I feel the concern healthcare providers, especially those helping kids are feeling right now. I feel it both as a previous ER physician and a father of two little kids. I can feel the fear of health care providers right now.
I’ve also worked in healthcare in other countries where I had to triage for inadequate care; I’ve had children die on me, because their health system failed them. It’s not something you ever fully recover from, and it’s something we must do everything in our power to avoid here.
That means taking prevention of current infections seriously. Now. It means getting our kids, but all of us up-to-date & protected by vaccines (COVID+Flu). It means masking up at school, work, and out in the community, anywhere we can spread. It means staying home when sick!
These are immediate necessities. But longer term we need to truly embrace living w/ COVID & other respiratory viruses again. That doesn't mean back to 2019, it means big steps forward to prevent infections in society. It means a Marshall Plan for the pandemic.
What does that look like? It means major upgrades to ventilation to stop respiratory virus transmission. Where inadequate, other infection control strategies such as air filtration/UV. It means #PaidSickLeave so people can stay home when sick and interrupt chains of transmission.
It means investing in health system resilience so that we can weather the winter and future waves of COVID, or other viruses. And it means sustainable enhanced funding to public health, something which was advised and never wholly actioned after SARS-CoV-1 in 2003.

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More from @twpiggott

Nov 14
The immune system is a fascinating, complicated thing. Here's a story to show, but spoiler alert. You don't owe it any debts and preventing infection is always better than it learning "the hard way" through acquired immunity from infection.
When I was on a 6 mo mission @MSF, the project where I was based was in the middle of a jungle. We had no reliable electricity, just intermittent generators therefore refrigeration.
Combined with poor food prep safety meant the food made me sick. I had repeat gastro infections my whole time there. Violent explosive gastro. We're talking often both ends. Every month or more often. One time typhoid, others unknown viral and bacterial adversaries.
Read 7 tweets
Nov 10
In public health training you learn about seat belts as the biggest prevention success story of the 21st century.
The 3-point seatbelt began shipping as an option in cars in the late 1950s.
Decades of public health messaging to strongly advise seat belt use just didn't work.
People only started wearing when required.
Ontario was the first to require (1976) and Yukon the last (1991).
The lesson is this: when a prevention is effective, has no associated harms, you can ask nicely...but for behaviour change you may have to require it.
Read 4 tweets
Nov 6
I’m not saying there’s movement afoot to privatize Canada’s universal publicly funded healthcare system, but this is how you’d do it:
1️⃣ manufacture a crisis
2️⃣ obfuscate the blame
3️⃣ divide & conquer
4️⃣ provide knights in shining armour to save the day
Read 12 tweets
Oct 19
Folks, take note please. It's no time to panic, but it is time to roll up our sleeves and get back to work preventing COVID-19. Transmission risk in the @Ptbohealth region is VERY HIGH. It's not what any of us want, but we've had nearly 3 years of experience so we know what to do
1⃣ if you're one of the many people currently sick. PLEASE stay home & stop the spread. Going to school/work sick will continue to lead to exponentially increasing transmission. This isn't just on you, we need to ratchet up advocacy to province & employers for paid sick leave.
2⃣ get up to date on vaccine protection. If you haven't had a dose in the last 6 months your protection is gone and you need a boost with a new more protective bivalent. Questions about eligibility? See:
peterboroughpublichealth.ca/novel-coronavi…
Read 9 tweets
Aug 31
While the COVID-19 pandemic continues, it is yet to have hit our household to the best of our knowledge.
We have been privileged to be extra cautious, in part because our two little kids aren’t yet fully vaccinated, but we’re also living our best life.
Here’s how 👇
We’re following the evidence on what 2.5 yrs of science has told us works:
1 - we’re checking the @Ptbohealth COVID-19 risk index every Wednesday when it’s updated and adapting our schedule, activities and expectations accordingly. app.powerbi.com/view?r=eyJrIjo…
2 - we’re all staying up to date with our COVID-19 vaccines 💉 and encouraging all those around us to as well.
Read 7 tweets
Aug 30
More than 6 drinks a week leads to major health risks - new Canadian @CCSACanada lower risk drinking guidelines cbc.ca/news/health/dr…
@CCSACanada Here are the guidelines directly
ccsa.ca/sites/default/…
This is a good move in the direction of health evidence. Alcohol has been a challenging public health issue because it's one of the most prevalent substances, it is also subject to significant $commercial conflicts of interest, even from Gov'ts who raise tremendous revenues off.
Read 11 tweets

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