Juno News - August 30, 2022


Everything wrong with mandates and lockdowns (ft. Dr. Neil Rau)


Episode Stats


Length

42 minutes

Words per minute

177.57193

Word count

7,502

Sentence count

516

Harmful content

Misogyny

3

sentences flagged

Toxicity

7

sentences flagged

Hate speech

10

sentences flagged


Summary

Summaries generated with gmurro/bart-large-finetuned-filtered-spotify-podcast-summ .

Universities across the country are in the midst of a raging debate about masking and vaccine mandates, especially for post-secondary institutions in Canada. To make sense of all of this and more, Dr. Neil Rau, an infectious diseases specialist and medical microbiologist at the University of Toronto and Halton Healthcare in Oakville, joins me to explain what's going on.

Transcript

Transcript generated with Whisper (turbo).
Misogyny classifications generated with MilaNLProc/bert-base-uncased-ear-misogyny .
Toxicity classifications generated with s-nlp/roberta_toxicity_classifier .
Hate speech classifications generated with facebook/roberta-hate-speech-dynabench-r4-target .
00:00:00.000 Hi everyone, welcome back to the show. It's great that you can join me once again. I hope you're
00:00:21.640 enjoying the last few days of summer and getting ready for Labor Day. Speaking of Labor Day,
00:00:27.520 this is the time of year when many young people are returning to schools and universities across
00:00:33.040 the country. And again, we're in the midst of a raging debate about masking and vaccine mandates,
00:00:39.480 especially for universities in Canada. The fact that there's no uniform policy is sparking a
00:00:45.460 controversy. For example, the three major post-secondary institutions in the Ottawa area,
00:00:51.120 the University of Ottawa, Algonquin College, and Carleton University suspended their vaccine and
00:00:57.880 mask mandates this past summer and remain suspended as the fall term approaches.
00:01:03.980 This has caused faculty and student unions at these places to protest. The university
00:01:09.660 administration has apparently their leadership seems to prefer to live under mandates, although
00:01:14.920 it's not clear what the rank and file membership thinks about it, or for that matter, what the
00:01:19.400 students think. Meanwhile, at the other end of the spectrum, you have Western University insisting
00:01:27.480 on at least three doses for students and faculty returning to campus. This is even though Ontario's
00:01:34.180 Chief Medical Officer of Health, Dr. Karen Moore, is not necessarily in favor of booster doses for
00:01:40.420 younger people, especially young men who have a higher risk of myocarditis and likely don't need the
00:01:47.400 booster given that they're young and healthy. To make sense of all of this and more, I have a superb
00:01:53.480 guest with me today. Dr. Neil Rau is an infectious diseases specialist and medical microbiologist,
00:02:00.840 assistant professor at the University of Toronto, and works at Halton Healthcare in Oakville. So without
00:02:07.480 any further delay, please welcome Dr. Rau to the show. Hey, Neil, welcome to the show. It's great to have you
00:02:13.760 here. So I've told our viewers about the controversy over mask and vaccine mandates, especially now with
00:02:21.440 Western University taking this extreme step of insisting on boosters. Is it just the university
00:02:27.680 being extra cautious, or is it simply refusing to move past the pandemic and remain in this constant
00:02:34.220 state of emergency? And you know, what's even more bizarre, Neil, is that they've exempted visitors and
00:02:40.220 service personnel from the mandates. So apparently, the science is different for a big donor, or a
00:02:45.900 visiting sports team, or for your local delivery guy. And it's different for students and faculty.
00:02:52.300 Also, I noted that faculty and student unions at some schools in Canada, that sensibly got rid of the
00:02:59.580 mandates a few months ago, from back in the summer, and now they want them back. What do you make of all
00:03:05.180 of this? You know, this is awfully confusing, not just for the students, but even for the public at
00:03:10.780 large. And we have many similar confusing scenarios I can recount to you. You know, if you go on a via
00:03:16.860 rail train, you have to wear a mask. But if you take a go train, or a commuter train, you don't, or a
00:03:21.500 tourist train, you don't. If you are unvaccinated, and you arrive in Canada, you have to do quarantine.
00:03:28.300 But if you're vaccinated, you don't. If you're unvaccinated, you should be tested, if you come from abroad. But 1.00
00:03:34.540 if you're vaccinated, you know, you're tested at random. We have so many contradictions like this,
00:03:40.300 that of course, now add universities to it. And moreover, the Western University appeal to the
00:03:45.980 higher authority of the Ivy League schools in the US, citing that other Ivy League schools are
00:03:51.100 doing something crazy. Therefore, we should follow them and do the same thing. So no wonder they're
00:03:55.900 confused. If an august organization like, say, Brown University or Harvard University chooses to do it,
00:04:01.180 why shouldn't we do it? They must be right, we must be wrong. So the problem with any form of a vaccine
00:04:08.060 passport system, or a vaccine mandate, is that there's an assumption that those who are vaccinated
00:04:14.940 are somehow less contagious, less infectious than those who are not vaccinated. That premise is being
00:04:22.460 destroyed day by day, variant by variant. So originally, there was this lovely data, late 2020,
00:04:31.980 which suggested we have the silver bullet, our exit out of the pandemic, that if we vaccinated everyone
00:04:37.100 and achieve herd immunity, we would stop this in its tracks. It's not true. We didn't know about the
00:04:43.340 variants. We didn't know about waning immunity, that immunity would fall over time following vaccination.
00:04:49.900 We didn't know that after three doses of the Pfizer vaccine, four months later, your vaccine protection
