COVID-19: Ontario vaccine passports

Ontario's vaccine passport is coming into effect in two days on September 22nd and more details have now emerged how this will be implemented ( news.ontario.ca/en/release/100… ). 🧵1/
The proof does not apply to "Workers, contractors, repair workers, delivery workers, students, volunteers, inspectors or others who are entering the business or organization for work purposes and not as patrons." ( health.gov.on.ca/en/pro/program… ). 2/
Unvaccinated workers are 6.7x more likely to become infected and can still spread the virus to others at these locations. Over the last week, vaccines are still 85.2% effective at reducing infections ( gilchrist.ca/jeff/COVID-19/… ). 3/
There seem to be a few surprises when you look at the specific details such as special exemptions that people do not need to provide proof of vaccination when... 4/
..."entering the indoor premises of a meeting or event space, including a conference centre or convention centre, solely for the purposes of attending a wedding service, rite or ceremony or a funeral service, rite or ceremony, but not an associated social gathering" 5/
Anyone can attend an event inside in a conference center or convention centre and is deemed "safe enough" by the government if the event is a wedding ceremony or funeral service, but the same location is magically not "safe" if anything other than a wedding or funeral is held. 6/
It seems the government must have negotiated a special agreement with the COVID-19 virus to stay away from those locations only in some specific circumstances... 7/
The unvaccinated can also attend the social gathering portion of a funeral service, rite, or ceremony, if it happens to be located in a place of worship or a funeral establishment, cemetery, or crematorium. 8/
From Sept. 22 to Oct. 22 the province will be using the vaccine receipt which was emailed to you after your second shot, or can be downloaded from the provincial vaccine portal ( covid19.ontariohealth.ca ) or by calling the Provincial Vaccine Booking Line at 1-833-943-3900. 9/
They don't explain how but claim this version of the COVID-19 vaccination receipt contains security measures to deter forgery. 10/
People will need to show proof of being fully vaccinated and proof of identification where the person's name and date of birth on both pieces match. Photo ID is not required. 11/
Failing to comply with the requirements can result in a fine of $750 for individuals and $1,000 for corporations. 12/
Maximum penalties include fines up to $100,000 and 1 year in jail for an individual and $500,000 and up to a year in jail for an individual who is a director or officer of a corporation and up to $10 million for a corporation. 13/
Obstructing any person exercising a power or performing a duty (including workers) in accordance with these requirements can also result in charges. 14/
An enhanced vaccine certificate as well as verification app to allow businesses or organizations to read the QR code will be available on Oct. 22nd. 15/
After Oct. 22nd people will be able to provide a paper copy or digital copy of either their enhanced vaccine certificate or older version of the receipt as proof of vaccination. 16/

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More from @jeffgilchrist

19 Sep
COVID-19: ICU costs in Canada

A Canadian Institute for Health Information (CIHI) report shows that COVID-19 patients remain in hospital for about 15 days and the average cost per COVID-19 patient in the ICU is more than $50,000 ( cihi.ca/en/covid-19-ho… ). 🧵1/
The average cost for treating a patient with COVID-19 is more than $23,000 which is 4x higher than a patient with influenza. For those that are still uncertain, even financial data can tell you and come to the conclusion that COVID-19 is significantly worse than the flu. 2/
Unfortunately 1 in 5 COVID-19 patients admitted to the ICU dies there. CIHI estimated the hospitalization cost of COVID-19 in Canada (excluding Quebec) was nearly $1 billion from January 2020 to March 2021 and the cost tripled between November 2020 and March 2021. 3/
Read 17 tweets
18 Sep
COVID-19: MMR and Tdap vaccines may reduce severity of COVID-19

For some time now scientists hypothesized that immune memory for other viruses could potentially reduce severity of COVID-19 as well. 🧵1/
Analysis of a large and well-characterized COVID-19 patient cohort revealed that prior MMR (measles-mumps-rubella) and Tdap (tetanus-diphtheria-pertussis) vaccination associates with reduced disease severity and death ( cell.com/med/fulltext/S… ). 2/
How is that possible? A diverse immune T cell response controls viral infections and a major goal of vaccines is to induce a strong and durable T cell memory. Reactivation of memory T cells generated against a different pathogen could enhance immunity to novel pathogens. 3/
Read 11 tweets
17 Sep
COVID-19: UK vaccine updates: Boosters for 50+

JCVI is now recommending booster shots (3rd dose) be offered to those more at risk of serious disease for the following groups no earlier than 6 months after getting the second dose ( gov.uk/government/new… ). 🧵1/
- those living in residential care homes for older adults
- all adults aged 50 years or over
- frontline health and social care workers
- all those aged 16 to 49 years with underlying health conditions that put them at higher risk of severe COVID-19, and adult carers

2/
- adult household contacts of immunosuppressed individuals

3/
Read 16 tweets
17 Sep
COVID-19: UK vaccine update: Children 12-15

Chief Medical Officers from the UK have recommended COVID-19 vaccines for all those 12-15 ( gov.uk/government/pub… ). This would be 1 dose with a second dose determined later (spring) based on more data accrued internationally. 🧵1/4
The recent advice from the UK's Joint Committee on Vaccination and Immunisation (JCVI) did not take into account any benefits to the community or society despite finding marginally better benefits from vaccinating children 12-15. 2/4
In this case the four CMOs looked at a much wider perspective and when taking into account other details including disruption to education, protection of parents and family members, they came to the conclusion that all 12-15 should be vaccinated. 3/4
Read 4 tweets
16 Sep
COVID-19: Pfizer vs Moderna dosing and combo Flu-COVID-RSV

Have you ever noticed that Pfizer's COVID-19 vaccine uses 30 ug doses and Moderna is100 ug doses and wondered why (  )? 🧵1/
In real-world effectiveness studies, the Moderna vaccine seems to outperform Pfizer with higher protection.  Since the two vaccines are using the same COVID-19 spike protein design, the two major differences between the vaccines are the dose amount and the time between doses.  2/
Some scientists believe the improved performance is because Moderna's dose is more than 3x higher than Pfizer.  Studies have shown increased neutralizing antibody level production with higher doses of mRNA vaccine given to rats ( science.org/doi/10.1126/sc… ).  3/
Read 10 tweets
8 Sep
COVID-19: UK decision not to universally vaccinate children 12-15

The UK's Joint Committee on Vaccination Immunisation (JCVI) recently announced they did not support universal vaccination of 12-15 year olds at this time ( gov.uk/government/new… ). 🧵1/
How did they come to a different conclusion than all the other countries who are already offering vaccines to those 12+ despite actually admitting that the benefits from the vaccine for 12-15 are "marginally greater than the potential known harms"? 2/
As usual, you need to look at the fine print and context they were using. First, they seemed to be using ICU treatment as their baseline and noted that only 2 healthy children per million need ICU care which was too small of a benefit ( washingtontimes.com/news/2021/sep/… ). 3/
Read 34 tweets

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