https://abs.twimg.com/emoji/v2/... draggable="false" alt="👇🏽" title="Rückhand Zeigefinger nach unten (mittlerer Hautton)" aria-label="Emoji: Rückhand Zeigefinger nach unten (mittlerer Hautton)">CBC article is a good analysis of why #COVID19 is surging across https://abs.twimg.com/emoji/v2/... draggable="false" alt="🇨🇦" title="Flagge von Kanada" aria-label="Emoji: Flagge von Kanada"> but doesn’t talk much about Québec.

So let’s take a look at our beautiful province & what’s unfolding here https://abs.twimg.com/emoji/v2/... draggable="false" alt="🕵🏽‍♀️" title="Woman detective (mittlerer Hautton)" aria-label="Emoji: Woman detective (mittlerer Hautton)">
https://abs.twimg.com/emoji/v2/... draggable="false" alt="🧵" title="Thread" aria-label="Emoji: Thread">Threadhttps://abs.twimg.com/emoji/v2/... draggable="false" alt="👇🏽" title="Rückhand Zeigefinger nach unten (mittlerer Hautton)" aria-label="Emoji: Rückhand Zeigefinger nach unten (mittlerer Hautton)"> https://www.cbc.ca/news/health/coronavirus-canada-surge-second-wave-1.5793753?__vfz=medium%3Dsharebar">https://www.cbc.ca/news/heal...

https://abs.twimg.com/emoji/v2/... draggable="false" alt="1️⃣" title="Tastenkappe Ziffer 1" aria-label="Emoji: Tastenkappe Ziffer 1"> weak surveillance (test-trace): QC, like other provinces, has done little to bolster its surveillance system, without which we don’t know where the https://abs.twimg.com/emoji/v2/... draggable="false" alt="🦠" title="Microbe" aria-label="Emoji: Microbe"> is https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts">constantly in reaction mode vs. being proactive
https://abs.twimg.com/emoji/v2/... draggable="false" alt="✳️" title="Stern mit 8 Strahlen" aria-label="Emoji: Stern mit 8 Strahlen"> Strong surveillance coupled w/ wastewater data could go a long way

https://abs.twimg.com/emoji/v2/... draggable="false" alt="2️⃣" title="Tastenkappe Ziffer 2" aria-label="Emoji: Tastenkappe Ziffer 2"> 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 https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> benchmarks for re-opening or even imposing restrictions are arbitrarily set & moved

https://abs.twimg.com/emoji/v2/... draggable="false" alt="3️⃣" title="Tastenkappe Ziffer 3" aria-label="Emoji: Tastenkappe Ziffer 3"> 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.pdf
It">https://www.thelancet.com/pdfs/jour... appears that we have learned very little from experience of other countries who were ahead in their curves

https://abs.twimg.com/emoji/v2/... draggable="false" alt="4️⃣" title="Tastenkappe Ziffer 4" aria-label="Emoji: Tastenkappe Ziffer 4"> In the summer we re-opened the province, allowing large gathers & not planning ahead for schools year, becoming complacent by the low case https://abs.twimg.com/emoji/v2/... draggable="false" alt="#️⃣" title="Tastenkappe Raute" aria-label="Emoji: Tastenkappe Raute"> & forgetting that https://abs.twimg.com/emoji/v2/... draggable="false" alt="🦠" title="Microbe" aria-label="Emoji: Microbe"> don’t take summer vacation, rather silently & slowly spreading away.

https://abs.twimg.com/emoji/v2/... draggable="false" alt="5️⃣" title="Tastenkappe Ziffer 5" aria-label="Emoji: Tastenkappe Ziffer 5"> Our school re-opening plan was one of the worst in the country, with everything starting in-person & no universal https://abs.twimg.com/emoji/v2/... draggable="false" alt="😷" title="Gesicht mit Mundschutz" aria-label="Emoji: Gesicht mit Mundschutz"> mandate for students https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> 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">https://www.cbc.ca/news/cana...

https://abs.twimg.com/emoji/v2/... draggable="false" alt="6️⃣" title="Tastenkappe Ziffer 6" aria-label="Emoji: Tastenkappe Ziffer 6"> 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 https://abs.twimg.com/emoji/v2/... draggable="false" alt="➡️" title="Pfeil nach rechts" aria-label="Emoji: Pfeil nach rechts"> the soup has boiled over! https://abs.twimg.com/emoji/v2/... draggable="false" alt="🚨" title="Polizeiautos mit drehendem Licht" aria-label="Emoji: Polizeiautos mit drehendem Licht">

https://abs.twimg.com/emoji/v2/... draggable="false" alt="7️⃣" title="Tastenkappe Ziffer 7" aria-label="Emoji: Tastenkappe Ziffer 7"> 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