"Every Canadian needs access to a family doctor. Governments need to step up and commit to doing what’s right for the system, instead of focusing on Band-Aid solutions."
"We need a true understanding that the best patient care is care in the community, and that in part, hospitalization for preventable illness is a failure."
I'd had we need a culture change from within and from outside healthcare.
Am reminded of this image and book about "health creation" from Nigel Crisp, former NHS Chief Executive. Book cover, title Health is Made at Home/ Hospitals Are for
Reminded of these slides from Maureen Bisagnano, President Emerita and Senior Fellow - Institute for Health Improvement. Her 2013 keynote was titled "Flipping Healthcare." Slide from the IHI, Institute for Health Improvement. Text s
Need to go back to bio-psycho-social model of health, including Sir Michael Marmot's "causes of causes" or the Social Determinants of Health. Government needs to fund healthcare AND social programs.
sfgate.com/opinion/openfo… Slide from the IHI, Institute for Healthcare Improvement. Ti
Can't help but think, we should start with #COVID. Preserve health, avoid (re)infections and diseases. Avoid #hospitalizations #ICU Avoid #LongCovid and #immune dysregulation.
Address inequities, make it #DavosSafe for everyone. Start with #CleantheAir we all share.
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More from @DrFiliatrault

Jan 28
There has been a lot of discussion on twitter about who is being and who should be interviewed by media when it comes to #Covid_19 "experts".
It is easy for everyone to be biased, follow on twitter or listen to, interview those who think like us, whom we relate to. Unfortunately that can cause us to focus on single aspect of a complex problem. It can create large dark spots in our vision, and gaps in our understanding.
And then, what happens if the "experts" cognitive model is based on "fixed mindset" as opposed to "always learning mindset." So much of our understanding of #COVID, transmission, complications has changed. #humility = key, to admit we got it wrong & change approach to #pandemic From Ed Yong's Atlantic contributor's presentation at the UB
Read 7 tweets
Dec 5, 2022
"We have not had a single 🇨🇦 MHO & Dr. Tam say the word "Airborne! If you misdirect policy on the underpinnings of a crisis... not being able to talk about airborne transmission for #COVID, you are going to fail! Because science underpins everything... We are failing." @jvipondmd
"If the physics, biology and chemistry underpinning your policy decisions do not support your policy decisions, you're gonna fail, and we are failing."
"This is all resulting from a series of misinformation spread by our Leaders. -#Covid is not
asymptomatically spread- #COVID is not airborne- Kids don't get #COVID in schools- Kids don't transmit in schools- Kids are less likely to transmit to their parents at home."
Read 5 tweets
Oct 12, 2022
“Focusing on Covid morbidity/mortality is bad b/c…to protect older Cdns has come at high cost to our youth” Dr. Krajden
In BC, our public health leaders have protected neither seniors nor youth.
BC Public Health leaders have not protected our seniors. They have manipulated the definition of outbreaks in LTC, and left it at the discretion of the Medical Health Officer of the regional health authority, or their official designate, to even declare an outbreak.
Guess what happened? Some Health Authorities have had little to no outbreaks declared since week 1 of 2022. Spot the missing colors after week 1.
Read 14 tweets
Sep 15, 2022
Agree with this we cannot blame schools for high rates of #Covid among BC youth. We need to blame the BC provincial health officer. 1/
"Henry says some youth were becoming infected when they were not eligible for a vaccine" Whose job was it to buy time and keep them safe until a vaccine was available for them, 5-11 or 0-4 years old? 2/
"illness among those under 19 was comparable with transmission of the virus in the community."
Not so fast. From Sept/Oct 2021 to March 2022, community wide change in infection related antibody prevalence= 42%-9%= 33% 3/
Read 7 tweets
Aug 30, 2022
Problem in BC, is that we are not testing and thus cannot adjust #COVID protections based on case positivity rate. True for community, schools & universities.
@CDCofBC policy: Don't test, Don't tell, Don't show.
Public assumes all's good and @CDCofBC must be doing a great job. 1/
Let's be clear, it's a choice @CDCofBC is making to NOT open up pcr testing, to NOT collect & show Rapid Tests Data. BC capacity is 20,000 pcr (MSP) per day. Last BC Covid sit. report (wk 32, Aug 7-13), showed 4,500 MSP funded pcr in a week. Untimely report received Aug.25 2/5
Other jurisdictions which take #COVID19 seriously, are testing & collecting RAT and letting you know daily where hot spots are. Here is Victoria state, Aus. 6,555 pcr in 1 day vs 4,500 MSP pcr in 1 week in BC. 2,429 RAT documented in 24hrs in Victoria vs 0 in BC. 3/5
Read 5 tweets
Aug 29, 2022
This is beautifully written by @nilikm healthydebate.ca/2022/08/topic/… via @HealthyDebate 1/3
It augments the Open Letter of @Protect_BC and its many allies. 2/3
The SMART acronym should really be SMARTS 3/3
● Stay home when symptomatic

● Mask-up (N95, KN95 or KF94)

● Air cleaners in every classroom

● Refresh indoor air

● Test, Trace and Isolate policies (based on aerosol spread)
Read 4 tweets

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