Everything wrong with mandates and lockdowns (ft. Dr. Neil Rau)
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Summary
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
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Hi everyone, welcome back to the show. It's great that you can join me once again. I hope you're
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enjoying the last few days of summer and getting ready for Labor Day. Speaking of Labor Day,
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this is the time of year when many young people are returning to schools and universities across
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the country. And again, we're in the midst of a raging debate about masking and vaccine mandates,
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especially for universities in Canada. The fact that there's no uniform policy is sparking a
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controversy. For example, the three major post-secondary institutions in the Ottawa area,
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the University of Ottawa, Algonquin College, and Carleton University suspended their vaccine and
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mask mandates this past summer and remain suspended as the fall term approaches.
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This has caused faculty and student unions at these places to protest. The university
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administration has apparently their leadership seems to prefer to live under mandates, although
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it's not clear what the rank and file membership thinks about it, or for that matter, what the
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students think. Meanwhile, at the other end of the spectrum, you have Western University insisting
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on at least three doses for students and faculty returning to campus. This is even though Ontario's
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Chief Medical Officer of Health, Dr. Karen Moore, is not necessarily in favor of booster doses for
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younger people, especially young men who have a higher risk of myocarditis and likely don't need the
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booster given that they're young and healthy. To make sense of all of this and more, I have a superb
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guest with me today. Dr. Neil Rau is an infectious diseases specialist and medical microbiologist,
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assistant professor at the University of Toronto, and works at Halton Healthcare in Oakville. So without
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any further delay, please welcome Dr. Rau to the show. Hey, Neil, welcome to the show. It's great to have you
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here. So I've told our viewers about the controversy over mask and vaccine mandates, especially now with
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Western University taking this extreme step of insisting on boosters. Is it just the university
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being extra cautious, or is it simply refusing to move past the pandemic and remain in this constant
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state of emergency? And you know, what's even more bizarre, Neil, is that they've exempted visitors and
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service personnel from the mandates. So apparently, the science is different for a big donor, or a
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visiting sports team, or for your local delivery guy. And it's different for students and faculty.
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Also, I noted that faculty and student unions at some schools in Canada, that sensibly got rid of the
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mandates a few months ago, from back in the summer, and now they want them back. What do you make of all
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of this? You know, this is awfully confusing, not just for the students, but even for the public at
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large. And we have many similar confusing scenarios I can recount to you. You know, if you go on a via
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rail train, you have to wear a mask. But if you take a go train, or a commuter train, you don't, or a
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tourist train, you don't. If you are unvaccinated, and you arrive in Canada, you have to do quarantine.
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But if you're vaccinated, you don't. If you're unvaccinated, you should be tested, if you come from abroad. But
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if you're vaccinated, you know, you're tested at random. We have so many contradictions like this,
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that of course, now add universities to it. And moreover, the Western University appeal to the
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higher authority of the Ivy League schools in the US, citing that other Ivy League schools are
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doing something crazy. Therefore, we should follow them and do the same thing. So no wonder they're
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confused. If an august organization like, say, Brown University or Harvard University chooses to do it,
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why shouldn't we do it? They must be right, we must be wrong. So the problem with any form of a vaccine
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passport system, or a vaccine mandate, is that there's an assumption that those who are vaccinated
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are somehow less contagious, less infectious than those who are not vaccinated. That premise is being
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destroyed day by day, variant by variant. So originally, there was this lovely data, late 2020,
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which suggested we have the silver bullet, our exit out of the pandemic, that if we vaccinated everyone
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and achieve herd immunity, we would stop this in its tracks. It's not true. We didn't know about the
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variants. We didn't know about waning immunity, that immunity would fall over time following vaccination.
