Read on Twitter
CBC article is a good analysis of why #COVID19 is surging across 
but doesn’t talk much about Québec. So let’s take a look at our beautiful province & what’s unfolding here
Thread https://www.cbc.ca/news/health/coronavirus-canada-surge-second-wave-1.5793753?__vfz=medium%3Dsharebar
weak surveillance (test-trace): QC, like other provinces, has done little to bolster its surveillance system, without which we don’t know where the 
is 
constantly in reaction mode vs. being proactive
Strong surveillance coupled w/ wastewater data could go a long way
lack of policy driven by clear epidemiological benchmarks: our reactive policies throughout the pandemic have been mostly made under the false dichotomy of economy vs health benchmarks for re-opening or even imposing restrictions are arbitrarily set & moved
Complacency & not learning from others: I’ve previously shared the Lancet paper comparing re-opening strategies of 9 high income countries: https://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(20)32007-9.pdfIt appears that we have learned very little from experience of other countries who were ahead in their curves
In the summer we re-opened the province, allowing large gathers & not planning ahead for schools year, becoming complacent by the low case 
& forgetting that don’t take summer vacation, rather silently & slowly spreading away.
Our school re-opening plan was one of the worst in the country, with everything starting in-person & no universal 
mandate for students the simmering continued and it boiled over a month after start of school year. https://www.cbc.ca/news/canada/montreal/quebec-schools-second-wave-1.5791616
full-fledged community transmission (grâce à la réouverture des écoles) + insufficient surveillance system + reactory policy making without clear epidemiological benchmarks & not taking aerosol transmission into account the soup has boiled over! 
The rampant spread in regions like Saguenay is the result of this perfect storm of complacency + insufficient surveillance system + lack of proactive data-driven policy making! We will continue to see the simmering followed by boiling over cycle till we change our approach
