Dr. Birinder Narang MBBS CCFP Profile picture
Nov 24, 2021 10 tweets 6 min read Read on X
1/ #COVID19BC - Age 5-11 Vax Rollout

Vax program announced today.

Some background:
Cases down w/ 457 new cases in past week, 15,917 total since beginning.

~20% new cases now in under 12 yo.

Most kids mild illness, but CAN get #MISC (19 in BC so far, average age 9)

#BCPoli
2/ Age & Vaccination

This graph shows that children under 12 years‐old are
generally at lower risk of infection than other age groups, even after returning to school in September.

Lower # of cases among fully vax individuals compared to unvaxxed across all age groups & time.
3/ Clusters & Schools

2975 exposure notifications, in 830 schools.
45% of schools had one (until Nov 13)
382 clusters (>2 cases w/in 14 days) in 217 schools.
Clusters identified in 12% of schools, so 88% of schools have had NO transmission events.
Median cluster size is 3 cases.
4/ COVID 19 vs Vaccine Risks - Age 12-17

Risk of getting COVID 19 is ~12-13x higher if unvaccinated.

0 people have been hospitalized if they have had 1 OR 2 doses.

509,806 vaccines given since May, 2021.

133 adverse events following vax reported (14 serious, ie anaphylaxis)
5/ Health Canada Approval & NACI

@GovCanHealth approved it through independent review assessing safety and efficacy.

The direct benefit is to increasing the child's protection, family confidence, but also the indirect benefit is to rest of is society in reducing transmission.
6/ Kids 5-11, 🔑Elements.

~25% kids registered so far.

10 µg dose, why?

Study looked at both 10 & 30 µg doses & found similar immune response w/ less side effects.

Kids immune systems respond well to less antigen (stimulation).

NACI recommends 8 weeks interval, so will BC.
7/ Steps.

Can register your child now, invitation for booking appointments will start coming out on Monday.

Clinics will start on Monday, multiple options.

If parent is unable to be present with their child, they can give written consent by proxy with adult accompanying child.
8/ Multiple clinic types.

Family Clinics - will not be doing boosters or dose 1s. Priority will be kids and immediate family members

12+ Clinics - will be done in large pharmacies (pediatric vaccines won't be don here).

What's missing?

@BCFamilyDoctors as usual.
9/ Getting information

Estimate that 55-60% of parents are now ready to vaccinate kids, w/ 15-20% wanting to wait for now and the rest not supportive.

~3 million kids in this age range in USA have been vaccinated with no new safety signals identified.

Lots of data will come.
10/ Resources

A collection of resources has been made available by @BCGovNews & @ImmunizeBC.

Info at: www2.gov.bc.ca/gov/content/co…

FAQ at: immunizebc.ca/COVID-19-vacci…

Cool app to help support children with anxiety getting vaxxed: respiire.com/COVID-19.html

#BCPoli

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More from @BirinderNarang

Feb 16, 2022
1/ Following up on this with a few things.

Quick update on what I read on South Africa & some reflections on Denmark as many people have had questions/comments about it.

We continue to do a disservice to South Africa by not recognizing their experience.

#COVID19
#cdnpoli
2/ South Africa - Hospitalizations

Peaked at ~10K in mid December during Omicron surge, now down to 1500ish.

From the very beginning their brilliant physicians would tell us, this is behaving differently.

Our Western arrogance refused to acknowledge this reality.
3/ South Africa - Critical Care

In a country of 60 Million there are currently 374 people on Oxygen and 124 who are ventilated (From #COVID19)
Read 10 tweets
Feb 15, 2022
1/ BC: "Ensuring Balance in Easing Restrictions"

Today BC outlined their approach to phased re-opening.

Starting tomorrow night with removing capacity restrictions at 11:59 PM & reviewing masks/vaccine card in the next 1-2 months.

