Wanted to build on this media piece with some background and concrete steps that we can take to start protecting the most vulnerable communities in our big cities. Thread:
Many of us in health care are very appreciative of all the things @fordnation has done to keep us safe. Unlike the US very few health care workers have gotten sick, and hopefully will stay that way. He listened to us at @conquercovid19 in March and got things done.
To his credit, Ford is also one of the only premiers who has kept pushing for rapid tests, the rapid PCR and rapid antigen tests, and his constant pressure at the federal level, I think was instrumental in them getting approved this week. cbc.ca/news/politics/…
Why I think he's getting bad advice: he and his senior advisors were unaware of some of the shocking numbers from parts of the city. That much was obvious at the press conference. Somehow information is not traveling up to where it counts.
@epdevilla in Toronto and @VeraEtches in Ottawa are trying to slow things down, but it's not translating to higher ups. He needs to get better advice and better advisors quickly. No shame in that. Sometimes peacetime generals are unsuited for war. Things he could do now:
1) Make the new EI sickness benefit seamless - work with the feds and local authorities so that workers who get sick need not fear losing their livelihoods, and can safely isolate from their coworkers. Isolation facilities could be used so they don't infect their families.
2) Make transit safer - The Finch bus line in Toronto is one of the busiest bus lines in the city. It is packed full of commuters all day. Add more buses; the mask mandate needs to be enforced. Long term some kind of rapid transit needs to come to the area.
3) Make testing easier and more local; Public health is overwhelmed; local hospitals are willing to help set up popup testing, satellite sites. They have the facilities, the personnel, and the willingness. They want to keep their communities healthy and not get overwhelmed.
4) Consider targeted closures, as NYC is doing in parts of Brooklyn and Queens. Nobody is calling for March-style lockdowns, but focus on areas and activities that can be closed temporarily until numbers settle down.
bizjournals.com/newyork/news/2…
5) Make workplaces safe. Many in NW Toronto work in high density workplaces and workplace regulations are all over the place. The province put in place a partial mask requirement a week ago, and we also need to pay attention to ventilation as well.
6) More data transparency - we shouldn't have to rely on leaks to know what's happening locally. I'm happy to see that this data will be available going forward. Every city in Canada should do the same. We can catch problems & inequities far earlier
Thanks for reading!

A plug for our group #masks4canada, we are tracking school outbreaks and cases throughout Canada on our website: masks4canada.org
Good to see the Globe joining the fight to change up the pandemic advisory team at the top:

theglobeandmail.com/opinion/editor…

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More from @KashPrime

27 Aug
We've been compiling info on school reopening plans across the country. No clear winner yet, but Nova Scotia seems the best, Quebec the worst

We're going to keep updating this as more info comes in, and you can check here

masks4canada.org/safeseptember/…

#masks4canada #SafeSeptember
School reopening depends on all of these important factors being optimized
1) Masks for children of all ages can be difficult to accept, but evidence is increasing on their effectiveness. @ChildLifeMorgan goes over some basics on how to prepare your kids for school
Read 12 tweets
19 Aug
It’s clear not enough is being done to ensure a safe return to schools. Covid-19 numbers are low but rising, and what progress we’ve made will be lost if we mishandle this crucial transition. We at #Masks4Canada we are recommending an approach with the following points
1) Masks K-12: There is increasing evidence that kids spread Covid with gusto. This is a big but necessary cultural change, but it has to be done. Start preparing your kids to wear them, make it fun, make it a game.

Some resources:
masks4canada.org/resources/for-…
2) HVAC - a crucial and overlooked step. modern hospitals can exchange air rapidly, many older schools don't. Schools need to be tested. Windows must be opened, HEPA filters installed in rooms or added to central HVAC systems. Avoid any enclosed spaces with stagnant air
Read 10 tweets
31 Jul
We need to implement cheap, rapid, paper-based Covid testing before schools start.

The technology is there, but approvals and implementation needs to be moved into high gear so it can be ready in time.

This would essentially solve the return to school problem
Current testing uses RT-PCR, which will pick up the tiniest levels of virus, are expensive, slow and may be too sensitive - they will pick up cases where you are not transmitting virus yet, or long after you’ve recovered and aren’t infectious.
Rapid tests are quick and dirty, they will accurately pick up if you are infectious, and have high viral loads in your body, they take 10 minutes instead of 2-9 days for PCR, and are cheap, $1-$5 vs $150 for PCR. You could screen every student at every school every day.
Read 6 tweets
31 May
Given tragic events in Minneapolis, let’s examine some of the underlying systems that have allowed police in the US to become so reviled and feared, and important differences that have been protective in Canada...
#riots2020 #GeorgeFloydProtests
1/
I have a bit of a (minor) personal history... some years ago, I was late paying a fine for a minor traffic violation in suburban Chicago... I got slapped with an arrest warrant, had to spend $1000 and six months of wrangling (as a student) to beat it.
2/
My real crime, I found out later, was driving in a white county with dark skin, and the system was designed, as a Justice department commission found in Ferguson, to victimize minorities, limit their movement, and serve as a revenue extraction machine
nytimes.com/2019/01/08/mag…
3/
Read 15 tweets
24 May
We know #ContactTracing and #testing testing will be a core part of our #COVID19 pandemic response, which could involve contact tracing apps. Implementation everywhere has been a mess and unlikely to get better soon, and I’ll explain why here.
1/
By luck I am uniquely qualified to write about this; I have both a medical and software background and am part of a team trying to solve the issue. I’ve also been toiling away at my own startup @thenewsraven, a news and social feed aggregator which will be out in beta soon
2/
Contact tracing itself in its modern form, dates back to Dr. John Snow (not the Targaryen) and tracking down sources of cholera in 19th century London. Using similar means, a team was able to track spread among infected guests at a restaurant in China

3/
Read 25 tweets
17 May
Workplaces across North America are opening up, I have serious concerns that by not requiring masks in indoor workplaces we are going to see a huge resurgence in a few weeks and another shutdown.
#onpoli #Covid_19 #coronavirus
1/
I've had patients who work in essential industries complain that their colleagues and foremen would get into their faces and ignore social distancing rules. This means messaging is either non-existent or not translating to the front-lines.
2/
Some large companies are taking the initiative and have excellent policies.
Smaller firms, those likely to employ low-wage part-time workers, the kind who are less likely to speak out, will not be so careful.
This 'soft-underbelly' of the economy is just ripe for disease spread
Read 13 tweets

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