Sunday, 18 April 2021
LEADERSHIP
Friday, 16 April 2021
Two Finding the Balance during COVID-19 Webinar this month
Hey Folks,
Due to the seriousness of the current COVID-19 situation in the province of Ontario, we are hosting a second April 'Finding the Balance During COVID-19 Webinar: what the third wave means for our communities'. Our last webinar on April 6th had 34 thousand viewers. Now is the time to form a united and cohesive front. Please join me and our webinar team Helen Fishburn, Alison DeMuy, Tanya Stuart, Tracey McGrath and Marva Wisdom as we once again welcome Dr. Nicola Mercer, the medical officer of health for the Guelph-Wellington-Dufferin public health unit. We are here to help you navigate these difficult times. You can register for this free webinar at this link: https://us02web.zoom.us/webinar/register/WN_DF9g-C6hQLGkc-xboSd0wA Anne-Marie Please share For non-Facebook users, you can find this post here: https://braceletofhope.blogspot.com/ And if you'd like to help Bracelet of Hope work towards making sure that Lesotho has access to these vaccines, donate here: https://www.braceletofhope.ca/ways-to-Thursday, 15 April 2021
At a loss for words
Slow motion..... For the first time in over a year of posting about COVID-19, I am at a loss for words. As I was driving home from work tonight, trying to calm myself down after a weary week and after hearing today's news about this third wave starting at a Zoom meeting this morning with all the family doctors in Guelph and the COVID-19 team leaders, this phrase started to come to mind, repeatedly. 'Slow motion' Slow things down. Stop the racing heart, the anxious thoughts. Stand still and just....be. 'Slow motion' I like to think that these words of wisdom that seem to download into my brain out of no where right when I need them the most are from God. That brings me comfort. Nurses and physicians are trained to slow their emotions down while facing extremely stressful situations. We put ourselves into an automatic response state. It's a state that has been drilled into us by years of training, years of running arrests, treating critically ill patients, pushing through emergency room shifts, delivering babies.... For me, the medical situation that triggered the most stress and required the most focused and levelled response was treating critically ill, HIV positive children in Lesotho; far away from the support of an intact healthcare system. Every night, in this rural district of Lesotho, the team of Canadian doctors, nurses and nurse practitioners would make their way home from the hospital, often walking in silence, shoulder to shoulder, deep in thought. Each night, recovery from the days trauma would begin with this walk home. We'd often share a meal and a bottle of wine. Russel was the HIV clinic administrator. He would often raise a glass and say these words, " Godspeed to those we have lost and healing to those we are about to save". Debriefing is what they called it; a time to discuss the ups and downs of the day sharing our deepest fears, regrets and anxieties while opening our hearts and souls to one another. There was always regret because no matter how hard we worked we just could not save everyone. But, we learned the value of celebrating the successes no matter how hard won they were or how tiny they seemed in the face of the catastrophic effects of the AIDS pandemic. And in this intimate process of debriefing, we found the beginning of healing. And here we are, as an entire country, 37 million of us facing our own pandemic with an intact yet now precarious healthcare system. None of us have been spared. Not a single soul. How can it possible get worse a year later? Where will we find the strength, resolve and hope to keep going? How can this be? Well, this is what pandemics do. They peak at just the time when we are all exhausted, hopeless and distraught. They bring chaos and confusion. They make us dig deep to find a way to face, head on, circumstances we never dreamed we could survive. They pull us together in ways we never thought possible and they make us appreciate the small things, the beautiful things, the minor wins and the miracles that drive us to tears. Most of all, they make us develop a new perspective on our own individual lives and on what hardship really is. Slow motion. Slow things down. Think clearly. Focus. Rise above the fear and look towards the goal. Step away from the pounding, incessant noise from the news and a thousand clamouring, negative voices. Slow. Silence. Healing will begin. Years of training teaches healthcare professional how to block out the distractions and focus on what needs to be down now, in this moment. We have had a year of training in COVID-19. We know how to do this. We know how to do this together, shoulder to shoulder (metaphorically speaking of course), following the same rules focusing on the same outcomes: the end of this most dangerous third wave, the vaccination of > 70% of the population and the slow return to a normal life. Almost 5,000 cases in Ontario today and ICU's filling up beyond what any health care team has ever seen? Yes. Patients that are younger and sicker? Yes. Variants that spread so much more rapidly and cause more serious disease? Yes. This is what pandemics will do. But, 105,000 vaccines were given yesterday in Ontario. Twenty-seven and a halt percent ( 27.5%) of Ontarions have received at least one dose. Source: https://howsmyflattening.ca/#/home We are vaccinating more than 1 percent of the population a day which will bring us to 40 % vaccinated by the end of April and 60 % vaccinated by the middle of May. And that's