Covid 19 Vaccine

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Patients here don't need proof of vaccination - not at the ER, not at the lab, not at the Clinic. Actually I don't think I've been asked for proof at any of the places I have been to. People going to the ER often phone ahead to tell the staff that it is a suspected Covid illness or something non-contagious.
 
Patients don't in Ontario, in the "regular" system. However, my vaccination status is required by both the dentist and the chiropractor. And visitors to patients in the hospital need to prove vaccination status (with some wiggle room for visitors to children, and palliative patients).
 
I didn't need proof of vaccination at the dentist recently. I did get my temperature taken and did get question. The dentist and other clinicians wore masks and face shields.
 
Patients here don't need proof of vaccination - not at the ER, not at the lab, not at the Clinic. Actually I don't think I've been asked for proof at any of the places I have been to. People going to the ER often phone ahead to tell the staff that it is a suspected Covid illness or something non-contagious.
It's not needed here either although sometimes they do ask if you're vaccinated.
 
I didn't need proof of vaccination at the dentist recently.

No need of proof at dentist, but they have a pre-screening questionnaire which arrives via text which asks if you've been double vaxxed and requires a confirming signature. Also, they check your temperature on arrival.
 
Yes, that is something I have noticed with healthcare. Screening goes beyond the screening done elsewhere. Ie. Close contacts was dropped as a rule in the province but not for healthcare. Phototherapy clinic was getting a bit stricter about it during the 4th wave too, requesting we read through it every time but that dropped off a bit - maybe they do it for those they know aren't quite as careful.
 
but they have a pre-screening questionnaire which arrives via text
Good on your dentist. Mine still does it on paper when you arrive along with the temp check. Of course he also still uses films instead of digital x-ray technology.
 
Good on your dentist. Mine still does it on paper when you arrive along with the temp check. Of course he also still uses films instead of digital x-ray technology.
And of course we all know that temp. isn't always a symptom of Covid, and asymptomatic people still spread the virus.
It's time to start placing millions of instant Covid tests everywhere. All workplaces, schools, malls,....etc...
I hate to admit it but after all the vaccines and watching other countries with a high rate of vaccinations still getting high counts....its not working as well as we thought.
 
I have a couple scans and an infusion tomorrow. Yeah, I know how to have a good time. :p The hospital phones with an automatic covid screening prior to the appointment. Today I noticed they've changed it a bit. It said something about new sore throat, cough etc then added if you have these things as a chronic condition have they gotten worse. I like that. I wonder how much of these things will continue after covid is over. If it ever ends.
 
NS University has a Covid outbreak, mostly among vaccinated kids, ecause they already had a 96% vaccination rate. Turns out today, it’s Omicron. My God daughter attends this Uni, thankfully, she had been sick prior to the outbreak and kept to herself because of it ( not with Covid).
NS is now offering free rapid tests in 5 packs through the libraries, so people can test before they gather with grandma for Christmas.
 
NS University has a Covid outbreak, mostly among vaccinated kids, ecause they already had a 96% vaccination rate. Turns out today, it’s Omicron. My God daughter attends this Uni, thankfully, she had been sick prior to the outbreak and kept to herself because of it ( not with Covid).
NS is now offering free rapid tests in 5 packs through the libraries, so people can test before they gather with grandma for Christmas.
So I mentioned above that we should all be pushing for rapid testing(or more correctly called antigen tests), but I was wrong. It appears that a rapid test only has a 72% accuracy for people that actually have Covid symptoms and for those who are asymptomatic it falls to 78.3% within the first week and drops to 51% during the 2nd week of having Covid with no symptoms.
These figures come from the fact that you need more of the virus present to detect it.
Now with the PCR test, Covid can be detected even with a low amount of virus, and it is the more accurate test and it takes longer for results. Also with the PCR tests, different manufacturers with give different rates of results. Eg. Coris Bioscept scored lowest around 34% accuracy and SD Biosensor Standard Q was the highest with 88% accuracy rate)
The 4 rapid antigen tests manufacters gave relatively the same accuracy between 49 to 54% accuracy.
From the above info ot seems the rapid test will give a false security that has already caused spreading within gatherings that felt they were all protected because everyone took a rapid test before gathering with negative results.( eg. A case in Norway that became a super spreader after all attendees were tested and 4 cases were actually missed by the rapid test.
 
So I mentioned above that we should all be pushing for rapid testing(or more correctly called antigen tests), but I was wrong. It appears that a rapid test only has a 72% accuracy for people that actually have Covid symptoms and for those who are asymptomatic it falls to 78.3% within the first week and drops to 51% during the 2nd week of having Covid with no symptoms.
These figures come from the fact that you need more of the virus present to detect it.
Now with the PCR test, Covid can be detected even with a low amount of virus, and it is the more accurate test and it takes longer for results. Also with the PCR tests, different manufacturers with give different rates of results. Eg. Coris Bioscept scored lowest around 34% accuracy and SD Biosensor Standard Q was the highest with 88% accuracy rate)
The 4 rapid antigen tests manufacters gave relatively the same accuracy between 49 to 54% accuracy.
From the above info ot seems the rapid test will give a false security that has already caused spreading within gatherings that felt they were all protected because everyone took a rapid test before gathering with negative results.( eg. A case in Norway that became a super spreader after all attendees were tested and 4 cases were actually missed by the rapid test.
On the other hand, we probably don't have the lab capacity to be doing casual random tests for people wanting to make sure they are healthy before they go to grandma's so may be better than nothing. I know the solution is to not go see grandma but that's not going to happen. Too many people want Christmas to happen this year, though my extended family has already decided not to.
 
