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Ziad 😷 Fazel 🇨🇦🇺🇦 Profile picture
@ZiadFazel
Dec 18, 2020 • 29 tweets • 38 min read • Read on X
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Thread: Doubts & Questions about Preparedness of @AHS_media to safely distribute COVID-19 vaccinations.

An open letter to Deputy Minister Paul Wynnyk
cc: MGen Dany Fortin @GovCanHealth
@shandro @PattyHajdu @HarjitSajjan

@RachelNotley @Dave_Khan
My doubts began right away, when I saw pallets stacked on their sides inside the walk-in freezer.

But my concerns are not just limited to violations of Alberta's Occupational Health & Safety Code, meant to protect workers, and the risk of damaging vials.

For another example, why is this Ultracold Freezer so warm that the Manager, Immunization Business, a Registered Nurse, is able to touch it with her bare hand?

It is not below -70ºC as required for the Pfizer vaccine. How can DM Wynnyk claim Alberta is prepared without this? ImageImage
This is not grainy cellphone video taken by a whistleblower. This is a highly-polished, multimedia announcement by @shandro, @CMOH_Alberta and DM Wynnyk, coordinated with @jkenney meeting the Pfizer vaccine arriving in Alberta that same afternoon.

alberta.ca/release.cfm?xI…
Listen carefully to the assurances by the Chair, COVID-19 Vaccine Task Force, LGen (Ret) Paul Wynnyk.

Alberta's own video appears to demonstrate the opposite, and raises serious questions.

@GovCanHealth @shandro @RachelNotley @Dave_Khan

Must finish work today, so will add to thread on weekend.

While I will be backing up my questions largely from 🇨🇦 & manufacturer sources, for now pls compare Alberta's purported readiness Mon 14 Dec with this demo in Ohio on Tue 1 Dec.

Night & Day.

wkyc.com/article/news/h…
While reviewing these photos from GoA Flicker account today, I noticed *unredacted* high-res photos of the UPS shipping labels for Pfizer vaccine delivery to both the Calgary & Edmonton @AHS_media sites, showing shipping address & tracking barcodes.

@GovCanHealth @HarjitSajjan Image
I immediately contacted both photographers listed, and managed to reach one to ask for both photos to be taken down.

I also reported the apparent security breach to Canadian Forces, who reviewed my info, and asked me to also report it to Calgary Police.

canada.ca/en/public-heal… ImageImageImageImage
One photog asked me to follow @AHS_media back so they could DM 👇🏼.

GoA has had enough time to take the photos down. I believe Min @shandro is playing w fire releasing unredacted photos of UPS shipping labels to vaccine depots @GovCanHealth @HarjitSajjan

cbc.ca/news/politics/… ImageImageImage
I am redacting the images even for my slightly blurred, low-res, zoomed-out copies, and strongly recommend @AHS_media @shandro @jkenney do the same.

Safe & ugly >> poor judgment & vanity.

@GovCanHealth @HarjitSajjan
@RachelNotley @Dave_Khan ImageImageImageImage
After reviewing photos GoA proudly posted on 14 & 15 Dec, it is clear @AHS_media is failing not just at receiving the new -70ºC Pfizer vaccine, but also its *existing responsibilities* for refrigerated vaccines.

@RachelNotley @Dave_Khan @GovCanHealth
flickr.com/photos/alberta…
I've raised the Alberta Occupational Health & Safety Code violations of stacking pallets on their edges, as this could not only injure workers, but smash glass vials made more brittle by storage as low as -70ºC.

@RachelNotley @Dave_Khan @GovCanHealth @JasonCoppingAB @gilmcgowan
@RachelNotley @Dave_Khan @GovCanHealth @JasonCoppingAB @gilmcgowan This pallet behind @CMOH_Alberta & DM Wynnyk is obviously broken, missing the thick load-bearing plank at top. It becomes unstable if you put boxes or stack pallets onto it, and can fall from pallet rack onto whatever is below.

@RachelNotley @Dave_Khan @GovCanHealth @gilmcgowan ImageImage
To someone with warehouse/logistics experience, walking into room where pallets are on their side edges is like walking into office with desk on fire. You can't miss it. Min @shandro & @AHS_media proud of this?!

