Dr. Lisa Iannattone Profile picture
Jul 20, 2023 11 tweets 2 min read Read on X
If your institution is hosting an event on equity, diversity and inclusion without having given a single thought to covid safety, effectively rendering your EDI event inaccessible to the disabled and medically vulnerable, I have some bad news for you…
How the absurdity of this scenario doesn’t seem to dawn on people spontaneously is astounding. Truly.
Someone suggested that I need to spell this one out clearly so here I go:

‘Equity, diversity, and inclusion’ initiatives are meant to make the institution more accessible to protected and underrepresented classes of people, to make the institution more equitable and diverse.
People with disabilities are a constitutionally protected class that remains underrepresented in many institutions because of structural barriers, inequity and a lack of accessibility and accommodations. They’re also a class that remains at high risk of poor covid outcomes.
So organizing an EDI event without covid safety measures is explicitly *excluding* an underrepresented, constitutionally protected class of individuals. It’s completely incompatible with a stated commitment to EDI. It’s so absurd that it discredits the entire initiative.
Honestly, don’t preach about equity, diversity and inclusion unless you actually plan to walk the walk and *be* equitable and inclusive. Otherwise this is just performance art from faux allies that want a gold star on their resumes for doing EDI work bc it’s trendy these days.
Masking is not a hardship. If you’re not comfortable having a mask mandate at your EDI conference, but you ~are~ comfortable making your event inaccessible to the disabled & medically vulnerable, consider having an honest chat with yourself about whether EDI is actually for you.
If you’re only an ally when you don’t have to do anything that goes against our social norms, you’re not an ally. Fighting to improve equity, diversity and inclusion *should* feel uncomfortable. It *should* challenge inequitable social norms and policies that result in exclusion.
If you’re not challenging the status quo and making people uncomfortable by forcing them reflect on how our systems harm certain classes of individuals and render spaces that they should be in inaccessible to them, then why even bother? With EDI, progress ~requires~ discomfort.
Anyone planning an ‘equity, diversity and inclusion’ event in 2023 that’s actually serious about EDI, would have put substantial thought into covid safety so as not to exclude the disabled/high risk. That means masks, air quality/ventilation, rapid testing and a virtual option.
Don’t just *say* you want to be inclusive. Actually ~be~ inclusive. Don’t just state your values. ~Live your values~. Lead by example. Make this world a kinder and more inclusive place. And make others want to follow your lead, make them want to ~care~ with you.

/rant over.

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More from @lisa_iannattone

Mar 4
Public health has changed a lot since covid. Here’s a really concrete example of that. In 2019, PH in Montreal published a really detailed list of places people were exposed to measles: bus routes, malls, walmart, etc. In 2024? The list is just healthcare, schools + the airport.
From a 2019 Montreal Gazette article:  Those sites include the Walmart store on the Chomedey autoroute; the Second Cup outlet as well as common areas near Gate 2 at Carrefour Laval; the Laval Excellence gymnastics club on St-Martin Blvd. E.; the Oeufrier restaurant, the Dollarama store and Proxim pharmacy on Laurentides Blvd.  Buses running on the No. 20 and 70 routes in Laval at specific times on June 26 are also deemed as at-risk areas.  The areas and precise exposure times are available at the ministry’s website. A person considered contagious visited the mall on June 26.  The call for v...
The list of measles exposures from the 2024 Montreal outbreak which includes on healthcare facilities, childcare/school and the airport.
Why the sudden change in what information is made public? I highly doubt that *none* of these measles cases exposed people anywhere else. Did any of them go to a pharmacy or grocery store or coffee shop or hockey rink? And if so, why aren’t any of these locations being published?
Not publishing these locations means 1. people don’t have the opportunity to protect themselves and others post-exposure and 2. the fact that people are actively being exposed in the community (not just clinics and airports) is not being made explicit for the public.
Read 6 tweets
Dec 15, 2023
@Penelope19920 @jvipondmd As soon as the IPAC email goes out letting everyone know they need to wear masks, everyone wears masks. If IPAC decides everyone has to wear respirators, then everyone wears respirators. This actually isn’t hard at all. Why leadership would make it seem like it is, is baffling.
@Penelope19920 @jvipondmd They lean on hand wave-y concepts like mask fatigue when I have never once received a survey asking me how I felt about masking. None of this is evidence based. Since 2022, they seem to be making decisions based on “feels”.
@Penelope19920 @jvipondmd Do you know what happens in hospitals when HCWs get hand washing fatigue? They hire people to patrol the wards and make sure we’re washing our hands when we’re going in and out of patient rooms. They don’t give us hand washing breaks and just let c.diff run wild for a while. 😒
Read 4 tweets
Dec 8, 2023
StatCan just dropped a bombshell report on LC. This is the most important figure. It highlights that the risk of long term symptoms is cumulative, it increases with increasing number of infections. By 3+ infections, 38% report long term symptoms — that’s 1 in every 2.6 people. 🤯 Data table for Chart 2 — Percentage of Canadian adults with long term symptoms, by number of self reported covid-19 infections, June 2023 1 infection — 14.6% 2 infections — 25.4% 3 or more infections — 37.9%
Right now 1 in every 9 Canadians has long covid. 80% have symptoms for longer than 6 months and 50% just never recovered.