00:04:55.660 against these circulating Omicron screens is not 10 or 15 or 20%, it's zero. It's 20% at two months,
00:05:02.700 and it's zero at four months. So no one knew this when these policies came up. But the policies lagged
00:05:08.700 the science. And once that freight train of these policies, these mandates, this virtue signaling,
00:05:15.020 shaming those terrible unvaccinated people, teaching them a damn lesson for their bad behavior, 1.00
00:05:20.700 spanking them if you will, once that started, it couldn't stop itself. And we went around and we 1.00
00:05:27.180 caused mayhem. And there's no acknowledgement of the error. There's no silent discussion. Maybe we should
00:05:33.580 get back on this. Maybe we should just pull it away. Maybe we can secretly quietly get rid of those
00:05:37.740 vaccine mandates that are leading to some staffing challenges in hospitals, for example. Like maybe it's
00:05:42.620 time to rethink this. That's what hasn't happened. And wow, when universities go backwards like this,
00:05:47.900 am I ever glad those students are speaking up? Triple vaccinated students, no less. Like myself,
00:05:53.420 I'm triple vaccinated and once infected, at least, by Omicron.
00:05:57.660 Same here. And I think, you know, before we taped a couple of days ago, when we, you and I were
00:06:03.260 chatting about doing the show, I remember you saying something very interesting that the protests
00:06:08.220 happening at Western University are a protest by the vaccinated. So it's sort of the mirror image of 0.68
00:06:15.020 what happened with the truckers protests. But, you know, but having said that, the truckers protest,
00:06:21.180 you know, was not a protest by the unvaccinated. You know, having spoken to many of the people who
00:06:27.020 showed up to protest, including the truckers, many of them were actually vaccinated. They just
00:06:31.260 were protesting because they didn't think these mandates served any purpose. And, you know, they
00:06:37.420 were taking a principal position on it. So it's fascinating how, you know, that, that, you know,
00:06:43.500 I'm glad that the students at Western University are taking a stance on this. I mean, it's time that
00:06:48.540 people started speaking up. It absolutely is ridiculous that, you know, what is the scientific
00:06:54.060 rationale behind the booster, especially for those who are young? Yeah, I'm shaking my head with this. 0.72
00:07:01.740 I mean, some people kindly said it's a personal choice. Yeah, you know, at least just at least
00:07:06.060 let's talk about this from an informed consent perspective. That's what some people who spoke
00:07:09.660 at the protest said, some physicians who spoke at the protest said. But the other comment I would make
00:07:14.140 is, what's the medical value? When you do something, you have to look at the number to treat,
00:07:19.820 the number of vaccines I need to give to prevent a hospital admission, to prevent a death. Once
00:07:25.580 you're dealing with someone who is under 50, if they've had two doses of vaccine, that third dose
00:07:31.020 of vaccine doesn't add much. It's not like stepping on the gas pedal. The harder you step, the car goes
00:07:36.540 faster. Sometimes the car is going as fast as it's going to go. You don't get more by beating the
00:07:40.060 horse harder sometimes. That's what this is becoming. And then the other point is many people were
00:07:45.580 addressing with a third dose of vaccine have been infected with Omepron, but that was their booster.
00:07:51.500 It was waiting for you at the LCBO, not the antigen kit for the disease.
00:07:55.820 You know, this is this is the hilariousness of it. So it's just, you know, that we've never
00:08:00.700 acknowledged natural infection in the equation. And that is a game changer. The political science
00:08:06.620 analysis I'm going to give you as well, with reverse to Western, is it's not a bunch of people who had
00:08:11.820 so-called Confederate flags on the front of their trucks. These are students who are educated, who
00:08:17.020 are triple vaxxed, and they are the voting constituency for the government in power for the most part.
00:08:23.420 This is their target audience. A 30-year-old or 25-year-old female arts graduate or arts student
00:08:30.860 is likely to vote Liberal or NDP. And they have pissed off that subgroup of voters. They've blown it
00:08:38.060 this time as a government in power if this is what they allow. Now, this is a university
00:08:43.420 promoting this, but if the governments in power don't speak out against this, they might actually
00:08:47.820 lose voters. So they have to think about the implications, because if this type of policy
00:08:52.460 comes from upon high, not just from universities, but from governments in power, you won't see it
00:08:56.700 from the foreign government, I don't think, but if you saw it from other provincial governments
00:09:00.620 being promoted, I think they'd be running roughshod against their own votership.
00:09:03.980 Yeah. Yeah. I think this is going to become a political issue. It's already a political issue
00:09:13.180 at this point, but I think it's good that these students are speaking up. I want to touch upon
00:09:18.220 this, something you mentioned earlier. Since the advent of Omicron and its subvariants, we know that
00:09:24.700 COVID has become much less severe. It's highly transmissible. And even the booster shots, as you said,
00:09:33.340 don't really do much at preventing transmission at this point. First of all, would it be fair to say
00:09:40.460 that from a layman's perspective, COVID-19 is morphing into something like the seasonal flu
00:09:45.580 that we've been living with forever? And with the seasonal flu, as you know, taking the flu shot
00:09:50.620 was always voluntary and no one put a gun to your head. So, I mean, first of all, would it be fair to
00:09:57.500 say that it's basically evolved into something like the seasonal flu?
