Are you confused about #COVID?

How do you know when you have it?
Who can get a test?
When to use a RAT?
When to call a doctor?

You're not alone.

We @UofTFamilyMed @OntarioCollege have pulled together answers to common COVID Q's…

Here's a rundown 🧵
1. How do you know you have COVID?

Bottom line: If you have symptoms, assume you have COVID

(Most people don't qualify for a PCR test)…
2. When should I call my doctor?

i) if you have a pre-existing condition that needs attention
ii) if you might quality for treatment (e.g. very weak immune system, over 60, over 50 + certain medical conditions)
iii) you really are not feeling well!…
Some specific advice in there too about what to do if you are caring for a child with COVID and when you should be worried
3. Do I need a COVID PCR test?

Most people aren't eligible for one in Ontario

These tests are now reserved for high-risk settings and individuals at high-risk of more severe illness 👇🏽…
4. When do I use a RAT?

There are 3 main recommended uses:

1. Testing when you have symptoms
2. As part of an organized screening program
3. Testing to return to work

(A 4th use, one-time testing before gathering, is no longer really recommended)…
5. What should I do if I've been exposed to COVID?

(This one was the hardest to write b/c so confusing!)

Bottom line:
self-isolate if
-you have symptoms
-you live with the person with COVID
-you have <2 vaccines or a very weak immune system…
Some people won't have to self-isolate but should still be careful!

(and guidance is different if you work in a high-risk setting!)
6. How do I keep safe during Omicron?

Vaccination, vaccination, vaccination—whether that's your 1st, 2nd, 3rd, or 4th dose!

Most people with 2+ vaccines & healthy immune systems will be able to recover at home without seeing a doctor…
We will do our best to keep these resources up-to-date with evolving guidance

We will also be translating them into a few commonly spoken languages

And we would love your feedback. Did we get something wrong? What questions do you have that we should answer? Replies welcome!
Grateful to work on these alongside @docdanielle and our terrific comms team @UofTFamilyMed

Thank you to the many who provided edits including @NoahIvers @AndreaChittle @OCFP_President @NoorRamji @DrJPeranson + others!

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More from @tara_kiran

12 Jan
I've been thinking a lot about the patients in my practice who still say no to the COVID vaccine

They are not anti-vaxxers

Most have difficult lives—newcomers, BIPOC, histories of homelessness, trauma, poverty

They (reasonably) mistrust gov't & are victims of misinformation
We should certainly not be taxing these individuals or denying them healthcare

That goes against the principle of healthcare based on need as @picardonhealth @globeandmail so eloquently puts…
I understand why there is anger directed at those who have still chosen not to be vaccinated

I suggest turning that anger constructively towards regulating the amplification of misinformation by social media platforms
Read 4 tweets
16 Nov 21
I know some parents are reasonably worried about the risk of myocarditis following COVID-19 vaccination for children 5 to 11

Here's what we know about the risk and why experts think it will be much LOWER in this age group than with teens/adults 🧵
First, it seems that kids have a lower predisposition for myocarditis and pericarditis.

Ontario data show the natural incidence of myocarditis and pericarditis (pre-COVID) was much lower for those <12

(data courtesy @DrJeffKwong via Dr. Upton Allen)
Second, experts believe the risk of myocarditis is dose-related. That's one of the explanations for why we saw higher rates for the Moderna vaccine compared to the Pfizer vaccine

The kids covid vaccine dose is 1/3 that of the teen/adult dose which hopefully means less risk
Read 8 tweets
30 Sep 21
Like many parents, I'm struggling to understand why the Ontario government is so strongly against using rapid testing to prevent the spread of #covid in schools.

Is it because the tests are in low supply or too expensive to purchase?

No. My understanding is the feds are purchasing and distributing the rapid tests to provinces
Is it because we don't have the person-power to package/distribute the kits and interpret/action the results?

No. Even if PHUs are stretched, it seems like there are many eager community volunteers
Read 10 tweets
29 Sep 21
Let’s prevent a junior-edition of the vaccine “hunger games”

Instead, let take a schools-based approach so every child age 5-11 has a chance at getting the #covidvaccine once approved

New oped @TorontoStar from @SabiVM @NoahIvers and I… via @torontostar
A schools-based approach would be most EFFECTIVE

Studies estimate that uptake of the HPV vaccine was almost 4 times higher in school-based programs compared to community-based ones…
A schools-based approach is EFFICIENT

No wasted time booking and travelling to appointments. We are bringing vaccines to where kids are already congregating
Read 8 tweets
18 Jun 21
I want to start by acknowledging the confusion and frustration that the latest NACI statement has caused those who got the AZ vaccine—and the pharmacists and primary care clinicians supporting them

As I write, I know many are on the phone rescheduling appts

A few thoughts 🧵1/
NACI has said that an mRNA vaccine is preferred as the 2nd dose for those who received AZ for their 1st

They also reassure folks who got AZx2 that they have very good protection against severe death and hospitalization 2/…
Their recommendations are based on emerging data on immunogenicity and safety

@SabiVM does a great job of summarizing the immunogenicity data here. Note we have no data on effectiveness (ie Covid outcomes) 3/
Read 11 tweets
16 Jun 21
1. Data is still emerging on myocarditis post-vaccination and whether it's a consequence of the vaccine or coincidence

At this time CDC/PHAC still encourage vaccination in those 12+

Here's a short thread on what you should know 🧵

(More details here:…)
2. When has myocarditis been reported?

Myocarditis after vaccination has been noted
-more commonly with 2nd dose
-usually within a few days after vaccination
-mostly in males, 16+ or older
3. What should you look out for?

Contact your doctor if, within a few days of receiving the vaccine, you or child have
-chest pain
-shortness of breath
-palpitations (fluttering or fast-beating or pounding heart)
Read 8 tweets

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