Kaplan-Myrth: Health-care workers have your backs. Please protect us too

From our family doctor:
Those of us who have been the recipients of harassment and intimidation over the last two years — who have experienced the overlap between antivax/antimask rhetoric and anti-semitism, racism, homophobia and misogyny — were overcome by a sense of foreboding as trucks rolled into downtown Ottawa more than a week ago. These events, now spreading to the rest of Canada, are a warning to us all.By now everyone has seen the photos of Nazi and confederate flags on the backs of trucks. Residents of downtown Ottawa are powerless against trucks honking their horns all night, diesel fumes wafting into their windows. Food was taken from the Shepherds of Good Hope shelter. Women survivors of violence, traumatized, cried out for help, unable to safely walk outside the Cornerstone shelter. An employee at a local business was physically assaulted. LGBTQ community members were confronted with transphobic placards; a shop window with a rainbow flag was broken. In a virtual townhall meeting led by Ottawa Centre MPP Joel Harden, the chat was disrupted at one point because of anti-Black, racist comments.

The mayor has declared that downtown Ottawa is “under siege,” in a state of “emergency.” As the hate spreads across the country, health-care workers in Toronto and Vancouver were warned not to dress in scrubs in the streets, to avoid being a target for hate. In response, Dr. Lisa Salamon-Switzman, an emergency room physician in Toronto, posted on Twitter that she would wear her scrubs, that as a granddaughter of Holocaust survivors, she would not cower from those espousing hate.

Source: Kaplan-Myrth: Health-care workers have your backs. Please protect us too

Kaplan-Myrth: As a doctor promoting vaccination, I live in fear

From our family doctor:

I am afraid. I can no longer walk to work alone. I startle awake at night. I’ve ramped up my security but still my sense of safety has gone out the window.

A couple of months ago, I stood up in front of Queen’s Park and asserted that “we aren’t seeking normal, we are seeking safety.” It was late August and I had organized a panel to talk about what we needed for a safe September for our children at school. We called for better ventilation in schools, higher quality masks, and mandates for COVID-19 vaccination for all educators and staff who interact with children. We spoke to the news media and reached out to politicians. We were all busy and exhausted from a summer immunizing our patients and advocating for marginalized populations, seniors, children and others in our communities.

Nobody is safe until we are all safe, I said.

The next day, the anti-vaccination protests started in the streets outside of hospitals across Canada. Throngs of people blocked ambulances. They were disruptive to patients seeking care and disrespectful of the staff hard at work indoors. The media caught ample footage of those hostilities.

What’s hidden from view – then and now – is the daily, private onslaught of nastiness directed at those of us who stand up for science, for vaccines and for your safety and care. We are bombarded with vitriol from anti-vaccination and anti-science trolls on social media. Some of these perpetrators go even further.

This past week, I was targeted by one such individual. Someone I have never met sent a threat, guised as a complaint, to the College of Physicians and Surgeons of Ontario. The letter started with, “Complaint versus criminal fraudulent chart violating Nazi slut,” and then the person went on to threaten to kill me in retribution for immunizing my patients and others in Ottawa.

It is shocking, but it is not an isolated event. It has happened to many of my esteemed colleagues. Tires slashed in hospital parking lots. Hand-written letters of hate dropped off at offices. Racist slurs. Misogynist attacks. Death threats.

We care about what we do, so we have been stoic, put on our scrubs and our masks and persisted in our work. We certainly continue to immunize our patients. We speak on behalf of pandemic safety measures, even while police cruisers sit in front of our homes to protect our families.

What does this say about our society? What does it say about our political leaders who stoke the flames of divisiveness and gaslight those same health care professionals who they once said were heroes?

Canada’s beleaguered health care providers, advocates for your safety, are being targeted. We haven’t even started to immunize children aged 5 to 11 against COVID-19 and we are so tired, so scared. The thousands of adults who I immunized last spring and summer at my “Jabapalooza” clinics were hoping I’d do similar events for their children. I cannot because it would not be safe for me or my volunteers. The schoolyard bullies have chased us off our street. That is where we are, in this pandemic, after 20 months of saying we are “in this together.” Demoralized isn’t a strong enough word to describe how we feel.

