🎶SCHOOOLLLS OUT -- NOT SO FAST, ALICE COOPER!

So, schools are opening. Is this a good thing or a risky thing? Short answer: Yes.

Long answer: read these 15 tweets (sorry)

Schools aren't opening because "things are great". Literally nothing about this is cause to relax. (1/15)
It’s quite the opposite, actually. Simply put: schools are opening because the risks and impacts of keeping schools closed far outweigh those of opening them.

Remember: just as peace is more than the absence of war, good public health is more than the absence of disease. (2/15)
Make no mistake: there is no such thing as a risk-free activity. We once sprained a finger whilst typing a tweet (true story).

But like we've said before, public health is about harm reduction. It's a pillar of our work. Our role is to help you identify and balance risks. (3/15)
Are there risks in opening schools? Yes. But it's about reducing harms. Schools aren't risk-free, but they're a better option for kids than a playdate at home.

There's also harms with keeping schools closed. Be it families whose routines are in chaos, parents trying (4/15)
to help children with online learning while working from home, people supporting coworkers who need to take time off, children missing out on much-needed social interaction, homes that may not offer a safe space, or the incredible teachers who have worked tirelessly to (5/15)
educate our children remotely...many members of our community are far from ok right now.

And getting our children back into school is a necessary step towards easing the strain as we continue our community's journey through this pandemic. (6/15)
Will this one step solve all our community's mental health needs? No, but it’s progress. And it’s needed.

The timing of posting this thread on #BellLetsTalk day is not lost on us. And yes, we just shamelessly used the thread to promote the #BellLetsTalk hashtag. Twice. (7/15)
But, and this is a massive BUT...absolutely nothing about this should make you think we are anywhere near being in the clear and that we can open everything back up.

We are NOT saying that we need to ease any of the other restrictions currently in place under the (8/15)
Provincial stay-at-home order. Why? Because we need them. Now more than ever. This is the time to be more vigilant than we've ever been before. It’s still #StayHome, just now with schools opening.

Our children need this. This is THEIR essential work. Parents need this. (9/15)
Teachers need this. And we owe it to everyone to make sure schools stay open. We need to do this for our kids, together.

Now, as with all things, there are risks we can control and risks we cannot. We'd be remiss if we didn't acknowledge those of you who are asking about (10/15)
paid sick days. Indeed, that is something which would likely minimize risks, but the decisions about that are out of our properly washed hands.

But let's focus on the things we CAN do. We must continue being wise. Parents must screen their kids daily and keep them home (11/15)
(except to get tested) if they have ANY symptoms of COVID-19.

It is vital that our kids only socialize w/those they live with outside of school, and that adults also seek testing immediately if experiencing symptoms.

The stakes are just too high to do it any other way. (12/15)
The only way this works is if we keep community transmission as low as possible. December & January showed us how quickly things can turn.

But we were able to lower the level of COVID-19 in the community in the fall, so we know it’s possible. We just need to do our part. (13/15)
For us, we’re working to up our school health team’s capacity, we’re coordinating w/testing partners to increase capacity to test kids & we're increasing comms to schools/families so that everyone is reminded of the best ways to limit transmission & support one another. (14/15)
We'll keep doing what works. We’ll keep contact tracing. We'll keep answering your questions when you reach out. And yes, we'll keep tweeting (sorry).

Nothing lasts forever. Not shutdowns, not COVID & not the Bernie memes or the Tiger King (thank goodness).

-OPH out (15/15)

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More from @OttawaHealth

11 Jan
HINDSIGHT IS 20/20, BUT 2020 SUCKED

Let's discuss...in 11 tweets

First & foremost: COVID levels in Ottawa are trending at the highest we've seen since this all started. We're now deeply in the Red level. We are once again in a crisis, & we don't use that word lightly. (1/11)
Our local healthcare system is again nearing its capacity. And remember: the people working in these healthcare settings have been at this for 10 long months. They need us as much as we need them.

We must bring this back. There isn't a choice when lives are on the line. (2/11)
The provincial shutdown remains in effect. Whether or not further restrictions are announced tomorrow doesn't change the fact all of us must act NOW. Or, like, 2 weeks ago. But we haven’t mastered time travel. Or edit buttons. Yet.

Do you have plans to gather w/friends (3/11)
Read 11 tweets
31 Dec 20
PLEASE READ THIS.

Our dashboard has updated with today's cases. The number reported is different than what the Province reported earlier. There are reasons for this...involving databases, reporting methods, data verification at local level, etc.

But we must look deeper. (1/5)
The day-by-day case counts aren't what we need to focus on. It's the trends that matter. And ours are trending up. All of the data indicates that. And that's not good.

Many of you will likely say "but you wanted a shorter shutdown". Indeed we did. And like we always do, (2/5)
we based it on the data available at the time. But the data has since changed, & not for the better. We know the info changes quickly & that can be frustrating. We hear you.

We're sorry for the data roller-coaster. It's the inevitable result of an ever-changing situation. (3/5)
Read 5 tweets
4 Dec 20
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)
Read 13 tweets
30 Oct 20
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 20
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 20
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

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