🧵My quick thoughts on Dr. Moore's statement today.
“With high vaccination rates and Ontario’s COVID-19 situation continuing to improve, most of the province’s remaining provincial masking requirements, including public transit, will expire"
#onpoli #onhealth #covid19
"high vaccination rates"
First, what matters is THREE doses and even then most Ontarian's have limited and waning protection against infection. "Fully vaccinated" based on two doses is harmful and misleading. UKHSA vaccine surveillance report
Most age groups under 60 have inadequate third dose coverage. Only 60.4% of adults have had a third dose. And only 36.5% of children have had a second dose. The high vaccination rationale is vacuous.
It's also a dangerous message given the fact that vaccines are also waning in their ability to limit severe outcomes and the "fully vaccinated" messaging continues to stall booster uptake. Ontario Science Table
As far as the rationale that things are improving, they are. But what he conveniently omits is the fact that community infection risks remain very high by any historical standard once we account for untested infections and ignore the limited eligible cases being reported. IHME
He also completely omits any discussion about long covid risks from both mild and acute infections, despite his advisors in PHO reporting on the issue.
He also omits the limited PCR testing positivity information we have on hospital and other at risk settings. Yes positivity is falling, no positivity is not below the WHO standard for high positivity at this point.
And finally, he reinforces that mask requirement decisions are up to individuals and he recommends masks. But already the TTC and others are looking at removing the requirements and parroting words like "recommended". He also ignores the fact that mask wearing has plummeted.
Finally, his list of rationales to wear a mask do not include the fact that they help protect others, especially the most vulnerable and immunocompromised.
I could respect a CMOH's decision if it held an ounce of water. But I cannot respect messaging and rationales that are empty, misleading or false. Ontario will head towards lower levels of risk not because of Dr. Moore but despite him. Masking mandates (80%) are the green line. IHME
Dr. Moore has decided *without presenting public evidence* to continue LTC mask mandates but not hospitals? Despite the immunocompromised and vulnerable patients depending on infection control? His entire briefing today has more holes than the slides at an anti-vaxxer convention.
My advice is pretty simple: get your next eligible vaccine dose, wear an N95 mask in indoor gathering settings, avoid arbitrary unmasked settings, enjoy your summer, and do not trust the public health decisions of the Ontario government. Trust the best science and data. /end

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More from @Billius27

Jun 9
I hope all hospitals in Ontario ensure that mask mandates continue and that health care agencies that provide care to those in vulnerable positions like homebound seniors continue to do the right and ethical thing. #onhealth
I hope transit authorities consider the added risk lower income workers who are immunocompromised or have health risks in their families will now face as they take the only affordable transportation to and from work.
In short, I hope there are people of backbone in positions of responsibility across the province who will do the right thing and not the convenient default option the province has laid before them.
Read 5 tweets
Jun 8
🧵June 8, 2022 update on selected Ontario #covid19 trends.
1. Hospitalizations are down -200 (-27.7%) from last week and now stand at 522 👏. ICU is down -10.2% to 114. 40.6% of hospitalizations are "for" covid (vs "with").
#covid19ontario #onhealth #onpoli Image
2. The 7 day average of reported new deaths dropped significantly to 4.9 per day from 12.3 last week 🙏. This is in line with the continued drop in wastewater signal over recent weeks and the ~ 3 week lag in deaths.
#onhealth #onpoli #covid19ontario Image
3. Those select groups like HCWs who are eligible for PCR tests are continuing to show declining test positivity. The weekly pooled estimate is now 7.2%.
#onhealth #covid19ontario Image
Read 15 tweets
Jun 7
Many of you are being gaslit into believing covid is over. This is summer, expect infection risks to be temporarily lower after the BA.2 wave burns itself out. But the next in line fittest variants will almost certainly grow and generate more (re)infections, illness, and deaths.
You are being gaslit into thinking masks aren't needed in indoor public settings. This is false.
You are being gaslit into thinking infections are unimportant. This is false. More are dying now per month than the last half of last year and more long covid data is now available.
Summer is a good time to take advantage of lower community infection levels but the highest risks remain for those less vaccinated and those unmasked in less ventilated indoor gatherings. Putting on a simple mask to go get groceries or to shop is not a torture, it's a smart move.
Read 4 tweets
Jun 7
Even though infection levels have fallen to lower levels, Ontario is planning the removal of mask mandates for health care settings in 4 days. This can only add to the infection of our most health-vulnerable and deter others from seeking needed hospital care. Insane. #onhealth
Every vestige of protection for those most at risk is being removed. This will lead to additional deaths. Make no mistake.
"Lower infection levels" does not mean low levels. Test positivity for select populations which include hospitals and those more at risk are still well above the WHO standard for high test positivity of 5%.
Read 5 tweets
Jun 6
I said this SIX months ago.
There remains no justification to label 2 doses as "fully vaccinated" once Omicron arrived. It misleads people on their protection and it limited third dose uptake at a critical window just before Omicron spiked and killed many.
I also said very clearly at the time that keeping vaccine certificates based on only two doses would be a big mistake, encouraging many to frequent high risk venues when Omicron was able to weaken two dose protection against infection and therefore transmission.
There was a time to act swiftly and smartly to help protect the public from first infections, that time has mostly passed. We are now in a complex world of mixed immunities from both vaccines and prior infections.
Read 4 tweets
May 31
Here's the most controversial part of my presentation on how masks and vaccines make people safer.
I know there are some in the back who would rather read about "Estimates of the stochasticity of droplet dispersion by a cough" than stare at a screwdriver...
Some nitpickers demand more evidence from peer-reviewed and published research. /s
Read 4 tweets

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