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We didn't know that after three doses of the Pfizer vaccine, four months later, your vaccine protection
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against these circulating Omicron screens is not 10 or 15 or 20%, it's zero. It's 20% at two months,
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and it's zero at four months. So no one knew this when these policies came up. But the policies lagged
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the science. And once that freight train of these policies, these mandates, this virtue signaling,
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shaming those terrible unvaccinated people, teaching them a damn lesson for their bad behavior,
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spanking them if you will, once that started, it couldn't stop itself. And we went around and we
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caused mayhem. And there's no acknowledgement of the error. There's no silent discussion. Maybe we should
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get back on this. Maybe we should just pull it away. Maybe we can secretly quietly get rid of those
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vaccine mandates that are leading to some staffing challenges in hospitals, for example. Like maybe it's
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time to rethink this. That's what hasn't happened. And wow, when universities go backwards like this,
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am I ever glad those students are speaking up? Triple vaccinated students, no less. Like myself,
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I'm triple vaccinated and once infected, at least, by Omicron.
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Same here. And I think, you know, before we taped a couple of days ago, when we, you and I were
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chatting about doing the show, I remember you saying something very interesting that the protests
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happening at Western University are a protest by the vaccinated. So it's sort of the mirror image of
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what happened with the truckers protests. But, you know, but having said that, the truckers protest,
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you know, was not a protest by the unvaccinated. You know, having spoken to many of the people who
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showed up to protest, including the truckers, many of them were actually vaccinated. They just
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were protesting because they didn't think these mandates served any purpose. And, you know, they
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were taking a principal position on it. So it's fascinating how, you know, that, that, you know,
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I'm glad that the students at Western University are taking a stance on this. I mean, it's time that
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people started speaking up. It absolutely is ridiculous that, you know, what is the scientific
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rationale behind the booster, especially for those who are young? Yeah, I'm shaking my head with this.
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I mean, some people kindly said it's a personal choice. Yeah, you know, at least just at least
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let's talk about this from an informed consent perspective. That's what some people who spoke
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at the protest said, some physicians who spoke at the protest said. But the other comment I would make
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is, what's the medical value? When you do something, you have to look at the number to treat,
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the number of vaccines I need to give to prevent a hospital admission, to prevent a death. Once
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you're dealing with someone who is under 50, if they've had two doses of vaccine, that third dose
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of vaccine doesn't add much. It's not like stepping on the gas pedal. The harder you step, the car goes
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faster. Sometimes the car is going as fast as it's going to go. You don't get more by beating the
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horse harder sometimes. That's what this is becoming. And then the other point is many people were
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addressing with a third dose of vaccine have been infected with Omepron, but that was their booster.
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It was waiting for you at the LCBO, not the antigen kit for the disease.
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You know, this is this is the hilariousness of it. So it's just, you know, that we've never
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acknowledged natural infection in the equation. And that is a game changer. The political science
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analysis I'm going to give you as well, with reverse to Western, is it's not a bunch of people who had
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so-called Confederate flags on the front of their trucks. These are students who are educated, who
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are triple vaxxed, and they are the voting constituency for the government in power for the most part.
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This is their target audience. A 30-year-old or 25-year-old female arts graduate or arts student
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is likely to vote Liberal or NDP. And they have pissed off that subgroup of voters. They've blown it
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this time as a government in power if this is what they allow. Now, this is a university
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promoting this, but if the governments in power don't speak out against this, they might actually
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lose voters. So they have to think about the implications, because if this type of policy
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comes from upon high, not just from universities, but from governments in power, you won't see it
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from the foreign government, I don't think, but if you saw it from other provincial governments
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being promoted, I think they'd be running roughshod against their own votership.
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Yeah. Yeah. I think this is going to become a political issue. It's already a political issue
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at this point, but I think it's good that these students are speaking up. I want to touch upon
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this, something you mentioned earlier. Since the advent of Omicron and its subvariants, we know that
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COVID has become much less severe. It's highly transmissible. And even the booster shots, as you said,
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don't really do much at preventing transmission at this point. First of all, would it be fair to say
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that from a layman's perspective, COVID-19 is morphing into something like the seasonal flu
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that we've been living with forever? And with the seasonal flu, as you know, taking the flu shot
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was always voluntary and no one put a gun to your head. So, I mean, first of all, would it be fair to
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say that it's basically evolved into something like the seasonal flu?