when we start to win. In every other country that reached this level of vaccination in a third wave, the number of new cases came crashing down. Will the vaccines arrive? YES. Are we wasting millions of doses that are just sitting in freezers unused? Nonsense. If a million doses are not held in storage the vaccines we need for the next four weeks of booked appointments in mass vaccination clinics would not be available. Toronto is not running out of vaccine. Toronto re-distributed it's vaccines away from vaccine clinics to hotspots where they were desperately needed. Leave those hotspots on fire and everyone gets engulfed. Hold on. We've still got this. Wear that three layer mask. It is more important than ever with these variants. A layer of polypropylene should be in your cloth mask. This keeps the variants out if the mask covers your face from ear to ear and the top of your nose to under your chin. hidesinhands.com Stay six feet apart. Avoid all indoor and outdoor gathering. Bush parties and house parties become super-spreader events that will push our hospitals past their point of capacity. Wear a mask outside where people may pass in close proximity. Hunker down. More restrictions may be coming. We are strong enough to do this. There is no doubt. Anne-Marie Please share. For non-Facebook users, you can find this post here: https://braceletofhope.blogspot.com/ And if you'd like to help Bracelet of Hope work towards making sure that Lesotho has access to these vaccines, donate here: https://www.braceletofhope.ca/ways-to-
Monday, 12 April 2021
We have vaccinated 25% of the population...and that's before the bulk of the bulk of vaccines have arrived!
Now that's the ticket
Tomorrow morning, the Guelph-Wellington-Dufferin Health Unit will hit a great milestone. They will reach a 25 % vaccination rate. That means that 25 % of the population in this health unit have received at least one dose of a vaccine. The rest of the province is quickly reaching that number too. Awesome. Stellar work by all you beautiful public health employees and volunteers in every public health unit. We are glad you have our backs. As of this morning, our public health unit has started Phase III. I did a little in-office happy dance when I heard this. This means that anyone 16 and up can now register. Hold the fort a bit. When news of this got out, public health was overwhelmed with calls and their website went under for a bit. It may be difficult to register this week as the masses attempt to get in line but everyone will get a vaccine. When you register online, you will receive an email and/or a text notification confirming your registration. It may take 8 to 12 weeks before you receive your appointment time. Do not worry and do not call public health to ask when you will receive an appointment. You will receive one. The speed at which you receive an appointment is very much dependent on vaccine availability, not on public health's capacity to book appointments. If all goes according to plan, vaccine availability will increase dramatically by the end of April and into May. That will change our game plan and allow us to get everyone vaccinated sooner. If anyone 65 years of age or older preregistered more than 2 weeks ago but has not yet received a booking code ( needed to book your appointment) call this Booking Helpline: 1-844-780-0202 Remember that the first dose of vaccine gives you enough immunity to safely wait 16 weeks after the first dose of the Moderna and Pfizer vaccines before receiving the second. Don't panic, the decision to extend the interval between dosages was the right decision. Many folks who have received their first vaccine have not yet received the date of their second vaccine. Again, don't worry. You will receive an appointment time. Remember that our community becomes much more safe for all of us when we reach our 75 % ( of the population vaccinated) target. Don't forget the AstraZeneca vaccine. It is safe for people over the age of 55. It is also very effective. I have 7 family members in their sixties. Four have already received the AstraZeneca vaccine. Many pharmacies and some doctors offices have this vaccine available across the province. You could have your first dose tomorrow if you are in this age group and a pharmacy near you has an appointment time available. Get a vaccine. Countries that have vaccinated 60 % of their populations ( USA, UK and Israel ) have crushed their third waves and are now re-opening their small businesses and restaurants. We could very well get to 60 % during this lockdown. But, it takes a combination of heavy lockdowns and mass vaccinations to get this done. Follow the provincial emergency orders: stay home, no non-essential travel, absolutely no indoor gathering of any kind, wear a mask and limit outdoor gatherings to five or less. These new variants are nasty. These guidelines will keep you safe. I am particularly worried about places of work. Tighten up your work place restrictions if they have become a little lax. We are riding a nasty third wave but this time, vaccines are here!!! Stay strong, stay hopeful!!! Anne-Marie Please share. Go toSunday, 11 April 2021
Third State of Emergency
THIRD STATE OF EMERGENCY
