#COVID19CD #COVIDBC I don't understand all the evasion around COVID in LTC, and Dix's evasion of @CBCStephenQuinn 's questions. The insinuation is that staff keep bringing in the infection, and transferring it to patients. "Presenteeism" ... is the problem

Well, perhaps. But staff initially are likely to be unaware of their infection, and existing symptom screening approaches are weak. Institutions and governments have not adopted fast antigen testing, so infections get in the door.

But once inside, there are many ways to spread: from staff to staff, staff to patient, patient to patient, and then all of those potential transmission chains can be amplified by aging HVAC systems.

So the question is not how does COV2 get in the LTC facility - it walks in, unchallenged (Problem #1) - the key question is what determines how long an infection stays and propagates (P#2) The role of HVAC remains unclear (P#3), but pressing. CO2 measurements anyone?

Vaccines will make a huge difference in the carnage, but if the problem is HVAC-related then when COV2 find sits way back in 2 LTC it will find the vulnerable. Fast antigen tests, and HVAC studies, are urgently needed.

Presenteeism is not an explanation, it is a fault-shifting narrative designed to focus attention on those with minimal power, and to distract from the responsibilities of public health and facilities to address rapid testing,HVAC improvements, PPE and other structural problems.