Despite my many concerns, I’m listening to @CMOH_Alberta on @CBCHomestretch and honestly appreciate her description of a surveillance plan and willingness to corrective actions if needed.

To be determined I suppose this grand experiment

#COVIDAB
To clarify. @CMOH_Alberta outlined “a” surveillance plan which is far better than the “zero” plan I understood from yesterday’s announcement. That said:

1. I am still incredibly concerned for the 660k unprotected children in #AB including mine

2. Not isolating + cases = lunacy
3. We will get to a “post-pandemic” world, but our current Vax rates are nowhere near enough. ~1.6M unvaxed now

4. #DeltaVariant is a different beast. New data shows increased breakthrough infections despite vax

5. Wastewater surveillance helps but has no accuracy
6. Sending infectious pts. To family MD offices for tests will infect everyone in clinic

7. Delta has more Asymptomatic transmission

8. #healthcareworkwrs are exhausted & burnt. A 4th wave will devastate us

Surveillance critical, but I there are many holes in current plan

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More from @gabefabreau

29 Jul
Dr. ⁦@atrembla⁩ unfiltered: “if you’re not vaccinated, you need to be willing to suffer the price, &…can’t be vaccinated or if you can’t have a good response to vaccine due comorbidities or medication, well that’s too bad, you live in #Albertacalgaryherald.com/news/local-new…
Dr. Mithani @shazma:

“We’re now in a situation where we’re under-resourced, beds are being closed, the patient volumes are even higher and we’re continuing to be run off our feet,” she said. “We can’t just keep going like this.”
My piece:
Dr. Fabreau…said the province’s “irrational and unethical” decision to remove basic public health interventions…has real concerns about sending them back to school this fall.

“It’s an abdication of our responsibility as adults, as parents, to protect our children.”
Read 4 tweets
6 Feb
Just finished another >90h week on hospital #GIM service in a #COVID19 pandemic. A few thoughts:
1. Hospitals are still full, but there’s a sense of reprieve, less chaos, anxiety/stress not quite so bad.

Why?

2. Front line #healthcareworkers getting vaccinated

#COVID19AB
1/n
3. Less primary COVID infections = good, but x2 parallel #pandemics now
a. Like in Summer, the collective #Mentalhealth burden is fierce. Intentional overdoses, alcohol, stress, isolation, anxiety/depression, unemployment

b. #COVID related complications: affecting every organ...
5. #publichealth measures are working, but come w sig costs to population health in other forms. #vaccines are coming, but slower than we’d all like so we must double-down on what we have for now

6. We all agree that #COVID is hard, but it’s clearly harder for some in society
4/
Read 5 tweets
31 Dec 20
“I’m almost done w this garbage...we take all the risk and get zero help...good luck running this hospital w/o us...”

An emerg colleague last night re: our lack of vaccinations

#COVID19 #COVIDAB #AbLeg #abpoli

1/3
At the end of 96h in 8d on service and have been all over ED and multiple COVID units. Anger/frustration increasing daily from all MDs, nurses, staff in here at lack of vaccinations while watching others w no #COVID19 exposure/risk getting theirs.

#COVIDAB
We spent months in the Spring working w many Dept. of Med colleagues working on an #MD workforce expansion plan specifically b/c there are not enough #hospitalists and #internists to handle pt. volumes.

Each day of delay further demoralizes an already exhausted workforce.
Read 5 tweets

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