Live tweet 🧵: UBC CPD Covid-19 Update #10: Expert Q&A (For healthcare professionals): April 6, 2022
https://twitter.com/GreaterfoolVan/status/1511474036395569152#Covid19BC
Panelist: Dr. Reka Gustafson, Dr. Mark Lysyshyn, Dr. Manish Sadarangani, Dr. Birinder Narang, Dr. Jennifer Grant, Dr. Jolanta Piszczek
RG: sig porportion of those admitted during Omicron wave are in 'with covid', not 'for covid'
RG: variants come and go, that's how coronaviruses behave
Dr Jennifer Grant & Dr. Jolanta Piszczek now present slides on current therapies
Q&A Time!
Q: How can the PHO justify removing masks
Dr Gustafson: In PH, the burden is on PH to implement only the measures that are necessary. Large majority of BC'er no longer naive to this virus (Infection & vax). Virus now much more infectious.
Q: How can the PHO justify removing masks
Dr Gustafson: In PH, the burden is on PH to implement only the measures that are necessary. Large majority of BC'er no longer naive to this virus (Infection & vax). Virus now much more infectious.
https://twitter.com/GreaterfoolVan/status/1511474661040611334
Dr Grant: efficacy of masks when worn well is effective. Medical staff has same rate as general population in our published paper. As Dr G says, Ultimately we all get infected. It's impossible to avoid in long run.
Dr Mark Lysyshyn: people get covid from people they know. Very uncommon to get covid from strangers in public places. It's extremely uncommon.
Dr ML: Do you need to be testing? If someone is eligible for treatment, then test. People can use RAT to test but 'testing everyday for illness is not recommended'.
Q: What percentage of British Columbians do you estimate have been infected with SARS-CoV-2 to this point?
Dr G: ~ Half of people in BC. From studies looking at blood samples from lifelabs that people give blood for other reasons.
Dr G: ~ Half of people in BC. From studies looking at blood samples from lifelabs that people give blood for other reasons.
https://twitter.com/bubbaray90/status/1511847456719339520
Q: How concerned should we be of BA.2?
Dr G: focus on new variants from individual perspective not entirely necessary. Monitor in population level. 'I'm not particularly worried about BA.2, appears to behave similar to other omicron variants.'
Dr G: focus on new variants from individual perspective not entirely necessary. Monitor in population level. 'I'm not particularly worried about BA.2, appears to behave similar to other omicron variants.'
Q: Some people are using rapid test nasal swabs in their throat as well to increase sensitivity. good idea?
Dr Jennifer Grant: I would strongly discourage that. probably decreases sensitivity. If it says nose, do nose. Don't do throat. Use as manufactured. @VicLeungIDdoc
Dr Jennifer Grant: I would strongly discourage that. probably decreases sensitivity. If it says nose, do nose. Don't do throat. Use as manufactured. @VicLeungIDdoc
Q: Could someone please show us a redrawn epi curve?
Dr G: We wont redraw epi curves because it represents what we know. On modelling reports there are shades (confidence intervals).
Dr ML: Wastewater surveillance report. Data in recent waves.
Dr G: We wont redraw epi curves because it represents what we know. On modelling reports there are shades (confidence intervals).
Dr ML: Wastewater surveillance report. Data in recent waves.
https://twitter.com/GreaterfoolVan/status/1511841021549711367
How can it be that BCCDC recommends back to work at 5 days when my RAT was +ve for 10 days?
Dr ML: strategy right now is not to eliminate the risk, but to reduce it... that's why 5 days was chosen. Of course some people could be infectious longer.
Dr ML: strategy right now is not to eliminate the risk, but to reduce it... that's why 5 days was chosen. Of course some people could be infectious longer.
Dr Grant: Even if antigen test positive, it may not mean you have viable virus.
Most viable virus are gone by day 5
@VicLeungIDdoc
Most viable virus are gone by day 5
@VicLeungIDdoc
Q:Do you still wear a mask in public places?
Dr ML: Depends on few things. Planes still require masks but public transit not. Most people in BC NOT in high risk for severe outcome, most are vaccinated, some people are, they may choose to wear masks. Also issue of risk tolerance.