00:10:02.300 So, what you're getting at is what we call an endemic approach, is it appropriate, rather than
00:10:06.300 a pandemic approach? I think so. I don't think everyone's ready to get off the horse yet. It
00:10:11.340 depends who you ask. Okay. And that's where you're going to see a divergence between experts. But
00:10:15.740 one thing I can say is, as you said earlier, Omicron is not causing the health impact that the original
00:10:22.300 Wuhan strain, COVID classic, as I call it, did. The other point is you've got an immunologically
00:10:27.820 experienced population. Initially, we were so-called immunologically naive. Nobody had seen the vaccine,
00:10:33.020 nobody had seen the disease. Now we have large numbers of people who have seen the disease,
00:10:37.580 who have been vaccinated, who got the disease, then who were forced to get vaccinated or got the vaccine,
00:10:43.740 whatever might have happened. So, you've got this hybrid mix, or pure vaccinated, or pure
00:10:48.540 unvaccinated, but infected. And there's a very small percentage of people who are unvaccinated,
00:10:53.500 who can still be hit hard even by Omicron and end up in hospital. To be fair, I'm not sure the
00:10:58.380 severity of the disease has changed, but I think the population at risk has changed. So, with infectious
00:11:04.860 diseases, we look at three things. We look at the host, we look at the environment, and we look at the
00:11:10.140 virus, the triangle, the epidemiologic triangle. If the virus hasn't changed, one thing that has changed
00:11:16.780 is the host, the host situation, the immune status of the host. The environment, we learn more about
00:11:22.380 where it spreads. We don't have to have people crying on TV because we're having outdoor parties
00:11:27.340 at Trinity Bellwoods Park anymore. We had stories like a doctor going on TV crying because people
00:11:33.020 were outside in May of 2020. I don't think we need that anymore. There's no need to cry. We don't need
00:11:38.380 people to mask outside, although some people like to do it to show how amazing they are to other people.
00:11:43.420 This is a talisman. This is not really a personal protective measure anymore in that setting. Now,
00:11:48.780 we do know that people, if they want to, can go ahead and wear a mask. They can even wear an F95 mask,
00:11:53.500 FN95 mask if they want. That's great. They can also wear it as they walk into a restaurant and
00:11:58.460 promptly take it off as they eat, and they can feel protected. This is the kind of folly that I see.
00:12:02.620 We see people getting on airplanes with masks and taking it off as soon as the plane's at cruising altitude
00:12:08.700 and the flight attendant shows up with a coffee. It all comes off. Why are we doing this? If we're
00:12:13.260 going to keep doing things, we have to be selective. Asking university students to do this on a campus,
00:12:18.940 to me, is just pure folly. Wrong population, not the best intervention if they're wearing just a 0.99
00:12:24.940 surgical mask, in the wrong era of COVID-19, where we have an immune experienced population,
00:12:32.300 either through vaccination or disease. It's a triple fail, in my view.
00:12:36.940 Yeah. Speaking of people who refuse to get off the horse, you have countries that have more or less
00:12:44.300 fully moved on and aren't having these debates of what way we're in and what the wastewater signal is
00:12:50.780 telling us. I always thought that we, as Canadians, tended to be pragmatic. What I see is a state of
00:13:01.180 what I can only call COVID psychosis at this point, where especially many public health experts and
00:13:06.940 doctors whose voices get amplified by the mainstream media, they simply don't want to let go. Meanwhile,
00:13:13.820 you have courageous experts and doctors like yourself who don't share the so-called consensus
00:13:20.460 view, and you're criticized and vilified and ridiculed. This seems like a very unhealthy state of
00:13:27.260 affairs and does a lot of damage, in my opinion, to public health messaging in the end and instills fear.
00:13:34.300 I still meet people who are triple vaccinated, triple masked. They live in a state of perpetual fear.
00:13:42.060 What do you make of all of this? How did we end up in this mess and where do we go from here?
00:13:48.060 So some of this started even before COVID. I'm going to kind of walk through. You mentioned flu. We had campaigns,
00:13:53.900 let's get flueless, you know. So there was a vision that if we all got the flu shot, we could stop this
00:14:00.620 disease. It's not true. I've written in the Globe and Mail a number of years ago that we were taking the
00:14:05.980 flu shot too seriously. This is well before COVID. We haven't managed our expectations. We are trying to
00:14:12.300 create a belief that what happened with measles for the vaccine actually stopped transmission
00:14:17.820 would apply to other respiratory viruses, including influenza and COVID-19. It just isn't the case.
00:14:24.620 If you don't manage expectations and you keep going with this view that you can stop something in its
00:14:28.940 tracks, that you can stop the wind, as people describe trying to stop the flu, in terms of its
00:14:34.460 impossibility, this is what you get. The other thing is there's a cultural dislike, disdain for the so-called
00:14:42.380 anti-vaxxer. And I've been labeled an anti-vaxxer for questioning the idea of going on and on with
00:14:49.340 a carousel of boosters to quote one of your prior phrases, the carousel of boosters. Because this is
00:14:56.300 where it doesn't stop. And I think it's like a movement. It's much easier for me to go on mainstream
00:15:02.620 media or media and just say, get the shot at your best defense. It's a bromide. Who's going to question
00:15:08.300 a bromide like that? If I say, listen, there's a certain group of my older patients who would benefit
00:15:13.820 from a fourth booster or a third booster, at least a third booster. And maybe we should wait for a new
00:15:18.300 vaccine to give a fourth booster or wait, maybe if they've already just had Omicron or had COVID in
