Time for a thread. Now that we are "post-pandemic" what is the impact of this "endemic" disease on people and society, from a strictly mortality perspective?
(quotation marks intentional)
Let's take a look at the Alberta data. 1/
Our respiratory "season" closes this wk. Currently deaths are at 715, up 10 from prev wk. With an av of about 10/wk recently, and a lag in reporting, I suspect we'll end up at at least 730 for the 12 month period.
Is that a lot? should we care?
source:
2/ alberta.ca/stats/dashboar…
Image
We have good data from prev year's causes of mortaliy, found in this spreadsheet:
Recall that in Canada (and AB) for 2022 COVID was the 3rd leading cause of death at 1547. (2021 2nd at 1950)
3/ open.alberta.ca/opendata/leadi…
Image
so this year about half of 2022. Yay? or is it.
If we compare to prepandemic data (2019) 730 would be 6th leading cause of death. Not truly fair because of population growth and increased mortality due to unknown reasons (what could it be?) since 2019. 4/ Image
If we compare to 2022 data, (removing "other ill-defined and unknown causes of mortality" it would be tied with Diabetes for 7th.
5/ Image
My point is: it is still firmly in the top 10 causes of mortality. And is by far the worst infectious disease cause of death (pneumonia, the next biggest, by contrast, in 2022, was 16th). NO other infectious disease in the top 30.
6/ Image
And yet we try to stop other infectious diseases. Pneumonia, measles, TB etc, all have efforts to stop spread and decrease mortality.
E.coli in daycares even gets an independent review.
But COVID, being endemic, pffftt. What can one do? You do you.

7/calgaryherald.com/news/e-coli-ou…
ONe more addendum. Back to the nebulous "other ill-defined and unknown causes of mortality"
This wording never appeared until 2019.
It was 10th in 2019. 4th in 2020. 1st!!!!! in 2021. and 3rd. in 2022.
8/


Image
Image
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Questions:
What is this class comprised of?
Will they ever be reclassified into another category?
Why did they peak in 2021, the same year that COVID-19 deaths peak?
Why did this class only appear in 2019?
OK, gotta run. thanks everyone for still caring. fin/
Oh, a few quick add-ons. (2 more posts)
I'm not the only one to comment on this.

fin +1calgary.ctvnews.ca/deaths-with-un…
AND NO IT'S NOT VACCINES CAUSING THE UNKNOWN DEATHS (not that you would manipulate this for some anti-vaxx cause).
But by not defining the deaths, Alberta sure helps the conspiracty theorists theorize.
fin+2
calgary.ctvnews.ca/vaccines-not-c…

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More from @jvipondmd

Jun 7
I think we need to talk about the Infection Prevention and Control- Canada organization (IPAC-Canada). @IPACCanada, who has their annual conference starting Sunday. 1/ Image
Who is IPAC? this is from their "about us" page. 2/
ipac-canada.org/missionvisionv…
Image
I was lucky enough to present at last year's convention at the invite of @BarryHunt008, on environmental impact of masking policies, with a focus on airborne protection.
You can see my presentation here: 3/
Read 15 tweets
May 8
Here's yesterday's @AHS_media acute care outbreak release.

I'd like to draw attention to three in particular.
1/4
Image
Image
Although not stated, this is undoubtably the PLC NICU outbreak.

So those 2 patients? are premature babies.

and I've heard reports that the unit was indeed maskless when the transmission occurred (that's been rectified, for now).
2/4 Image
You know who else is pretty vulnerable to COVID infections? those undergoing chemo and radiotherapy.
Like on a Cancer ward, for instance.
3/4 Image
Read 4 tweets
Apr 18
It's out! The @WHO's new wordsmithing report on airborne transmission. I'm going to do a little dissection on the good and the bad, who wins and who loses. 1/
cdn.who.int/media/docs/def…
Image
the TLDR is: "through the air" is the old "droplet" and "airborne" transmission modalities combined. "inhalation" is the new "airborne". "direct deposition" is the new "droplet" 2/
The great: finally an acknowledgment that short-range airborne transmission is an integral component of all (not just COVID) airborne transmission. This is huge. It means that workers esp. HCWs need respirator masks (FFP2/3, N95) when interacting with concerning patients. 3/ Image
Read 13 tweets
Feb 22
Apparently many in the Canadian ID community on this platform are weighing in that paxlovid should no longer be recommended to high-risk (elderly, immunocompromised) outpatients with confirmed covid.
I think we should take a look at the evidence they've presented.
(a thread)
1/
So far there has been no evidence presented, none, except for the blogpost posted in the first tweet.
No peer reviewed science. At all.
And a reminder that there are still >500 inpts in Alberta with covid, and 10-20 patients dying each week (all likely high risk patients).
2/
Another reminder is I reviewed the paxlovid evidence in a thread a few weeks ago, in response to a paxlovid-minimizing news story by @LaurenPelley of @CBCNews.
You can check out the thread here:
3/
Read 20 tweets
Feb 9
Another emissions cap story from the @calgaryherald
a short dissection

“I would say (the cap) is singularly unhelpful in advancing decarbonization investment of any kind, including the Pathways project."

Sounds like blackmail,actually. 1/

calgaryherald.com/opinion/column…
At least @ChrisVarcoe mentioned the climate crisis concerns this time.
"The oil and gas industry is the largest emitting sector in Canada. The Liberal government has introduced a series of policies as concerns around climate change mount" 2/
But this is sloppy and "news release" journalism:
"CAPP noted emissions from the conventional oil and gas sector fell by 24 per cent, while production grew by 21 per cent between 2012 and 2021."

Neglecting oilsands emissions in its entirety. 3/
Read 6 tweets
Feb 2
How many ways does this article anger me?
Let me count the ways...

#debunktionjunktion

(although, honestly, fighting @calgaryherald on climate issues is rather pointless, in the past @ChrisVarcoe has often been better than this)
Thread
calgaryherald.com/opinion/column…
1) I realize I'm like a broken record. But having an article, on a climate issue, without mentioning the word "climate" once, is not cool. Of course people don't want to do hard things, unless they know why they need to do it. (see search in upper left corner) Image
2) Zero interviews from anyone, aside from the federal government, as to why this cap is necessary. All industry or industry-adjacent voices.

One-sideing the issue.
Read 11 tweets

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