We don't think guidance around AZ vaccine will change soon, if at all. Evidence is mounting to suggest association b/w AZ vaccine & VIPIT is real. VIPIT occurs mostly in younger persons. It is rare but often fatal - it can't be ignored. (1/n) #covid19sk

leaderpost.com/news/saskatche…
The risk-benefit calculation of administering AZ vaccine still strongly favors its use in older persons, because such persons are far more likely to die from COVID-19 infection. We need to administer it as much as possible in populations who remain eligible. (2/n)
Even with VoCs circulating which are more dangerous, the risk-benefit calculation of AZ vaccine in younger persons remains unclear. This is not a decision that Trudeau or Dr. Tam have the jurisdiction or expertise to make on their own. (3/n)
We entrust NACI, a body of unbiased Canadian vaccine & public health experts, to review the evidence thoroughly and make the best decisions for all of the Canadian population regarding use of vaccines. We then follow that guidance accordingly. (4/n)
No doubt there is hesitancy w/ AZ vaccine - it was inevitable with all the press, etc. A modified approach pivoting to mRNA in our drive-thrus to generate large volumes of clients makes sense, while focusing AZ on appropriate age groups. Don't hesitate - vaccinate, #SK! (5/n)
Please reply with any questions you have about AZ vaccine, VIPIT, use in different age groups, etc. I will do my best to answer as many questions as I can. Let's support those who are hesitant with compassion and evidence & get everyone in #SK vaccinated ASAP! (6/n) #COVID19SK

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More from @awong37

9 Apr
Hi everyone. I thought I would try to explain what all these 'variants' of COVID-19 are, and are they really that bad? I feel this has relevance to #SK & Canada because we are seeing growth of all three key VoCs at once. Start w/ graphic below. (1/n) #COVID19SK Image
All viruses mutate (change) over time. Most of these mutations are meaningless, but sometimes the virus changes in ways that allow it infect cells or reproduce itself more effectively. This confers a "fitness advantage", and over time more "fit" viruses become dominant. (2/n)
When certain mutations confer advantages such that the virus can grow and spread within populations & infect people more quickly and/or make people sicker, these are termed "variants of concern". Several are well-described now. We'll focus on the 3 relevant in Canada. (3/n)
Read 14 tweets
5 Apr
Hi everyone. Coming off 2 weeks of call tomorrow AM. So sorry to be #debbiedowner but holy cats, #YQR hospitals are full of #COVID19 patients either intubated or requiring high-flow O2. Frontline providers are worried, anxious, and scared. (1/n) #COVID19SK
Hypothetically, if 1/3rd of current ward patients in #YQR requiring high-flow O2 deteriorate tomorrow AM and need ICU support, there would not be an obvious place for them to go. ICU beds in #YQR, including surge as of today, would be completely full. Yikes. (2/n)
One challenge we face with these critically ill #COVID19 patients is that they are so sick for so long, there's just no turnover of ICU beds where people improve and can be moved to the wards quickly to make room for new patients. (3/n)
Read 7 tweets

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