SEX, DRUGS & SANTA CLAUS

It's Friday, March 278th, 2020, and this is the longest thread we've ever written. Let that sink in.

So, we need to talk about how we're going to spend our holidays. Before we get into it, let's pause to appreciate being able to have this talk. (1/13)
We should be proud of our efforts that got us here. But we must stay the course. The winds can quickly change if we let our guard down.

We'll still celebrate the holidays...no one is taking that away from us. It'll just be different than normal. So let's chat about that. (2/13)
You've likely heard the term 'harm reduction' before. It's a pillar of public health based on reducing harms while still respecting autonomy. Evidence shows that just telling people to avoid certain things can be futile, so this approach guides you on being safer about it. (3/13)
Yes, when things are really bad, stronger methods are needed (i.e. lockdowns), but we're not there now.

So, why not say DO NOT GATHER WITH ANYONE & be done with it? Because experience tells us it doesn't work. Look at the ill-fated "Just Say No!" campaigns of the 80s-90s. (4/13)
Or go watch Reefer Madness. It's...it's a thing.

In our approaches to sexual health or substance use, our goal isn’t to simply tell you not to do something and then call it a day. It’s to provide you with the best information available so that you can make safer choices. (5/13)
This holiday season we're strongly advising that you only gather in person with members of your household. If you live alone, 1-2 close supports are ok.

We know some of you may choose to gather w/family from outside your household & some of you may travel. Don't do that. (6/13)
But if you do, we can't stress enough how vital it is that you be as safe as possible. Wear masks at all times (preferably w/3 layers). Remain outdoors when possible.

And please consider those who may be at higher risk in your family and make good choices to protect them. (7/13)
We know some will say "It's not illegal b/c the current rules say indoor gatherings of 10 are allowed!"

Well, to be fair, the speed limit on the 417 is 100km/h, but that doesn't mean it's safe (or wise) to drive that fast in a blizzard. The actions we take must always be (8/13)
based on the current circumstances. And literally nothing about 2020 thus far gives the impression that this is the time to tempt fate.

Right now, it's not safe to gather with people who live outside of your household. But the holidays aren't cancelled, far from it! (9/13)
There are many ways to have a safer holiday. Need tips? OttawaPublicHealth.ca/SocialWise

We know. This sucks. None of us want to be in this boat, but here we are. Speaking of boats, ever heard the phrase "steady as she goes"? It's an old nautical term, an order given to keep the (10/13)
ship moving in a stable manner, & it's that notion of "we know the seas are rough, so complete stability is not realistic" that speaks to us.

It's nautical harm reduction: knowing that a perfectly stable ship isn't possible during rough times. But stability is important, (11/13)
so let's keep it as steady as we can. You already know how to do that. Our hearts were warmed by the wise ways you celebrated Halloween, Thanksgiving & Diwali.

We know you can find ways to be creative again in order to celebrate as safely as our circumstances allow. (12/13)
December may be the hardest challenge we've faced yet. It's all hands on deck. We all wanted normal holidays with gifts & gatherings.

Well, our gifts to each other will be our actions. Because lockdowns are worse than coal.

Stay the course, Ottawa. #SteadyAsSheGoes.

-OPH out.

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More from @ottawahealth

30 Oct
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)
Read 11 tweets
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

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