Now here are the real devastating mental health outcomes of this pandemic, and they’re consequences of the infection, not public health measures. Who would have thought? thelancet.com/journals/lanps…
Seems so much worse than the flu.
And very worrying long-term consequences even for those under 65 years of age. Brace up Ontario, this will cost a fortune. Much more expensive than testing, tracing and isolation, sick days, safe schools...
A quick back of the envelope calculation suggests that of the accumulated infections until now in ON, there are 70,000 ppl with anxiety disorders, 55,000 with mood disorders, 7,500 strokes, 11,000 people with neurological issues plus 18,000 people with insomnias.
The volume of the issues is staggering and will be highly consequential to productivity and the wellbeing of the workforce. It is also extremely worrisome to think about the children whose parents will struggle with these neuro-psychiatric issues.
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More from @DGBassani

7 Apr
As if we did not have big problems with child mental health issues... back in 2009 we estimated that ~ 570,000 children under 12 lived in households where the an adult met criteria for one or more mood, anxiety or substance use disorders in the previous 12 months...
That corresponded to 12% of Canadian children under the age of 12. Almost 3/4 of those children had parents that reported receiving no mental health care in the 12 months preceding the survey.
And for 17% of all Canadian children under age 12, the individual experiencing a psychiatric disorder was the only parent in the household. capmh.biomedcentral.com/articles/10.11…
Read 5 tweets
31 Mar
New preprint from OAHPP, Sunnybrook and SickKids about Pediatric household transmission of SARS-CoV-2 infection in Ontario with data from individuals living in private households (N=132,232 cases in 89,191 households) between June 1 and Dec 31, 2020. medrxiv.org/content/10.110…
This covers 84% of all cases (157,087) recorded during this period. Age-to-age transmission suggests that frequency of transmission increases with age, with kids infecting other kids, as well as adult household members. No data on adult index cases shown.
Younger children (0-3 years) were more likely to transmit SARS-CoV-2 compared to older children, but after adjustments ORs of household transmission were similar for ages 4-8 and 0-3. Testing delays also increased the odds of household transmission considerably.
Read 8 tweets
18 Mar
In the news: In 3 of the 7 previous years the average monthly number of youth suicide attempts presenting to Emergency Dept in the City of Hamilton PHU has been higher than the variability in the 4 month observation from McMaster Children's Hospital.
In all three previous years in which the presentations to ED were higher than the Oct-Jan reported increase of 4.8 additional cases/month they were above 6.0 additional cases/month. And in some, they have been much lower than the previous year.
Using longer time-series before going to the media with a before and after comparison that ignores the much longer time-series available for anyone to see is not reasonable. The hospital certainly could have calculated the monthly rates for a much longer time-series.
Read 7 tweets
5 Mar
Few people know houses in Brazil have no basements, and even fewer know it’s because they were filled to stop mouse infestations in the 1900s. Epidemiology’s history is full of examples of physical actions to solve problems, such as removing pump handles and filling basements.
Dr. Oswaldo Cruz was the Brazilian sanitarian who filled basements and tore down ‘unsanitary’ housing to control major infectious diseases that were killing the population at the time, including bubonic plague & yellow fever. scielo.br/pdf/rsbmt/v53s…
Working with the mayor of Rio de Janeiro to control infections during 1902-06, the poor were evicted and displaced to makeshift housing in the hills, giving origin to Rio’s now famous ‘favelas’. images.app.goo.gl/qNPE8sf722h9SW…
Read 9 tweets
4 Mar
This is a massive nationwide cohort study that followed *all* adults in Denmark aged 18 to 60 years from Feb 27 to Nov 15, 2020. This analysis includes 3.1 million adults and ALL the data is linked to the national testing and hospitalization system. medrxiv.org/content/10.110…
Increasing number of children, and especially increasing number of older children in the household substantially increased the risk of SARS-CoV-2 infection in other household members.
The infection risk was higher among adults aged 30-39 years living with young children (AHR 1.14 (95% CI, 1.08-1.19)) vs. other age groups and even higher during early reopening after lockdown (during May-June 2020), AHR 1.26 (95% CI, 1.11-1.44), (schools reopened on April 15)
Read 6 tweets
4 Mar
Really well written, well researched, and balanced piece by @ErinAnderssen on adolescent mental health during the pandemic, from last weekend. Essential reading for parents and child health advocates. theglobeandmail.com/canada/article…
It warns about projection, something important to remember when interpreting child mental health and well-being data collected from the parents instead of the kids.

"How the adults in a teen’s life cope with stress and trauma during a disaster filters down to them"
“ – which is why Dr. Sukhera warns adults to be careful about projecting their own fears and anxiety upon their kidsWe look at the world through the lens of our own baggage,” he says. “Their experience will be completely their own.”
Read 4 tweets

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