COVID-19: Outbreak in a children's indoor sporting event

Peel Region public health released contact tracing information about a COVID-19 outbreak in a children's indoor sporting event ( peelregion.ca/health-profess… ). 🧵1/8 Image
In Peel region there are over 207,000 children under age 12 who are not eligible for COVID-19 vaccines which means this group has increased risk of acquiring and transmitting infection, especially in close contact settings such as indoor high-intensity sports. 2/8
At a children's sporting event there were two distinct COVID-19 exposures on different teams with players under the age of 12.  The teams did not play each other. 3/8
On Team A, 41% of the players tested positive for COVID-19 and on Team B it was 23% of players.  No cases from other teams exposed to Team A or Team B were identified. 4/8
There was only transmission from players to 2 household contacts, both contacts were under age 12 and unvaccinated. There was no transmission to fully vaccinated household members. 5/8
Investigation of the transmission chains leading to the outbreak identified links to social events including birthday parties. Most cases in these chains were unvaccinated but 3 cases were fully vaccinated people.  There was no further transmission from fully vaccinated cases.6/8
Peel recommends reducing the risk during sporting activities by having outdoor activities where possible, wearing masks, physical distancing especially in shared spaces such as change rooms, and getting vaccinated if eligible. 7/8
Note that vaccination *stopped* the chain of transmission.  Although 3 fully vaccinated people did end up becoming infected, they did not transmit the virus and infect anyone else, nor did any fully vaccinated household contacts become infected (  ). 8/8

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More from @jeffgilchrist

3 Oct
COVID-19: Parents set up rapid screening for schools when government didn't

We already know that children have less symptomatic COVID-19 infection than adults, yet schools in Ontario are relying on passive symptom screening to allow children to attend school. 🧵1/
The Delta variant is making this even worse, where 74% of infections with Delta take place during the pre-symptomatic phase ( nature.com/articles/d4158… ). 2/
This is one reason why Delta has replaced the original and Alpha variants because people are infecting others for days before they even know they are sick which makes symptomatic screening even less effective at schools. 3/
Read 17 tweets
2 Oct
COVID-19: Impact of mask policies and school outbreaks

The CDC has released two studies looking at the impact of mask policies on school associated COVID-19 outbreaks. Policy makers in Ontario please note, "school-associated outbreaks" so they *do* actually happen. 🧵1/
The first study looked at grades K-12 in Arizona from July to August 2021 when schools resumed in-person learning. The CDC found that schools without mask requirements were 3.5x more likely to have COVID-19 outbreaks ( cdc.gov/mmwr/volumes/7… ). 2/
Mask requirements were variable by school and only 21% of schools had mask requirements from the start of schools reopening, 30.9% enacted a mask requirement a median of 15 days after school started, and 48% had no mask requirement. 3/
Read 9 tweets
30 Sep
COVID-19: Impact of being unvaccinated with limited public health measures

This is a long thread which is aimed at providing facts and not focus on blame of individuals so please read all the way until the end to get the full details. 🧵1/
If a person has not received a COVID-19 vaccine for whatever reason (not eligible, barrier to access, personal choice, medical exemption) there are very real impacts to the community that can now easily be seen when few or no public health measures are in place. 2/
To save space I will refer to that person as unvaccinated, even though they may have been vaccinated for other viruses. 3/
Read 42 tweets
29 Sep
COVID-19: No, vaccinated people are not as likely to spread COVID

In Ontario rates at which people are becoming infected, hospitalized, and admitted to the ICU are much higher for people who have not been COVID-19 vaccinated ( gilchrist.ca/jeff/COVID-19/… ). 🧵1/
This article does a good job at explaining why vaccinated people are not as likely to spread COVID-19 ( theatlantic.com/ideas/archive/… ). 2/
There has unfortunately been a lot of misinformation given, and confusing messaging from public-health agencies. The reality is that in order to spread COVID-19 and infect someone else you need to actually be infected yourself. 3/
Read 20 tweets
28 Sep
COVID-19: Impact of air filtration in hospitals

This very interesting study shows COVID-19 virus along with other bacterial and fungal pathogens were removed from UK hospital wards by air filtration ( medrxiv.org/content/10.110… ). 🧵1/
Researchers measured pathogen levels for 5 days to set a baseline, then activated the filtration system for 5 days, and then took measurements for 5 days again after the filtration system was turned off in both a COVID-19 hospital ward and ICU. 2/
They detected airborne COVID-19 virus in the ward on all 5 days before filtration activation, but none of the 5 days when the filter was active, then they detected COVID-19 virus again for 4 of the 5 days when the system was turned off again. 3/
Read 19 tweets
20 Sep
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/
Read 16 tweets

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