Here's your AB COVID # analysis for Wed Dec 29th. I'll focus on the last 24 hours, and throw in a whole bunch of caveats, because some of this data is not as useful as it used to be. 1/
Cases/d yest 2800, a new pandemic record, and a % incr over last Tues's 1359. Except this data point is nowhere close as useful to a similar cases/d at any previous time of the pandemic, as evidenced by the record positivity of 29.88% (last Tues 11.89%). 2/
Hospitalizations: inpts.From a low of 261 on Sat, up +5 to 266 on Sun, +14 to 280 on Mon, and +12 to 292 yest. Not sure how useful this is, b/c it is unclear if all these new admits are pts admitted because of covid, or other reasons and just testing +ve incidentally. 3/
ICU: 57 xmas day, 57 boxing day, 60 Mon, 57 yest. This is a better data point to watch, b/c much less likely for a pt to "incidentally" catch covid in the ICU (although not impossible). 8 new paeds admits. see table from @ArynToombs for details. 4/
Deaths 11. Including 2 under the age of 50, one under the age of 40. Deaths are the other important data point to watch. Impossible to misunderstand that one. 5/
Demographics: skyrocketing cases in the 20-59 age groups. relatively sheltered are the 60-79 and 80+ age groups, protecting the most vulnerable. Let's hope this holds. And it remains very much an urban wave (so far). 6/
Feeling pretty down about the inevitability of this wave. I'm committed to doing my best to not get it... wearing a respirator when indoors, avoiding avoidable engagements, and the like. Avoiding longCOVID is my end goal. 7/
I'll end with this tweet thread I wrote this am about schools. I guess tomorrow we find out. fin/
Thanks to @ByMatthewBlack @ArynToombs and AB Health for the graphics.

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More from @jvipondmd

Oct 7
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 Image
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.

2/longcovidweb.ca
Next up, BC's website:
3/5 longcovidbc.caImage
Read 5 tweets
Aug 25
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…
Image
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…
Image
Read 11 tweets
Jun 7
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/ Image
Who is IPAC? this is from their "about us" page. 2/
ipac-canada.org/missionvisionv…
Image
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/
Read 15 tweets
May 8
Here's yesterday's @AHS_media acute care outbreak release.

I'd like to draw attention to three in particular.
1/4
Image
Image
Although not stated, this is undoubtably the PLC NICU outbreak.

So those 2 patients? are premature babies.

and I've heard reports that the unit was indeed maskless when the transmission occurred (that's been rectified, for now).
2/4 Image
You know who else is pretty vulnerable to COVID infections? those undergoing chemo and radiotherapy.
Like on a Cancer ward, for instance.
3/4 Image
Read 4 tweets
Apr 18
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…
Image
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/ Image
Read 13 tweets
Feb 22
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/
Read 20 tweets

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