This whole paragraph is incorrect. Aerosol spread has been shown to be dominant, from well before Nov 2020. In fact, there is no evidence for droplet spread, and minimal evidence for contact. 2/ cdc.gov/coronavirus/20…
Incorrect. The new guidance says: a medical mask or a respirator, not just a medical mask. A respirator (aka N95/KN95/elastomeric) is a much better fitting mask than a surgical mask and will be much better protection when exposed to virus in aerosols. 3/ canada.ca/en/public-heal…
Why is considering a respirator important? The document specifically IDs fit as an important quality. It is worth noting Alberta has never recommended respirators for the public. And never for its staff, except in rare magical situations known as AGMPs 3/
This PCRA (point of care risk assessment) is supposed to allow HCWs to judge risk. But HCWs have never ever ever been told of the dangerous of airborne transmission or the factors that might make it more likely. How can they accurately assess risk without training? 4/
There are no other industries that would ask a worker to take responsibility for their own safety.Imagine a construction worker being told"decide if you need to wear a hard hat in this situation".Or an asbestos worker which situations to wear a mask with. esp. without training 5/
Reference please?
Vaccines are an important tool. One where those 5-11 won't be fully protected for a min. of 10 wks from now (2 doses 8 wks apart +2 wks). Why can't we better protect them until then? Remove mask exemptions. Allow filtration systems. Improve TTI. Allow mass rapid tests. fin/
Recently returned from representing the @CanCovSoc with @RougeMatisse and Marie-Michelle Bellon at the 2nd Annual Long COVID Symposium in Edmonton, hosted by @LongCOVIDWebCA.
Thrilled to see so many caring docs and researchers in masks, many in respirator masks. 1/5
One thing I learned is that there is a load of resources out there for people (patients, docs, others) to learn about long COVID (aka Post-Covid Condition). I thought I'd share four.
The first, of course, is @LongCOVIDWebCA.
Time for a thread. Now that we are "post-pandemic" what is the impact of this "endemic" disease on people and society, from a strictly mortality perspective?
(quotation marks intentional)
Let's take a look at the Alberta data. 1/
Our respiratory "season" closes this wk. Currently deaths are at 715, up 10 from prev wk. With an av of about 10/wk recently, and a lag in reporting, I suspect we'll end up at at least 730 for the 12 month period.
Is that a lot? should we care?
source: 2/ alberta.ca/stats/dashboar…
We have good data from prev year's causes of mortaliy, found in this spreadsheet:
Recall that in Canada (and AB) for 2022 COVID was the 3rd leading cause of death at 1547. (2021 2nd at 1950) 3/ open.alberta.ca/opendata/leadi…
I think we need to talk about the Infection Prevention and Control- Canada organization (IPAC-Canada). @IPACCanada, who has their annual conference starting Sunday. 1/
I was lucky enough to present at last year's convention at the invite of @BarryHunt008, on environmental impact of masking policies, with a focus on airborne protection.
You can see my presentation here: 3/
It's out! The @WHO's new wordsmithing report on airborne transmission. I'm going to do a little dissection on the good and the bad, who wins and who loses. 1/ cdn.who.int/media/docs/def…
the TLDR is: "through the air" is the old "droplet" and "airborne" transmission modalities combined. "inhalation" is the new "airborne". "direct deposition" is the new "droplet" 2/
The great: finally an acknowledgment that short-range airborne transmission is an integral component of all (not just COVID) airborne transmission. This is huge. It means that workers esp. HCWs need respirator masks (FFP2/3, N95) when interacting with concerning patients. 3/
Apparently many in the Canadian ID community on this platform are weighing in that paxlovid should no longer be recommended to high-risk (elderly, immunocompromised) outpatients with confirmed covid.
I think we should take a look at the evidence they've presented.
(a thread) 1/
So far there has been no evidence presented, none, except for the blogpost posted in the first tweet.
No peer reviewed science. At all.
And a reminder that there are still >500 inpts in Alberta with covid, and 10-20 patients dying each week (all likely high risk patients).
2/
Another reminder is I reviewed the paxlovid evidence in a thread a few weeks ago, in response to a paxlovid-minimizing news story by @LaurenPelley of @CBCNews.
You can check out the thread here: 3/