Here's your AB COVID # analysis for Fri Jan 14th. 1/
Cases/d yest 6326, a 0.2% drop from last Thurs's 6341. 7d ave now 5997 a 44.9% incr wk over wk from 4138. Positivity 37.88% compared to last Thurs 38.42% (essentially flat). Don't let the slight drop wk over wk lull you, changing test criteria make everything inaccurate. 2/
Hospitalizations: inpts. Last Fri +62 to 585 (revised from 681 yest 579 Wed 570 Tues 558 Mon) Sat +16 to 601 (revised from 595 yest 593 Wed 585 Tues and 555 Mon). Sun +41 to 642 (revised from 637 Yest 633 Wed 617 and Mon 563). 3/
Mon +46 to 688 (revised from 680 yest 633 Wed and 628 Tues) Tues +29 to 717 (revised from 700 yest and 666 Wed) Wed +32 to 749(revised from 707 yest). Yest -8 to 741. (subject to revision). 7d rise to Tues of 51.9% (yest 61.1% Wed 55.7% Tues 53.4% Mon 53%). 4/
I think it is really important to point out the massive revisions to the numbers of inpts. Mon for example was inititally reported at 628. today 688. These massive revisions hide rapid growth of patients. Looks like the curve is bending down, dunnit? Nope.
ICU: Wed -4 to 80 (revised from 79 yest). Yest +1 to 81. Four days of flat ICU cases is a relief. Paeds admits 6, including 2 to ICU, a 10-19year old and a baby. Total deaths 5. 6/
Demographics:Age graph:increasingly useless. See that rapid rise among the 80+? That's just b/c they meet the PCR test criteria for being vulnerable. Others don't so relatively dropping. They likely are all going straight up. Geography similarly not usefu, except relatively. 7/
Everyone I know who cares is scared and frayed. I know I am. Be kind. Forgive. We are not doing our best. Emotions are up. Love one another. We need it now more than ever. fin/
thanks to @ArynToombs @ByMatthewBlack 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…
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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
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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…
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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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