Thread time. I’m going to lay out all of the major concerns I have with the current state of affairs.
1. Well, we are in wave 4. The wave of delta. A more transmissible and virulent virus. We are seeing a rapid rise in cases and people getting sicker, especially the unvaxxed. /1
2. Not enough people are vaxxed. Our kids aren’t even eligible. Some parts of AB have barely 20% double vaxxed. Those same places have very high case numbers and high percent positivity (ex. 20% in the north zone). There is no new effort to increase vaxx rates. /2
3. Many unvaxxed pts I speak with are not anti-vaxxers. They are facing multiple social barriers to access vaccines. The province is not adjusting or ramping up its PH response to address this vaccination disparity, yet have stated that vaccines are what they are counting on. /3
4. People are coming in SICK and we are already having capacity issues. If we are this early in wave 4 and are dealing with capacity issues, boy are we in for a brutal fall. This is just the beginning. If the modeling out of BC is correct, our cases will quadruple in 1 month. /4
5. All of this and school hasn’t even started yet. COVID is about to let loose in an unvaxxed population. We have seen from the US that their pediatric beds are filling up because of Delta. Our children are being sacrificed for “freedom.” /5
6. Our case numbers are rising rapidly. Our hospitals are filling up. We are in a HCW staffing crisis and don’t have the ability to surge up like I’m waves 2 and 3. There are no field hospitals because we can’t staff them. We can barely staff our existing hospitals. /6
7. Our province is on fire and our leaders are MIA. It’s been weeks since we’ve heard from @jkenney@shandro or @CMOH_Alberta. We still haven’t seen the data we were promised either. They’ve gone into hiding as we we enter disaster mode and the public wants answers. /7
8. Barely any basic protective measures remain. Not even a mask mandate. No vaccine passports. No gathering limits. Nothing. They’re just letting Delta burn through the population.
When the do emerge, expect some deflection and gaslighting. I hope media asks tough questions. /8
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Another presser, another list of question suggestions (with lots of help). Here we go!
1. If proof of vaccination is the only measure you are introducing, what do you pan to do to drastically and rapidly expand access to vaccines in rural areas with the lowest vacs rates? /1
2. What do you plan to do to immediately get the situation under control in the 6 weeks until a proof of vaccination mandate shows any effect on hospitalizations?
3. How will the measures be enforced in areas where people believe it's their right to refuse to comply? /2
4. Why is the so called "vaccine passport" still voluntary (assuming @CTVCalgary's reporting on this is accurate)?
5. Why are only restaurants included in the proof of vaccination requirement?
6. Why are only restaurants included in the proof of vaccination requirement? /3
Thread time again - my thoughts on the current state of affairs in #ab
1. Elective surgeries being delayed to make capacity - remember that elective doesn't mean not needed. This includes CANCER surgeries and other serious surgeries that are scheduled (hence, "elective"). /1
2. It's been almost 1 week since the $100 vaccine incentive - the dial has barely moved. I don't think anyone is surprised.
3. Vaccines won't save us now (they'll hopefully save us later). If someone gets vaxxed today, it's a minimum of 6 wks until they are fully protected. /2
4. Hospital capacity affects every single Albertan who needs care. This is NOT a "pandemic of the unvaxxed," because when beds are tight, anyone needing acute care (for any reason) is affected. As above, it means cancelled surgeries for those who need them. /3
Waking up to multiple media requests after a long shift last night. Almost happy that I was sleeping and couldn’t respond, because I really just don’t know what to say anymore.
It’s clear that this government has decided they just don’t care about any of us. /1
They don’t care that our children will get sick. They don’t care that they’re gambling with the lives/livelihoods of Albertans. All they are focused on is “the economy.” Well, there is no economy without PEOPLE who are functional and alive. There’s no future without our KIDS. /2
They don’t care that HCWs haven’t recovered after over a year of hell. That the patients just keep coming and the resources keep shrinking. That’s without more COVID cases - what will we even do if those start rising again? We are dispensable to them. All of us. /3
Let's take a deeper dive into bed closures in AB and the implications. @AHS_media confirmed that over 100 beds are being temporarily closed across AB as a direct result of staff shortages. As you've seen in my previous tweets, this is from both nurse and doctor shortages. /1
Over the last several wks, several rural communities have had ERs closed due to MD shortages. Lacombe and Royal Alexandra Hospita ERs have faced significant bed closures due to nursing shortages. RAH (where I work) will have at least 6 ER beds closed for the ENTIRE summer. /2
Why do these bed closures matter? The bottom line is that Albertans will suffer. Fewer beds means longer wait times during a time of year where patient volumes skyrocket. Longer wait times means sicker patients and potential bad outcomes. It also means more burnout for HCWs. /3
Today marks the last day of rural health week in AB.
First, a shoutout to all of my colleagues in rural AB, doing an amazing job working in an under-resourced setting.
Here are just a few examples of how rural health is being attacked and undermined in AB.
A thread… /1
Multiple rural hospitals have had to pause, reduce, and even close services due to MD shortages (hmmm, wonder why?) - this includes the closure of multiple ERs
1. Reopening plan relies on just ONE vaccination dose, with no mention of the second dose. We know that first doses are not as effective, and this plan gives no incentive to getting fully vaccinated. /2
2. Reliance on LAGGING indicators again. We've done this 2 times before and failed. Every single time, the leading indicators have increased dramatically, and led to another increase in restrictions. When will we learn? /3