📈📲🚘 As Ontario moves toward re-opening, and more forms of mobility become safer/legal, experts say cellphone mobility data will continue to be a valuable tool in tracking and modelling COVID-19 transmission. [1/11]
Niagara's acting MoH @MustafaHirji says his team uses mobility data to see where people are going and where they're travelling to the region from. Niagara uses public data from Apple (shown here for Ontario) and Google, as well as private info from Environics Analytics. [2/11]
Knowing where people are coming from is particularly important for Niagara, Hirji says, because it must balance its economic reliance on tourism with the risk of COVID-19 variants. He has consistently highlighted the risk posed by travellers (tvo.org/article/travel…). [3/11]
In Niagara, recent Google mobility data (attached), shows shopping and recreation have increased. Hirji suggests that may be less concerning now than it would have been several months ago, since more people are likely outside where it's harder to contract the virus. [4/11]
#HamOnt public health has hired forecasting company Scarsin to model COVID-19 transmission using inputs including mobility data. CEO Paul Minshull agrees it's important to consider factors like warm weather when evaluating trends like increasing mobility. [5/11]
Yet despite warmer weather making going out safer, Minshull says mobility will continue to be the top input Scarsin uses for modelling.
This is because, as epidemiologist @FurnessColin points out, it's the one thing that tracks really closely to transmission. [6/11]
"What it really says is overall — and it's not surprising, because this is how communicable disease works — the more mobility means the more contact and exposure; the more contact exposure means greater transmission," Furness says. [7/11]
Furness notes that despite this, mobility data has a strict limitation: “It says nothing about safety.” For example, he says, mobility goes up when schools open, along with transmission, but that data can't tell you how or if COVID-19 is being transmitted in schools. [8/11] A passage reading: But there are many questions mobility dat
Minshull says that after mobility, vaccination rates likely follow in terms of importance for modelling. “As more and more people get vaccinated, particularly fully, it becomes more acceptable for them to congregate together and not even necessarily have to wear a mask." [9/11]
But he and Hirji both note that contagious variants could bring cases back up quickly if people aren't careful. While Hirji says it might be safe to go to a beach in Niagara this summer, he says it'll still be a problem if that beach gets to crowded for distancing. [10/ 11]
Furness says vaccines make you COVID-resistant in the way a watch may be water-resistant. Swim a bit, and you'll be OK, but go diving and the watch will break. [11/11]

Read more here:
tvo.org/article/what-m…
PS: A couple commenters on this asked why cases are going down while mobility (to some sectors) is going up. To clarify: the experts say mobility is linked to transmission, but as more people get vaccinated, transmission will go down. Still, variants could bring numbers back up.
PPS: Hamilton public health put it concisely in an emailed statement: "Mobility is really an indicator of changing opportunities (increasing or decreasing) for people to become infected by being exposed to an infected individual."

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More from @mr_lois_lane

9 Jun
Yesterday, Dr. Javeed Sukhera — a psychiatrist, an activist, and the outgoing chair of London’s police board — told me about the family targeted in an alleged Islamophobic attack, and the need to stand against Islamophobia to prevent future violence. [1/5]
Sukhera says the level of fear he's heard from Muslim community members across Canada "about being able to go for a walk or just exist is unprecedented." But he says Muslims "cannot let hatred win and that we cannot not be who we are." [2/5]
Canadians need to take a stand against hate, he says. "I think we have a culture of denialism and avoidance in Canada when it comes to hatred and racism. ... But I don’t think we can do that anymore. The human cost of silence is too great." [3/5]
Read 5 tweets
28 May
🏥⛺️ #HamOnt's new mobile health unit will soon be ready to receive patients. Even with cases falling, experts say, the facility plays an important part in the fight against COVID-19. Hamilton Health Sciences' MHU is set to be ready for patients as of May 31. [1/9] Two large, army-green tents in a parking lot
The new 1,580-square-metre facility is the second such MHU provided to the province by the federal government. The first mobile unit opened on April 30 in the parking lot of the Bayview Campus of Toronto’s Sunnybrook Health Sciences Centre. [2/9] A series of green tents with white rooves grouped together i
On May 25, Sunnybrook said its MHU had no patients or plans to admit more soon, since hospitalizations declined. It says “the facility will be maintained for the foreseeable future" and teams mobilized should the need arise. Hamilton’s may also remain on standby. [3/9]
Read 9 tweets
17 May
🏙️😷 #HamOnt has declared three outbreaks in multi-unit residential buildings — and that has tenants and experts concerned about the source of spread. I asked public health officials and experts about the risks tenants face. [1/18] A multi-storey apartment bu...
As I write this, there have been 110 COVID-19 cases and one death in an outbreak at Rebecca Towers, 69 cases at the Village Apartments and 42 cases at the Wellington place apartments. (hamilton.ca/coronavirus/st…) Hamilton had not identified apartment outbreaks before May 4. [2/18]
Hamilton’s MOH Dr. Elizabeth Richardson, has noted this does not mean they didn't happen. Peel, London and North Bay have all seen multi-unit residential building outbreaks, but overall, there is a lack of research into these types of outbreaks. [3/18] A woman with curly hair spe...
Read 21 tweets
5 May
🧠🧘A new #McMaster study on exercise during the pandemic identifies a troubling paradox: many respondents who said they wanted improve their mental health via exercise also identified poor mental health as a barrier to doing so. Fortunately there are solutions. [1/14]
The director of McMaster's NeuroFit Lab, @jenniferheisz, started the study after the first pandemic lockdown disrupted her triathlon training. Heisz was too stressed to work out at her normal level and worried some may forgo exercise altogether.
journals.plos.org/plosone/articl… [2/14]
Between April 23 and June 30, her team surveyed1,669 study participants about their physical-activity and mental health. Some 55 per cent of respondents said their mental health had gotten worse or much worse during the pandemic. [3/14]
Read 14 tweets
3 May
🏞️👷The Hamilton Conservation Authority board is looking into establishing an official “offsetting” policy to relocate natural features such as wetlands, floodplains, and rivers in some situations. I talked to people in the know to unpack what that means. [1/12] An expanse of water surroun...
A discussion paper will be shared for public consultation early this month. The HCA board will make a decision in the fall. For now, you can read the paper on pg 47 of the April 1 HCA board meeting agenda: conservationhamilton.ca/wp-content/upl… [2/12]
The paper defines offsetting as an agreement “to compensate for harm to biodiversity at one site by creating, restoring or enhancing biodiversity elsewhere, generally on a ‘like for like’ basis.” (See pg 8 of the discussion paper attached) [3/12] Image
Read 12 tweets
15 Apr
📮❓Last week, the province earmarked select areas for priority access to COVID-19 vaccines, saying that people who live in postal codes identified as “hot spots” are at an above-average risk from COVID-19. Then came the questions. [1/12]
On what basis had these postal codes been selected? Why had some others with higher case numbers not received priority status? Those questions have been difficult to answer in #HamOnt and #Niagara, because the local public-health units themselves were not consulted. [2/12]
“I think it’d be helpful for us to understand in greater detail how they were selected so we could better explain why these are the hot-spot neighbourhoods. I think that’s the part that’s a bit frustrating,” says Niagara’s acting medical officer of health, @mustafahirji. [3/12] Dr. Hirji stands by a sign ...
Read 12 tweets

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