A police sergeant finally phoned me four days after I submitted a request to them for help. The College of Physicians and Surgeons sat on the letter for 12 days before they sent it to me, and they never phoned the police themselves. Even though it contains a death threat and an antisemitic message of hate. Who has our backs?

If we want this pandemic to end, if we want to ensure that we thrive as a country, then to safeguard the health of all Canadians it is up to our leaders and organizations to step forward and say they condemn any – and all – threatening behaviour directed at health care workers.

Take care of us, so that we can take care of you. That isn’t asking too much.

Source: https://www.theglobeandmail.com/opinion/article-as-a-doctor-promoting-vaccination-i-live-in-fear/

Nili Kaplan-Myrth: Vaccination nation – or, a word with the prime minister

From our family doctor:
As a family doctor, I never dreamed I’d speak to the prime minister about a life and death issue for Canadians. But this afternoon (Thursday), joined by my RN colleague Amie Varley, I am moderating a panel of health-care workers and community advocates across the country. We’ve been called “front-line heroes” throughout the COVID-19 pandemic, but our voices are often excluded from decision-making tables. I put together this panel to have a national conversation about COVID-19 vaccination strategies. Many of the issues that keep me up at night are similar to the issues that keep my colleagues, patients, friends and family awake.
What it is that we are all worrying about? Geographic disparities. My friend is a doctor in Kenora. She told me that in a 700-km corridor, from Winnipeg to Thunder Bay, none of the doctors and nurses in intensive care units (ICUs) and emergency departments, staff in LTC, health workers in any setting – has received the vaccine. She told me how fragile their hospital is in a remote area, where their entire system could collapse if anyone on their team gets sick.
We’re worried about systemic inequalities in our health-care system. First Nations, Inuit and Metis patients, and racialized Canadians, occupy a disproportionate number of the beds in our ICUs, and make up a disproportionate number of deaths from COVID-19. People who live in poverty, or are homeless, are far less likely to access the vaccine than affluent people are. Registration for vaccination may be entirely online, reliant on individuals to act as if they are buying tickets to a rock concert. How will my patients who are in their 80s, or my patients who do not own computers, who have already struggled to book COVID-19 tests, ensure that they get their shots?
There are so many issues of equity and diversity. In the process of putting together our panel, I was approached by people who wanted to know if we would talk about the vulnerability of seniors who live in the community, people with disabilities, caregivers outside of institutional settings. I spoke with people who were concerned we’d forget about Canadians who live or work in shelters, in jails. I was also approached by women’s health experts, discussing the need for national standards to support pregnant and lactating women as recipients of the COVID-19 vaccine.
I couldn’t include every advocate or every subject in our conversation with the prime minister, let alone every province and territory. How does one cover issues of racism, ableism, ageism, sexism, language barriers, socioeconomic barriers, discrimination faced by LGBTQ patients, and all the ways in which our health care fundamentally disadvantages members of our society, all in a one-hour conversation about access to COVID-19 vaccine across the country?
I also wanted to address the idea that we are “in this together,” when in fact we tend to work in silos. Our panel brings us together: Nurses, doctors, midwives, pharmacists, personal support workers, health policy researchers, patient advocates, essential caregivers. We end the panel by talking about how we can collaborate to get the COVID-19 vaccine into the arms of Canadians.
While I am still pinching myself, amazed that this is possible – I’ve told my children to speak up for what matters, but who’d have thought I’d speak directly to the prime minister? – our panel is an example of the diverse voices that should be at every decision-making table. This is only the beginning of a collaborative conversation that I hope will continue.
Dr. Nili Kaplan-Myrth, MD, CCFP, PhD, is a family doctor and anthropologist who writes about health policy and politics. She also co-hosts the podcast Rx:Advocacy.ca

Source: Nili Kaplan-Myrth: Vaccination nation – or, a word with the prime minister