One thing we need to recognize is that we DON'T KNOW so much about Omicron, including the subacute and chronic effects. It's so different from past strains, it's not surprising it is a very different illness. We know it causes less pneumonitis, but what don't we know? 1/
Aside from LongCOVID effects, the other big unknown is the exact mortality curve. I've been watching South Africa, Denmark, and UK, and NONE of them have maxed out their death curve. 2/
For UK, cases peaked Jan 6th, and of course death is a lagging indicator. Danish cases are just peaking now (maybe). So we wouldn't expect either of these countries to have reached their peak deaths yet. 3/
But South Africa's cases clearly peaked on Dec 17th. And cases are still rising. this is quite different than previous SA waves. 4/
So comparing intervals between peak cases and peak deaths for previous waves. 1st wave: Jul 19-Aug 10 (22 days) 2nd Jan 11-Jan 14 (3 days). 3rd wave:July 8-Jul 26 (18 days). Current interval 26 days. And this wave was by far narrowest peak. 5/
So, what to make of this? Watch this space. If deaths flip around in South Africa, followed by Denmark and UK, then stand down. But worth watching. Because Omicron isn't your grandmother's COVID. And we have a lot to learn. fin/
clarifying addendum. Deaths still well below previous waves, but still rising. I'll be more comfortable when this curve is well and truly dropping.
Largest rise in mortality for South Africa's Omicron wave 27 days post case/d peak. See above thread.

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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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