Our pandemic response in #SK is completely broken.

โŒ Lowest vaccine uptake in ๐Ÿ‡จ๐Ÿ‡ฆ
โŒ Zero restrictions
โŒ Overrun testing/contact tracing capacity
โŒ Critical care capacity nearly maxed out

Our 4th wave has just begun. We're in BIG trouble.

๐Ÿงต ๐Ÿ‘‡

1/ #COVID19SK
To begin, #SK has the lowest vaccine uptake in Canada.

Despite similar political / geographical considerations as #MB, we're 8% behind in 1st doses, 12% behind in 2nd doses.

The only real difference b/w the 2 provinces? A functional vaccine certificate program.

2/ #COVID19SK
On July 11, we were the 1st place in NORTH AMERICA to remove all public health restrictions, including mandatory isolation for COVID+ persons.

#SK has no province-wide mask mandate. Schools are inconsistently masked.

cbc.ca/news/canada/saโ€ฆ

3/ #COVID19SK
Testing capacity in central/northern #SK, including Saskatoon / Prince Albert, is overwhelmed. People are waiting hours.

Many will soon need to line up to access testing for non-essential activities (e.g. attending @sskroughriders games).

4/ #COVID19SK

Contact tracing capacity is overwhelmed with the surge in cases. Earlier today, @SaskHealth indicated that COVID+ persons would be notified quickly but would now be asked to notify all their close contacts due to staffing shortages.

5/ #COVID19SK

Meanwhile, we've just begun our 4th wave.

With zero mitigation measures (masking, distancing, gathering restrictions) & poor vaccine uptake, our curve is projected to grow exponentially faster than any jurisdiction in Canada.

6/ #COVID19SK
Saskatchewan critical care capacity is already close to maxed out. Earlier this week, multiple referral centers in Saskatoon, North Battleford, and Prince Albert were all on ICU bypass.

7/ #COVID19SK

cbc.ca/news/canada/saโ€ฆ
After 18+ months of the pandemic, our dedicated HCWs responsible for the sickest people in ERs, ICUs, and hospitals across #SK cannot keep giving more.

Even if we can make more space for people, there won't be anyone to look after them.

8/ #COVID19SK

cbc.ca/news/canada/saโ€ฆ
Oh, we JUST set a yearly record for daily cases today at 418.

We're going into the long weekend where people will be gathering, partying, etc.

Mosaic Stadium is going to be packed with 33,000+ people for the Labour Day Classic Sunday.

9/ #COVID19SK

Meanwhile, the narrative continues to be that vaccines are our way out of this, everyone needs to roll up their sleeves, and the unvaccinated are to blame for "everything".

Encouragement won't change our reality now. Only policy will.

10/ #COVID19SK

In summary, to be blunt, #SK is one giant cluster f*** w/ respect to our (non) response to the 4th wave thus far.

We've done, literally, worse at EVERYTHING than EVERYONE in Canada. Vaccines, restrictions, masks, certificates, you name it. We're at the rear.

11/ #COVID19SK
It's not too late to change course. If we don't, there will be so much unnecessary suffering & death I can't even really fathom what it will be like.

If we pivot quickly, it will be less horrible. Masks, certificates, restrictions. All of it.

12/ #COVID19SK
I love #SK & its people. It's my responsibility to look after every citizen if they need help, no matter the circumstances.

This responsibility, to me, also means advocating in every possible way to prevent unnecessary suffering & death for all #SK citizens.

13/ #COVID19SK
As we stared down our 3rd wave, I asked for #SK to unite against COVID-19.

Now, as we face our 4th wave, let's remember our provincial motto: Multis e gentibus vires (From Many Peoples Strength).

We ARE stronger together, #SK.

Be safe.

end/ #COVID19SK

leaderpost.com/opinion/columnโ€ฆ

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More from @awong37

27 Aug
Wow. Tonight's Doctor's Town Hall. Yep, it's bad, #SK.

This ๐Ÿงต will highlight 3 of my #Saskatoon colleagues being blunt & honest.

SUMMARY: no public health measures + unideal vaccine uptake + no staffing capacity in hospitals = #SK hospitals/ICUs in big ๐Ÿ’ฉ.

1/ #COVID19SK
We'll start w/ @WheatNOil below.

Delta is ++ contagious. We haven't vaccinated enough people. So hospitals ARE going to be overwhelmed, #YXE facilities already in trouble.

Don't get sick in #SK for next 2-3 months - there won't be space.

2/ #COVID19SK

Next, @hinz_tamara below.

Community transmission MUST be lowered via:

โœ… Vaccine / testing for HCWs/teachers, access to large venues, etc.
โœ… Indoor mask mandates
โœ… Consider passports for non-essential events.
โœ… Reduced gathering sizes.

3/ #COVID19SK

Read 6 tweets
21 Aug
Important, IMO. @LynnGiesbrecht shared school guidance document from local #SK MHOs dated Aug 13. Re: masks:

"Public Health at this time STRONGLY RECOMMENDS mask use for all students, staff and visitors."

Yes! UNIVERSAL masking in #SK schools is a no-brainer!

1/ #COVID19SK
Also in the document:

โœ… Public health preventive measures demonstrably effective in last school year SHOULD be continued this school year.
โœ… Everyone eligible, get vaccinated.
โœ… Self-screening & iso/testing critical w/ contact tracing.

2/ #COVID19SK
More in the document:

โœ… Private transport or walking to school ideal. Buses unideal, assigned seating important for contact tracing.
โœ… Masks in school buses 100%.
โœ… Hand hygiene critical.
โœ… Enhancing cleaning of high-touch surfaces.

3/ #COVID19SK
Read 6 tweets
21 Aug
"Hey Alex, why does #SK have more cases in persons fully vaxxed compared to persons only partially vaxxed? Doesn't full vax protect you more?"

Yes, it absolutely does. #VaccinesWork.

@AlexanderQuon explains it well. I'll simplify.

1/ #COVID19SK

cbc.ca/news/canada/saโ€ฆ
Let's start with where #SK is at right now with vaccine doses. Using Alex's numbers from his article (from mid-week) & based on overall population of 1,173,000:

0 doses: 402,000 (34.3%)
1 dose: 93,000 (7.9%)
2 doses: 678,000 (57.8%)

2/ #COVID19SK
A MUCH LARGER number & proportion of people in #SK have 0 doses or 2 doses at this point since our vaccine rollout has matured.

While persons who are fully vaxxed have a much lower chance of acquiring infection w/ Delta, it's still 15-20%.

3/ #COVID19SK
Read 10 tweets
11 Aug
Minister Merriman: #SK kids minimally hospitalized, not having bad outcomes (ICU, death). Agree.

As a parent, my HUGE concern: given Delta & its contagiousness, discussion w/ #SK kids must move FAR BEYOND hospitalization & death.

๐Ÿงต๐Ÿ‘‡

1/9 #COVID19SK

panow.com/2021/08/11/covโ€ฆ
Without mitigating measures in schools + day cares, large number of #SK kids will get COVID-19, especially those under 12 who can't get vaccinated.

Yes, virtually no #SK kids will die directly of COVID, but there are so many other potential impacts of concern.

2/9 #COVID19SK
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.

3/9 #COVID19SK
Read 9 tweets
1 May
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. ๐Ÿงต 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
Read 13 tweets
17 Apr
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.๐Ÿ˜ข (1/4) #COVID19SK

cbc.ca/news/canada/saโ€ฆ
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
Read 4 tweets

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