Jin Russell Profile picture
Apr 12 8 tweets 2 min read
Cabinet is going to possibly announce changes to the traffic light settings in Ao/NZ on Thursday. A shift to orange could mean masks are no longer mandated for Y4+ in schools.

Here are five reasons why I think we should keep wearing masks in schools through this winter /1
First, masks are about source control - protecting each other. They are a simple and effective way to reduce the risk of transmission of Covid-19, and are an important layer of protection in schools during the pandemic. /1
Secondly, students in Y4+ and up have done a brilliant job (mostly) in wearing masks indoors. It is easier to keep these good habits in place for a bit longer, than to repeal and then replace them. /2
Thirdly, this winter could be a tough one. We have an “immunity debt” for influenza, and possibly RSV, and measles at the door (please make sure your kids are up to date). Remember “RSV-geddon” last year? Viruses tend to thrive in winter /3 theconversation.com/amp/rates-of-c…
Fourthly, our healthcare system is typically stretched in winter. If masks can reduce transmission of Covid-19 in schools, as well as reduce transmission of other viruses, we can all stay healthier, and take pressure off our thin healthcare system./4 thespinoff.co.nz/society/28-03-…
Finally, wearing masks takes better care of children with chronic conditions, enabling more students to be at school. And with less sickness all around, there is hopefully less time off school as well. /5
A decision to keep masks as a requirement in schools through winter would be prudent. From the Auckland experience, just recommending masks doesn’t tend to lead to consistent mask wearing. This winter might be unusually tough. We need all the protective layers we can get. /end
Before I sign off, people may be interested to know what developmental, social, educational cost for students in keeping masks in schools. There is some, sure, but these need to be weighed against similar costs from viral spread in winter, and can be reassessed as we go.

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More from @DrJinRussell

Apr 10
The week after we learnt that the Director-General, Dr Ashley Bloomfield is leaving, alongside top public health physicians Dr Caroline McElnay and Dr Niki Stefanogiannis.

Shall we talk about healthcare workforce burnout now? nzherald.co.nz/nz/public-heal…
It takes 6 years of medical school, then a Master of Public Health alongside at least four years of specialty training with the NZ College of Public Health Medicine.

Every public health consultant we lost represents 10y+ of training invested. They are not easily replaced /2
When I think about our successful elimination strategy, which carried us for the first 18+ months of the pandemic, I can see that the burden of care was disproportionately carried by my public health colleagues. We averted disaster because they took on unprecedented workloads /3
Read 14 tweets
Mar 24
Hey parents, do check whether the kids are all up to date w their routine immunisations! Ask your friends too. S.pneumoniae causes pneumonia, blood infection, & meningitis in little ones, the risk can be reduced a lot by vaccines. This is happening right now in our community: /1
More info on streptococcus pneumoniae infections and the routine immunisations that protect children, here immune.org.nz/sites/default/…
I’ll never forget the first time i diagnosed pneumococcal meningitis in a child. Night shift as a senior house officer. 2y old girl, came to Middlemore Children’s emergency with fever and “not herself”. Was handed over to me as “viral illness”. But when I examined her she /3
Read 4 tweets
Mar 23
These graphs, showing vaccine efficacy against symptomatic infection and hospitalisation, over time, for 2 doses, partly help explain the government’s decisions to lift mandatory vaccines. A v important message is that vaccines matter immensely, even if mandates are repealed /1
As you can see, the efficacy of two doses against the risk of breakthrough infection from omicron wanes, while protection against severe illness/hospitalisation remain high.

Here are the same graphs but for three doses of Pfizer/Moderna: /2
As vaccine efficacy (VE) wanes over time against breakthrough infection, it means the vaccines have less impact on transmission of omicron - which I understand is one of the key justifications for the workforce mandates./3
Read 7 tweets
Mar 10
Great thread. Looking at latest polling, it’s possible that many New Zealanders are not aware of just how well NZ managed Covid-19 - this may be because kiwis compare our present situation to elimination Level 1, when the comparison should be how other populations fared.
That is not to say it wasn’t hard work, and there was no room for improvement - there was/is! But we need to keep perspective. Facing Omicron rather than delta, with a (mostly) highly vaccinated population, was one of the best scenarios we could have been in. /2
Aotearoa NZ also topped the OECD for the number of days that schools were fully open over the first 18 months of the pandemic - further rewards of elimination /3 oecd-ilibrary.org/docserver/1a23… Image
Read 4 tweets
Mar 8
For the record, this Dr Jin has clearly and repeatedly said that protective measures in schools should be *optimised* and *strengthened* in light of omicron. There is no room for blasé. This is not a “let it rip” strategy. Please don’t use my name to cover this. (Exits)
If you’re holding choir practice inside, if you’re sending kids in camping trips, don’t put my name to this.

We wrote our thinking out so carefully and clearly, right here. Omicron means *strengthen* mitigations in schools.

theconversation.com/despite-omicro…
Why did we advocate for schools to remain open for in-person learning? We did it not because we want lots of kids to catch Covid, we did it because of this: Exhibit A, American Academy of Pediatrics Statement aap.org/en/pages/2019-… Image
Read 10 tweets
Dec 1, 2021
Thank you Dr Bloomfield for emphasising at the presser today that the vast majority of cases of Covid-19 seen in children <12 are transmitted to children within households, not schools.

School mitigations are working, while we plan to turbocharge them for winter.
And also remember that we should expect that a greater *proportion* of Covid-19 cases will be seen in children <12y, as older age groups are increasingly vaccinated. thespinoff.co.nz/society/26-10-…

What do we make of the anticipated timing of paediatric vaccine rollout? /2
The USA started their 5-11y Pfizer vaccine rollout almost immediately after FDA approval was given, with 3 million doses given within ~3weeks. Safety data from the two weeks after 2nd doses are given are very important data. By my rough calculation, mid-late Jan is almost /3
Read 5 tweets

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