The disruption of having a sick or disabled child on #SK families is significant. The impact of medical trauma on #SK kids will likely be significant and long-lasting & won't easily recognized or treated.
Even ONE child intubated/ventilated is one too many IMO.
We know even mild or asymptomatic infection with COVID-19 may lead to #longcovid in kids. We don't know the frequency or severity of long-term complications in kids right now at all.
Hence, we CAN'T knowingly allow the majority of kids to get infected.
In-class learning is absolutely critical for kids & families. It needs to continue at nearly any cost.
Vaccine for kids >12 are SO close. Not doing EVERYTHING to prevent widespread infection in #SK kids until vaccine is available for them isn't justifiable IMO.
Good morning, all. Before going in this AM, wanted to share some high-level thoughts re: #SK situation with #COVID19. Will try to go into more detail as time allows, but these are some immediate thoughts. My opinion only, please remember. 🧵 begins... (1/n) #COVID19SK
#YQR curve and R0 seem for now to have peaked and are coming down. Hospitalizations & ICU admissions have stabilized. #YQR ICUs still running with ~180% capacity but more beds available now, critical elective surgeries proceeding, etc. (2/n) #COVID19SK
Still widespread community transmission throughout southern SK but has seemed to mostly peak at this point and some places like Moose Jaw are decreasing steadily too. (3/n) #COVID19SK
My colleagues Lori & Jeff explain the SUPER BAD situation in #YQR ICUs. 2 COVID+ pts / room to maximize nursing & RTs. All ICU beds full in #YQR, city now on ICU/CCU bypass (including cardiac pts). Staff @ breaking point.😢 (1/4) #COVID19SK
I have tried to maintain equipoise but feel I need to say this again: we CANNOT vaccinate our way out of this without losing many lives & overwhelming our ICUs, forcing triage. We NEED definitive & immediate mandated measures to help bend our #SK curve quickly. (2/4) #COVID19SK
We are vaccinating 'easy' folks quickly in #SK. Soon, we will hit road blocks: persons who need improved access & hesitant persons who will need their concerns addressed / questions answered. Nobody can be left behind if we are going to achieve herd protection. (3/4) #COVID19SK
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
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)
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
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)
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)