Juno News - September 01, 2022
What's worse? Covid or the flu? (Feat. Dr. Neil Rau)
Episode Stats
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Summary
In this episode, we discuss the evolving threat posed by the new strain of the flu virus known as Omicron Virus Type Ia, or "Omicron-19" and whether or not we should get on the horse yet.
Transcript
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Something you mentioned earlier, you know, since the advent of Omicron and its sub-variants,
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we know that COVID has become much less severe. It's highly transmissible. And even the booster
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shots, as you said, don't really do much at preventing transmission at this point.
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First of all, would it be fair to say that from a layman's perspective, COVID-19 is
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morphing into something like the seasonal flu that we've been living with forever?
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And with the seasonal flu, as you know, taking the flu shot was always voluntary and no one put
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a gun to your head. So, I mean, first of all, would it be fair to say that it's basically evolved
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into something like the seasonal flu? So what you're getting at is what we call
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an endemic approach, is it appropriate, rather than a pandemic approach? I think so. I don't
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think everyone's ready to get off the horse yet. It depends who you ask. Okay. And that's where
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you're going to see a divergence between experts. But one thing I can say is, as you'd said earlier,
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Omicron is not causing the health impact that the original Wuhan strain, COVID classic, as I call it,
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did. The other point is you've got an immunologically experienced population. Initially, we were so-called
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immunologically naive. Nobody had seen the vaccine. Nobody had seen the disease. Now we have large numbers
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of people who have seen the disease, who've been vaccinated, who got the disease, then who were
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forced to get vaccinated or got the vaccine, whatever might have happened. So you've got this
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hybrid mix or pure vaccinated or pure unvaccinated but infected. And there's a very small percentage
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of people who are unvaccinated who can still be hit hard even by Omicron and end up in hospital,
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to be fair. I'm not sure the severity of the disease has changed, but I think the population at risk
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has changed. So with infectious diseases, we look at three things. We look at the host,
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we look at the environment, and we look at the virus, the triangle, the epidemiologic triangle.
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If the virus hasn't changed, one thing that has changed is the host, the host situation,
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the immune status of the host. The environment, we learn more about where it spreads. We don't have
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to have people crying on TV because we're having outdoor parties at Trinity Bellwoods Park anymore.
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We had stories like a doctor going on TV crying because people were outside in May of 2020.
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I don't think we need that anymore. There's no need to cry. We don't need people to mask outside,
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although some people like to do it to show how amazing they are to other people. This is a talisman.
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This is not really a personal protective measure anymore in that setting. Now, we do know that people,
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if they want to, can go ahead and wear a mask. They can even wear an F95 mask, FN95 mask if they want.
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That's great. They can also wear it as they walk into a restaurant and promptly take it off as they
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eat, and they can feel protected. This is the kind of folly that I see. We see people getting on
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airplanes with masks and taking it off as soon as the plane's at cruising altitude and the flight
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attendant shows up with a coffee. It all comes off. So why are we doing this? So if we're going to keep
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doing things, we have to be selective. Asking university students to do this on a campus, to me,
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is just pure folly. Wrong population. Not the best intervention if they're wearing just a surgical
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mask. In the wrong era of COVID-19, where we have an immune experienced population, either through
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vaccination or disease. So it's a triple fail, in my view. Yeah. I mean, speaking of people who refuse
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to get off the horse, you have countries that have more or less fully moved on and aren't having
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these debates of what way we're in and what the wastewater signal is telling us, I always thought
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that we as Canadians tended to be pragmatic about. But what I see is a state of what I can only call
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COVID psychosis at this point, where especially many public health experts and doctors whose voices get
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amplified by the mainstream media, they simply don't want to let go. Meanwhile, you have courageous
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experts and doctors like yourself who don't share the so-called consensus view and you're criticized
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and vilified and ridiculed. This seems like a very unhealthy state of affairs and does a lot of damage,
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in my opinion, to public health messaging in the end and instills fear. I still meet people who are
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triple vaccinated, triple masked. They live in a state of perpetual fear. What do you make of all of
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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.
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We had campaigns, let's get flueless, you know. So there was a vision that if we all got the flu shot,
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we could stop this disease. It's not true. I've written in the Globe and Mail a number of years
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ago that we were taking the flu shot too seriously. This is well before COVID. We haven't managed our
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expectations. We are trying to create a belief that what happened with measles for the vaccine
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to actually stop transmission would apply to other respiratory viruses, including influenza
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and COVID-19. It just isn't the case. If you don't manage expectations and you keep going with this
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view that you can stop something in its tracks, that you can stop the wind, as people describe trying
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to stop the flu in terms of its impossibility, this is what you get. The other thing is there's a
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cultural dislike, disdain for the so-called anti-vaxxer. And I have been labeled an anti-vaxxer
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for questioning the idea of going on and on with a carousel of boosters to quote one of your prior
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phrases, the carousel of boosters. Because this is where it doesn't stop. And I think it's like a
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movement, it's much easier for me to go on mainstream media or media and just say, get the
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shot. It's your best defense. It's a bromide. Who's going to question a bromide like that?
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If I say, listen, there's a certain group of my older patients who would benefit from a fourth
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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,
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irresponsible view. I am morphing into the anti-vaxxer league. And that label is terrible.
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That's a terrible label to have. So this is why you see people backing off private emails to you,
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to other journalists, to myself, people reaching out, chat groups forming, where people don't want
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to speak out publicly, except for a few of us. But the insanity has reached a level now where young
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students who are triple vaxxed are saying, what the hell is going on? And rightly so.
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So that's the turning point. The Western University protest is the turning point. I'm surprised it
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wasn't bigger. But if it happens at multiple universities, or if they have a second round
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of this with more uptake, you never know. Or maybe it'll come up during the political campaign.
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And that would be bad news for the governing party.