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So, what you're getting at is what we call an endemic approach, is it appropriate, rather than
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a pandemic approach? I think so. I don't think everyone's ready to get off the horse yet. It
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depends who you ask. Okay. And that's where you're going to see a divergence between experts. But
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one thing I can say is, as you said earlier, Omicron is not causing the health impact that the original
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Wuhan strain, COVID classic, as I call it, did. The other point is you've got an immunologically
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experienced population. Initially, we were so-called immunologically naive. Nobody had seen the vaccine,
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nobody had seen the disease. Now we have large numbers of people who have seen the disease,
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who have been vaccinated, who got the disease, then who were forced to get vaccinated or got the vaccine,
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whatever might have happened. So, you've got this hybrid mix, or pure vaccinated, or pure
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unvaccinated, but infected. And there's a very small percentage of people who are unvaccinated,
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who can still be hit hard even by Omicron and end up in hospital. To be fair, I'm not sure the
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severity of the disease has changed, but I think the population at risk has changed. So, with infectious
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diseases, we look at three things. We look at the host, we look at the environment, and we look at the
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virus, the triangle, the epidemiologic triangle. If the virus hasn't changed, one thing that has changed
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is the host, the host situation, the immune status of the host. The environment, we learn more about
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where it spreads. We don't have to have people crying on TV because we're having outdoor parties
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at Trinity Bellwoods Park anymore. We had stories like a doctor going on TV crying because people
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were outside in May of 2020. I don't think we need that anymore. There's no need to cry. We don't need
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people to mask outside, although some people like to do it to show how amazing they are to other people.
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This is a talisman. This is not really a personal protective measure anymore in that setting. Now,
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we do know that people, if they want to, can go ahead and wear a mask. They can even wear an F95 mask,
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FN95 mask if they want. That's great. They can also wear it as they walk into a restaurant and
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promptly take it off as they eat, and they can feel protected. This is the kind of folly that I see.
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We see people getting on airplanes with masks and taking it off as soon as the plane's at cruising altitude
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and the flight attendant shows up with a coffee. It all comes off. Why are we doing this? If we're
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going to keep doing things, we have to be selective. Asking university students to do this on a campus,
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to me, is just pure folly. Wrong population, not the best intervention if they're wearing just a
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surgical mask, in the wrong era of COVID-19, where we have an immune experienced population,
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either through vaccination or disease. It's a triple fail, in my view.
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Yeah. Speaking of people who refuse to get off the horse, you have countries that have more or less
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fully moved on and aren't having these debates of what way we're in and what the wastewater signal is
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telling us. I always thought that we, as Canadians, tended to be pragmatic. What I see is a state of
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what I can only call COVID psychosis at this point, where especially many public health experts and
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doctors whose voices get amplified by the mainstream media, they simply don't want to let go. Meanwhile,
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you have courageous experts and doctors like yourself who don't share the so-called consensus
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view, and you're criticized and vilified and ridiculed. This seems like a very unhealthy state of
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affairs and does a lot of damage, in my opinion, to public health messaging in the end and instills fear.
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I still meet people who are triple vaccinated, triple masked. They live in a state of perpetual fear.
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What do you make of all of this? How did we end up in this mess and where do we go from here?
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So some of this started even before COVID. I'm going to kind of walk through. You mentioned flu. We had campaigns,
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let's get flueless, you know. So there was a vision that if we all got the flu shot, we could stop this
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disease. It's not true. I've written in the Globe and Mail a number of years ago that we were taking the
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flu shot too seriously. This is well before COVID. We haven't managed our expectations. We are trying to
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create a belief that what happened with measles for the vaccine actually stopped transmission
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would apply to other respiratory viruses, including influenza and COVID-19. It just isn't the case.
