A short tweet thread on the current goings-on in Alberta. 1/
It seemed clear way way back in December, when the messaging from the gov't was: 1)Omicron is mild, and 2) Everyone is going to get it, that the removal of all protections was imminent, in the hunt for (mythical) herd immunity reuters.com/business/healt… 2/
It was precisely this that made me dub this the #weararespirtorwave, because it was clear that the gov't was no longer interested in protecting people, + we'd have to up our "individual responsibility" to make up for their lack of gov't responsibility. 3/
But it is really important for people to know that with public health, like many things (say, airports, or roads, or hospitals), effectiveness is much much better through collective action rather than individual action. Indeed, it is why we built a society and governments. 4/
So with the removal of protections, the vast majority of us will be OK(ish). BECAUSE MOST AREN'T VULNERABLE. Most are of the correct demographic, are vaccinated, are healthy. Bully for us (them actually, as I have a significant comorbidity). 5/
Who is vulnerable? the unvaccinated, which include 266,515 kids under the age of 5 who literally can't get vaccinated. The medically fragile. and the aged. They are absolutely dependent on society to protect them. and we are failing them. alberta.ca/stats/covid-19… 6/
Saying everyone is going to get it, is like putting them on a roulette wheel of death, severe illness, and long term disability. For example, with 125000+ Albertans >80 years old, and knowing even triple vaxxed is not a guarantee of safety, that's a lot of death and damage. 7/
So what's to be done? I don't think @jkenney will just capitulate and say "oops too soon". At least not before much more horror befalls us. Hopefully some brave organizations will take on some legal actions to protect protections. 8/
Institutions (like schools, universities, municpalities and corporations) still have a duty to protect employees and students. They can start by keeping their own mandates, both vaxx passport (and consider increasing requirement to 3 doses) and mask. 9/
Next: COVID is spread by airborne transmission. Acknowledge that. Act on that. Improve ventilation and filtration. Encourage respirator mask use (no they aren't uncomfortable/expensive/dangerous/hard to get). Consider purchasing some for staff/students 10/
This is going to be a tough period for Albertans, with no clear path to safety (save an election). Be kind to each other. Care for each other. At a time when institutions are being tested, make sure your institution steps up. At a time where bravery is needed, be brave. 11/
So sorry it has come to this. fin/
credit to @amandalhu for the image! (it's soooo good). A riff on this.
Addendum: Embarrassed to say I forgot to mention Long COVID since our political leaders SEEM TO ALWAYS FORGET TO MENTION LONGCOVID. add.1/2
with up to 10% of kids, and 30% of adults getting prolonged symptoms, irrespective of severity of illness, if we let everyone get it, this seems a big deal. And we should be talking about this. add 2/2 ctvnews.ca/health/coronav…
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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
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.
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…
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…
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/
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/
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…
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/
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/