Dr ML: Depends on few things. Planes still require masks but public transit not. Most people in BC NOT in high risk for severe outcome, most are vaccinated, some people are, they may choose to wear masks. Also issue of risk tolerance.
Q: Should staff in ER have negative RAT test before returning to work following Covid infection?
ML: RAT does not indicate if you're infectious
Most people not infectious after 5 days. HCW wears masks when seeing patients. @VicLeungIDdoc
ML: RAT does not indicate if you're infectious
Most people not infectious after 5 days. HCW wears masks when seeing patients. @VicLeungIDdoc
@VicLeungIDdoc Q: Should families with children under 5 continue to take extra precautions eg. Limiting contacts, masking, virtual meetings, etc.
ML: children <5 had not been at risk at severe disease at anytime during the pandemic.
ML: children <5 had not been at risk at severe disease at anytime during the pandemic.
ML: Masking and preventing from playing with friends can have real harms. .. Social and emotional development. Problem with mental health and substance use.
MS: Agrees with ML
BN: on anxiety in children.
MS: Agrees with ML
BN: on anxiety in children.
Dr Gustafson: adverse effects to children are cumulative. Evidence now emerging on cumulative adverse effect of restrictive measures implemented during Covid. 👀
Concluding remarks
Dr Gustafson: restrictions are time-limited tools, now we have vaccines. We need to change the way we think. We need to recover as family & professionals. Not necessary or healthy to go the way we had been.
Dr Gustafson: restrictions are time-limited tools, now we have vaccines. We need to change the way we think. We need to recover as family & professionals. Not necessary or healthy to go the way we had been.
Concluding remarks
Dr Lysyshyn: BC is at a good place right now. Healthcare system withstood Omicron wave wave with 50% infected. We're in good position. People need to be confident with recent removal of PH measures, get back to normal life. Time to recovery as people, family.
Dr Lysyshyn: BC is at a good place right now. Healthcare system withstood Omicron wave wave with 50% infected. We're in good position. People need to be confident with recent removal of PH measures, get back to normal life. Time to recovery as people, family.
Webinar link: ubc.ca.panopto.com/Panopto/Pages/…
Somewhere in the Panel's concluding remarks:
"The playing field has changed.. It's easy to be stuck in the echo chambers. The takeaway is to challenge your own beliefs; if your belief is still the same now as 2 years ago, that means you haven't learned much" 🤔
"The playing field has changed.. It's easy to be stuck in the echo chambers. The takeaway is to challenge your own beliefs; if your belief is still the same now as 2 years ago, that means you haven't learned much" 🤔
Agree with the statement, certain organizations (which is always 'learning' 😉) need to challenge their own beliefs and open their minds to #COVIDisAirborne . Covid will prevail as long as we're stuck thinking we're at a #DropletDogma playing field.
Video clip: ML on 'harm of masking'
https://twitter.com/frozen/status/1512101934143991808
Video clip:
Dr ML on people get Covid from people they know. (32:00)
Dr ML on people get Covid from people they know. (32:00)
Video clip:
Dr. ML on not recommending testing whenever people have symptoms. 'testing is mainly for people who are eligible for treatment,and we reserve PCR for that.'
Dr. ML on not recommending testing whenever people have symptoms. 'testing is mainly for people who are eligible for treatment,and we reserve PCR for that.'
https://twitter.com/GreaterfoolVan/status/1511888321932247043?t=pyxFVO9x6DXgxYRQMRfrkw&s=19
Video clip:
Dr ML on why BCCDC recommends back to work at 5 days when RAT still +. "Use RAT for diagnosing infection, it's not a test that tells you how long you're infectious for"
Dr ML on why BCCDC recommends back to work at 5 days when RAT still +. "Use RAT for diagnosing infection, it's not a test that tells you how long you're infectious for"
https://twitter.com/GreaterfoolVan/status/1511896543841857536?t=EsgHwRV9C130w0gugaDidg&s=19
• • •
Missing some Tweet in this thread? You can try to
force a refresh