@RachelNotley @Dave_Khan @GovCanHealth @gilmcgowan @HarjitSajjan ImageImageImage
Why does @AHS_media store empty pallets in the "freezer" at all? I count 4 wood & 2 plastic in the smallest room, connected to a largely empty warehouse. They warm the "freezer" unnecessarily, and introduce contaminants.

@RachelNotley @Dave_Khan @GovCanHealth @HarjitSajjan
Theatrically labelled "FREEZER" behind Min @shandro is just walk-in cooler.

Thermocouple behind him shows temperature = 4.3ºC or 44ºF.

This is into bacterial growth "Danger Zone" starting at 4.0ºC or 40ºF. Fail.

@RachelNotley @Dave_Khan @GovCanHealth

albertahealthservices.ca/assets/wf/eph/… ImageImageImageImage
You use your hands to raise or lower a pallet on its side edges. These dirty wooden pallets - you may as well rub your hands on floor of truck.

You then handle immunization products or their packaging, contaminating them, and sending it to the field too.

abcnews.go.com/Health/Wellnes… ImageImageImageImage
Here, plastic skids aka pallets have been used as bumpers. "DO NOT MOVE SKID" = they can fall when bumped, onto workers or fragile immunization products.

What oversight is DM Wynnyk's logistics team providing to @AHS_media?!

@RachelNotley @Dave_Khan @GovCanHealth @HarjitSajjan ImageImageImage
Dangerously inconsistent behaviour btwn sites that received Pfizer last week. Due to receive > 25K more doses this week.

Calgary: 2 UPS + security(?) walked deep into AHS building, right into freezer room.

Edmonton: 1 AHS went out alone to meet UPS.

@RachelNotley @Dave_Khan ImageImageImageImage
Edmonton: @AHS_media employee goes out alone to meet truck, then tries to hold door open with 1 hand, while pushing unsecured top-heavy box on flat cart through doorway with the other hand.

Glass vials at -70ºC don't take to falling well.

@RachelNotley @Dave_Khan @GovCanHealth ImageImage
Up to 5000 lives depend on the safe delivery of the vaccine in just 1 box, which would have travelled Belgium-Germany-USA-Edmonton, only to be smashed by @AHS_media within 30 seconds of taking shipment & liability from UPS.

@RachelNotley @khan @GovCanHealth @HarjitSajjan ImageImage
Calgary: 2 UPS workers + 3rd-party security (?) come right into freezer room, which may be cleanliness issue.

Min @shandro publicized security differences btwn sites.

Maybe UPS delivers/transfer to clean AHS cart just inside every bldg.

@RachelNotley @Dave_Khan @HarjitSajjan ImageImage
I'm calling for immediate Health, Safety & Security Audit by
@GovCanHealth @HarjitSajjan MGen Fortin's team of GoA processes for distributing vaccines.

If this what @shandro @AHS_media publicly promote, what's behind the scenes?

@RachelNotley @Dave_Khan @threadreaderapp unroll Image
Someone pointed out: AHS vaccine worker cuts off UPS delivery van before it reaches loading dock right behind him, where shipping/receiving deal with couriers all day.

UPS should bring vaccine across level grade at dock, Receiving handles delivery, Vaccine picks up from there. ImageImage
Problem already in Alberta's Pfizer vaccine rollout.

@AHS_media got 3900 doses, but so far has only vaccinated 3074 people.

alberta.ca/release.cfm?xI…

Manitoba: 900 doses, has already vaccinated 1192, and is hoping for 1300.

cbc.ca/news/canada/ma…

@RachelNotley @Dave_Khan ImageImageImageImage
Another comparison: Ontario planned just 2500 doses at first, in a careful pilot program overseen by General (Ret) Hillier.

files.ontario.ca/moh-covid-19-v…

Thanks to some vials containing 6 doses, they squeezed out 3400 vaccinations.

toronto.ctvnews.ca/mississauga-ho…

@RachelNotley @Dave_Khan ImageImageImage
Looks like @AHS_media wasted 1 tray of Pfizer vaccine from initial pilot of 4.

With other provinces averaging 30% extra doses from the vials, if AHS did waste a tray, ~ 1,982 Health Care Workers are still at the highest risk.

@RachelNotley @SPhillipsAB @Dave_Khan @Lorian_H Image
If anyone has immunization performance by province from *first* Pfizer batch (received ~ Mon 14 Dec) please share links.

