A brief thread on being a media MD & the latest COVID gaslighting. During the pandemic I’ve done my share of interviews, I’ve turned down more requests than I’ve taken choosing instead to steer reporters to those whose training and expertise are more COVID suited than mine /1
PreCOVID bet I’d done between 700-1,000 interviews on topics related to nutrition, obesity, weight loss, & public policy therein. I don’t kid myself about kept getting invited back. It was consequent to my ability to speak in soundbites more than to my expertise or knowledge /2
To that point I can tell you, especially with experience, one learns what resonates and how to powerfully make your points. I can also tell you that while occasionally things may come out differently than you hope, on topics which you’re hugely familiar and seasoned, /3
nothing is said that isn’t carefully thought through for impact and nuance. Which brings me to the latest talking point from the media platformed MD who brought us ‘wavelet’, and ‘old and frail’ - the message that masking alone is unlikely to more than blunt a wave /4
wielded in defence of downplaying calls for essential space masking. It’s the false dilemma or false dichotomy fallacy. No one is suggesting masks alone will see us through. But easier maybe to consider in context of floods. When there’s a flood we never know which sandbags /5
will be the most important, but no one would ever point at a single sandbag and say, “that sandbag won’t stop the flood” to support not filling sandbags. And the media MDs absolutely know that. Nor is anyone suggesting there’s a route to truly #COVIDZero with current /6
therapeutics and vaccines, but to underwrite inaction through fallacious statements made by seasoned interviewees I believe is a conscious purposely driven choice. And though I can’t speculate on what’s driving that choice, it’s so disheartening. /7
As to what actual people are calling for? Yes, masking in essential spaces (with messaging about mask quality and ideally provision of free respirators in those same spaces), but also ventilation and filtration standard improvements and monitoring, /8
robust readily available testing along with test to return and/or 10 day isolation coupled with paid sick leave, installation of germicidal upper room UV in our most vulnerable spaces when possible (need higher ceilings in many cases), and transparency and strong plain talk /9
from public health on both disease burden and vaccination needs. And as to how long we’ll need those things (and I’m sure there are some obvious mitigations I’ve missed)? Well the air stuff forever as they’ll help with any and all airborne communicable diseases. /10
For the masks and tests etc? Until we don’t. When might that be? I don’t know. When we actually find our way to vaccinated sterilizing immunity? When the aforementioned measures lead to simply periodic outbreaks where they need to be reenacted? /11
Not knowing the endpoint doesn’t justify inaction. Nor do fallacious arguments made by credentialed experts on national media platforms who without question know what they’re doing when they’re crafting their messaging. /end
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Definitely useful to ask the question, "but what if I'm wrong" when considering your advocacy. If I'm wrong about mandatory masking in all essential spaces, indoor clean air regulation and monitoring, readily accessible COVID testing, test to return requirements, robust /1
ongoing booster campaigns, and only plain transparent talk from public health around local challenges, we'd see marked reductions in all airborne communicable diseases, breathing room afforded to our broken healthcare system, a better air infrastructure for the next variant /2
or pandemic, decreased presenteeism and absenteeism at work, improved learning in schools, decreased COVID related hospitalizations and long term complications, an actually informed public with greater empowerment around personal pandemic decisions, at least some respite for /3
There have been so very many times where I've been tempted to smugly tweet that I was not starting a Substack. Glad I didn't because now contemplating. Because holy hannah I'm going to have a ton of free time when this bird gulag dies.
Please don't pay anything, I have no idea if I'm going to use it, but who knows how this will all shake out. I've started a @SubstackInc. Subscribe to me there. yonifreedhoffmd.substack.com
It's 6:35am on Saturday morning. Yesterday afternoon, at 3:57pm, a parent, after waiting in line likely for an hour or two, registered their sick child at CHEO's ER. They have yet to be seen by an MD.
7:18am. Still not seen
7:37. Still waiting. Wonder if they're on Twitter?
Here's another broken transmission chain story, this time from my house, where recently 2 of us had COVID while the other 2 of us, using protocols we had considered in advance, managed to avoid it.
How did COVID find us? We'll never truly know but we had a rare small get together. 5 kids total. Testing before hand. Open windows. Corsi-Rosenthal boxes scattered throughout the house. Notably though, we did not ask the kids to mask (which almost certainly was our downfall).
One of those kids came down w/cold symptoms day after the event and eventually tested +ve for COVID and may have been our source though maybe somehow we were hers. Wife tested +ve 3 days after event. She was to host a book club on our deck but throat felt scratchy so tested
This question is constant and I can't understand it and not knocking Dr. Foley but figured might as well highlight for thread. The notion that municipalities can affect zero change to the health of their regions? Where does that come from? Many things municipal governments can do
They could address clean air by way of proper ventilation and filtration in all city facilities - from libraries, to offices, to recreation centres, to buses. Speaking to lawyers they may even be able to affect by-law changes for at least for new construction to ensure same
They could cultivate and empower strong public health unit messaging, programming and leadership whereby ours has been left to wither and die. Whether it's vaccination outreach, data collection and transparency, or simply ensuring regular plain speaking messaging and pressers
#Ottawa Jan 24 COVID 🧵: School was open for 4 days last week and I put a call out (offer's still good) to school staff/students/parents to describe their experiences going back. Hundreds of responses. Some themes and thoughts follow
1. It's chaotic. Between staff absences, confusion around policies, and between board disparities the school environment does not sound like one conducive to learning, mental health, or physical health.
2. It's a lottery. That's with respect to whether a school received RATs or N95 masks, or whether your child's classroom has a HEPA filter, windows that open, or a functioning ventilation system.