#COVID19BC
#BCPoli
2/ Principles Driving Next Steps

Focusing on:

Response: Immunization, self management, protecting those most at risk

Recovery: Rescind restrictions + adopt sustainable strategies

Readiness: Prepare for ongoing waves & troughs

"Shifting to Sustainable"
3/ Goals & Tools

Goals: Minimize deaths/serious illness, protect system, minimize societal disruption

Tools: Endemic Management (that's essentially what the list is) including: vaccines, surveillance, individual driven decisions, managing high-risk out breaks & treatment
Read 10 tweets
Feb 15, 2022
1/ Reopening: #COVID19BC

Loosening of restrictions are expected to be announced today.

Sure to be some backlash from those who are not ready.

Let's look at the UK, where they removed many restrictions on January 15th. (~ 1 month ago)

Declines across the board.

#BCPoli
2/ UK Patients admitted to hospital.

Daily numbers of patients admitted to hospital (Don't think this distinguishes from the "for" or "with")

7 day average was ~2000/day 1 month ago, decreased to ~1300/day (Feb 8th)

Lowest since Pre-Christmas.
3/ UK Hospital Census

Daily count of confirmed COVID-19 patients in hospital.

Was ~19,500 1 month ago, latest numbers ~12,000.
Read 6 tweets
Dec 20, 2021
1/ #COVIDVaccine in Age 5-11 - Dec 13 - @CDCgov

Committed to sharing data as I understand it, both positives & negatives so you can make your informed decisions.

Lots of good, some to keep an eye on.

Read through.

#COVID19BC
#BCPoli #CDNPoli
2/ #COVIDVaccine Age 5-11 - V-Safe & VAERS

Data from both V-Safe (@CDCgov smart phone monitoring) & VAERS systems in the States here, looking at trends.

Majority white populations from V-Safe.

Data for Dose 1 & 2 presented.
3/ #COVIDVaccine Age 5-11 - V-Safe Reactions

Summary of health impact shows: ~1-2% needed some type of medical care post vaccination.

~50-60% had some injection site reaction (mostly pain) as expected for most shots.
Read 10 tweets
Dec 18, 2021
1/ @VCHhealthcare - 🦠 PCR Result Changes

Reminder:

IF you test NEGATIVE --> don't need to self-isolate, but if you still have respiratory symptoms, stay home until you feel better.

IF you test POSITIVE --> you must self-isolate, but some changes now ➡️➡️

@CDCofBC
#BCPoli ImageImage
2/ Symptoms: Reminder

Key symptoms of COVID-19 include:

• Cough 😷
• Fever/chills🥵
• Shortness of breath/difficulty breathing 🫁
• Loss of taste & smell 👃🏾
• Headaches, muscle aches, fatigue 🤯
• Nausea/Vomiting/Diarrhea 🤢
• Sore Throat 😜

#OmicronBC
#BCPoli
3/ Self-Isolation:

"Do not go to work, school, or to any public places for
7 days from when your symptoms began, OR from your test date if you’re not sure

(10 days for those who are not fully vaccinated)"

- @VCHhealthcare
Read 8 tweets
Dec 12, 2021
1/ #Omicron 🧵

Been a few weeks since we heard of #OmicronVariant

Thought I would look at what we have learned so far, and some questions that remain, using @OurWorldInData & some global reports.

So at peak, South Africa has had ~400% increase in cases.

#COVID19BC
#cdnpoli
2/ #Omicron - South Africa

Can we attribute the rise of cases directly to Omicron?

Looks like the answer is yes.

South Africa cases are 100% Omicron now.
Botswana ~20%.
Canada/UK/USA still low, but increasing.

(Other countries where it has been found for comparison)
3/ #Omicron - What's happening with Delta?

This seems obvious, but just to confirm with the sharp increase in Omicron, there is a concurrent steep decline of #DeltaVariant as it is displaced.

This makes us all tense as we still have a lot to learn, but it's not all doom & gloom
Read 15 tweets

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