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NathanStall's profile
Nathan Stall
Nathan Stall
Nathan Stall
Verified account
@NathanStall

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Nathan StallVerified account

@NathanStall

Geriatrics/Internal Med @SinaiHealth. Research Fellow @WCRInstitute. PhD(c) Clin Epi @ihpmeuoft. CSTP @UofT_DoM. Vanier Scholar @CIHR_IRSC. Assoc Editor @CMAJ.

Toronto, Canada
scholar.google.com/citations?user…
Joined November 2012

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    Nathan Stall‏Verified account @NathanStall 4 Nov 2020

    Yesterday, despite rising #COVID19 cases, hospitalizations, and deaths in LTC, Ontario released a framework to "keep the province safe and open": https://news.ontario.ca/en/release/59051/ontario-releases-covid-19-response-framework-to-help-keep-the-province-safe-and-open … This is nothing more than an ageist, ableist & unethical "shielding" or "focused protection" strategy. 1/12pic.twitter.com/vIk3QVXPSg

    1:52 PM - 4 Nov 2020
    • 347 Retweets
    • 626 Likes
    • 10 000 Rojos (Jules) Donkey of Karas phorbin 🇨🇦 Indra Annie Banannie🇨🇦🌱 Proud Brit Leisa cm Elizabeth Rose Morriss
    André Picard, Samir Sinha, Andrew Morris and 5 others
    1. André Picard @picardonhealth

    2. Samir Sinha @DrSamirSinha

    3. Andrew Morris @ASPphysician

    4. Bruce Arthur @bruce_arthur

    5. Avis Favaro @CTV_AvisFavaro

    6. Mike Crawley @CBCQueensPark

    7. Jane Philpott @janephilpott

    8. Isaac Bogoch @BogochIsaac

    36 replies 347 retweets 626 likes
      1. New conversation
      2. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        A "shielding" or "focused protection" strategy (the latter was popularized by the Great Barrington Declaration: https://gbdeclaration.org ) segments the oldest and most vulnerable to #COVID19, while allowing everyone else to resume life as normal with simple hygiene measures. 2/12pic.twitter.com/UkswBl0WmC

        Zain Chagla, Sumon Chakrabarti, Dr. Vivian Stamatopoulos and 6 others
        1. Zain Chagla @zchagla

        2. Sumon Chakrabarti @TorontoIDDoc

        3. Dr. Vivian Stamatopoulos @DrVivianS

        4. Dr. Amit Arya @AmitAryaMD

        5. jane meadus @geezerlaw

        6.  🇨🇦 Bill Comeau Crush the Curve  📉 @Billius27

        7. Dr. Jennifer Kwan @jkwan_md

        8. Jillian @JillianHortonMD

        9. Karen Howlett @kahowlett

        3 replies 26 retweets 122 likes
        Show this thread
      3. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        As many have already highlighted, the #Ontario framework establishes a very high threshold for closures and lockdowns: https://www.cbc.ca/news/canada/toronto/experts-worry-ontario-s-new-covid-19-guidelines-set-threshold-for-closures-lockdown-too-high-1.5788262 … Specifically, the 10% test positivity and incidence rate ≥100/100,000 thresholds for return to a modified stage 2 are very high. 3/12pic.twitter.com/arbHSvvkfx

        Amy Coupal, Maggie Keresteci  🇨🇦, Julie Drury and 6 others
        1. Amy Coupal @AmyCoupal

        2. Maggie Keresteci  🇨🇦 @MaggieKeresteci

        3. Julie Drury @SolidFooting

        4. Malika Sharma @MalikaHSharma

        5. Michelle Cohen, MD @DocMCohen

        6. George "listen to the science" Heckman @GAWHeckman

        7. Allan Grill @allan_k_grillMD

        8. Yoni Freedhoff  🟣, MD @YoniFreedhoff

        9. Ryan Imgrund @imgrund

        1 reply 26 retweets 136 likes
        Show this thread
      4. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        Allowing this level of transmission will have catastrophic consequences for our #LTC population, where >2000 residents have already died of COVID19. Our research clearly shows that the strongest risk factor for #LTC outbreaks is community incidence: https://www.cmaj.ca/content/192/33/E946 … 4/12