I was cleaning an upstairs room this morning. Hanging on the back of the door was a jacket and a travel bag that I lasts used in Jan of 2020. I have seen these items many times but today my eyes lingered over that beautifully coloured quilted bag, the one that I was supposed to use again for a trip to Lesotho in the fall of 2020. Something shifted in me as I stared. It was like a window had opened or maybe it had closed. I realized that I will no longer be the same, carefree person that travelled last year, ever again. Carefree I hope, the same, no. We have lived with the consequences of COVID 19 for too long now. We have all suffered, lost, learned to cope, learned to be alone, learned to live with scarcity and uncertainty. A global catastrophe like this will change who we are as a society. But, many, many generations before us have lived with similar or worse catastrophic events and as a race, we have survived. I believe that the capacity to survive is embedded in our genes. We have the strength, wisdom and intelligence to overcome and it is hard-wired in our DNA. A little science and philosophy thrown at you on this fine Sunday afternoon at the start of our third stay at home order. 4456 new cases in Ontario today. The highest number of new cases ever in this pandemic. I am going to take you to some links that we have all seen before. Click on this link: https://www.covid-19canada.com/graphs Scroll down to Ontario (ON). Find the graph titled, "New cases Analysis by Date" and click on the 7 day rolling average. You will see the first, second and third waves of the COVID-19 pandemic in Ontario. The peak of the first wave looks like a minor blip. It took us five months to reach the peak of the second wave at the end of January and only a month to reach the same level in the third wave, a rapid increase in the number of new daily cases caused by the variants of concern. WE NEED THIS THIRD EMERGENCY ORDER. Now look to this link: https://globalnews.ca/news/7751278/covid-19-ontario-cases-april-11/ Scroll down to find these three graphs: New confirmed cases Current hospitalizations New deaths. This may not last but the number of new deaths is climbing at far less a rate in the third wave than the rate of deaths in the second wave. This may be due to the fact that we have vaccinated the vast majority of our vulnerable population, the folks over 70. Younger people are becoming infected and more and more are hospitalized and on ventilators. This group may be more resilient and more able to overcome the consequences of serious illness from COVID-19 requiring ventilation. Vaccinations work. We have protected our most vulnerable. In Ontario, we have vaccinated 3,139,743 of our vaccine eligible population. That's almost 25 % of the adult population. In the last 4 days, we have vaccinated more than 100,000 /day, that's 1 % of the population/ day. As more vaccines arrive, we will have the capacity to vaccinate more that 200,000/day and that's a conservative number but let's say we stay at 100,000/day. That means that during this 28 day lock down, we will vaccinate 28 % of the population, added to the 24 % that are already vaccinated and we will have vaccinated more than 50 % of the adult population by the first week of May. What happens when 50 % of the eligible population is vaccinated? Let me take you back to this tried and true link: https://coronavirus.jhu.edu/map.html On the left hand side, scroll down to the United Kingdom. Look to the bar graph in the lower right corner. The United Kingdom has vaccinated 60 % of it's population as of today and the result? The number of new daily cases of COVID 19 has dropped. They have smashed their third wave and they did it with a combination of a heavy lock down combined with mass vaccinations using the AstraZeneca Vaccine. There is a quote at the end of my husband's emails: "'Facts do not cease to exist because they are ignored - Aldous Huxley'" The numbers do not lie. Science is based on data and facts. These vaccines work. Countries that have combined a stay at home order with mass vaccinations have wiped out their third wave. Twenty eight days. That's all it will take. Don't despair and keep your eye on the goal. Twenty-eight days. Stay at home, do not gather and get vaccinated. We may be tired and angry and frustrated but that does not change the hope that sits right in front of us. It is a hope based in fact, and science and amazing vaccines. Trust public health. Support your front line workers. Think twice before adding to their burn out with our doubts and frustrations. This lockdown will not be easy but it will be over....soon And, one more commentary. Postponing the interval between vaccine dosages to 16 weeks was a brilliant decision. The mRNA vaccines are effective up to 6 months. As a result of the delay, we will get to 50 or 60 % of eligible adults receiving their first dose in short order and likely before this emergency order is lifted. The decision was a wise one to make in this era of COVID-19 vaccine scarcity. The more people with that first dose, the more are protected and the quicker we end this third wave because there is now ample evidence that these vaccines not only dramatically reduce the risk of a person from getting infected but they also prevent a person from transmitting COVID-19 to others. Many of you have not received the date of your second vaccine appointment. I believe that is because that once vaccines are no longer scarce which in Ontario will likely be the end of April, you will be called for a second shot in 2 to three months. No word on the safety of delaying the second dose of the AZ vaccine. Keep moving in this direction and it will not be delayed beyond it's effectiveness. This should be our focus. Hope based on facts and numbers and science. Real hope. Anne-Marie Please share For non-Facebook users, you can find this post here: https://braceletofhope.blogspot.com/ And if you'd like to help Bracelet of Hope work towards making sure that Lesotho has access to these vaccines, donate here: https://www.braceletofhope.ca/ways-to-Monday, 5 April 2021
