Like many parents, I'm struggling to understand why the Ontario government is so strongly against using rapid testing to prevent the spread of #covid in schools.

THREAD 🧵
Is it because the tests are in low supply or too expensive to purchase?

No. My understanding is the feds are purchasing and distributing the rapid tests to provinces
Is it because we don't have the person-power to package/distribute the kits and interpret/action the results?

No. Even if PHUs are stretched, it seems like there are many eager community volunteers
Is it because we have done everything we can to keep schools safe?

No. We have masks, some distancing, some improvements in ventilation but still large class sizes and plenty of covid circulating in the community

(figure via @dgurdasani1)
Is it because what we've done in schools has worked to keep out covid and related outbreaks

No. There have already been plenty of cases and outbreaks in school with classes sent home and education disrupted

Is it because community case counts aren't high enough for the tests to pick up enough cases to make it worthwhile?

Well, if that's the argument then it makes even less sense to support rapid testing of vaccinated adults in workplaces

theglobeandmail.com/canada/article…
Is it because kids and parents already have easy access to PCR testing?

Nope.
Is it because of concerns about equity in access?

Well, then implement a screening test strategy in all schools located in covid hotspots
Is it because experts disagree on how rapid antigen tests should be used to keep schools safe?

No. The federal testing and screening panel issued recommendations about rapid testing in schools in March 2021 (!)

canada.ca/en/health-cana…
OK, I'm at a loss.

It's time for the province to change its tune on rapid testing in schools. We need all the tools in the toolbox

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More from @tara_kiran

29 Sep
Let’s prevent a junior-edition of the vaccine “hunger games”

Instead, let take a schools-based approach so every child age 5-11 has a chance at getting the #covidvaccine once approved

New oped @TorontoStar from @SabiVM @NoahIvers and I

thestar.com/opinion/contri… via @torontostar
A schools-based approach would be most EFFECTIVE

Studies estimate that uptake of the HPV vaccine was almost 4 times higher in school-based programs compared to community-based ones

ncbi.nlm.nih.gov/pmc/articles/P…
A schools-based approach is EFFICIENT

No wasted time booking and travelling to appointments. We are bringing vaccines to where kids are already congregating
Read 8 tweets
18 Jun
I want to start by acknowledging the confusion and frustration that the latest NACI statement has caused those who got the AZ vaccine—and the pharmacists and primary care clinicians supporting them

As I write, I know many are on the phone rescheduling appts

A few thoughts 🧵1/
NACI has said that an mRNA vaccine is preferred as the 2nd dose for those who received AZ for their 1st

They also reassure folks who got AZx2 that they have very good protection against severe death and hospitalization 2/

canada.ca/en/public-heal…
Their recommendations are based on emerging data on immunogenicity and safety

@SabiVM does a great job of summarizing the immunogenicity data here. Note we have no data on effectiveness (ie Covid outcomes) 3/
Read 11 tweets
16 Jun
1. Data is still emerging on myocarditis post-vaccination and whether it's a consequence of the vaccine or coincidence

At this time CDC/PHAC still encourage vaccination in those 12+

Here's a short thread on what you should know 🧵

(More details here: cdc.gov/coronavirus/20…)
2. When has myocarditis been reported?

Myocarditis after vaccination has been noted
-more commonly with 2nd dose
-usually within a few days after vaccination
-mostly in males, 16+ or older
3. What should you look out for?

Contact your doctor if, within a few days of receiving the vaccine, you or child have
-chest pain
-shortness of breath
-palpitations (fluttering or fast-beating or pounding heart)
Read 8 tweets

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