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If you don't manage expectations and you keep going with this view that you can stop something in its
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tracks, that you can stop the wind, as people describe trying to stop the flu, in terms of its
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impossibility, this is what you get. The other thing is there's a cultural dislike, disdain for the so-called
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anti-vaxxer. And I've been labeled an anti-vaxxer for questioning the idea of going on and on with
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a carousel of boosters to quote one of your prior phrases, the carousel of boosters. Because this is
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where it doesn't stop. And I think it's like a movement. It's much easier for me to go on mainstream
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media or media and just say, get the shot at your best defense. It's a bromide. Who's going to question
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a bromide like that? If I say, listen, there's a certain group of my older patients who would benefit
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from a fourth booster or a third booster, at least a third booster. And maybe we should wait for a new
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vaccine to give a fourth booster or wait, maybe if they've already just had Omicron or had COVID in
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the last three or six months, we can take pause. We don't have to hammer them with another vaccine.
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When I make those comments, someone will turn around and say, that's an imprudent, irresponsible view.
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I am morphing into the anti-vaxxer league. And that label is terrible. That's a terrible label to
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have. So this is why you see people backing off private emails to you, to other journalists,
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to myself, people reaching out, chat groups forming where people don't want to speak out publicly,
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except for a few of us. But the insanity has reached a level now where young students who are
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triple vaxxed are saying, what the hell is going on? And rightly so. So that's the turning point.
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The Western University protest is the turning point. I'm surprised it wasn't bigger. But if it
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happens at multiple universities, or if they have a second round of this with more uptake,
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you never know. Or maybe it'll come up during the political campaign. And that would be bad
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news for the governing party. Yeah, yeah. Yeah, I think, yeah, exactly. You know, speaking of young
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people, Neil, you know, there's a growing consensus, at least from my reading of the situation,
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especially for men under 40, I believe, that there's a greater risk of getting myocarditis
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from the vaccine than from COVID-19. What do you make of this? Do you share this emerging consensus?
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I share that consensus. And this is why I think we have to be cautious about boosters. I'm not saying
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it was wrong to give one or two doses in the pandemic, fog or war. Fine. But I think when you
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start pushing boosters, and when we have this evidence about waning immunity, that basically,
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it's like a short top up, it's like having a gas guzzling car, and you're going to fill up the
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tank all the time, you can't you never, you can't drive more than a certain kilometers before you
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top up again. When you have this type of of a practice developing, and you apply it to people
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who are low risk of bad outcomes from the disease, a rare outcome of myocarditis, heart inflammation,
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starts to become an appreciable concern. Do the benefits outweigh the risks or vice versa?
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In that sub population. Again, these questions can't be openly discussed. I think there's a
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tendency not to discuss these adverse effects. You even hear the line that the disease causes
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myocarditis more than the vaccine. But the point is that their people can also get the disease anyway
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with the vaccine or without the vaccine. We know that the vaccine efficacy is not 80 or 90 or 100%.
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After a while, you're at the same risk anyway. So what that argument doesn't hold water anymore.
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You know, in the early phases with earlier variants, there was better data about at least
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some vaccine efficacy, meaning stopping infection, not preventing bad outcomes. The bad outcomes part,
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we've already gotten that benefit from either getting the disease or the vaccine. That holds true
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anyway. But at least in the early days with the earlier variants like Delta and Alpha, the argument
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can be made. But once Omicron showed up, this was a game changer. And the policy lags the science.
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A lot of this is very political as well. Yeah, well, and you know, you talked about masking earlier,
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you know, masking on a plane and then taking it off and then having a drink and then you have to put
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it back on. What is the current consensus on masking in schools, for example? Does it make sense to impose
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mask mandates on young kids? What is the evidence currently saying on mask masks?
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So very good evidence now showing there's no difference in schools that did and did not mask.
