Sanjiv K Gandhi Profile picture
Jul 26 9 tweets 2 min read Read on X
Thankfully, my brief foray into politics is over but someone needs to wade through the political gaslighting of today’s press conference.
I will try to focus on actual science and medicine.
Excuse the length of this 🧵but it could have been longer… 1/9

news.gov.bc.ca/releases/2024H…
The severity of COVID infection was discussed only with respect to inpatient hospitalizations.
This is misleading and dangerous.
Outpatient testing has been eliminated.
No mention of the many serious systemic manifestations of COVID. The disease has changed since 2020. 2/9
When asked about long COVID, the answer was essentially “we still have a lot to learn”. Yes, we do, but we now understand LOTS about the long term ramifications of COVID infections. In BC, we essentially ignore all of this. 3/9
The importance of COVID vaccination was discussed with respect to “respiratory viral season”.
As has been demonstrated world-wide, COVID is NOT a selective seasonal pathogen. The purpose of vaccination is to prevent disease, not to wait until there is a surge. 4/9
“If you are part of the public health care system, we have a moral and ethical obligation to take those scientifically proven methods that protect us… and those we care for.”
WOW.
ZERO mention of mask mandates in hospitals.
ZERO mention of clean air policies. 5/9
“We know what to do now. Stay home if sick. Cover your coughs. Use masks when needed. Handwashing.”
The most important thing we SHOULD have learned from the pandemic is the airborne nature of many viruses, hence the importance of monitoring air quality and ensuring clean air. 6/9
“BC has had the best response to COVID-19 in North America.”
There is not a shred of evidence to support this claim. Ignoring problems does not mean those problems do not exist. 7/9
Perhaps the formal vaccine registry is new BUT healthcare workers in BC have always had to report their immunization status with respect to many infectious diseases as a condition of employment. This is nothing new. 8/9
As someone who values the importance of good nutrition (and as someone who went to culinary school), I personally would not advocate for the regular consumption of hot dogs from 7-Eleven. Sorry 7-Eleven. 9/9

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More from @SKGandhiMD

Jan 11
Here's a summary of today’s BC respiratory season press conference.
Note: The first couple of sentences of each part of this thread are points summarized by health officials. I will then translate what that means.
Note: NTSH = nothing to see here. 1/11

news.gov.bc.ca/releases/2024H…
“Hybrid immunity” confers protection to most of the citizens of BC, but hospitalizations are at record levels, largely as a result of respiratory illnesses. NTSH. 2/11
The only reason inpatient numbers are at record highs is because of the amazing job we have done with the surgical renewal program. NTSH. 3/11
Read 11 tweets
Oct 4, 2023
I completely support the mask requirement in healthcare settings BUT… I have some comments.
We need a different mindset.

🧵 1/5
“Masks are not required for patients, clients, and residents, unless ‘directed by a health care worker or based on personal choice.’”

This won't work unless it is universal. We know that already. HCWs should not be the mask police.

2/5
“That’s the best we can do to protect each other…”

NO, it’s not. We need universal healthcare masking, clean indoor air, testing for viral pathogens, and an easily accessible vaccination program.

3/5
Read 5 tweets
Sep 12, 2023
The job of Public Health is to properly inform the public.
I'll elaborate in this 🧵.
@adriandix and @shirleybond - Let's please put politics aside and meet. We can figure out a way to educate the public more effectively to keep everyone healthy. 1/9

cbc.ca/player/play/22…
Image
COVID surges
These are “not unexpected” - People need to understand:
(1) surges ARE preventable
(2) how to prevent them

2/9
The rise and fall of COVID infections
The magnitude of the surge is “lower than last year and in 2021” – We have no idea. We used to test extensively. We no longer test. Don’t test = don’t tell. 3/9
Read 9 tweets
Aug 9, 2023
This is getting exhausting but the facts are important. B.C. is NOT “preparing” and has no "plans".
Another🧵: 1/5

vancouver.citynews.ca/2023/08/08/bc-…
“We’re not seeing a dramatic rise in cases…”: This would require actual testing for cases. We don’t test in BC. 2/5
“Immunity that we have … still seems to be working.”: What “immunity” and what actual evidence exists that it is “working”?
If you are "immune" to a pathogen, then the disease caused by that pathogen will have no effect on you. Not really true for COVID. 3/5
Read 5 tweets
Jul 13, 2023
This is indeed an excellent review of long COVID. I have read it, in its entirely, which I hope everyone you’ve tagged will also do but, in case not, the salient take home messages (“Coles notes”, for all those of my generation): 🧵1/7
The term “long COVID” can be applied to a myriad of post-COVID conditions in those with a history of probable SARS-CoV-2 infection, usually 3 months from the onset of COVID-19, with symptoms that last for at least 2 months and cannot be explained by an alternative diagnosis. 2/7
The most conservative estimates are that 10% of individuals who have had COVID-19 infections will suffer from long-term sequelae. In some studies, these estimates are much higher (up to 40-60%). 3/7
Read 7 tweets
May 17, 2023
The misinformation from Public Health & the Health Authorities continues. The purpose of this 🧵 (again) is to provide some public education. Excuse the length – so much to debunk. 1/17

PODCAST: Dr. Reka Gustafson talks COVID in a one-on-one interview nanaimobulletin.com/news/podcast-d…
RSV & FLU season was “unusual” because children were deprived of being ill over the past few years. WRONG. Immunity debt (one must get sick to avoid illness) is a flawed theory. The viral season was awful & likely magnified by widespread COVID mediated immune dysregulation. 2/17
All the people currently in hospital that have tested positive for COVID are there “with” COVID, not “from” COVID. This often repeated false narrative fails to connect the dots between COVID infection and systemic manifestations of the disease. 3/17
Read 17 tweets

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