Full report here:
www150.statcan.gc.ca/n1/pub/75-006-…
How long before the majority of the population is at 3+ infections and 1 in every 2-3 people is suffering from long covid?

What’s the plan @GovCanHealth? Full speed ahead or? 🚆
Read 8 tweets
Dec 2, 2023
We’re in our *3rd* post-lockdown viral respiratory season and admissions for viral resp illness+pneumonia are 6 standard deviations above the historical average. I do not understand how so many reasonable people haven’t figured out that the “immunity debt” scapegoat is disinfo.🧵
It’s not the lockdowns, it’s the covid. Covid damages immune systems. Catching covid makes people more susceptible to catching other infections. Immunity theft, not immunity debt. A thread of evidence:
This study found that the risk of RSV infection needing medical attention was 40% higher in kids that had covid vs those that didn’t. Both in 2021 and 2022. Yes they checked twice.

pubmed.ncbi.nlm.nih.gov/37832975/
Read 31 tweets
Nov 17, 2023
“We report a consistent increase in the risk of persistent symptoms after reinfection compared to first infection. All post-acute symptoms mentioned in the WHO clinical case definition appeared more common after reinfection than after a 1st infection”

‘RoBuSt HyBriD iMmuNiTy’ 🤪 Screenshot of the article linked in the next tweet “The burden of post-acute COVID-19 symptoms in a multinational network cohort analysis”
Yet another study showing that more infections = more morbidity. Can we like warn people maybe? Feels like something people might want to know.
nature.com/articles/s4146…
“Escalation of commitment: A human behavior pattern in which an individual or group facing increasingly negative outcomes from a decision, action, or investment nevertheless continue the behavior instead of altering course.”

¯\_(ツ)_/¯
Read 9 tweets
Nov 14, 2023
I’m very optimistic that vaccine/treatment breakthroughs + better air hygiene standards will change the game at some point. But I’d also like to point out that preserving one’s short and long term health is an endgame in and of itself. It’s the endgame for so many things we do…
The endgame of exercise? Health.
The endgame of limiting alcohol? Health.
The endgame of treated tap water? Health.
The endgame of tossing spoiled food? Health.
The endgame of cooking meat to temp? Health.
The endgame of washing your hands? Health.
The endgame of screening and checkups? Health.
The endgame of carseats and seatbelts? Health.
The endgame of helmets? Health.
The endgame of brushing your teeth? Health.
The endgame of condoms? Health.
The endgame of indoor smoking bans? Health.
Read 7 tweets

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