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Isaac Bogoch Profile picture
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23 Apr, 6 tweets, 3 min read
1. Ontario has prioritized pregnant individuals for #COVID19 vaccination (see below).

Really glad to see this happen - it's the right move.

(Expecting to hear further sign-up details from other Public Health Units shortly)

@TaliBogler *I think they mean "highest risk" below.
2. Relevant:

3: Also relevant:

4. Also relevant:

Society of Obstetricians and Gynaecologists of Canada: Statement on COVID-19 Vaccination in Pregnancy

Link: bit.ly/3gy7Dg3
5. New Brunswick prioritized covid vaccination in pregnant individuals a couple of days ago:

bit.ly/3gtULaR, by @BJMCBC
6. Last point for clarification...In Ontario, pregnant individuals were prioritized at the tail end of Phase 2. We are still at the beginning of Phase 2.

They were bumped up and are eligible now.

Public Health Units will have details on how to sign up shortly.

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More from @BogochIsaac

Isaac Bogoch Profile picture
23 Apr
1. Ontario administered >125000 vaccines today.
2. Todays ~125K is not the final count, there are still a couple of hours left.

Yesterday ON vaccinated ~134K (that's 0.91% of ON population in a day).

By comparison, yesterday the USA vaccinated ~3.1 million (0.94% of USA population in a day).

We are catching up.
3. The provinces are all pretty comparable in administering vaccines delivered to them, with a range between 71% to 86% in arms.

Ontario has administered 81% of vaccines delivered to the province. Very much aligned with the others.

Source: bit.ly/3sJCuZA
Read 5 tweets
Isaac Bogoch Profile picture
15 Apr
A few points to clarify vaccine distribution in Ontario.

1. We get ~400K doses of Pfizer weekly. It shows up like clockwork. It gets distributed throughout the province in ~1-2 days & there is very little at the end of the week. This is administered at mass vaccine clinics.
2. We get several hundred thousand doses of Moderna every 2 weeks. Also rapidly shipped to locations in the province. For various reasons, Moderna shipments are occasionally delayed. There is very little Moderna in freezers at the end of the 2 weeks.
3. We have infrequent large boluses of AstraZeneca. This is administered by primary care in 6 Public Health Units, and by ~1400 pharmacies throughout the province.

It is available to anyone 55 years of age and older.
Read 17 tweets
Isaac Bogoch Profile picture
11 Apr
1/ Eventually we will see a decoupling of new #COVID19 cases from hospitalizations as population-level immunity grows (through vaccination & recovery from natural infection), especially among those at greatest risk for more severe infections.
2/ But with variants of concern driving more explosive outbreaks, causing more significant symptoms & impacting younger people, this decoupling of new cases from hospitalization will require more widespread population-level immunity.
3/ No fear mongering or 'sky-is-falling' rhetoric here, but a 4th wave is certainly possible if we rapidly & prematurely re-open as we exit wave 3, especially if we don't have a significant degree of population-level immunity at that time.
Read 7 tweets
Isaac Bogoch Profile picture
7 Apr
ANYBODY in Ontario who lives in a high burden neighbourhood who is 18 years and older will be eligible for #COVID19 vaccination.

This will help essential workers, families, communities, etc.

A very smart move.
Mobile teams to help bring the vaccine to the people. This will happen in workplaces, congregate settings, dense urban areas, etc.

1. More access to vaccine.
2. Lower barriers to vaccination.
This is the part of the Phase 2 Vaccine roll out that prioritizes communities at greater risk.

Link: bit.ly/2R5Ffaj
Read 7 tweets
Isaac Bogoch Profile picture
6 Apr
1/ Ontario's Phase 2 #COVID19 vaccine rollout prioritizes:

1. Those at risk of having a severe outcome from infection (e.g. age, medical comorbidity).

2. Those at risk of getting infected (e.g. essential workers, shelters).

3. Communities disproportionately impacted.
2/ That is a lot of people in Phase 2. While vaccines are pouring into the country & the province, it is still not enough to flip a switch and prioritize everyone at once in this Phase.

Still, it has started and will gear up substantially given the recent large shipment.
3/ I am hesitant to put in the slide with the tentative dates of each part of Phase 2, as there is an important caveat at the bottom that often gets missed:

"All timelines subject to supply availability"

We now have more availability so this will be moving faster.
Read 8 tweets
Isaac Bogoch Profile picture
24 Feb
Some highlights of Ontario's #COVID19 rollout:

1. Centralized online and telephone booking to start in mid-March.

2. Mass vaccine clinics & community centers will be a major focus for vaccinations.

3. Pharmacies will administer 10-20% of vaccines, and scale up further.
4. Each Public Health Unit expected to vaccinate a minimum of 10K people per day.

5. Larger Public Health Units will vaccinate significantly more. E.g. Toronto expected to vaccinate 400K per week when things get rolling, through 9 mass vaccine sites.
6. Details of the prioritization within Phase 2 (e.g. underlying medical conditions, etc) will come out shortly.

The task force has submitted their recommendations to Cabinet. This will be publicly released asap when approved.
Read 7 tweets

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