Hastily dropping masks in schools - an easy thing that helps protect staff and kids (inc JKs who can’t get vaxxed, and many eligible kids who aren’t vaxxed) - seems like such a callous, thoughtless “end” to the pandemic. Here’s what my 6 year old said when we discussed it: 1/n🧵
This morning at breakfast, while my husband wrangled the preschooler, I told my 6 year old that on Mar 21, there likely would NOT be a mask rule in his school. I asked him how he felt about it, and what he wanted to do. Because now he had a choice. 2/n
This kid has seen his mommy come home with bruises on her face after 12+ hours in an N95. Two years of this. Our narrative on masks, from the start, has been: “My mask protects me, your mask protects you, our masks protect each other.” 3/n
In those early days of fear and uncertainty, we didn’t know how much #airborne transmission contributed to spread. But to my little boy, it was common sense that having something block your coughs and sneezes and shouts would decrease the number of germs flying around. 4/n
Masks weren’t politicized in our home. They were just something we did to take care of ourselves and others - like seatbelts, or picking up your lego. As annoying as sunscreen, or bug spray, or saying excuse me when you burped. (Or farted. I have 3 and 6 yr old boys. 🙄) 5/n
So this morning I asked my son what he'd do on Mar 21. And he said he’d like to keep wearing a mask. “But why? Are you scared of COVID?” “Nope. I have two shots! But some people don’t have any shots. Some people like (baby brother) can’t get shots!" 6/n
He continued: "Other people like (family member) got shots, but he has cancer, so the shots don’t work. Maybe there’s other people whose shots don’t work, and I don’t even know it! It would be good to take care of them, right?” 7/n
My son is friendly and social. But I'm a mom - I worry he won't fit in, that he'll be excluded. There are so many reasons to feel left out as a kid. So I asked: "I love that you want to take care of them. But what if nobody else wears a mask?” He looked at me. He laughed. 8/n
“Mommy, why should I care what other people are wearing on their face? Why should I care if they worry about what's on my face? If it's my face, I get to choose.” Then he went back to his oatmeal and his Geronimo Stilton book. 9/n
Every day when he comes home from school, my sweet boy is full of stories - about the new games he and his friends made up on the schoolyard, about the chapter from the C.S. Lewis book Ms. K read them today, about the funny snowball poem he memorized. 10/n
Today I'll hear about the immense responsibility he has as one of the “pizza box deliverers.” The mask is never mentioned. Sometimes he forgets to take it off - and then when I remind him, he laughs - “Oh, I was so busy talking I didn’t even think about this thing!” 11/n
My heart is breaking a bit today. I wish our government could do simple things to keep our little people, our vulnerable people, our marginalized people safe. I am hopeful our *citizens* will though. Canadians overwhelmingly support public health measures to manage COVID. 12/n
My guess is many parents on the playground, and many kids and staff in the classrooms, will keep masking. But today, my heart is mostly filled with love for my 6 year old. He is thinking of the wellbeing of others right now, in this confusing and uncertain time. 13/n
As a parent, that means everything to me. Today is a hard day. But let's do good deeds, show small kindnesses, and think of others. Our children watch and learn from us. We can foster civic duty, and it can start at home. 14/14

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More from @MPaiMD

Jan 18
News today of shortages of life-saving Covid drugs & HC approval of paxlovid (which will initially be in v short supply too). As a methodologist & a clinician, I wonder… how do you follow evidence-based guidance on drugs when you don’t have any drugs? 🧵 thestar.com/news/gta/2022/…
As Co-Chairs of @COVIDSciOntario’s clinical practice guideline working group, @ASPphysician and I have been thinking a lot about this. Here are our practical suggestions on how to treat COVID-19 patients during periods of drug shortage. 2/n
But first: a recap of how we use evidence to inform recommendations. Think of clinical decision making as a treacherous river. To take care of your patients you MUST cross that river. Clinical practice guidelines can help. 3/n
Read 27 tweets
Aug 22, 2021
Going to take a Twitter break for the next 6 weeks, to conserve energy for myself and the people I love! Most of my life happens OFF SoMe, and that’s where I’d like to focus my attention right now. Here’s some parting thoughts: 🧵
1. Please mask up and get your vaccine. We are in wave 4. After a week on call, I don’t even need modeling to tell you - the unvaccinated are getting sick, intubated, dying. COVID is unrelenting and cruel.
2. Show gratitude. I am grateful for my little family, the privilege of my job, and friends near & far who check in on me, make me laugh, inspire me to work hard, remind me to rest, send me spa recs & coffee invites & funny texts & so. many. silly. tiktoks. My cup is full.
Read 10 tweets
Aug 21, 2021
Ontario’s COVID-19 Science Advisory Table ⁦@COVIDSciOntario⁩ has just released important new analysis, showing changes in COVID-19 cases, hospital and ICU occupancy, deaths… 🧵 covid19-sciencetable.ca/ontario-dashbo…
The modelling group has added many new indicators and graphs, and all are pointing towards a difficult fall. After 5 straight days on call in hospital (2 more to go!), I can confirm: we are seeing these worrisome changes on the frontlines…
I am not part of the modelling group, I am not an epidemiologist, I am not an ID physician. But the data is crystal clear that ON is moving in the same disturbing direction that provinces like BC and AB are…
Read 5 tweets
Jul 14, 2021
I’ve been following the conversation around #OntEd’s destreamed math curriculum. Today I read this thoughtful thread from @realJ_Mitchell. Please take a look, then come on back for my take as a mom, an Ontario voter, and a university educator.
My students are well past school-age, but my kids aren’t. And my work exposes me to the direct impacts of structural racism, sexism, and colonialism on adults. Here’s what I’ve learned in my career, and how I think it intersects with the issue Jamie discusses:
The point of education - especially elementary and secondary - is to prepare kids for the world they’re entering. To teach them how to think critically, how to reckon with our collective past and repeat the good parts while honestly addressing and working to repair the horrors…
Read 13 tweets
Jul 12, 2021
This headline is misleading. @doctorsoumya from @WHO warned against individuals "vaccine shopping" outside of public health regulations (and in some cases, getting 3rd 4th doses on their own). She did NOT say that individual countries' vaccine policies were "dangerous." 1/3
By cutting and pasting quotes & providing zero background, these click-bait headlines cause tremendous harm. There's a huge amount of solid vaccine science & global experience that support mixing vaccines. Please don't give in to the click bait. Get fully vaccinated. 2/3
And please read the responses to the original tweet. Lots of understandably concerned people (thanks, misleading headline 😭), and also good information from experts in ID and vaccine science who are trying to clear things up. 3/3
Read 4 tweets
Jun 17, 2021
#NACI (Canada's advisory board of vaccine scientists) has summarized the latest science: they recommend mRNA over AstraZeneca as the 2nd dose of #COVID19 vaccine. Here's why... 1/n canada.ca/en/public-heal…
1) It seems to be more EFFECTIVE. AZ-mRNA and mRNA-mRNA appear to give a more effective immune response against variants of concern (and the delta variant is spreading in Canada), based on small studies + big real world experience. 2/n
2) It appears to be SAFE. We mix and match a lot of vaccines, safely, and the aforementioned studies + experience show the safety of AZ-mRNA too. 3/n
Read 7 tweets

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