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Okay. And just as we discussed the idea of imposing a vaccine on people who have very low
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direct risk from the disease and minimal direct benefit from the vaccine, meaning to themselves.
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Similar thing here with the masking. When you make kids mask, you're doing this with the view that the
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masks are preventing transmission. You're not doing it to protect them from the disease. Yeah, you'll hear
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all this hullabaloo of a long COVID that you're somehow preventing long COVID. But we know that
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the masking doesn't really change the rate of infection. So what you're doing is imposing
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something of a theoretical benefit to stop transmission, say, to the teacher or to other students
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to generally a group that's at low risk of bad outcomes. Unless you say you have an older teacher
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who's already vaccinated, by the way, likely. And you're impairing their learning, language development,
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comprehension, social development. If English is a second language for them, there's a second way to
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learn a language. It's not just auditory, it's visual, it's facial movement, pronunciation. Also,
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you're hearing development, like there's a whole bunch of developmental pediatric consequences
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to continuing with this pathway of masking kids. Finally, the now debunked, or I shouldn't say,
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but now dissolved Ontario science table had said, hey, maybe this isn't a good idea to keep pushing
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the masking. But I would also say debunked because they were big proponents of masking in schools.
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And they were also an example of a group that gave contradictory messaging to public health.
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One big theme I've seen is that there is no leader of the orchestra. You'll have our chief medical
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officer of health saying one thing, and then other people deciding they're going to go for the nines
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and go beyond the broad advice. Exactly. As is happening with Western, right? Sorry to interrupt,
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but as is happening with Western, when you have the chief medical officer of health for the province,
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Dr. Karen Moore, saying that, look, when it comes to younger people, especially when it concerns my
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the risk of myocarditis, you know, it's up to you to make that risk benefit analysis and come to a
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decision based on that risk benefit analysis. But yet you have the schools like Western and
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other schools essentially going rogue. So it's one thing if it's a private business,
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they can do whatever they want. I guess you can't tell them what to do. It's their own private
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home. You come to my house and I insist on antigen testing for you. You can't stop me. It's my home.
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If you want to come to the internet or my place, you have to. This is a publicly funded institution,
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thousands of students, thousands of faculty, and they can go rogue and contradict our chief medical
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officer of health. No one accuses them of disinformation. But if I said, hey, maybe we should rethink
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whether we need so many doses of vaccine, that's getting into the disinformation area.
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Yeah. So this is this is the paradox. That's why you will have
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commentators track towards the most cautious. And no one will really question, is this too much?
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It's starting now a little bit. I saw signs of it with this Western university protest. But with the
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truckers protest, there was no regard for that. They were treated the same way Hillary Clinton,
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the so-called deplorables, the deplorables. This is the equivalent. This is our Canadian equivalent of
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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
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deplorable, ignoring their personal circumstance. The worst thing I have seen in this pandemic has been
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lower income people who refuse the vaccine, who had been infected and infected before many of us saw it,
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and being thrown out of their jobs. Yeah, very un-Canadian. But perhaps, you know, I've been
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reflecting on this. Maybe it is part of the Canadian psyche that we just haven't come to terms with.
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And it just took a pandemic basically to bring that to the surface. But, you know, but that's
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that's that's that's that can be debated for sure. And so, Neil, let's go back to natural immunity. And
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this is a question that I ask every expert that I speak to. For some reason in Canada and the US,
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there's no recognition of natural immunity. And yet in places in many European countries, for example,
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that's natural immunity is essentially seen as being equivalent to vaccination. And what's more,
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many of us, as we talked about this earlier, many of us have this hybrid immunity. Now we've had two
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or even three doses, and we've gotten Omicron or maybe even the original strain. Why do you think
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that natural immunity is simply not recognized in Canada when, you know, it's as old as time itself?
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This is I mean, what did we do before the advent of vaccination? This is how humankind survived.
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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
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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
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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,
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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.