00:15:24.460 the last three or six months, we can take pause. We don't have to hammer them with another vaccine.
00:15:29.340 When I make those comments, someone will turn around and say, that's an imprudent, irresponsible view.
00:15:35.340 I am morphing into the anti-vaxxer league. And that label is terrible. That's a terrible label to
00:15:40.700 have. So this is why you see people backing off private emails to you, to other journalists,
00:15:47.180 to myself, people reaching out, chat groups forming where people don't want to speak out publicly,
00:15:51.980 except for a few of us. But the insanity has reached a level now where young students who are
00:15:56.620 triple vaxxed are saying, what the hell is going on? And rightly so. So that's the turning point.
00:16:02.060 The Western University protest is the turning point. I'm surprised it wasn't bigger. But if it
00:16:06.540 happens at multiple universities, or if they have a second round of this with more uptake,
00:16:10.460 you never know. Or maybe it'll come up during the political campaign. And that would be bad
00:16:14.060 news for the governing party. Yeah, yeah. Yeah, I think, yeah, exactly. You know, speaking of young
00:16:20.140 people, Neil, you know, there's a growing consensus, at least from my reading of the situation,
00:16:26.860 especially for men under 40, I believe, that there's a greater risk of getting myocarditis
00:16:32.940 from the vaccine than from COVID-19. What do you make of this? Do you share this emerging consensus?
00:16:39.660 I share that consensus. And this is why I think we have to be cautious about boosters. I'm not saying
00:16:43.500 it was wrong to give one or two doses in the pandemic, fog or war. Fine. But I think when you
00:16:49.260 start pushing boosters, and when we have this evidence about waning immunity, that basically,
00:16:54.380 it's like a short top up, it's like having a gas guzzling car, and you're going to fill up the
00:16:59.020 tank all the time, you can't you never, you can't drive more than a certain kilometers before you
00:17:03.100 top up again. When you have this type of of a practice developing, and you apply it to people
00:17:09.340 who are low risk of bad outcomes from the disease, a rare outcome of myocarditis, heart inflammation,
00:17:17.500 starts to become an appreciable concern. Do the benefits outweigh the risks or vice versa?
00:17:23.260 In that sub population. Again, these questions can't be openly discussed. I think there's a
00:17:28.140 tendency not to discuss these adverse effects. You even hear the line that the disease causes
00:17:32.860 myocarditis more than the vaccine. But the point is that their people can also get the disease anyway
00:17:39.100 with the vaccine or without the vaccine. We know that the vaccine efficacy is not 80 or 90 or 100%.
00:17:44.700 After a while, you're at the same risk anyway. So what that argument doesn't hold water anymore.
00:17:48.940 You know, in the early phases with earlier variants, there was better data about at least
00:17:54.300 some vaccine efficacy, meaning stopping infection, not preventing bad outcomes. The bad outcomes part,
00:18:00.460 we've already gotten that benefit from either getting the disease or the vaccine. That holds true
00:18:04.140 anyway. But at least in the early days with the earlier variants like Delta and Alpha, the argument
00:18:08.780 can be made. But once Omicron showed up, this was a game changer. And the policy lags the science.
00:18:13.260 A lot of this is very political as well. Yeah, well, and you know, you talked about masking earlier,
00:18:21.580 you know, masking on a plane and then taking it off and then having a drink and then you have to put
00:18:25.580 it back on. What is the current consensus on masking in schools, for example? Does it make sense to impose
00:18:34.220 mask mandates on young kids? What is the evidence currently saying on mask masks?
00:18:40.380 So very good evidence now showing there's no difference in schools that did and did not mask.
00:18:45.500 Okay. And just as we discussed the idea of imposing a vaccine on people who have very low
00:18:51.820 direct risk from the disease and minimal direct benefit from the vaccine, meaning to themselves.
00:18:57.420 Similar thing here with the masking. When you make kids mask, you're doing this with the view that the
00:19:02.860 masks are preventing transmission. You're not doing it to protect them from the disease. Yeah, you'll hear
00:19:07.660 all this hullabaloo of a long COVID that you're somehow preventing long COVID. But we know that
00:19:12.140 the masking doesn't really change the rate of infection. So what you're doing is imposing
00:19:17.100 something of a theoretical benefit to stop transmission, say, to the teacher or to other students
00:19:24.300 to generally a group that's at low risk of bad outcomes. Unless you say you have an older teacher
00:19:29.100 who's already vaccinated, by the way, likely. And you're impairing their learning, language development,
00:19:36.220 comprehension, social development. If English is a second language for them, there's a second way to
00:19:44.220 learn a language. It's not just auditory, it's visual, it's facial movement, pronunciation. Also,
00:19:51.260 you're hearing development, like there's a whole bunch of developmental pediatric consequences
00:19:57.740 to continuing with this pathway of masking kids. Finally, the now debunked, or I shouldn't say,
00:20:04.460 but now dissolved Ontario science table had said, hey, maybe this isn't a good idea to keep pushing
00:20:10.540 the masking. But I would also say debunked because they were big proponents of masking in schools.
00:20:16.700 And they were also an example of a group that gave contradictory messaging to public health.
00:20:20.700 One big theme I've seen is that there is no leader of the orchestra. You'll have our chief medical
00:20:26.060 officer of health saying one thing, and then other people deciding they're going to go for the nines
