PIE CHARTS, OUTBREAKS & FRUSTRATION: A THREAD

Yesterday, the province presented data about sources of COVID-19 outbreaks in Ottawa. That data, notably the pie charts, caused some confusion and we understand your frustrations.

Perhaps we can clear things up a smidgen? (1/11)
In a pandemic, it's even more vital that you get clear, concise info to help you understand the “why” behind the guidance that is being provided. Many of you are currently frustrated & know that we understand. Sometimes the data can be overwhelming, and we'd like to help. (2/11)
Important note: outbreaks are part of the picture, but not all. Of our nearly 7000 lab-confirmed cases of COVID to date (the real number is much higher as not everyone gets tested), just over 2150 came from confirmed outbreaks (a little over 30%).

But what are outbreaks? (3/11)
An outbreak is declared when our investigation work identifies links between cases within a specific setting, and each setting has different criteria. Hospitals require 2 cases to declare an outbreak. For LTC homes, due to the higher risk to the residents, only 1 case is (4/11)
needed to declare an outbreak. Schools/childcare require 2 cases & class lists help our contact tracing work making it easier to identify cases/transmission. Community outbreaks (bars/restos, gyms, etc.) require 2 cases & the data usually relies on clients recalling their (5/11)
exposure times & contacts. Basically, the parameters for declaring outbreaks are different & some are easier to define and identify.

So now, back to yesterday's provincial data: it showed that 2% of outbreaks came from resto/bars & 5% from gyms. Yes, a relatively low %. (6/11)
Now consider this: of cases among 20-49 yr-olds (non-healthcare workers & no household contact), 92% of them did NOT come from an outbreak. Ninety-two percent.

Just because an outbreak was not declared in a specific setting does not mean transmission did not occur there. (7/11)
The simple fact is: looking at outbreaks alone is not an accurate way to portray what we know about the situation in our community.

Here's what we do know: over the past few weeks, newly reported cases per day are stabilizing, as are school outbreaks & hospitalizations. (8/11)
We've seen the first evidence of decrease in the rise of cases of 20-29 yr-olds (very encouraging!). We're seeing what we've seen before: our actions matter.

This month was hard, but we're almost there. If we can keep this up, November is lining up to be a much better (9/11)
month for our community. Very soon, when many businesses start reopening/resuming operations, it's up to all of us to continue doing the right things to limit the spread & importantly, to increasingly support our local businesses...they need our patronage more than ever. (10/11)
So please #SupportLocal & do so kindly & #COVIDwisely.

It's been a year, Ottawa. We've learned a lot, and we're learning more each day. We'll keep doing our best to get our community through this.

We can't hold your hands, but please wash them anyway.

-OPH out. (11/11)

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More from @ottawahealth

2 Oct
Threads were intended for major shifts. Things that couldn't be explained in 1 tweet. We'd planned to use one every 6-7 weeks. But this is our third thread in a month. And we're writing this one because we've hit a critical point. We'll get to that, but first let's chat.

(1/10)
It would've been simpler to work in physics. "Hey, does gravity exist?"...drops something..."yup! Case closed!"

But public health during a pandemic isn't like that. A piece by @edyong209 in @TheAtlantic way back in April put it perfectly. Quoting Harvard's Bill Hanage, he (2/10)
summed it up as: “We’re trying to build the plane while we’re flying it.”

The relentless flow of new information hasn't slowed in 7 months. And we've endeavored to make the best decisions we could based on the best information we had at the time. From your perspective, it (3/10)
Read 10 tweets
24 Sep
Hello. The other day, we tweeted about breastfeeding/chestfeeding. We received many replies w/regards to our use of the term chestfeeding.

Shall we take a moment to address that? Chestfeeding is a term used by many transmasculine & non-binary parents to describe how they (1/3)
feed/nurture their children. Some prefer the term nursing, others prefer breastfeeding. We use these words & we warmly accept the term a family chooses for their own experiences. We will keep supporting parents of all gender identities & family structures by using inclusive (2/3)
language to reflect the diversity of our community. The terms breastfeeding, chestfeeding & nursing will appear in our comms & can be used interchangeably. We are proud to do this & we will continue doing this. Their is strength in diversity!

Thanks for your time

-OPH out (3/3)
Read 4 tweets
16 Sep
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)
Read 9 tweets
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

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