2021-17

Friday May 14, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Friday May 14, 2021

House Republicans oust a defiant Liz Cheney for her repudiation of Trump’s election lies

In a remarkable display of loyalty to Donald J. Trump, Republicans moved quickly to purge Representative Liz Cheney of Wyoming from House leadership on Wednesday, voting to oust their No. 3 for repudiating the former president’s election lies and holding him responsible for the deadly Jan. 6 riot at the Capitol.

February 26, 2021

The action, orchestrated by party leaders, came by voice vote during a raucous closed-door meeting on Capitol Hill that lasted just 15 minutes. Ms. Cheney made a defiant final speech rather than fight the ouster, warning that Republicans would follow Mr. Trump to their “destruction” by silencing dissent and refusing to reject the myth of a stolen election. She drew boos from her colleagues.

Ms. Cheney urged her colleagues not to “let the former president drag us backward,” according to a person familiar with the private comments. 

“I will do everything I can to ensure that the former president never again gets anywhere near the Oval Office,” Ms. Cheney told reporters afterward. 

February 4, 2021

Republican leaders, who portrayed Ms. Cheney’s removal as a way to unify the party, declined to allow members to register a position on it. When Representative Tom Reed of New York, a moderate who has announced his retirement from Congress, rose to ask whether a recorded vote was allowed, he was told no. Mr. McCarthy had told his colleagues that a voice vote was important to show “unity,” and that it was time to “move forward” and look toward winning back the House, according to a person familiar with the remarks.

When the time came, the ayes loudly drowned out the noes. The ouster was so swift that some Republicans were still trickling in to take their seats when Ms. Cheney strode up the center aisle to make her way to a bank of microphones and reporters waiting outside.

January 8, 2021

The action came the day after Ms. Cheney had delivered a broadside on the House floor against Mr. Trump and the party leaders working to oust her, accusing them of being complicit in undermining the democratic system by repeating his false claims that the 2020 election results were fraudulent. 

“Remaining silent and ignoring the lie emboldens the liar,” she said. 

Representative Jim Jordan, Republican of Ohio, who helped lead the charge against Ms. Cheney, said his case boiled down to a simple idea: “Can’t have a conference chair who recites Democrat talking points.”

“It’s time to focus on stopping the Democrats and save the country,” he said.

Mr. Trump weighed in Wednesday morning with multiple statements attacking Ms. Cheney and cheering her removal, including one calling her “a poor leader, a major Democrat talking point, a warmonger, and a person with absolutely no personality or heart.” (New York Times) 

 

Thursday May 13, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Thursday May 13, 2021

On Doug Ford’s watch, a new health crisis looms

A soaring backlog of surgeries and medical tests is shaking Ontario’s health-care system to its core. And Doug Ford needs a second opinion on how to deal with it because nothing he’s done so far has worked.

April 1, 2021

In struggling with the crisis unleashed by COVID-19, the premier and his government have created a new one that could result in even more suffering and death than we’ve been witnessing. Simply put, people aren’t getting the care they need when they need it.

To be fair, Ontario’s health-care system had to implement major changes over the past year as it battled the pandemic. Public health officials had to redeploy finite resources — including doctors, nurses and hospital beds — so people who had fallen sick with COVID-19 could be treated. 

But three weeks ago, Dr. David Williams, Ontario’s chief medical officer of health, shifted course in a more worrisome way. He ordered hospitals across the province to halt all non-emergency surgeries and non-urgent procedures. That didn’t impact only people waiting for hip or knee surgery, it also affected people needing cancer and cardiac treatments.

Now, a rising chorus of doctors is warning Dr. Williams’ order is too restrictive. They insist the system could expeditiously treat more patients with serious medical conditions without weakening the fight against COVID-19. One of the people speaking out is Dr. Robert Nam, a Toronto surgeon who says he’s “had to turn away referrals to help patients with cancer because of the provincial order to cancel elective surgery.”

January 16, 2021

“For cancer patients waiting for treatment … their hopes of being able to beat their disease have been severely harmed by the stroke of a pen,” he added.

What makes the situation even more frustrating for Dr. Nam is that it doesn’t have to be this way. He argues hospitals have the capacity to deal with COVID-19 but also other illnesses because they’ve “developed efficiencies and surgical techniques for cancer operations that do not require a hospital bed.”

But it’s not just where the health system is today that’s alarming; it’s where the province is headed that demands immediate action. According to Ontario’s science table, the pandemic-related surgical backlog had grown to 257,000 cases as of April. As if that wasn’t bad enough, the province’s Financial Accountability Office now predicts wait-lists of 419,000 surgeries and 2.5 million diagnostic tests and procedures by the end of September.

