Thread: We all know we need to keep improving #TestTraceIsolateSupport to get us out of the lockdown, and to save lives.

The chapter on testing, case management and contact tracing in the Auditor General's report is a GREAT blueprint for improvement.

auditor.on.ca/en/content/spe…
Recommendation #1 is about lab testing capacity and adequate funding for hospitals.
Recommendation #2 is about making sure @PublicHealthON is properly funded and that the behind the scenes work is being properly coordinated.
Recommendation #3 is about regional, data-driven improvement. (As a Health Quality Ontario alumnus, this one might be my personal favourite.)
Recommendation #4 is a bit of a cheat. It's actually five separate recommendations, all of which are really important!
Recommendation #5 is about IT modernization.
Recommendation #6 is about clear and consistent communication, regarding case management and contact tracing, to the public and within the health system.
Recommendation #7 is about standardizing and improving the processes we use to collect specimens.
Here's how many lives we lost in Covid-19 in Ontario, compared to other provinces in Canada, up to August 31.
We can't change the past, but a better #TestTraceIsolateSupport system can change our future.

/end

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More from @IrfanDhalla

3 Nov
Thread: 6 things I'd suggest we do differently.
1. Every day, in every way, emphasize the core behaviours we want to encourage:
-stay home except for essential purposes, school, health care and healthy outdoor activity
-get tested and self-isolate if symptomatic, even mildly
-get tested if exposed
-emphasize work from home
2. Improve our #TestTraceIsolate strategy.

Don't let perfection be the enemy of the good.

Keep making testing more accessible.

Restart contact tracing.
Calling 50% of contacts is better than calling no contacts.

Keep improving and tweaking.
Read 8 tweets
11 Oct
Thread: I've exchanged views about Covid-19 with someone from the business world over the last 48 hours. I thought I'd share what I think is an emerging consensus.

The goal is to help bring us closer to a "whole of society" approach to dealing with the virus.
First, the impact of the virus - and muddled responses to the virus - on investors, businesses and employees has been absolutely massive. In some ways this is stating the obvious, but it's important for those of us with secure jobs to keep reminding ourselves.
Second, investors and business owners need to be able to plan. More transparency, and continuing to strive for agreements across partisan lines, would be helpful. For example, transparent, pre-defined targets for re-opening or closing would allow businesses to plan.
Read 10 tweets
9 Jul
Thread: I know and admire many authors (e.g., @drbobbell, @OnyeActiveMD, @vg_to, @UofTMedDean, @trclosson, etc.) of the "balanced response" letter re: Covid-19.

But I worry about the overall tone of the letter, and I also have three specific concerns...
1. The letter says that "with ready access to health services, severe outcomes can be averted in those who do not have pre-existing risk factors."

This is misleading. Covid-19 does occasionally kill healthy people who are in the prime of their lives. nytimes.com/2020/07/06/hea…
2. The letter says that the "consequences of the public health measures" are being borne disproportionately by "those in lower income groups, Black and other racialized groups, recent immigrants and Indigenous people."

I agree. But...
Read 9 tweets

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