M
Michael Gardam
Canadian infectious disease physician and former CEO of Health P.E.I., now a healthcare leadership consultant with Schulich Executive Education at York University.
2
APPEARANCES
1
PODCASTS
012
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Aug 14, 2025
Encore: Measles returns. How did it come to this?
10:28
21:51

Amanda LangHOST
Where are the mandates? What should they be, Michael? If you were designing a measles mandate, what does it look like?
M
10:34Michael GardamGUEST
Yeah, it's a really tough one because we've generally, you know, even when we had a vaccine mandate, it wasn't that you must get a vaccine.
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10:45Michael GardamGUEST
It just means you may not be able to do everything that everybody else does, right? Even when I worked clinically in tuberculosis and I had somebody with highly contagious TB, multi-drug resistant, refusing their medication, public health still wouldn't force them to take the pills.
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11:04Michael GardamGUEST
Which is pretty harsh, right? So I think that as a society, we kind of, I think we've kind of spoken and said that we're not going to hold you down and vaccinate you.
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11:14Michael GardamGUEST
I don't think that a lot of people would agree with that, even though personally.
11 MINS LATER

Amanda LangHOST
Is that a big resource issue or is that easily achievable? Are there things we could be doing right now that would help move some of that thinking around vaccinations broadly in the right direction?
Measles has returned. How did we get here?
10:28
21:51

Amanda LangHOST
Where are the mandates? What should they be, Michael? If you were designing a measles mandate, what does it look like?
M
10:34Michael GardamGUEST
Yeah, it's a really tough one because we've generally, you know, even when we had a vaccine mandate, it wasn't that you must get a vaccine.
M
10:45Michael GardamGUEST
It just means you may not be able to do everything that everybody else does, right? Even when I worked clinically in tuberculosis and I had somebody with highly contagious TB, multi-drug resistant, refusing their medication, public health still wouldn't force them to take the pills.
M
11:04Michael GardamGUEST
Which is pretty harsh, right? So I think that as a society, we kind of – I think we've kind of spoken and said that we're not going to hold you down and vaccinate you.
M
11:14Michael GardamGUEST
I don't think that a lot of people would agree with that, even though personally – what's the big deal about getting a vaccine? But I understand that holding somebody down and vaccinating them is a very different scenario.
10 MINS LATER

Amanda LangHOST
Is that a big resource issue or is that easily achievable? Are there things we could be doing right now that would help move some of that thinking around vaccinations broadly in the right direction?