July 27, 2019

As it stands today, people aren’t getting the timely MRI tests that might reveal a serious medical condition. And as many as 500,000 women have had their breast-cancer screening delayed. But while some of those women might have developed breast cancer, they’ll have to wait for it to be diagnosed, then treated.

Even if the health-care system can offer surgeries, tests and procedures well above pre-pandemic levels for an extended period of time, it will take the province three and a half years to clear this backlog, the Financial Accountability Office said.

Given such numbers, it’s hard to believe Health Minister Christine Elliott when she says the government is on top of this problem. While the last provincial budget committed $610 million to clear the projected surgery and diagnostic procedures backlog, the Financial Accountability Office estimates it will cost $1.3 billion to get the job done. 

Somewhere, this government must come up with $700 million to deal with the systemic backlogs that are increasing by the day. Somehow, it must find the staff and resources needed to confront two separate health-care crises. And somehow, it must learn to fight a health-care battle on two fronts and at the same time. (Hamilton Spectator Editorial) 

 

Wednesday May 12, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Wednesday May 12, 2021

What happens when people get two different COVID-19 vaccines?

As some experts continue to warn of very rare side effects associated with the AstraZeneca vaccine, Canadian health officials are now reviewing the research on mixing various COVID-19 shots.

May 6, 2020

A study of a “mismatched” vaccine regimen is underway in the U.K. — but some scientists say there’s reason to believe that administering two doses of different products could boost a person’s immune response beyond what can be achieved by giving the same shot twice.

The National Advisory Committee on Immunization (NACI) caused some confusion earlier this month when it said the viral vector shot from AstraZeneca is not the “preferred” product given its associated risk of vaccine-induced immune thrombotic thrombocytopenia (VITT) — a condition that causes blood clots. That warning came out after hundreds of thousands of Canadians had received the AstraZeneca vaccine already.

According to the Ontario Science Table, estimates of the frequency of VITT in individuals who have received the AstraZeneca vaccine now range from 1 case in 26,000 to 1 case in 127,000 doses administered.

The risk of developing this side effect, combined with an uncertain delivery schedule for future supply, has prompted some provinces to consider pausing AstraZeneca vaccinations altogether.

Researchers at Oxford University in the U.K. launched a study in early February to explore the possible benefits of alternating different COVID-19 vaccines. According to the lead scientists, the study is “looking for clues as to how to increase the breadth of protection against new virus strains.”

March 31, 2021

The study — otherwise known as the COVID-19 Heterologous Prime Boost study, or “Com-COV” — is collecting data to determine whether receiving two different types of vaccine generates an immune response at least equal to the response that follows receiving the same product twice. (A “heterologous” vaccination regimen is one that uses more than one product.)

Dr. Helen Fletcher is a professor of immunology at the London School of Hygiene and Tropical Medicine in the U.K. She said a “mismatched” vaccine program would deliver some practical benefits — vaccine delivery logistics would be greatly simplified — but there could be another good reason to pursue a mixed-dose regimen.

“I’m excited about the study because I think it’s likely that the immune response will be even better if you mix and match vaccines,” Fletcher said in an interview with CBC News.

Dr. Theresa Tam, Canada’s chief public health officer, said last week the current guidance is for AstraZeneca recipients to get a second dose of the same product, but NACI is now reviewing the Oxford research on mixing AstraZeneca with an mRNA shot.

“There will be further advice forthcoming on that second dose based on the evolving science. We should watch this space,” Tam said. 

Will Canada shorten the time between shots? Possibly. NACI said in early March that, given the limited vaccine supply, provinces and territories may want to wait up to 16 weeks between first and second doses to give more people at least some level of protection.

The provinces have since followed this guidance, with a few exceptions. For example, many long-term care home residents have been fully vaccinated on the timeline recommended by the vaccine makers. Pfizer calls for a second dose 21 days after the first, while Moderna stipulates the second shot should come 28 days later. (CBC) 

 

 

Tuesday May 11, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Tuesday May 11, 2021

Poorer countries might not get vaccinated until 2023

High-income countries have purchased more than half of the Covid-19 vaccine supply to date, and low-income countries, just 9 percent, according to Duke University’s Global Health Innovation Center. This is why a country like the US is close to vaccinating half its population with one dose while the rate in a place like Guinea is less than 1 percent and not budging.

