If #COVID19 is really subsiding in severity & prevalence like so many believe, then please explain the curves:
Cases in Canada appear to be on a disappearing course (Note the grey area is subject to adjustment as other cases are added and the last several months are incomplete)
However, looking at deaths it looks like the same ole pandemic (the far end of the curve is highly inaccurate and incomplete ie, deaths will climb as more data arrives):
This leaves me with 🤦🏼‍♂️ thoughts:
- We are capturing fewer & fewer cases, even high risk cases, as time goes on.
- We are ignoring the deaths of the vulnerable who we know are:
- The elderly, chronically ill, immunocompromised, racial minorities, the impoverished
Have we given up?
Perhaps @JustinTrudeau @jyduclos @CPHO_Canada could provide a presser on:
- the status of the COVID19 pandemic
- the risks to the vulnerable
- recommendations of NACI for future vaccination
- Results of surveillance on vaccine efficacy among the 50+ group especially.
Hospitalization rates demonstrate Canada is still in a crisis whether we call it a pandemic or endemic #COVID19.

Pls explain why we have abandoned tools we know reduce community transmission?
- Masking, encouraging vaccine uptake in children, improving ventilation & filtration
@cafreeland How does this represent fiscally responsible governance?
Healthcare budgets will eventually balloon unless the Federal government ensures community based strategies to mitigate #COVID19 transmission are in place.
We don't put bandaids on arterial spray in the ER.
Where's the graph for #LongCovid @GovCanHealth
@CPHO_Canada @cafreeland
Perhaps it's time we start measuring the burden of chronic symptoms, the impact on unemployment and the workforce participation rate?
Is unemployment falling/low or are we just short on workers?
End of February 2023, in Ontario:
< 5% of children (4.8%) age <5 have had a primary series of COVID19 vaccination; 8.6% have had 1 dose;

< 40% of children age 5-11 have had a primary series, <51% have had one dose

Where's #NACI @GovCanHealth
How many infections are too many?
Recent results of the BioNTech-Pfizer vaccine Phase 2-3 clinical in children ages 6 months - 2 years.
Safe and efficacious v. Omicron.

Do you recall the extensive media reporting on these results? Me neither.

Discuss with your paediatrician.
#COVID19
nejm.org/doi/full/10.10…

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More from @ccleighton

Mar 2
#COVID19 is still around despite what we may wish.
Windsor-Essex hospitalizations Feb 18: 66 confirmed or suspected; Feb 28: 100.
Coincides with a sewage peak on Feb 17 (2nd highest since May 2022)
Inpatient capacity in Windsor-Essex is at 104%.
Fortunately, there's a strategy.
Unfortunately,
It's to test less often,
To distribute fewer #COVID19 rapid Ag tests,
To ignore the risks to the vulnerable: LTCH/RH residents, hospitalized patients & visitors, immunocompromised, persons with disabilities, radicalized minorities, and the impoverished.
#onpoli
To ignore the precautionary principle and hope for the best,
To ignore risks of #LongCovid
To ignore the problem of Xs mortality, particularly increased cardiovascular mortality among young adults, and the risks to children who are poorly protected & have had multiple infections
Read 7 tweets
Feb 24
My FOI to the Office of the Chief Medical Officer of Ontario is complete. I requested all scientific evidence that he relied upon to make the June 2022 decision to shorten the isolation period to 24 hours after resolution of fever & to end masking in public buildings and schools.
The number of records decreased substantially from the initial search. Just 29 records were identified and a number of FOIPPA. A number of redactions are noted:
"Section 12 has been applied to a portion of the records to protect confidential cabinet records,
#onpoli #COVID19
"Section 13 has been applied to a portion of the records to protect confidential advice to government,
Section 14(1)(e) and s.20 has been applied to a portion of the records where disclosure could reasonably be expected to endanger the life or physical safety of a member,."
Read 6 tweets
Feb 6
The Office of the Chief Medical Officer of Health was granted a 2nd 60-day extension @ONThealth to reply to my October 25th, 2022, FOI request:
"On August 31, 2022, Chief Medical Officer of Health, Dr. Kieran Moore announced a public health policy change in which he stated... "
"...it was permissible to go to work or into public buildings masked despite a recent COVID19 infection, provided the individual was afebrile for 24 hours and their symptoms were improving."
"This advice was contrary to recommendations by members of the Advisory COVID19 Ontario Science Table. It is in stark contrast to the recommendations of the Public Health Agency of Canada and the Centres for Disease Control (CDC, USA)."
Read 18 tweets
Feb 5
Windsor-Essex lost its public health laboratory in 2010 when it was closed against the advice of then MOH, Dr. Alen Heimann. Additional capacity for SARS-CoV-2 testing would have been available in 2020, had it remained. #onpoli
cbc.ca/news/canada/wi…
In 2021, Windsor lost its Medical Officer of Health, Dr. W. Ahmed, who left to accept the role of Associate Chief Medical Officer of Health. Since that time we have had an Acting MOH who lives over 300 km away.
What's next, the elimination of @TheWECHU ?
@anthonyrleardi @LGretzky
@Andrew_Dowie @SylviaJonesMPP @fordnation
Will you commit to:
1. improving public health services & funding in Windsor?
2. Improving public laboratory testing in Windsor?
3. Advertise & confirm a permanent MOH in Windsor?
@TheWindsorStar @am800cklw @CBCWindsor
Read 4 tweets
Feb 4
Hybrid immunity comes at a cost - That aspect was missed from this editorial.
#LongCovid
Early Cardiovascular death.
Economic issues d/t illness, new-onset diabetes etc. & shrinking labour force.
One expert weighs in, Z. Chagla. 🙄

theglobeandmail.com/opinion/editor…
A failure in public health @JustinTrudeau :
"just over half of all Canadians have gotten a first booster and only 24 percent have gotten a second. That’s despite the fact that the National Advisory Council on Immunization recommends boosters six months after the previous dose."
That's nothing to celebrate
@CPHO_Canada @jyduclos @fordnation @SylviaJonesMPP
Less than 43% of Ontario children aged 5-11 have completed a primary series of mRNA vaccinations despite the known risks of diabetes and immune dysregulation - invasive Strep A, severe RSV etc.
Read 9 tweets
Jan 25
@BasuAshis SARS-CoV-2 in high concentrations has been recovered from the fluid of the middle ear following primary COVID19 infections. The Eustachian tube (connects the back of the throat to the middle ear) is rich in ACE-2 receptors (the primary binding receptor for SARS-CoV-2).
@BasuAshis Tinnitus (the perception of a phantom auditory noise) is often accompanied with hearing loss. Inflammation of the auditory nerve (CN 8) is not rare following moderate to severe upper respiratory viral infections & may be associated with hearing loss & tinnitus, often temporary.
@BasuAshis Tinnitus may accompany auditory neuritis or vestibular labyrinthitis (vertigo with a viral URTi). Hearing loss and tinnitus commonly occur with high frequency hearing loss from chronic noise exposure.
Read 5 tweets

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