1/ Mass Vaccination – Why Do We Need it in Ontario (or anywhere?)

- LTC residents nearly vaccinated (55% of C-19 mortality)
- Progress in the most vulnerable (70+, 87% of mortality, 12% of pop)

A short thread with clips & charts, based on my recent video
2/ The public health messaging is clear—everybody needs a vaccine.

Dr. DeVilla of Toronto: “the sooner we have needles in arms and the more needles in arms we have, the better off we all are.”

(all clips from March 1, 2021 pressers)
3/ Dr. Williams, the Chief Doctor in Ontario:

“Wait for your vaccine, it's coming, we want everybody vaccinated, not just some, we want everybody done in a timely pattern.”
4/ Toronto Mayor Tory: “the vaccines represent the best and the ultimate weapon in fighting COVID-19 and defeating it.”
5/ Dr. DeVilla again: “…we are able to quickly get needles into arms and into as many arms as possible because we know that’s a significant component of our response to COVID-19 and moving beyond the pandemic”.
6/ Why is “normal”, or something approximating it, so conditional upon mass vaccination? What does the mortality and hospitalization data say?
7/ 87% of all C-19 mortality in the province occurs in the 70+ ages and infirm. (55% of the 87% were in LTC facilities (just 78k residents)).

70+ is just 12% of the population, or 1.8m people.

69&Under mortality rate: 0.22%, 49&U mortality rate: .03%.

0 “of COVID” child deaths
8/ 53.7% of all COVID-19 hospitalizations occurs in the 70+ ages, who represent just 10.9% of the population (using Toronto data).

The rest (under 69) occurs at a 2.5% case hospitalization rate (1.2% rate under 49)….
9/ And we can plainly see that while anyone can be *infected*, severe outcome are concentrated in the 70+ ages…
10/ So why does Toronto City Councillor Joe Cressy insist that, “the science tells us we need to achieve herd immunity through mass vaccination, in other words, we need over 70% of the population to get vaccinated to truly beat this virus.”?
11/ When Dr. Williams himself says that “if we eliminate uh grade down our cases of mortality & morbidity and so our hospitalizations go down it'd be a much better different setting”

(Recall we showed above large reductions in death/hosps with just 11-12% of the pop vaccinated.)
12/ And by Dr. Williams (and others) own admission, it is unclear if vaccination stops transmission. So doesn’t that weaken the case/need for mass vaccination to prevent “upward” transmission to the vulnerable?

And aren’t we vaccinating the vulnerable anyway?
13/ Remember, 69 & Under mortality is low.
14/ 903,285 vaccines have been distributed to Ontario, and ~1.9m total will be received by April 4th.

Meaning that TODAY we have enough for all 80+ (67.6% of all C-19 mortality) to receive at least a first shot, and at least a first shot for all 70+ by April 4th.
15/ As a side note, our brave healthcare workers are prioritized for vaccination, but mortality is also extremely low in that group: 10 total deaths of 6,626 cases in HCW’s, or a 0.15% mortality rate. (…and recall unknown if transmission is prevented w/vaxx).
16/ So why are we waiting to open?

After we vaccinate the older, infirm and those with co-morbidities, are we then just vaccinating against fear?
17/ End, and thanks for reading.

NOTE, I would like to make clear: this thread was not about vaccine safety or efficacy (apart from the transmission prevention dynamics noted), and it is most certainly not “anti-vaxx”; it is simply asking questions about public health policy.
18/ Addendum

NOTE: Some clips were edited/shortened for Twitter. Full comments from officials are in the press conferences here:


Data source: data.ontario.ca/en/dataset/con…

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More from @rubiconcapital_

31 Jan
Sensational article appealing to emotions, claiming Toronto ICUs "struggling with younger C19 patients". The headline may have you think ICU is in onslaught with young kids. ICUs are challenged, but the following charts don't match this narrative. 1/
twitter.com/i/events/13559…
Here are percentage of total COVID19 ICU admissions by age group in the 1st vs 2nd wave. Extremely low 6% of all ICU admissions in Under 39 ages, with only minimal changes in overall ICU admission mix in older ages. So the age mix of patients is roughly similar.
Here is the actual number of daily ICU admissions by age group... Under 39, 40-69, 70+....
Yes, we see the older ages are increasing... just like they were in the first wave...
Under 39 ages? ABOUT 1 ICU ADMISSION EVERY 5 DAYS.
Read 8 tweets
25 Jan
1/ It's hopeless, a thread.
2/ In the city of Toronto’s COVID19 update today, @epdevilla confirmed all first-round vaccines have been delivered at *ALL 87* of the city’s long-term care facilities and high-risk retirement homes.
3/ That’s great news !!

54.6% of Toronto’s fatalities occurred in these at risk groups…
…and excluding the high-risk LTC population…
…Toronto’s case fatality rate is 0.68%
…and just * 0.21% * in the under 69 population !

(see graph next tweet)
Read 9 tweets
24 Jan
That may currently be true, @BeateSander, but:

1. @DFisman (Science Table member) has helped Scarsin (a for-profit disease modelling software company) lobby the Ford gov't; and

2. York Region (1.2m people) currently uses the Scarsin platform. Image
From the Scarsin website: Image
Read 4 tweets
12 Jan
Please look at these 2 images very carefully & share widely.

Left Image: from today in a doom tweet from @SharkawyMD showing 410 & rising COVID19 ICU patients in Ontario.

Right Image: from Dec 11, when there were 247 COVID19 ICU patients.

BUT THE OVERALL ICU CENSUS IS SIMILAR!
Here is ER Doc @JeanmarcBenoit' tweet. He has been trying to convey overall ICU census is stable *despite* COVID19 census increasing steadily.
And here is @SharkawyMD's tweet from today; again showing similar overall ICU census, despite COVID19 patient census increasing.
Read 4 tweets
11 Jan
Pointing out some interesting peculiarities in the recent Ontario #COVID19 case and mortality data. This brief thread is a bit technical.

These peculiarities are similar to those identified in the UK data by @ClareCraigPath and @RealJoelSmalley
The % Positivity and daily deaths by Date of Death trends meaningfully diverged for the first time during the first two weeks of November…
In the 1st wave, correlation between (i) deaths by date of death and (ii) fatal cases with an episode date 12 days prior was almost perfect, with R=0.983 and R^2=0.976…

The second chart shows the onset-to-fatality lag correlation signal…
Read 12 tweets
3 Jan
"Global Canada” (@GlobalCanadaOrg) appears to be the funder of the #CanadianShield strategy (@csc_canada_), essentially a #COVIDZero rebrand, supported by Ont Science Table members. It seeks extended, hard-lockdowns Canadawide.

Global Canada is funded by Bill Gates’ Foundation…
Global Canada (“GC”) is run by Executive Chairman, Robert Greenhill (@RobertGreenhill). Mr. Greenhill is a former high-ranking official at the World Economic Forum, serving as Managing Director and Chief Business Officer for 6 years until 2014, when he founded Global Canada…
Global Canada (“GC”) was founded in 2015 and has since received three grants as disclosed on the Bill & Melinda Gates Foundation website. The first two were in November 2015/2016 and total a modest ~$1.3m…

(more on the 3rd, more recent grant in a moment)
Read 22 tweets

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