Some provinces eg. Ontario ran a pilot with only a set number of doses, rather than all the trays (nominally 975 doses each) they got.
These vaccines were supposed to provide hope, for healthcare workers who have gutting it out for months, hoping their lives will become less dependent on a premier without conscience.

Instead their rollout has become just another bitterness to tolerate.

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Ziad 😷 Fazel 🇨🇦🇺🇦 Profile picture
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Ziad 😷 Fazel 🇨🇦🇺🇦 Profile picture
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Yesterday @Rogers @RogersHelps [sic] "Terry in Charlottetown, PEI" cancelled my home office internet service AGAINST MY EXPRESS INSTRUCTIONS in order to upsell me to new plan.

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Ziad 😷 Fazel 🇨🇦🇺🇦 Profile picture
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If you come to Palomino early enough on a weekday, the soup of the day may still be available.

Having lunch here now at 1.30pm and first time for me, and it is heaven.

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Thank you Chef. My photo of my clam chowder with unexpected cornbread loaf on the side.
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First bite blew me away, so I tweeted right away. They have a similar classic base, IIRC.

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For “main course” you need video, not photo.

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Ziad 😷 Fazel 🇨🇦🇺🇦 Profile picture
Jun 7
I was going to tweet about my early dinner tonight at Palomino (cliché food pics) but just got hit with wall of SWEET sound when I went downstairs to use the washroom, and opened the steel door to basement concert hall.

WOW.

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Ziad 😷 Fazel 🇨🇦🇺🇦 Profile picture
May 30
Kinda proud of myself. Also.. life is hilarious.

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Laughing as I type.
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No, Bhenji. I’m not.
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Ziad 😷 Fazel 🇨🇦🇺🇦 Profile picture
May 25
This @NewsHour story too new to have transcript as well as published video interview with Dr @jasonmnagata but here's his website for his research:

ucsfbenioffchildrens.org/providers/dr-j…

@tylerblack32 @TheBreakdownAB @KmarkovCTV @picardonhealth @JenLeeCBC @MurrayManera @JSJamato @gabefabreau x.com/NewsHour/statu…
Didn't have room for @TehseenLadha @orlaghokelly @John1MD @dupuisj @vettergreenart
@TehseenLadha @orlaghokelly @John1MD @dupuisj @vettergreenart @threadreaderapp unroll please

The transcript is up now at:



@tylerblack32 @TheBreakdownAB @KmarkovCTV @picardonhealth @JenLeeCBC @MurrayManera @JSJamato @gabefabreau @drDavidKeegan @amandalhu @CalgarysChild @MarciaOnTheGo pbs.org/newshour/show/…Ali Rogin: Dr. Nagata, thank you so much for joining us. Social media children, lots of questions, few answers. What did your study find? Jason Nagata: We followed 12,000 preteens over three years and we actually found big rises in social media use. So during that period, social media on average increased from seven minutes a day to over 70 minutes a day. So a tenfold increase. And in our analysis, we actually found that rises in social media from year to year among these 9 then 10 then 11-year olds were actually associated with future depressive symptoms in the following year. So I thin...
Ali Rogin: So what you're saying is that you found the correlation here to be with social media use leading to more depressive symptoms, not the other way around. You're saying that depression doesn't necessarily indicate use of social media? Jason Nagata: Yes. In our study, were able to follow these same 12,000 kids year to year. So were able to look at both their depression and their social media use every single year. And so we could look at patterns in their use. And we found that those kids who had big spikes in their social media use from year to year then subsequently had bigger sp...
Ali Rogin: And talk to us about the size and the scope of this study. This sounds massive. How did you track this many children and has that been done before? Jason Nagata: So, yeah, the data comes from the Adolescent Brain Cognitive Development Study. It is a national study that follows these 12,000 kids from over 21 different states, study sites across the U.S. and it's funded by the National Institutes of Health and is I think one of the largest studies on child development and social media and brain health ever.
Ali Rogin: That's such a fascinating ancillary piece of information that you found in looking at this data. I do want to ask though, what is your advice for parents with the understanding that this data brings us to. Jason Nagata: Yeah, we actually looked at parent actions for rules and monitoring in the study and we actually found that the biggest predictors of kids screen use was actually their parents screen use. And as a new parent I think it's really important to practice what you preach. So if you're going to tell your kids to put down their phones to important that you role model g...
Read 4 tweets

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