Ok, bad news first.

Bad news: our recent rise in cases is concerning. Very concerning.

Not-as-bad news (hint, this is a thread): in terms of spread within the community (i.e. not from institutional outbreaks like hospitals or LTC homes), most of our recent cases are (1/9)
coming from private gatherings (parties and get-togethers) & close contacts of confirmed cases. This tells us that our cases are manageable if we can all agree to get on the same page.

Our actions matter. And changes now will be reflected in our case count in 2-3 weeks. (2/9)
First, gatherings. If the gathering is indoors & isn't exclusively attended by your social circle, then you need to wear a mask & keep your 2m distance (consider not going if you feel your risk is too high). For outdoors, if you can't keep your min 2m distance, wear a mask. (3/9)
Keeping your gatherings exclusive to your social circle is VITAL. So is keeping your circle exclusive...hint: this is a segue.

Limiting day-to-day close contacts (hugs, kisses, prolonged intimate exposure) is key. Each person you have close contact with is another possible (4/9)
person you may inadvertently infect. It has an exponential impact on cases. 5 cases w/5 close contacts each vs 5 cases w/1 close contact could be the difference between reporting 25 new cases vs only 10. Now think about private gatherings w/30 people in attendance…get it? (5/9)
We're not trying to shame anyone, far from it! We just need you to see that making small changes in your day-to-day life can have large impacts. Each and every one of us has the ability to change how this goes.

Now, we know you're frustrated. You've got every right to be. (6/9)
Testing capacity has been a challenge. We've seen your tweets & we hear you. Our hospital partners are leading the charge to increase testing capacity, and we need to make sure the people who need to be tested have access to testing. Note: though anyone can get tested, (7/9)
not everyone needs to get tested. If you have no COVID-like symptoms, have not been instructed by public health to get tested, or have not been a close contact to someone who has tested positive...then you don’t need a test.

We also know that communication w/parents is a (8/9)
work in progress (re: school exposures). We're working together & we're learning together.

We're all tired, but we aren't powerless. Small changes now will have large impacts on our cases in 2, 3, 4 weeks.

And remember: this is our community, not COVID's.

-OPH out. (9/9)

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More from @ottawahealth

31 Aug
Tomorrow is September. Let that sink in. Then read this thread.

It's been 6+ months since COVID-19 arrived. In that time, we've learned a lot...but there's still much that we don't know. And with back-to-school, we understand how nervous many of you are. Who wouldn't be? (1/8)
Many of us at OPH have children & COVID has often reminded us of becoming a new parent/caretaker: you're discovering new things daily & you usually have to make important decisions based on the info available to you at the time. You often wish you had more info than what's (2/8)
available, but you accept that this is a learning process. Well, ditto for us. This is a new virus & we've been doing our best to make the best decisions we can based on constantly & rapidly evolving information. We know things have changed a lot and we understand if that's (3/8)
Read 8 tweets
27 Jul
Ottawa, can we talk about these rising case #'s?

Yes, there is cause for concern. If we don't get a handle on this, it could undermine all the work we’ve done. But while we're seeing new cases, the solution to the issue isn't new. In fact, it's a solution we all know. (1/5)
COVID-19 hasn't gone anywhere. The virus is still here, and if we're gonna get these case #'s back down, we need to keep doing the things that we know work: frequent hand-washing, practicing physical distancing, wearing masks and staying home when sick. (2/5)
Learning to live with the virus won't be easy. None of us are perfect. We MUST be #COVIDwise & be mindful of our risks when choosing activities. The rise in cases shows us that our actions affect case #'s. When we take our eyes off the ball, cases rise. It's that simple. (3/5)
Read 5 tweets
24 Jul
Well Ottawa, you asked us to write this, and here you go....

Novel Coronavirus: a cautionary tale - youth fiction edition (1/8)
As the week has progressed, we have seen case counts #CatchingFire. We wanted to let you know, as this is #Divergent from what we would like to see, and is hopefully just a #WrinkleInTime (2/8)
We know you all must be feeling like a #MazeRunner with all the twists and turns of new stages and phases, #NewMoon after moon. So, we wanted to address some #Holes you may be seeing. Let this thread be your #GoldenCompass to learn more about stopping COVID in its tracks (3/8)
Read 8 tweets
21 Jul
#Novel coronavirus- a cautionary tale: the thread  

Heavens to Dickens, look at that data! You may have noticed a bit of Twist, Oliver. As we opened a new chapter into stage 3 with hope, the COVID case counts have been fast and furious the past few days. (1/5)
So, what can explain this #TaleOfTwoCities?   Not to be a #MobyDick, it seems that during stage 2, not everyone had their #SenseAndSensibility. Many of the recent cases can be traced back to gatherings and parties during stage 2. (2/5)
As we step forward in this #BraveNewWorld of stage 3, we must keep up the good work that has allowed us to get here. Try to limit your contacts, especially for indoor gatherings. Stick to your exclusive circle of 10 or less people. (3/5)
Read 5 tweets
16 Jul
OTTAWA, STAGE 3, & YOU: a thread

Tomorrow, Ottawa begins Stage 3. While this is certainly cause for celebration, it brings with it a heightened need to be mindful of our actions. COVID-19 is still here, and we must continue working to reduce transmission in our community (1/6)
As we've seen happen elsewhere, ignoring the need to be vigilant can quickly lead to a resurgence of cases. Before choosing to take part in activities, ask yourself "What is my level of risk with this activity? Can I do this safely? Is there a safer alternative?" (2/6)
We must all be mindful of levels of risk when out in the community. Going to the gym? Wear a mask & only take it off for strenuous activity. Burpees = no mask. Taking selfies for Insta = mask. Capiche? Sitting in a pub? If you're not eating or drinking, wear a mask and (3/6)
Read 6 tweets
3 Jul

Public Health is about following evidence, so when we call for change, that change is the result of what our evidence is telling us. Lately evidence has been coming at great speed & volume. We've been doing our best to keep you informed (1/7)
but some of you may feel like in March & April we said masks weren't needed, then in May & June said masks were needed, & now we're saying they’ll soon be mandatory. We know this may have seemed confusing, and we're sorry about that. However, each shift was evidence-based, (2/7)
before we knew about asymptomatic transmission, there was no need for you to wear a mask unless you were sick. Then evidence emerged to support its existence. We needed to react quickly, so we asked you to wear masks when distancing was difficult to protect those around you (3/7)
Read 7 tweets

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