And of course we all know that temp. isn't always a symptom of Covid, and asymptomatic people still spread the virus.
It's time to start placing millions of instant Covid tests everywhere. All workplaces, schools, malls,....etc...
I hate to admit it but after all the vaccines and watching other countries with a high rate of vaccinations still getting high counts....its not working as well as we thought.
Not working as well as we thought how? Of the vaccines being used the studies done before being approved were about preventing serious illness. The data I see is a pretty good match, and that's with delta being prominent here. A slight reduction in the effectiveness, but only a few points lower. Omicron may be different, there's not much data yet.
 
I have a couple scans and an infusion tomorrow. Yeah, I know how to have a good time. :p The hospital phones with an automatic covid screening prior to the appointment. Today I noticed they've changed it a bit. It said something about new sore throat, cough etc then added if you have these things as a chronic condition have they gotten worse. I like that. I wonder how much of these things will continue after covid is over. If it ever ends.
Interesting, haven't seen the change in sore throat with chronic conditions but change in cough and shortness of breath have been stated here for over a year. I think there may be something about worsening of symptoms in general as well. Wording changes slightly one location to another.
 
So I mentioned above that we should all be pushing for rapid testing(or more correctly called antigen tests), but I was wrong. It appears that a rapid test only has a 72% accuracy for people that actually have Covid symptoms and for those who are asymptomatic it falls to 78.3% within the first week and drops to 51% during the 2nd week of having Covid with no symptoms.
These figures come from the fact that you need more of the virus present to detect it.
Now with the PCR test, Covid can be detected even with a low amount of virus, and it is the more accurate test and it takes longer for results. Also with the PCR tests, different manufacturers with give different rates of results. Eg. Coris Bioscept scored lowest around 34% accuracy and SD Biosensor Standard Q was the highest with 88% accuracy rate)
The 4 rapid antigen tests manufacters gave relatively the same accuracy between 49 to 54% accuracy.
From the above info ot seems the rapid test will give a false security that has already caused spreading within gatherings that felt they were all protected because everyone took a rapid test before gathering with negative results.( eg. A case in Norway that became a super spreader after all attendees were tested and 4 cases were actually missed by the rapid test.
I think the solution with rapid tests is more about education. I think they can be useful but people need to be aware a negative test doesn't mean they are covid free.
The drop after 2nd week - if someone isn't sick that isn't much of a concern they are coming out of the period we require after a positive pcr test.

I think if someone has a negative antigen test, the chances are low of spreading the virus. Would be great to have data supporting that better but just from a standpoint of what the test means. Antigen = virus protein. If one isn't putting out enough for a test to pick it up how much are they putting out to spread to another person?

The issue is this changes iver time. A negative test today doesn't mean the test will be negative tomorrow.

Some has symptoms and may have a bacterial infection? Rapid test outside a clinic, have them come in and out if it's negative (ie. no waiting room) if an exam is needed to prescribe meds.

Someone who works or is in school around many others wants to see Grandma for Christmas? Test day of, not 2 days beforehand.

This also does require consistent trustworthy tests. Ie. If antigen is present at a certain level the test needs to pick it up with a liw false positive rate in those instances.

I'm not certain of the specific rapid tests now, but in the past they did rely on antibodies (in the test itself) to the antigen being tested for. So if the antigen changes ie. variants that's something to factor in as well - how well does the test pick up all the circulating variants and not just specific ones?
 
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I hate to admit it but after all the vaccines and watching other countries with a high rate of vaccinations still getting high counts....its not working as well as we thought.
No one thought vaccines were going to end this. As Chemgal said, they keep you from getting seriously ill, not from getting the disease and that has been clear from the get go. The fact is, MLHU currently has 445 active cases and only 13 are in hospital per LHSC with under 5 in ICU. Compare that to the overwhelmed ICUs we saw in previous waves. Something has changed and I think a big chunk of it is vaccination. Omicron being less serious might be a factor, too, but that has yet to be confirmed.
 
I am going to check with my pharmacist and maybe see how busy is the walk-in the health unit is running at the shopping centre near us for the month of December. Otherwise, yeah, probably January.
 
No one thought vaccines were going to end this. As Chemgal said, they keep you from getting seriously ill, not from getting the disease and that has been clear from the get go. The fact is, MLHU currently has 445 active cases and only 13 are in hospital per LHSC with under 5 in ICU. Compare that to the overwhelmed ICUs we saw in previous waves. Something has changed and I think a big chunk of it is vaccination. Omicron being less serious might be a factor, too, but that has yet to be confirmed.
I'm looking at Europe, with their high vaccination rate and infection rates of the regular covid. Other areas in the world are stabilizing or slowed except Europe and especially the UK.
 
I'm looking at Europe, with their high vaccination rate and infection rates of the regular covid. Other areas in the world are stabilizing or slowed except Europe and especially the UK.
Infection rates aren't what the vaccines were looked at to bring down though. It's hospitalizations and deaths. I think that's a big problem with how many people look at their vaccinations. Yes, vaccination reduces risk of spread but it's not really a case of hey I'm, safe to be around because I'm vaccinated. It's more of a case of hey, it's ok I go to a busy place where covid may be circulating as I'm unlikely to need to take up a hospital bed if I get COVID. This is a big part of why we allow vaccinated people to gather when unvaccinated people cannot.
 
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