The pandemic continues to grow exponentially, and people are wringing their hands about what to do, the notion of getting to COVID-zero is circulating again, after certain jurisdictions – Australia, New Zealand, Slovakia – managed it. So here’s Dr. Isaac Bogoch to explain it.
2/ With a #COVIDzero strategy or not, it is clear that we should improve/continue to:
1. Evaluate & address drivers of #COVID19 in the community
2. Bolster a Test-Trace-Isolate-Support system
3. Support communities & businesses disproportionately impacted by the virus
BUT…
— Isaac Bogoch (@BogochIsaac) November 17, 2020
4/
Some notable successes include Taiwan, New Zealand, Australia, Atlantic Canada, and a few others…
And they are reaping the rewards.
— Isaac Bogoch (@BogochIsaac) November 17, 2020
6/
5. Municipal government support (all)
6. Regional public health support (all)
7. Community buy-in for prolonged pan-Canadian lockdown
8. Enforcement of lockdown measures
9. Massive support for communities impacted by lockdown
10. Support+++ for businesses impacted by lockdown— Isaac Bogoch (@BogochIsaac) November 17, 2020
8/
16. Ensuring everyone who cannot isolate has a safe place to do so, even if they don't want to isolate…
17. Creating a reliable pan-Canadian surveillance program (e.g. waste water, syndromic surveillance, etc)
18. Ensuring supply chain intact for medical & essential goods
— Isaac Bogoch (@BogochIsaac) November 17, 2020
10/
I am sure that I am missing some major ones above – please add/correct any. This is just a first pass.
— Isaac Bogoch (@BogochIsaac) November 17, 2020
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I think we have to be honest with ourselves & the public about what it would take to get there, what our capacity/appetite is, & the likelihood of this being successful.
And of course, it would be great to have zero (or near 0) #COVID19, but will we?
— Isaac Bogoch (@BogochIsaac) November 17, 2020
14/
Soooo….
1. CAN #COVIDzero work? Theoretically possible.
2. WILL this work? Canadians will have to decide, not just those on Med/Epi/COVID twitter.
3. Regardless of #1 & #2, SHOULD we drive cases lower, boost Test-Trace-Isolate capacity, support vulnerable? Of course.
— Isaac Bogoch (@BogochIsaac) November 17, 2020
We can barely get premiers to institute some reasonably tough measures as it is, which is going to make anything required to actually crush the virus almost impossible – especially if we’re relying on their political calculus that closing businesses is worse for them than the hundreds or thousands of deaths that will happen otherwise.
For a bit of a reality check on the feasibility of this, Chris Selley explains why some countries’ systems for locking down COVID wouldn’t work in Canada, either because they were draconian or we are too far behind the curve to make it happen.