00:20:30.860 and go beyond the broad advice. Exactly. As is happening with Western, right? Sorry to interrupt,
00:20:37.420 but as is happening with Western, when you have the chief medical officer of health for the province,
00:20:41.500 Dr. Karen Moore, saying that, look, when it comes to younger people, especially when it concerns my
00:20:49.580 the risk of myocarditis, you know, it's up to you to make that risk benefit analysis and come to a
00:20:55.660 decision based on that risk benefit analysis. But yet you have the schools like Western and
00:21:03.420 other schools essentially going rogue. So it's one thing if it's a private business,
00:21:09.100 they can do whatever they want. I guess you can't tell them what to do. It's their own private
00:21:11.980 home. You come to my house and I insist on antigen testing for you. You can't stop me. It's my home.
00:21:16.620 If you want to come to the internet or my place, you have to. This is a publicly funded institution,
00:21:21.820 thousands of students, thousands of faculty, and they can go rogue and contradict our chief medical
00:21:27.980 officer of health. No one accuses them of disinformation. But if I said, hey, maybe we should rethink
00:21:33.980 whether we need so many doses of vaccine, that's getting into the disinformation area.
00:21:37.980 Yeah. So this is this is the paradox. That's why you will have
00:21:42.060 commentators track towards the most cautious. And no one will really question, is this too much?
00:21:47.500 It's starting now a little bit. I saw signs of it with this Western university protest. But with the
00:21:52.860 truckers protest, there was no regard for that. They were treated the same way Hillary Clinton, 0.76
00:21:57.900 the so-called deplorables, the deplorables. This is the equivalent. This is our Canadian equivalent of
00:22:03.660 the deplorables in our midst, not engaging with why they feel the way they do. What are the consequences
00:22:09.660 for them? This is this is a new Canadian disease to review people with certain viewpoints as simply
00:22:14.700 deplorable, ignoring their personal circumstance. The worst thing I have seen in this pandemic has been
00:22:22.460 lower income people who refuse the vaccine, who had been infected and infected before many of us saw it,
00:22:30.860 and being thrown out of their jobs. Yeah, very un-Canadian. But perhaps, you know, I've been
00:22:37.100 reflecting on this. Maybe it is part of the Canadian psyche that we just haven't come to terms with.
00:22:43.180 And it just took a pandemic basically to bring that to the surface. But, you know, but that's
00:22:49.020 that's that's that's that can be debated for sure. And so, Neil, let's go back to natural immunity. And
00:22:55.580 this is a question that I ask every expert that I speak to. For some reason in Canada and the US,
00:23:01.980 there's no recognition of natural immunity. And yet in places in many European countries, for example,
00:23:09.660 that's natural immunity is essentially seen as being equivalent to vaccination. And what's more,
00:23:15.980 many of us, as we talked about this earlier, many of us have this hybrid immunity. Now we've had two
00:23:21.660 or even three doses, and we've gotten Omicron or maybe even the original strain. Why do you think
00:23:27.500 that natural immunity is simply not recognized in Canada when, you know, it's as old as time itself?
00:23:34.300 This is I mean, what did we do before the advent of vaccination? This is how humankind survived.
00:23:38.620 And, you know, I recall we, at least in Ontario, and maybe also in other provinces, hospital workers
00:23:48.220 who had recovered from COVID were fired because they were unvaccinated. Imagine firing a hospital
00:23:53.660 worker in a hospital, a worker in a hospital, a place that should have the science down pat when
00:24:00.460 it comes to things like natural immunity. Yet this was happening. And, you know, these are people who
00:24:05.500 advocate vaccination, but they don't acknowledge the role of vaccine immunity. So what's going on here?
00:24:12.780 It's vaccine zealotry. That's what it is. It's literally an undying faith in vaccines being better
00:24:19.180 than actual immunity. But the science, as early as January of this year, 2020, I think even late 2021,
00:24:27.580 was starting to show that people who had been previously infected, who had been followed when we had
00:24:34.300 lots of testing available, were testing everyone who didn't get infected, were better off in terms of
00:24:39.500 a chance of reinfection than those who had been vaccinated, but never positive. And Qatar showed 0.88
00:24:44.380 it beautifully. And it was shown in an MMWR from the US, California was shown through a large group of
00:24:52.140 people. Yet the science didn't shift. And no one and I questioned this in September 2021. It's in writing
00:24:58.540 what I said. I'm not just saying this with the benefit of hindsight. I questioned whether this was the
00:25:02.700 right way to go. I wrote a piece in the National Post saying five reasons or six reasons to rethink
00:25:08.540 vaccine passports. But people, the ban moved on. And what also happened is a lot of organizations
00:25:13.900 wanted to emulate each other. So if they're doing it, well, why shouldn't we do it? You know,
00:25:18.860 this hospital is doing it. We're going to copy and have a similar policy so people can't shop between
00:25:23.740 hospitals and places of employment. We're going to make it hard for them. And it was, you know,
00:25:28.860 a way of really irritating people to get them to do it. It was no longer a nudge. It was a stick.
00:25:36.060 And that's what really happened. The other thing is, there was this belief that if you acknowledge
00:25:40.060 natural immunity, you would dissuade people from getting the vaccine, that this was a
00:25:45.100 contradictory message. So you'd encourage people to unwittingly get infected or even willingly have a
00:25:52.540 COVID party for young kids, that this would dissuade people from getting the vaccine. The vaccine was
