The open letter:
http://balancedresponse.ca/open-letter/
The statement:
http://balancedresponse.ca/open-letter/
http://balancedresponse.ca/open-letter/
Quote:
The current approach to dealing with COVID-19 carries significant risks to overall population health and threatens to increase inequities across the country. Aiming to prevent or contain every case of COVID-19 is simply no longer sustainable at this stage in the pandemic. We need to accept that COVID-19 will be with us for some time and to find ways to deal with it.
The current and proposed measures for reopening will continue to disproportionately impact lower income groups, Black and other racialized groups, recent immigrants to Canada, Indigenous peoples and other populations. And it risks significantly harming our children, particularly the very young, by affecting their development, with life-long consequences in terms of education, skills development, income and overall health.
Canada must work to minimize the impact of COVID-19 by using measures that are practical, effective and compatible with our values and sense of social justice. We need to focus on preventing deaths and serious illness by protecting the vulnerable while enabling society to function and thrive.
Elimination of COVID-19 is not a practical objective for Canada until we have a vaccine. While there is hope for a vaccine to be developed soon, we must be realistic about the time it will actually take to develop and evaluate it and then deliver an immunization campaign covering the entire population. We cannot sustain universal control measures indefinitely.
We need to accept that there will be cases and outbreaks of COVID-19. We need localized control measures that are risk-based. We should consistently reassess quarantine and isolation periods, recommendations for physical distancing and non-medical masks, and travel restrictions based on current best evidence and levels of risk.
At the same time we must improve infection prevention and control in long-term care and congregate living settings. We should provide support for people living in the community who need to or choose to isolate when the disease is active, as well as those who have been adversely affected by COVID-19, or the consequences of the public health measures.
Canadians have developed a fear of COVID-19. Going forward, they have to be supported in understanding their true level of risk, and learning how to deal with this disease, while getting on with their lives back to work, back to school, and back to healthy lives and vibrant, active communities across this country.
We acknowledge the heroic work that has been done in recent months by many across all levels of government and the public and private sector, and the sacrifices that Canadians have made to get to this stage. As we look forward, Canada must balance its response to COVID-19.
The statement:
http://balancedresponse.ca/open-letter/
Quote:
COVID-19 is a serious public health threat and will remain so until we have a universally available safe and effective vaccine or similar medical treatment. There have been many deaths due to COVID-19 and every single one represents a tragic outcome. However, in overall population health terms COVID-19's direct impact on premature mortality is small. While those under the age of 60 account for 65% of cases, they represent just 3% of deaths. With ready access to health services, severe outcomes can be averted in those who do not have pre-existing risk factors.
...
The fundamental determinants of health - education, employment, social connection and medical and dental care - must take priority. Measures for COVID-19 control need to accommodate these health determinants. Children need to go to interact with their peers, in child care, schools, sports and social activities, and summer camps. Adults need to go to work. Family and friends need to meet.
The societal costs of maintaining these public health measures, even with some gradual relaxation, are too high. Canadians are missing scheduled medical appointments and surgeries, which will lead to increased deaths. There are significant challenges for our young with impact on early childhood development, one of the strongest predictors of life-long health and social outcomes. Education is compromised. There are increases in domestic violence, alcohol and drug intake, and food insecurity. The economic consequences are huge. This leads to increased unemployment which is related to increased deaths. And the toll on mental health is just beginning to be felt. Personal concerns about the disease, cases and deaths in friends and family, loneliness and isolation, worries about jobs and finances, parents having to juggle childcare and general insecurity are leading to increased levels of anxiety, depression and stress.
...
COVID-19 control must be balanced with basic human rights. People need to be empowered to make informed choices about their own lives and the level of risk they are prepared to accept. Universal public health measures are appropriate only when they are truly necessary, supported by strong evidence, and when there are no other alternatives.
...