April 27, 2021

“That’s not just unconscionable, but it also is very much against the interests of high-income countries,” Georgetown global health law professor Lawrence Gostin told Vox in January. With the virus continuing to circulate, and variants picking up pace around the globe, outbreaks in the poorest countries will pose a threat to the world. 

It’s not an accident that many of the world’s first-approved Covid-19 vaccines — from companies like Pfizer, AstraZeneca, and Moderna — were developed and rolled out in high-income countries. As the pandemic took hold last year, wealthier nations — including the US, UK, and EU block — began making deals with the pharmaceutical companies that were developing Covid-19 vaccines, which also happened to be headquartered within their borders.

January 28, 2021

These bilateral deals involved governments essentially giving the companies billions of dollars to speed up research and development in exchange for priority access to vaccines, should they prove to be effective. But the deals also pushed poorer countries, which didn’t have the resources to pre-purchase millions of doses of vaccines that might not even get approved for market, further down the access line.

Rich countries could donate more doses to poorer countries — a move global health groups have been calling for for months and one that’s starting to happen in response to the crisis in India. 

Rich countries could also simply start investing more in helping poorer countries respond to the crisis. They could answer Covax’s call for more donor funds, for example. Or Omer called for something akin to PEPFAR, America’s global health program to combat AIDS around the world. Launched under George W. Bush in 2003, to date, it’s provided $90 billion toward fighting AIDS. (Vox) 

 

Saturday May 8, 2021

Editorial Cartoon by Graeme MacKay, The Hamilton Spectator – Saturday May 8, 2021

What’s really behind Ontario’s anti-lockdown groups that stand up for small businesses

The websites and social media accounts of prominent COVID-19 anti-lockdown groups in Ontario will offer visitors a similar experience: powerful messages, heartfelt testimonials and a sense of solidarity.

April 8, 2021

Many of these groups position themselves as allies to small businesses that are struggling to stay afloat amid the lockdowns imposed by the Ontario government.

But in addition to protesting government-imposed lockdowns, these groups tend to have a general “flavour to anti-government and anti-public health messages,” which can be dangerous, University of Toronto professor Roy Gillis said. Gillis leads a research team studying misinformation related to COVID-19.

Gillis said, often, anti-lockdown groups will have hidden political agendas they are trying to accomplish and will use information that may contain “a kernel of truth” to play into people’s fears and beliefs and convince them that government groups and public health officials are trying to limit their rights and control them. 

“Particularly in pandemic situations when there’s a lot of fear, when there’s a lot of mistrust, when people are looking for someone to blame, to hold somebody accountable, these groups, these beliefs become easy targets,” Gillis added.

The Line Canada, is one example of many Canada-wide groups that protest the lockdown in Ontario. Despite The Line’s insistence that it is not affiliated with the anti-vaccine or antimask movements, the group’s social media accounts regularly share these types of messages. 

August 7, 2020

In one recent post to Twitter, the group implies that vaccines — not the virus — is what is causing increases in COVID-19 cases and deaths.

The post refers to a BBC article about Chile’s COVID-19 case numbers rising, despite the country’s successful vaccine rollout plan. The story’s sources state a number of likely causes, including SARS-CoV-2 variants and health authorities’ decision to loosen restrictions too early. 

There is no mention in the article that the vaccine is responsible for cases or deaths. As stated by Health Canada, “the vaccines cannot give you COVID-19 because they don’t contain the virus that causes it.”

Anatoliy Gruzd, the director of research at Ryerson Social Media Lab, who is also leading a COVID-19 Misinformation Rapid Response Project, said another factor that contributes to people’s likeliness to believe misinformation is uncertainty created by government officials on certain topics. 

He cited the example of medical experts and government officials being initially skeptical about mask wearing, prior to deeming it effective and eventually mandating it.

As a result, “any new messages on that topic will be looked at with some suspicion by certain groups who generally do not trust government guidelines anyway.”

July 18, 2020

This suspicion is demonstrated in antimask content posted by Action4Canada, another group that protests COVID-19 measures in Ontario and across Canada.

In an email statement, Action4Canada’s founder Tanya Gaw said, “we provide evidence and fact-based material from experts around the world.”

On the group’s page about masks, the group posts a quote and link from the CDC that connects to a study that used data from 1946 to July 27, 2018 to conclude that researchers “found no significant reduction in influenza transmission with the use of face masks.”

This study was not related to COVID-19.

More recent reports from CDC, which are not included on Action4Canada’s website, back the use of face masks in preventing the spread of COVID-19.

Gruzd said though it may appear that groups protesting government measures and lockdowns are backed by many people, they are rather supported by a small but vocal minority of like-minded people. (Brampton Guardian)