        4 replies 44 retweets 172 likes
        Show this thread
      5. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        Ontario's "framework" says they will "put measures in place to protect those most vulnerable to COVID19", but as the Jon Snow Memorandum states, "prolonged isolation of large swathes of the population is practically impossible and highly unethical": https://www.johnsnowmemo.com  5/12pic.twitter.com/kz23EEjyaC

        Ed Tubb, Amol Verma, Ryan Imgrund and 6 others
        1. Ed Tubb @EdTubb

        2. Amol Verma @AmolAVerma

        3. Ryan Imgrund @imgrund

        4. Lisa Richardson MD @RicharLisa

        5. Sue Gowans @Sue_Innovates

        6. Rob Ferguson @robferguson1

        7. Kenyon Wallace @KenyonWallace

        8. Laura Tamblyn Watts @ltamblynwatts

        9. Doris Grinspun RN, PhD LLD(hon),Dr(hc), FAAN,O.ONT @DorisGrinspun

        4 replies 32 retweets 161 likes
        Show this thread
      6. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        First, the "practically impossible". @DFisman and colleagues showed us how lagged staff #COVID19 infections are a strong risk factor for #LTC resident deaths: https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2768539 … Shielding LTC residents from #COVID19, would also require shielding >100,000 LTC workers. 6/12

        4 replies 29 retweets 136 likes
        Show this thread
      7. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        As the Jon Snow Memorandum also emphasizes, "empirical evidence from many countries shows that it is not feasible to restrict uncontrolled outbreaks to particular sections of society": https://www.johnsnowmemo.com  Why does #Ontario believe we are any different? 7/12

        3 replies 25 retweets 147 likes
        Show this thread
      8. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        Second, the "highly unethical". As @GanguliMitra and colleagues wrote, segmenting communities as a public health strategy "erases decades of work in disability activism" and institutionalizes ageism & ableism by "normalising exclusion from society": https://wellcomeopenresearch.org/articles/5-104#FN11 … 8/12

        1 reply 33 retweets 179 likes
        Show this thread
      9. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        Of course, locking down #LTC homes has had and continues to have catastrophic consequences on the wellbeing of residents. There is now a new diagnosis called the "confinement syndrome" to describe the physical, mental, cognitive and functional adverse impacts of lockdowns. 9/12pic.twitter.com/zTAinCIYOT

        Lynn Wilson, Tara Kiran, Andrew Pinto and 6 others
        1. Lynn Wilson @drlynnwilson

        2. Tara Kiran @tara_kiran

        3. Andrew Pinto @AndrewDPinto

        4. Rosemary Barton @RosieBarton

        5. Janine McCready @janinemccready

        6. Jeff Powis, MD @jpowi

        7. @CDavidNaylor @cdavidnaylor

        8. Sue-Ann Levy @SueAnnLevy

        9. Danielle Martin @docdanielle

        3 replies 26 retweets 137 likes
        Show this thread
      10. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        Without a strategy to suppress community transmission and strive for elimination of #COVID19, we will be committing #LTC residents and many other older adults (and vulnerable individuals) to indefinite, harmful and deadly confinement. This is ageist, amoral & unethical. 10/12pic.twitter.com/3cmm0tXcly

        Louise Aronson, Paula Span, Judith Graham and 6 others
        1. Louise Aronson @LouiseAronson

        2. Paula Span @paula_span

        3. Judith Graham @judith_graham

        4. Canadian Geriatrics @CanGeriSoc

        5. Provincial Geriatrics Leadership Ontario @PGLO_Geriatrics

        6. American Geriatrics Society @AmerGeriatrics

        7. RNAO @RNAO

        8. Moira Welsh @MoiraWelsh

        9. Susan Mills @Priorhockey

        5 replies 73 retweets 242 likes
        Show this thread
      11. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        As David Cayley wrote in @reviewcanada, "there are fates worse than death, and one of them is the bullying of the old into the self-serving belief that we have incarcerated and abandoned them for their own good": https://reviewcanada.ca/magazine/2020/10/the-prognosis/ … 11/12

        3 replies 34 retweets 180 likes
        Show this thread
      12. Nathan Stall‏Verified account @NathanStall 4 Nov 2020

        So let's be clear about the path that @fordnation and #Ontario has chosen. They're choosing a not-so-covert "shielding" or "focused protection" strategy, and prioritizing the wellbeing of our businesses and our economy over the lives and wellbeing of our most vulnerable. 12/12

        17 replies 113 retweets 402 likes
        Show this thread
      13. End of conversation

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