Vaccines, Vaccines and more vaccines. Variants, Variants and more Variants
Thursday, 1 April 2021
You know we will still defeat COVID -19
Look past the next month and see the horizon
Not great news today but expected. In the last 10 days or so there has been significant surge in new cases across the county. In Ontario, 67% of new cases are caused by the B.1.1.7. UK variant of COVID 19. Those who catch one of the new variants of COVID-19 are more likely to be hospitalized or die because of it. With the B.1.1.7 variant the risk of dying is 1.5 times higher, the risk of requiring a ventilator is three times higher and the risk of transmitting it quickly to another person is 2.5 times higher. This COVID is killing faster and it is killing people in a younger age group. More and more people under sixty are ending up in hospital. Entire families are being admitted to ICU's all at the same time. Thus. this new lockdown preventing us from gathering on yet another Easter weekend. I read my church's email announcement about this coming Easter Sunday's indoor service being cancelled and with that email came a reminder which at some level, in a strange way, brought me comfort. “Days and seasons of discouragement will occur. None of us are exempt from the human struggle of difficult times." Suffering is part of the human condition. In more affluent countries like ours, the majority of us might forget that and be somewhat offended by our present circumstances. After all, it has been more than a year of this harsh new reality of lock downs and mask wearing and physical distancing. But, here we are facing an even deadlier virus. Will we still win against this virus? You bet we will. Will our days of suffering continue forever? No way. In general, our public health measures of masking, gathering only with our households and maintaining physical distance still work against the B.1.1.7 variant. Our vaccines are proving to be just as effective against this variant but we can't mess around. Allowing a virus to spread allows that virus to replicate itself in the human host a million times over. Each time a virus takes over a human cell it turns that cell into a virus making factory where replicative errors can occur. Meaning, as it is reproducing itself, mistakes can be made which change the make-up of the virus and more specifically, change the surface proteins of the virus. With the COVID-19 B.1.1.7. variant, it appears that the surface spike proteins have been altered. Remember, the spike proteins on the surface of the virus are what allows the virus to attach to the human cell through a receptor site or a point of entry. The altered spike proteins may make this cell entry system much more efficient. Breath in the old COVID-19 virus and your immune system kills a lot of the virus before it infects. Breath in this new variant and it can sail past your first line of immune system defence and then more easily enter your cells making your body become quickly overwhelmed by the virus. The more virus that is allowed to infect your cells, the more illness you may experience, the more serious that illness may be and the more likely that the virus can kill. None of this is new science. This is what viruses do. Give them hundreds of millions of hosts to infect and they will mutate with the stronger mutated viruses taking over. Have no fear. The vaccines are here and and millions will arrive this month and next month. If we stay hunkered down for just a bit longer, we will be able to vaccinate the majority of people in this country while not giving the present COVID-19 variant a chance to race too far ahead of us. Young people are now at risk. Can we get this message to people between the ages of 20 and 39? We really need to. 6 million doses administered in Canada so far. And we are just ramping up now. GWD has administered 50,000 doses. That's 17.3 % of our population. We just need to get to our target of 75 %. None of the mass vaccination clinics are running at full capacity yet but they are ready and as more vaccines arrive, we may be able to vaccinate more than 15,000 people a week. Ten weeks, 250,000 people......do the math. We are GOLDEN. Click on to this link to follow the status of vaccinations in our region: https://wdgpublichealth.ca/your-health/covid-19-information-workplaces-and-living-spaces/covid-19-information-public/covid-19-1 Our job is to make this vaccination process easy and effective by taking the first vaccine we are offered and adhering to the public health guidelines. Deprive this virus of the hosts it needs to survive. Not an easy time ahead of us. We are suffering. Reach out if you need to. Find people who are suffering more than you are and serve them in anyway you can. That's how we thrive in dark times. Our next Finding the Balance during COVID-19 webinar is on April 6th. Very timely. Our medical officer of health, Dr. Nicola Mercer will be our guest. Here is the link to register: https://us02web.zoom.us/.../reg.../WN_J9N1Dr9NSM2a4m8QOACaTQ Please note, people 60 and above in the WDG health unit can now register online along with other Phase II eligible groups. Here is the link to register online: https://register.wdgpublichealth.ca/ OR Call to register: Pre-registration/Appointment Booking: 1-844-780-0202 (7-10 day response time) Open Monday to Friday 9 a.m. – 4 p.m. For non-Facebook users, you can find this post here: https://braceletofhope.blogspot.com/ And if you'd like to help Bracelet of Hope work towards making sure that Lesotho has access to these vaccines, donate here: https://www.braceletofhope.ca/ways-to-





