T. Ryan Gregory Profile picture
Jun 25 12 tweets 2 min read Twitter logo Read on Twitter
Universal masking in all settings forever is never, ever going to happen, and I wouldn't support that myself.

I think we do need change (not just for COVID but other pathogens, allergens, etc.) and could achieve if we stop infighting and get people on board.

Such as:

🧵

1/
* Masking (proper respirators) in healthcare, long term care, and other settings where there are vulnerable people.

* A culture of normalized voluntary masking when sick, during peak seasons, when around vulnerable folks, etc.

* Masks made readily available for all.

2/
* Paid sick leave and a culture that supports staying home when ill.

* Clean, safe indoor air. That includes ventilation (low CO2 itself is healthy), filtration (viruses, bacteria, molds, pollen, dust), and disinfection (e.g., UV).

* Monitoring and displaying air quality.

3/
* Wastewater testing, genomic surveillance, and reporting for a range of pathogens. We could even monitor pathogens in the air if we developed the methods further.

4/
I say we could achieve these things because they *have* been implemented to varying degrees in different places.

The goal is safe, inclusive spaces. People can and should expect this, like we expect clean, safe water. But impossible ideals are becoming the enemy of the good.

5/
Folks, I choose my wording carefully in threads. I mean what I write and I often qualify things to make a very specific point. Please don't misconstrue or mischaracterize what I'm saying.
@csicsko And another ones gets the block. Sigh.
@rich_noah *very
Ok, to clarify as best I can.

* Universal, in all settings, forever is what I meant very specifically.

* I specifically talked about more than COVID.

* I specifically did NOT say *only* in certain settings. Those settings for sure at the minimum.
* I am talking about multiple measures that should make all spaces much safer even if there won't be masking by everyone everywhere forever.

* I talked about monitoring and reporting so we know where improvements are still needed to make those spaces accessible.
What I am saying, very specifically, is that we're not going to make spaces safe for everyone in the long term -- again, this thread was explicitly not just about COVID -- with everyone masking everywhere in perpetuity. So we need other strategies to achieve inclusion.
So, focusing our efforts on universal mask mandates or getting people to mask voluntarily isn't going to get us where we need to be at this point. And even if we can do it for COVID, it doesn't create a viable long term solution that will. We need clean air, monitoring, et al.

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More from @TRyanGregory

Jun 26
I don't know who needs to hear this (actually, yes I do), but saying that having everyone mask all the time everywhere indefinitely is not going to happen absolutely does not mean no one should still be masking. I still mask 100% indoors. My kids still mask at school.

1/
I'm talking about looking around right now (the vast majority are not masking, mandates are not coming back), looking more broadly (it's not just COVID, there's also flu, RSV, colds, molds, bacteria, allergens, wildfire smoke, pollution), and looking ahead long term.

2/
Absolutely yes people should be masking indoors still. I still do 100%. But beyond the immediate situation, we need to advocate for clean indoor air. Ventilation, filtration, sanitation. We also need broad pathogen surveillance and reporting.

3/
Read 7 tweets
Jun 25
🧵

I loathe the fact that we've been abandoned by our leaders and public health institutions and have been left to our own devices to navigate the ongoing pandemic. It should not be like this, it only exacerbates deep inequities, and it makes us weaker as a society.

1/
We need to keep pushing for systemic change and real action to make spaces safer and more inclusive, but as it stands we are being given no choice but to make difficult choices.

/2
We can and should push back on the "you do you" attitude. Other people, including the most vulnerable, should be part of our calculations. But we do have to make calculations at this point. It can't be all or nothing, because the vast majority will choose nothing.

3/
Read 22 tweets
Jun 17
I don't understand the minimizer/centrist talking point that dismisses hospitalizations as "incidental" infections. They're not hospitalized due to COVID but they're bringing it with them to where vulnerable patients are, or they're getting infected at the hospital.

1/
There is no circumstance in which more COVID in hospitals good. At best, it's less terrible that people are "only" taking it with them to, or picking it up in, hospitals. COVID infection will not make any condition better. Hospital-acquired infections are especially deadly.

2/
Hospitals dropping mask mandates, immunity waning, immune-escaping variants, and booster uptake being very low are all concerning. Yes, the signal is lower in Canada this summer than it has been for over a year -- because it has been way too high for over a year.

3/
Read 5 tweets
Jun 17
Go ahead and let your guard down, folks. Wastewater is low. Hospitalizations "with" not "from". Mostly old people. Many peaks, each one labell...
Again, it's good to have a significant lull after more than a year of a very high baseline with no breaks. But we used *expect* this in summers (2020, 2021). It's only after our worst year of the pandemic (thanks to "mild" Omicron) that we celebrate it now.
Also, with Omicron, risk of long COVID is higher with reinfection than with first infection.

Dori, You forgot about long...
Read 5 tweets
Jun 16
Hearing word that *French courses* are on the chopping block at @uofg. I seem to recall Laurentian cutting French too. Media folks (ones who don't uncritically parrot admin talking points) might want to explore that.

#SaveUofG
#NewLeadershipASAP
Read 4 tweets

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