.2020 0 20.06.2021 1 20.09.2020 0 27.06.2021 0 27.09.2020 0 04.07.2021 0 04.10.2020 0 11.07.2021 0 11.10.2020 0 18.07.2021 2 18.10.2020 0 25.07.2021 6 25.10.2020 0 01.08.2021 21 01.11.2020 1 08.08.2021 10 08.11.2020 1 15.08.2021 12 15.11.2020 1 22.08.2021 11 22.11.2020 0 29.08.2021 11 29.11.2020 0 05.09.2021 5 06.12.2020 0 12.09.2021 7 13.12.2020 0 19.09.2021 3 20.12.2020 1 26.09.2021 6 27.12.2020 1 03.10.2021 7 10.10.2021 5 2020 2021 2 Please also provide the total hospital admissions as a monthly figure for any reason, for March 2019 to December 2019, and Jan2020 - Feb 2020. Month Number of admissions Mar 2019 1773 Apr 2019 1794 May 2019 1840 Jun 2019 1710 Jul 2019 1923 Aug 2019 1847 Sep 2019 1892 Oct 2019 1956 Nov 2019 1815 Dec 2019 1726 Jan 2020 1714 Feb 2020 1639

Manx Care Noble’s Hospital, Strang Braddan, Isle of Man IM4 4R (01624) 650 000

Our ref: 2030381 4th November 2021

Dear ###

We write further to your request which was received on 8th October 2021 and which states:

"1. As per FOI request 1863957 please could you issue an update to numbers for Q3, weekly breakdown of number of covid19 or sars covid 2 admissions to hospital from March 2020 to now October 8th 2021? 2. Continuing from Q1 above, please also provide the total hospital admissions as a monthly figure for any reason, for March 2019 to December 2019, and Jan2020 - Feb 2020. 3. The annexes to FOI request 1950073 Q1 are missing online, please post them online for midazolam and morphine, annex a and b. 4. Is Ivermectin being used at Nobles hospital or anywhere as part of a trial or treatment? If so, please provide the results of that trial and details. 5. What was the covid treatment protocol for covid care at Nobles Hospital? Is remdesivir used as part of the treatment? Has the protocol changed since the beginning of covid? This question was asked in FOI request as Q2 1950073, however the link given did not provide the information, neither did 111 and it does not seem to be readily visible anywhere, or reasonably accessible. Please reconsider proving these details. CDC has theirs visible on their website. Thank you 6. As stated on 1863957, the PCR threshold remains at cycle 40. Has that changed since June 2021?"

Our Response 1. As per FOI request 1863957 please could you issue an update to numbers for Q3, weekly
breakdown of number of covid19 or sars covid 2 admissions to hospital from March 2020 to now October 8th 2021? Please see Appendix 1 2. Continuing from Q1 above, please also provide the total hospital admissions as a monthly figure for any reason, for March 2019 to December 2019, and Jan2020 - Feb 2020. Please see Appendix 1 3. The annexes to FOI request 1950073 Q1 are missing online, please post them online for midazolam and morphine, annex a and b. Our apologies for the error, these are now available.

4. Is Ivermectin being used at Nobles hospital or anywhere as part of a trial or treatment? If so, please provide the results of that trial and details. No, we do not use Ivermectin for covid 5. What was the covid treatment protocol for covid care at Nobles Hospital? Is remdesivir used as part of the treatment? Has the protocol changed since the beginning of covid? This question was asked in FOI request as Q2 1950073, however the link given did not provide the information, neither did 111 and it does not seem to be readily visible anywhere, or reasonably accessible. Please reconsider proving these details. CDC has theirs visible on their website. Thank you a) Treatment for Covid 19 infection: For hospitalised patients with moderate to severe Covid defined by a requirement for oxygen supplementation when oxygen saturation is less than 92% as measured by a pulse Oximeter: i) Intravenous or oral Dexamethasone for 7-10 days ii) IV Remdesivir for 5 days iii) Low Molecular weight heparin (clexane) subcutaneous injections dependent on weight iv) IV Tocilizumab – severely ill patients with C-reactive protein (CRP) of 75 or over The protocol for each of these treatments was agreed by the Clinical Advisory Group and circulated to the Medical team.
b) The treatment protocol has changed since the first outbreak on the Isle of Man. The treatment options outlined in (a) were defined after a period of global research, in particular the RECOVERY trial, and only became available when consensus was achieved in late 2020 6. As stated on 1863957, the PCR threshold remains at cycle 40. Has that changed since June 2021? No, this remains unchanged at 40. Please quote the reference number 2030381 in any future communications.

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