00:25:58.780 the answer. So I don't blame the policy of strongly having encouraged the vaccine, this herculean attempt
00:26:06.860 to vaccinate most of the population. Excellent. I'm glad we did it. But we couldn't stop. It was like
00:26:12.380 eating popcorn and you know you should stop or you just keep eating it. You finished the whole damn bag. 1.00
00:26:17.340 You just can't stop yourself. That's what happened. We got to two doses. We couldn't stop ourselves from 1.00
00:26:22.460 going for a third for everyone, not just some. And when I made the comments in November of 2021 saying
00:26:28.860 we need to take stock, applaud ourselves for having got what we got and rethink this booster for everyone,
00:26:35.020 it was criticized on Twitter. The claim that was made by one expert is it's a consensus view that we
00:26:41.900 should give third doses to everyone. That's not science. This is 10 people getting together and agreeing
00:26:47.340 that's not science. And the science now shows more and more boosting isn't going to be the answer.
00:26:52.460 The other elephant sitting in the rooms, we've got this other vaccine coming out now,
00:26:55.980 the Omicron one. Right. The Omicron vaccine is targeted at the original Omicron classic,
00:27:02.220 not the son of the son of the son of Omicron, which is out there now. So even that's out of date.
00:27:09.180 You know, it's like giving everyone the iPhone 8, but everyone's got the 13 now. But we offer the whole
00:27:13.820 population on iPhone 8s, but everyone's using the 13. And this virus is a bit like the iPhone.
00:27:18.540 The moment it saturates the population with either immunity due to vaccine or disease,
00:27:24.620 it reinvents itself to get into other people's throats. The goal of wiring this virus is to be
00:27:29.260 the new iPhone. So we've got 13.1 out there now. Well, what's troubling about this is, you know,
00:27:34.140 I shared a Wall Street Journal story earlier about the FDA authorizing this vaccine. And some of the
00:27:42.860 details from the story are very disturbing. For example, this Omicron-specific vaccine has not
00:27:50.620 been tested on humans. It's only been tested on mice. And the other thing that comes out of the story is
00:27:57.100 that it's been, you know, all of the usual steps that would be involved in getting the vaccine
00:28:05.340 authorized for use. For example, a review process that involves experts who would then authorize the
00:28:14.380 vaccine. They've just completely gotten rid of that step. And this is not doing much to, you know,
00:28:22.860 get people to take the vaccine. I mean, I read the story. I'm triple vaccinated. And, you know,
00:28:28.940 I'm thinking, am I comfortable taking this Omicron-specific vaccine? And just the details
00:28:34.860 from this are very, very, are not very reassuring, even if you were pro-vaccine. But, you know,
00:28:42.220 I'm less worried about the safety side of this as much as I'm worried about the practicality and
00:28:48.140 whether it's going to deliver the dividends that it's supposed to deliver. This is what's bothering me.
00:28:52.540 We haven't learned from our mistakes of working with preconceptions and assumptions that something
00:28:58.220 will deliver these dividends. And we already know we're dealing with a vaccine that is addressing an
00:29:03.580 out-of-date strain. And who knows what the future holds? The next relative of Omicron,
00:29:09.260 are we going to suddenly have a big news story about a whole new Greek alphabet virus emerging
00:29:15.180 somewhere? And by the way, the emergence of these variants is not because people are not vaccinated.
00:29:21.020 That's another great myth out there that if only more people got the vaccine and more people got
00:29:26.060 the boosters, we could stop variants in their tracks. This is in their tracks. It's nonsense.
00:29:31.100 Nonsense. The variants emerge because there's immunity. The virus is evolving. The virus calls
00:29:36.060 the shots, not the vaccine. So the original alpha variant started in the UK, which was one of the
00:29:42.380 most vaccinated places on earth at that time. But then it happened in South Africa. They said, ah,
00:29:47.740 it's because they didn't get the vaccine in South Africa. But they had massive natural immunity as
00:29:52.620 well. They'd had a big round of this in 2020, of the original COVID. And then this Omicron strain
00:29:59.580 vaccinated them rather than the vaccine. The real vaccine didn't get into their hands
00:30:04.940 soon enough. So there's all this mythical talk about how if we had more people vaccinated,
00:30:11.180 we wouldn't have variants. If we had more people vaccinated, the virus would not be multiplying so
00:30:15.820 much in the community and variants wouldn't develop. These are quixotic, lovely beliefs.
00:30:22.140 That's what they are. And they're not proven. Well, these were expert opinions. I remember actually
00:30:29.980 believing this at that time. You mentioned South Africa. I was reading this in the context of India
00:30:37.820 that because many Indians, including my parents, were unvaccinated. That's the reason. That was why 1.00
00:30:45.180 the Delta variant came about. And these were well-known experts who were saying this. And I
00:30:50.300 don't recall them ever being challenged or maybe they were being challenged, but those challenges just
00:30:54.940 never made it to the public discourse space. But it's quite something that a lot of people do still
00:31:03.260 believe that these variants are emerging because there are unvaccinated people out there. But
00:31:09.500 variants, but viruses evolve, as you say, just like the flu virus, right?
00:31:14.460 Yeah. So viruses evolve in response to population immunity. You think of yourself as a virus. Your
00:31:20.220 goal is to promote yourself. It's to infect more people. If every person you reach is blocking you,
00:31:26.060 you have to change your stripes, make yourself immune invasive. That's what's happening with these 1.00
