Tara Kiran Profile picture
Jan 22, 2022 10 tweets 4 min read Read on X
Thanks to the 1000's of people who have powered our 3rd dose effort. We've made amazing progress in a short time—and still have further to go.

A thread on why 3+ doses continues to be important and where we need to focus 🧵 Image
We now have more real world data showing that 3 doses is better than 2 at preventing infection and serious illness with Omicron

These two slides were shared by Dr. Allison McGeer and summarize data on infection and hospitalization with 3 v 2 doses in the UK ImageImage
Older adults are most at risk of COVID complications and thankfully we've done a pretty good job at getting vaccines to those 70+

But some regions are lagging behind. What can we learn from regions where vaccination rates are higher? Image
This slide illustrates that the variation in 3rd dose vaccination rates by public health unit is not about which delivery channels are used—the factors are likely more complex and worth unpacking Image
We need to increase uptake now for those <70

And in particular we need to focus on priority populations

Pregnant people are at high risk of complications if they get COVID, yet only 17% have received a 3rd dose

People who are immunocompromised need 3rd AND 4th doses Image
Who is eligible for a 4th dose?

4th doses can be given 3 months after a 3rd dose for people with very weak immune systems, for example, b/c of dialysis, cancer treatment, or meds that weaken the immune system including high-dose steroids 👇🏽

dfcm.utoronto.ca/sites/default/… Image
3 doses is still important even if you had COVID

Our experience with previous variants tell us that even after infection with COVID, vaccines add stronger and longer lasting protection. This means less chance of re-infection or transmission to others
If you got COVID, when should you get your 3rd dose?

You can receive it as soon as your symptoms are gone but most infectious disease experts recommend waiting 4-8 weeks to get stronger longer-lasting immunity
Finally, either Moderna or Pfizer are good choices for your 3rd dose if you are age 30+. Both are mRNA vaccines and have pretty much the same ingredients. Mixing and matching is just fine.

This is 1-pager from @TOPublicHealth provides more detail
track.upaknee.com/c/443/06c5e9b8… Image
We need continue to use many layers of protection to keep ourselves and more vulnerable people in the community safe and reduce our risk of serious outcomes from COVID-19.

Vaccination with a 1st/2nd/3rd/4th dose is one of the most important layers of protection we have

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Tara Kiran

Tara Kiran Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @tara_kiran

Jun 10
Fun fact: nearly every person in Denmark 🇩🇰 has the name of their GP (or group of GPs) on their healthcard

It's an organized system where 98+% have access to primary care.

How do they do it? One key lies in how GPs are organized. 🧵

(photos of Christian Folsach's practice) Image
GPs in Denmark are small business owners, similar to family doctors in Canada. They rent or own the office space, hire staff who work in the office, and pay for everything from internet to paper. Most practices in Denmark are small with b/w 1 to 3 GPs working together. Image
In order to get paid by government for the services they provide, GPs need a supplier number. These supplier numbers are issued by the region based on projected population demand.
Read 12 tweets
Jun 3
How is that >98% of Danes have a GP? Part of the answer lies in their approach to training physicians.

Here's a summary of some of what I've learned on my trip to Denmark 🇩🇰 🧵

(the photo here is a wall of some of the 170+ residents trained at the practice I visited) Image
After high school, most Danes take a gap year where they typically work and travel (the average is 2 gap years but several take even more). They would then apply and gain admission to medical school which is 6 years in total.
After graduating from medical school, every new doctor does a one year "internship" of sorts, 6 months of which is in a GP practice and the other 6 months in a hospital.

Where they do this internship is based on luck.
Read 12 tweets
Oct 16, 2023
Today we concluded the #OurCare Manitoba Priority Panel, our 5th & final reference panel on primary care in Canada

30 members of the public, randomly selected, spent >30 hrs since the start of Sept, learning, deliberating & coming to consensus on recommendations for better 🧵 Image
These members of the public, roughly represented the demographics of the province — with one exception. We deliberately overrepresented people who identified as First Nations, Métis or Inuit. Image
They heard from over a dozen experts on primary care on a range of topics from the basics to in-depth sessions on accountability, rural and remote care and tradeoffs

Image
Image
Image
Read 9 tweets
Apr 28, 2023
In 2021, family docs were being blamed for seeing too many patients virtually, purportedly causing more people to visit the ED

Our latest research @JAMANetworkOpen @ICESOntario shows that simply was NOT true 🧵

w/ @RickGlazier1 @DrMichaelGreen1
jamanetwork.com/journals/jaman… Image
Let's start by going back to fall 2021. Most people had been vaccinated and we thought we were heading out of the pandemic. We were starting to try and clear the backlog of care.

EDs were overcrowded and some people blamed it on family docs.
In the spring, we had just experienced a brutal COVID wave. At that time most of us were appropriately taking a virtual-first approach, seeing patients by phone or video first and then bringing them to the office if needed in an effort to minimize COVID spread.
Read 25 tweets
Apr 4, 2023
Primary care is in crisis. How can we do better?

We brought Ontarians into a room and asked them.

Today we release their final report.

35 volunteers, randomly selected
39 hrs of learning & deliberation
23 recommendations for better🧵

#OurCare
https://t.co/1aXw6oLCP5ourcare.ca/s/OurCare-ON-P…
We were blown away by interest in this process

1250+ people volunteered to be part of the panel!

From those, we randomly selected 36 to roughly represent the demographics of Ontario, over-representing equity-deserving groups

(ultimately 1 wasn't able to participate)
Participants came from all across the province.

In essence, we managed to pull together Ontario in a room
Read 24 tweets
Feb 12, 2023
Today we’ll hear the draft recommendations from a group of 36 everyday Ontarians about how to make the #primarycare system better

They were randomly selected from 1250 who volunteered

They’ve spent 40+ hrs learning from experts and each other

What’s been in the curriculum?
We started virtually with talks from

@ElizabethMuggah on primary care in ON

@AndrewDPinto @snewbery1 @DrFitzsimon and F Garwe on equitable access

And myself on models of care from other countries

Talks all available here: OurCare.ca/Ontario
On Thursday eve, we gathered everyone in person here in Toronto

People came in from all corners of Ontario (and even directly from a hospital discharge!) #Commitment

After dinner, I walked folks through the result of our national survey
Data.OurCare.ca
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(