COVID-19: Increase in Canada and World for child hepatitis cases

Looks like child hepatitis cases are continuing to increase in Canada with 24 now (up from 10 in May), all hospitalized and 2 required transplants. 😢 ( ). 🧵1/ #FASSST
The WHO also released a statement recently that as of July 8, 2022 there have been 1,010 probable cases in 35 countries so far including 22 deaths ( globalnews.ca/news/8993497/h… ). 2/
You may remember that adenovirus has been blamed by many for this uptick but so far has only been detected in half of cases in Europe and only 9% of cases in Japan. 3/
I wrote more about this back in June and the potential link to adenovirus if you are interested in digging deeper ( ). 4/
Even without a definitive answer as to what exactly is causing these hepatitis cases in children, the precautionary principle should prevail and we should be doing everything we can to protect children from pathogens that are known to hurt and damage children (and adults). 5/
Schools will be starting up again in the fall so it would be great if we could provide safer air for them to breathe from all airborne pathogens and improve cognitive function at the same time. Remember, don't breathe it in ( ). 6/ #FASST #LongCovidKids

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More from @jeffgilchrist

Jul 18
COVID-19: BA.5 wave closing hospital ERs

Hospitalizations are increasing in Ontario and haven't even reached the level of previous waves but the amount of transmission without any measures in place to control the spread have caused multiple ERs to close or reduce hours. 🧵1/ Image
The healthcare system is buckling under the pressure of too many staff being absent, whether in self-isolation from being infected, sick, long-term illness, or even being burnt out. 2/
Whether you need emergency help from your COVID-19 infection or anything else, you might be out of luck depending on where you live. 3/
Read 19 tweets
Jul 16
COVID-19: Test yourself before leaving isolation

Multiple studies have shown people on average are still infectious for more than 5 days and is even worse with Omicron ( nejm.org/doi/full/10.10… ). 🧵1/
It seems common now in Canada and the USA to have public health implement 5-day isolation policies when infected with COVID-19 despite the evidence showing that most people remain infectious at 5 days. 2/
The study looking specifically at Omicron BA.1 found that the median time for cultures to be negative for infectious virus after symptom onset or positive test was 8 days! That means half the people they tested were still infectious at 8 days, regardless of vaccine status. 3/
Read 21 tweets
Jul 15
COVID-19: Ontario 4th doses for 18+ and rapid tests until end of 2022

The Ontario government announced well into a new wave that people 18+ are now eligible for their 4th COVID-19 vaccine dose 5 months after their 3rd dose. 🧵1/
People can book their appointments through the provincial portal ( covid-19.ontario.ca/book-vaccine/ ) or through participating pharmacies ( covid-19.ontario.ca/vaccine-locati… ). 2/
They also announced that rapid tests (RATs) will continue to be freely available at participating grocery stores (you can usually find them at the service desk) and pharmacies until December 31, 2022 ( covid-19.ontario.ca/rapid-test-loc… ). 3/
Read 16 tweets
Jul 11
COVID-19: Organ Involvement in Autopsied Patients

A study shows multi-organ involvement of COVID-19 from 21 patients who died due to severe COVID-19 illness ( mdpi.com/2076-2607/10/7… ). H/T: @mildanalyst 🧵1/
The highest positivity was found in:
90.4% = nasopharynx
87.3% = bilateral lungs
85.7% = trachea
80.0% = peritoneal fluid
72.7% = pancreas
68.4% = bilateral kidneys
65.0% = liver
47.2% = brain

2/
The study examined 246 samples in these autopsies from various parts of the body as shown in the diagram which breaks down the percentage representation in the total studied samples. 3/
Read 10 tweets
Jul 11
COVID-19: Week in Review

In case you missed in here are some things that I wrote about over the past week or so...

Increasing frequency of new waves and impact of BA.5
( ) 🧵1/
Top 10 cause of death for children and Top 5 for younger adults ( ) 3/
Read 10 tweets
Jul 10
COVID-19: Status update for Ontario & Ottawa

Ontario is well into the next wave with wastewater levels in Ottawa already above the January Omicron BA.1 peak, test positivity climbing quickly, and hospitalization starting to increase in an already frail system. 🧵1/
Besides increasing wastewater levels in Ottawa, the 7-day average test positivity in Ottawa has increased from 9% to 19% in the past month while # tests remained stable which is almost at the peak of the April BA.2 wave ( gilchrist.ca/jeff/COVID-19/… ). 2/
With most prevention measures no longer in place there is now massive community transmission happening again. Many events like graduations have returned indoors with big numbers of people. 3/
Read 27 tweets

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