00:31:31.020 Omicron variants. Delta came about because a lot of people had seen COVID classic in India
00:31:36.220 and there was no testing. And there's no sophisticated surveillance system, not to the
00:31:40.940 same degree as here or in Western developed countries, whatever, G7 countries. So you have
00:31:46.700 a population where there's an invisible outbreak, large number of transmissions, because of course,
00:31:51.420 most of this disease is mild and it goes below the radar. And then they say, hey, it's because people
00:31:57.180 aren't vaccinated. But that's simplistic. Because I remember the UK variant started in a population
00:32:04.780 that was immune. And these other variants that we're seeing now of Omicron are developing right
00:32:08.700 here. They're homegrown problems. And all that traveler testing isn't going to keep it up either,
00:32:13.820 by the way. It's really interesting. But every time we found a variant, we already have it here by the
00:32:18.380 time we actually find it. Yeah. So the same thing happened with Omicron. 50 countries had it when we
00:32:23.580 announced this in December of 2021. So yeah, December 2021. I bet history gets so hard to remember here.
00:32:29.900 Yeah. December 2021, 50 countries had Omicron already. So that traveler testing that we imposed
00:32:35.500 for countries, Sub-Saharan African countries was just, remember the ban we had on travelers coming here?
00:32:41.500 Insanity. Insanity. This is another pandemic fog of war boo-boo. Yeah. And I, you know, I hope people
00:32:48.380 look back at this and question their decisions. Like this was a year plus into this, that we did
00:32:54.140 that. And people were criticizing. The WHO was criticizing it. Yeah. Well, I mean, we panicked
00:33:00.060 post-vaccination in a way that I would never have imagined. I thought we were a little more sensible
00:33:06.620 before the vaccination. And I thought the vaccines would put us on this path towards normalcy. But in
00:33:12.780 fact, what ended up happening is that we panicked even more after vaccination, after having this
00:33:17.900 protection. Yeah. There's also a constant desire to show us to be different from the U.S., whether
00:33:23.020 it was right or wrong. So Trump speaks of natural immunity. Trump said it must be wrong. Yeah. Like,
00:33:29.740 you know, a broken clock can be cracked twice a day. That's the problem. You have to appraise
00:33:33.580 each statement one by one, really look at whether they're right or wrong. Governor DeSantis, you know,
00:33:39.020 despised by many, not everything he did with COVID is wrong. Yeah. Because they called it a disaster
00:33:44.860 south of the border. But later on, where was the disaster? They had population immunity. We were 0.73
00:33:50.460 having waves while they weren't. We also know that climate plays a role. We know that subtropical and
00:33:55.180 tropical countries have a different picture. The southern hemisphere is going to have a big swell
00:33:58.940 now as Australia is having because it's their winter. Also because they held the disease at bay as
00:34:05.020 an island nation with a stringent policy. So you pay now or you pay later. They're paying now. It's a
00:34:11.260 delayed payment program. That's what it is. So all the places, even in Toronto, places that were hard
00:34:17.340 hit earlier in the first waves of the pandemic were relatively spared more recently because they'd all
00:34:23.420 seen so much disease in northwest Toronto because you have a low socioeconomic group living in apartment 1.00
00:34:28.540 buildings, sharing elevators, sharing spaces, taking public transit to work in front facing jobs and
00:34:34.540 they can't work from home on their laptop. That's why they got it. So they're already immune. That's why we
00:34:40.700 didn't have the big wave. They weren't a big news story after the winter of 2021. There was no news
00:34:45.580 story about northwest Toronto. We always think about where the cameras were, not where they aren't.
00:34:51.740 Yeah, absolutely. You mentioned air travel briefly a little while ago. Air travel remains extremely
00:34:59.420 convoluted while arriving into Canada by air, both because of this funky and failure-prone Arrive Can
00:35:08.700 app. And also this random testing, which you mentioned earlier for everyone, even for the
00:35:14.380 vaccinated. So why are we doing this? And then of course you're asked boilerplate questions like,
00:35:20.380 do you have a fever or a cough? And something else you mentioned about the unvaccinated,
00:35:25.660 you know, they continue to be treated as second-class citizens as being more dangerous than the vaccinated
00:35:32.060 and are required to quarantine upon return. What do you make of all of this?
00:35:36.860 The travel policy. I don't understand the travel policy. It's amazing that with all the criticism
00:35:42.380 that this is receiving the media, that it's still alive. I think there's an element of this that has
00:35:46.380 sunk in costs. They've spent 25 million plus on this app and they want to get it used whether it's
00:35:52.460 useful or not. It'd be one thing if that app prevented you from actually using that whole device when you
00:35:57.820 arrive with your passport and so on. If it spared you that time, I can almost forgive them. What
00:36:02.300 they're really focusing on is your vaccine certificate and what dose you got and exactly when and which
00:36:08.620 formulation. Like this is useless information for border services. And then they've got a policy
00:36:15.340 driven by vaccine status in terms of how you have to behave. So if you're unvaccinated, you get a super
00:36:20.540 spanking again, even though you might have even been infected recently. It's not even a good idea to give
00:36:26.300 someone the vaccine right away after an infection. Now the funny thing is they did come up with a
00:36:30.700 provision for recent infections to exempt people, but you know they did sort of adapt to that quietly.
00:36:37.180 But if you, so if you read the fine print, you can get out of it if you've been infected,
