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WheatNOil Profile picture
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18 Apr, 4 tweets, 1 min read
Interesting.

Health Canada has, of course, approved AZ for 18+, with just a warning for rare risk of clots.

NACI hasn’t officially met since that decision. NACI only provides expert advice, not regulatory approval. Provinces aren’t bound to their decisions.
Provinces have mostly followed NACI recommendations. Initially they held back giving AZ to 65, which was a NACI recommendation. They’re also holding off on the 2nd dose for 4 months, also a NACI recommendation.
However, NACI also provided specific recommendations for vaccine administration. Provinces followed this variably. Sask only followed some of those suggestions.
Regardless, this mixed messaging isn’t helpful. It’s not particularly helpful for the federal government to say: “Sure, use it, but our federal expert panel hasn’t recommended it.” That doesn’t help provide clear direction to the provinces.

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More from @WheatNOil

WheatNOil Profile picture
19 Apr
So, @DrKyle has a thread here about vaccine hesitancy, and how this may be concern in Saskatchewan. And while I don’t disagree that vaccine hesitancy is a concern, I think it’s important to reframe how we think about it.
We tend to view vaccine hesitancy as some sort of binary. You’re either for the vaccine or against it. But it’s not as simple as that.
For instance, here we see that the rate of vaccination for 60-69 year olds is starting to drop off. But I think it isn’t quite fair to view it as vaccine ‘denial’.

(Though, I very much appreciate the work he put into gathering this data & think there’s ‘potential’ concern)
Read 22 tweets
WheatNOil Profile picture
14 Apr
I have been avoiding writing a thread about this even though it’s actually my area because I have so many thoughts around it that I’m not sure I can get it all together coherently.

But here goes.

If you thought my previous threads were meandering, strap in!
1) Suicide is not a great barometer for mental health. Suicide is sometimes a rare outcome of mental illness. The vast majority of people with mental illness do not die via suicide, and it’s not even true that the most severely ill die that way. It is notoriously unpredictable.
So whether suicide rates are up or down may or may not have any correlation with overall rates of mental illness or population mental health.
Read 22 tweets
WheatNOil Profile picture
13 Apr
The J&J clotting side effect appears similar to the AstraZeneca one. The same basic issues arise:

1) Can be serious
2) Very rare
3) Seems to impact mostly women under 50 for some reason
4) Still no reported cases of it in Canada (for AstraZeneca)
It’s not just a typical clot. It’s a type of clot with low platelets.

Platelets are like the mini-goombas from Super Mario. That may be too niche of a reference. But when you get enough of them banding together on Mario, they slow Mario down so he can’t move.
So platelets usually help in CAUSING clots. That’s useful. They help make sure you don’t bleed out if you get a cut.

On the surface, it’s a bit weird you get clots with LOW platelets. Usually low platelets mean less clotting.

It’s not unheard of though. We see this with heparin
Read 10 tweets
WheatNOil Profile picture
10 Apr
This is sort of the thing isn’t it?

We can add beds and ventilators but there’s only so many people who know how to care for the people in them. You can’t just pull them off the ICU tree. Lord knows you don’t want me in there.

What happens when their tank is empty?
It’s not just the ICU healthcare workers. The non-ICU hospitalists are exhausted. The hospital is busting at the seams at baseline. Now add COVID. Add the people who haven’t been seeing their family doctor regularly for the last year and so aren’t getting preventative care.
I empathize with my colleagues in these other areas.

Because I’m also tired. I think everyone in society is. But it’s definitely true in healthcare.

And in child psychiatry where I am? I’m so exhausted. It’s non-stop. And we were busy BEFORE all this.
Read 10 tweets
WheatNOil Profile picture
9 Apr
Oof!

358 cases is the 5th highest daily case count. Highest since January 15th.
Why can't we just vaccinate ourselves out of this quickly enough?

SK has been the BEST vaccinating province so far.

Still, at the current 7-day vaccination rate, we will have vaccinated 75% of adults by June 21st.

We'll get there, but not fast enough to save us in April.
In fairness, I expect that June 21st date to move earlier. The last 7 days has included Easter Long Weekend & many drive-throughs / walk-ins just opened this week.

So we'll get there, but we have to get through April.
Read 4 tweets
WheatNOil Profile picture
6 Apr
If I’ve done my math right, the % of Saskatchewan residents with at least one dose of vaccine per age range is:

80+: 81%
70-79: 68%
60-69: 32%
50-59: 11%
40-49: 6%
30-39: 5%
18-29: 4%

Total: 19% of adults
That’s via @SKGov ‘s new COVID dashboard. I appreciate the breakdown by age. Gives us an idea of where we’re at.
These last 7 days have seen an almost equal split in doses given to the 60-69 and the 70-79 age range.

So even though they’re booking 58+, lots of vaccines actually given are 70-79.

The 50-59 group is a smaller amount and the 80+ is trickling in a couple more thousand.
Read 4 tweets

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