"Returning to school" solves NONE of the pre-pandemic mental health problems our kids, which were increasing and substantial. It is not the same world it was pre-pandemic, and we are all under pandemic pressure.

It is a fantasy to pretend like "returning" brings things back.
I mean... I get the fantasy. It's alluring. We all kinda wish we could go back to 2019 and just... you know... keep going there.

But we can't. Kids are under MORE pressure today, not less, and its not just 'missing school' (in fact, if you asked them...)

/2
It's 1.5 million kids worldwide being orphaned.

It's entire economies and ways of life shifting.

It's a postpandemic world that is mid-new-variant and another worse variant away from retreat.

/3
It's everything NONPANDEMIC that's happened in the past 2 years.

It's the fallout from all the new changes that workplaces, schools, and societies must necessarily make.

It's the climate crisis that continues.

/4
Time moves forwards, not backwards.

Even If we simply extraplolate the way things were going for kids mental health from 2019 to now, it's not like we'd expect 2022 to be awesome. And we've added a world-crushing pandemic.

/5
Everyone, please, if you're going to TALK about, CARE, or even PRETEND TO CARE about the mental health of kids, can we please come up with something more substantial for our kids than "return them to the place we were really worried about in 2019?"
ugh and i need to edit my tweets before hitting send. sorry, all.

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More from @tylerblack32

9 Jan
DATA SCIENCE:
COVID data by age.

This is very tricky, so please follow along.

I'll post the graph used as evidence of KID CRISIS first, then the exact same data presented as it's wielded as evidence of NO KID CRISIS.

Ontario COVID hospitalizations:
Kids are in crisis!

/1 Image
Ontario COVID hospitalizations:
Kids are not in crisis! (Same data, same Y axis)

How do we reconcile this?

/2 Image
People who work in epidemiology/public health actually have to hold BOTH GRAPHS in their heads.

Children are not little adults and their health care needs are different. There is a reason that we don't compare children to adults often in epidemiology.

/3
Read 15 tweets
8 Jan
Nevermind me, just collecting evidence.

"School closures are harmful to mental health!"

CITATION: This Simpsons episode which clearly shows that kids functioning deteriorated during summer closure
"Kids need school to feel happy!"

CITATION: "Schools Out for Summer" by Alice Cooper, and this live performance demonstrating the rage and anger kids feel when they are out of school.

"School closures are associated with a host of mental health problems!"

CITATION: "Summertime" by @djjazzyjeff215 and the Fresh Prince. When FP references "Schools out and it's sort of a buzz," he is referring to the hallucination-inducong melancholy children feel.
Read 7 tweets
8 Jan
Welcome all my new followers. I know I have been quite popularly shared amongst the #schoolclosings issue.

I'm sorry if this loses you quickly:

* Schools should be last closed/1st open
* The science supports closures during periods of high transmission only.

Still with me?
* many families cant do remote schooling & many kids struggle. And our job as privileged people (I am one) is to do my part to protect them

* We do have good evidence that any pandemic/closure effect disproportionately affects minoritized, racialized, & impoverished kids

Still?
Scientific discussion is importantly antagonistic: we challenge and critique and question and test. But I get very uncomfortable when my tweets are used to harass or demean public health officials. Even moreso knowing how much harrassment they get.
Read 9 tweets
8 Jan
Not to directly contradict a major society in Canada, but BC has not been experiencing a spike in suicidality, emergency mental health presentations, or severe MH admission rates during periods of school closure.

In Feb to May 2021, with schools fully open here, yes, yes we did.
This statement should give the society pause. Being a letter to Ontario govt, of course, it's Ontario centric (every Canadian organization is). But schools have been open for the entirety of the 2020 2021 year and closed for precisely 1 week (Jan 4 to 8, 2022).

Same spikes.
If we saw the same spikes in mental health challenges in 2020-2021 with schools open that Ontario saw with schools closed, what does that suggest?

We will be directly testing in school/out of school data here in BC, and actually publishing numbers that are peer reviewed.
Read 15 tweets
7 Jan
Good news from Ontario - the omicron "vaccine hole" seems to have a ceiling that's holding. There is still mild protection from vaccine, whereas ICU/hospitalization remains robust. (Updated today)

Suspect a portion is due to "who goes for tests."

/1
In BC, the variable of age plays large into the seemingly negative vaccine effectiveness. Age is such a massive variable that age standardization flips whether or not vaccines show effectiveness to reducing cases.

/2
While the monthly stats still look quite vaccine-protective, this is shifting rapidly and the past few days have seen higher rates of vaccine cases than unvax cases.

/3
Read 12 tweets
6 Jan
/1 A great summary given by the @mehdirhasan regarding the rhetoric around schools, "trauma," & kids' mental health. I was so pleased to see these nuances injected into the conversation.

I'd like to talk about a different aspect, but please watch first!

/2 Wayyyyy back in July 2020 when schools were approaching I worked very hard to get the word out: schools are actually quite nuanced when it comes to kids' mental health. It still holds, and I'll be reiterating some of it here.

/3 How about this CDC data (I compiled/visualized) of # pediatric suicides per day? School days are associated with a 40-50% increase in suicides compared to non-school days.
Read 19 tweets

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