00:36:41.100 you have documentation of infection. But many of us did not document infections. I happen to be
00:36:46.540 fortunate enough working in healthcare. I would know right away if I'm positive, I have access to testing
00:36:50.700 or I want to take it to a patient. But many people in the community don't know their status with
00:36:55.740 regards to recent infection. And we find these people, when we random test sometimes in outbreaks
00:37:00.140 in hospital, people have been infected, they didn't even know it. So the weird thing about
00:37:05.100 this arrive can policy is it doesn't even consider prior infection openly. It's buried in there if
00:37:11.340 you go deep digging and you can show the customs officer your proof in the last 180 days or 90 days,
00:37:16.860 whatever date they choose. And it really assumes that the vaccinated people are bigger transmitters
00:37:23.180 than those who aren't. And then the ridiculous thing you see when you put your passport into the
00:37:27.500 device is they ask you if you have fever or cough. I mean, who's going to say yes, first of all,
00:37:33.180 just stick your head under the guillotine and say yes, drop the, you know, drop the knife. Like, 0.99
00:37:37.100 why would you do that? And then also symptom screening didn't work. We had symptom screening in
00:37:42.060 long-term care in 2020. If it was so amazing, why did you get all those outbreaks? The problem with this
00:37:48.220 disease is you can have almost no symptoms or no symptoms and you can unwittingly spread this.
00:37:55.580 We know about choir groups spreading it in Washington state in the early days.
00:37:59.580 We know that singing, we know what the fitness studio outbreak in Hamilton, they were all just
00:38:03.340 working out no symptoms of the index first case. So when you use symptom screening for disease, which
00:38:10.060 can be spread perfectly well without symptoms, this is just theater. Hygiene theater is what this is. 0.93
00:38:16.380 And I'm so surprised to see that a government with a whole coitery of experts, Health Canada experts,
00:38:24.700 cannot update its policy. It's shocking. And we will be the last in the world. You go to Europe,
00:38:29.900 it was refreshing to fly to Europe after so long to see a totally different approach in Portugal,
00:38:35.500 for example. I saw none of this. Even going to the US, they're really starting to relax about this.
00:38:41.420 Yeah. And you fly to the US, you wear a mask, but you switch planes to Chicago,
00:38:46.220 the mask comes off suddenly in the terminal and it's off on the next plane. Really logical. So we
00:38:52.060 want to be different from the US. We want to show more cautious. It makes us feel good. There must be
00:38:56.780 political points scored by this. There has to be a political science explanation. Honestly, at this
00:39:03.660 point, I don't see it. I feel like it's actually there's going to be a backlash. There is already a
00:39:08.700 backlash. I don't really know why they're doubling down on this. And a constant refrain that I hear
00:39:17.260 from people returning to Canada, including myself actually, but I felt that I was coming back to
00:39:23.180 a prison essentially when I flew to Europe back in the spring and I went to India and I returned to
00:39:28.860 Canada. And I just really felt like I was returning to a prison because everything here was still, we
00:39:34.620 still had the mandates in place at that time. Masking, you had to be masked indoors. The vaccine
00:39:41.180 mandates were still in place. It was pretty ridiculous. But just a final question for you, 0.87
00:39:47.100 Neil. Are you optimistic now that we're truly in the end game of this pandemic and we can breathe a
00:39:54.300 sigh of relief that life should return to some kind of normalcy? Will we ever get back to pre-COVID times?
00:40:06.300 No. I'm optimistic about the disease and of course we're going to see. I'm optimistic that the next
00:40:11.580 variant will make a lot more news than it will really make impact on the healthcare system. But it
00:40:16.300 seems to be an obsession lately, okay? However, I am not sure our society will change. I think this
00:40:24.140 has brought out some really dark aspects of our society. We're going to have to do a lot of soul
00:40:27.420 searching. I think it's going to take many years for the mass to go away. I really, I'm not so sure
00:40:33.100 we have an exit strategy there. I also think it's going to become a political issue. It has been
00:40:39.260 very polarizing. I've never seen a disease become so political. One of the worst things I've seen,
00:40:46.060 so far in terms of our policy. When I was in Portugal coming home, I saw a somewhat impoverished
00:40:52.380 black man from Angola, being Portuguese speaking, he flew through Lisbon. He was trying to come to
00:40:56.460 Canada for work and he couldn't get on the plane because he couldn't show proof of vaccine status.
00:41:01.100 And he probably was coming here to work. So that's what our policies did. We kept poor people away from 1.00
00:41:07.900 making a living. There's no CERB in Angola. And I saw it with my own eyes. He was livid. He'd spent a lot of
00:41:15.100 his money to come to Lisbon to fly to Canada and he couldn't. And we allowed that to happen. We
00:41:20.540 didn't even look at testing or a strategy to bring someone like that here if they needed to. We lost
00:41:26.220 our heart as a country. Yeah. I mean, what a time to be alive. I mean, you know, as a doctor,
00:41:32.940 you're optimistic about the disease, but you're not optimistic about the policy makers or the people
00:41:37.340 who insist on being in this constant state of emergency. Well, on that note, Neil, I really
00:41:44.940 appreciate you being on the show. Sorry, on that dark note. Unfortunately, on that dark note,
00:41:52.380 thank you so much for being on the show and for sharing your insights with me and our viewers. And
00:41:58.540 I hope to have you back here soon. Thanks for having me. Thank you.