This is good thread by WG and I think Sask should display the data this way too (in the red box). Using that data, we can actually do something interesting. We can calculate "excess hospitalizations".

Hospitalizations in excess of those we'd expect if everyone was vaccinated.
See that red box that WG put together. Risk of current hospitalization in Alberta of those who are double-vaxxed is 1.6 per 100,000.

If we applied that to non-vaxxed population, you'd have ~13 people in hospital instead (checks notes) 206!!

~193 excess people in hospital!
We can do more than though. We can attribute a hospitalization cost to that.

CIHI data gives a Canadian average cost of $3592 per day in ICU and $1135 per day in a general medical ward.

That's money paid for by taxpayers.
So how many people in ICU?

Well, on Aug 24th (when @Woodguy55 pulled the data), Alberta had 55 people in ICU who were unvaxxed.
And ONE poor soul who was in ICU fully vaccinated.

ONE.
Let's do some crude math

If everyone >12 in Alberta who is unvaxxed was actually fully vaccinated, we'd expect
~13.5 ppl in hospital instead of 206
ZERO in ICU instead of 55

We'd expect to pay ~$15,322 per day for their hospitalization

Instead we're paying: ~$398, 945 per day!
People who are eligible to be vaccinated but NOT being vaccinated cost the system roughly $383,623 EXTRA in tax payer money.

In one day.

JUST in hospital costs.

And it's rising.

The public pays a lot of hard cash for this personal choice.
Of course this is a crude calculation. There's more to it.
E.g. the unvaccinated are disproportionately younger. They're less likely to get hospitalized at baseline.

Which means if they were vaccinated, we'd expect LESS than 13.5 hospitalizations.

This may be an underestimate!
Of course, whenever I do this math, I have to add that we don't do public health to save money.

We do it to save lives.

To improve quality of life. To improve health.

That would be worth it even if it COST money.

That it SAVES money is bonus.
There is also, of course, this.

In a universal healthcare system, hospital beds should be open to everyone, even those who make less than ideal decisions.

But there's a cost to others for those decisions.

And the fix here is remarkably easy.

#GetVaxxed
By the way, using today's Alberta data, the estimated excess in hospitalization costs for unvaccinated individuals is $412,249.

So, Alberta taxpayers paid an estimated $412,249 extra in hospital costs due to people choosing not to get vaccinated. For YESTERDAY ALONE.
I'd do the same calculation for Saskatchewan but the government of Saskatchewan is only releasing how many hospitalized are vaccinated, not how many in ICU are vaccinated.

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More from @WheatNOil

15 Sep
Not controlling for age (which would make this number worse) and subtracting the estimated number of children <12 in hospital, there are 591 excess hospitalizations due to under vaccination.

That’s almost enough to completely fill the U of A Hospital (which has 650 total beds).
That includes 191 excess ICU beds due to under vaccination. A good size ICU is about 20 beds or so.

So there’s about 9-10 full ICUs in excess of what one might expect if everyone 12+ was vaccinated. (Not accounting for age or decrease in spread due to vaccination.)
Who wants some GRAPHS?

This is your chance of being in hospital with COVID 'right now' in Alberta. Current admission ages estimated based on admission data over the last 120 days.

Some breakthrough in the older age groups, but it's mostly unvaxxed people. Image
Read 8 tweets
15 Sep
I’ve tweeted about this before but the impact of social media, especially Instagram, on teenagers makes sense from a psychological development point of view.

It’s an app that targets exactly the developmental stage of teens.
One of the major developmental goals for teens is identity formation. Teens strive to figure out who they are. Especially as if it relates to their peers. Younger kids are shaped more by their immediate family. Teens start to expand their circle.

That’s normal developmentally.
So imagine an app that allows you test out aspects of your identity. It gives you instant, immediate feedback. From your peers but also strangers. In fact, make it quantifiable. There’s no guesswork. Here’s the exact number of likes. And who specifically liked it.
Read 16 tweets
13 Sep
So @hinz_tamara & I are giving a Grand Rounds this Friday on Physician Advocacy Through Social Media. I’m going to live tweet some questions from the Rounds and share responses with the group.

But in anticipation of the rounds, I have some questions to my followers:
Feel free to respond to these in replies. This isn’t meant to be anything official, obviously this is not a research methodology. Just curious about what the responses might be.
1) What information do you most value from physicians through social media?
Read 5 tweets
13 Sep
Wait, is there going to be a protest against vaccine mandates in Calgary? A city in a province without a vaccine mandate? In front of hospitals that are so overloaded with unvaccinated people (b/c of this lack of mandate) that many vaccinated people had their healthcare canceled?
“What do we want?”

COVID!

“How do we want it?”

In such overwhelming quantities so as to overwhelm the healthcare system and cancel other people’s cancer surgeries!

Like, my dudes, you’ve already won, take the W and leave us be.
“We want to be able to eat at a restaurant without proof of vaccination!”

Sir, you are literally at the Wendy’s in front of U of A hospital. Without proof of vaccination. Now if you’ll excuse me, we’re trying to serve the families of all the unvaccinated people in the ICU.
Read 5 tweets
10 Sep
This is a dark time in Saskatchewan.

We didn’t have to be here.
To be clear, the patient wasn’t transferred because there’s no room at the other hospital. Still waiting.

My friends, the health system is crumbling in Saskatoon.

We bust at the seams at baseline. This is well beyond that.
You can’t just open more beds. Who’s going to staff them? It’s the 5th overtime and everyone’s running on fumes.

And it was supposed to be over by now.

It could’ve been.
Read 4 tweets
9 Sep
From my DMs. This is a classic medical ethics question.

I understand the anger and frustration driving this. The philosophical question of fairness & who gets treatment and who doesn’t.

However if we believe in universal healthcare, we can’t ration healthcare based on morality.
If you speed going 200 km/hr, if you give yourself alcohol poisoning because someone dared you to a Centurion, if you lost a game of South Park Roshambo, if you broke your hand in a pointless hockey fight b/c of some dumb “Code”, you shouldn’t get rationed healthcare differently.
We can triage based on severity, based on prognosis, on how likely you are to benefit, on what it is the most appropriate level of care.

But I don’t think we can triage based on whether you made a single bad decision. No matter how poor that decision was.
Read 16 tweets

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