Discover and read the best of Twitter Threads about #precautionaryprinciple

Most recents (21)

I won't sugarcoat this fearmongering.

Candida auris typically infects patients with weakened immune systems. C. auris causes invasive candidiasis (fungemia) in the bloodstream impacting the CNS & multiple organs.
C. auris has attracted attention b/c of its drug resistance, earning the cool name "superbug". But, it's not supposed to infect 600 "weakened immunity" non-patients:
2018-329
2019-466
2020-753
2021-1,765
2022-4,616 (not including this recent outbreak)

cdc.gov/fungal/candida…
A gentle reminder the US/CDC abandoned the WHO's #PrecautionaryPrinciple in 2020. This is the IPC/CDC page for C. auris today, lot's of handwashing, zero isolation of vulnerable patients: Image
Read 13 tweets
What Operation Warp Speed Did, Didn't and Can't Do - Marginal REVOLUTION
marginalrevolution.com/marginalrevolu…
#OperationWarpSpeed, #mRNAVaccines, #PandemicResponse
Evolution 'Landscapes' Predict What's Next for COVID Virus | Quanta Magazine
quantamagazine.org/evolution-land…
#EvolutionLandscapes, #ViralMutations, #AdaptiveValue, #COVID19
Read 13 tweets
I see that we are still slavishly worshipping at the idol of RCTs in epidemiologic science as the evidentiary warrant for public health action. I have written LOTS on the foolishness of this, its disastrous ethical & policy implications, & it's role in #ManufactureOfDoubt.

1/
It's almost as if people have never heard of the #PrecautionaryPrinciple. If we demanded evidence of exposure-harm or intervention-benefit that flowed from RCTs to warrant public health interventions, we would have essentially NO public health action AT ALL.

2/ Even granting the presumption that RCTs are a categorically
More on this, from my 2016 paper on importance of maintaining epistemically reasonable standards for proof of harm (& benefit!) as warrant for public health action:

(The subject of the paper is COIs and lays out my arg for regarding them as ordinary epidemiologic exposures)

3/ robust as we might like. If evidence of the kind envisioned
Read 6 tweets
So in light of depravity emanating from #DrBonnieHenry at today’s presser & complete disregard for protecting lives, can we all just agree that BCPH has violated ALL ethical values & principles in @GovCanHealth #COVID19 Ethics framework now? #bcpoli 1/19 canada.ca/en/public-heal…
TRUST: “Trust is essential to the success of the response to #COVID19. In the current context of uncertainty, being open, truthful & transparent in decision making & communication is essential to establishing & promoting trust.”
#firebonniehenry #bcpoli 2/19
JUSTICE:“In context of #COVID19, it means carefully considering impact of decisions & their implementation on those who have greatest needs, are esp vulnerable to injustice or are disproportionately affected by pandemic & PH response measures..”
#firebonniehenry #bcpoli 3/19
Read 19 tweets
1. #Travel? #Holidays? #COVID19?

During this #COVID I am going to create a rolling thread about key issues and articles of interest, just so as you can see the evolution toward a return to normality in 2022, 2023, 2024 or 2025; according to predictions by #Aviation!
2. #Travel? #Holidays? #COVID19?

Interesting article about #staycations and their price!!

The attitude of some UK h/makers, is I'm afraid, a common feature found in holidays abroad. I've heard many a tale about the Master vs Serf behaviour of some Brits! independent.co.uk/voices/holiday…
3. #Travel? #Holidays? #COVID19?

It's not done with us yet:

"...hard to anticipate what the timeline will be for the expected shift of COVID-19 to endemicity..."

weforum.org/agenda/2021/08…
Read 127 tweets
L'AMQG est 1 des 23 signataires de 13 pays d'une lettre ouverte à @EuropeanPATH.
@EuropeanPATH Avec @genspect (int'l) @Transgendertrd (UK) @OurDutyGrp (UK, D, AUS, USA) @GD_Alliance (CA) @GDSNsupport (EU) @post_trans (BE, DE) @CanalCorpoCerto (BR) @IKirjo (FIN) @BayswaterSG @anna_TTSB_GER (DE) GENID (Norway, Sweden)
Parents of ROGD kids (DE, UK, USA), La petite sirène (FR), Canadian Gender Report, Thoughtful Therapists (UK)
Read 16 tweets
The false dichotomy of #lockdown vs #economy still not understood by governments

Delaying, avoiding lockdown costs money AND lives

And then there’s this thing that healthy people make a healthy economy. Sick people don’t.

That is your starting point. #Health

#NotRocketScience
“The downside of being a bit more cautious is quite a lot smaller than the downside of getting it wrong.”

theguardian.com/world/2021/may…
The above warning comes as UK Covid cases rose by 4,184 on Friday – the highest increase since 1 April.

In NL cases reported today total 3914 in a population less than a third of the size of the UK.

And yet today PM Rutte announced almost everything opening in a week. Why?
Read 21 tweets
This 👇🏼 #Singapore seeing new large #COVID19 clusters, including #B1617 Changi Airport, Tan Tock Seng hospital. Shows a) #VOC import risk, b) better cluster tracking with low case numbers, c) now is not the time to relax measures 🇨🇭 (1/n) straitstimes.com/singapore/heal…
Excellent thread from @trvrb on growth of nee #VOCs with added analyses from @TWenseleers
Response to #B1617 #SARSCoV2 In #Singapore govt 3-phase model has just reduced group sizes from 5 to 2 and stopped indoor dining. #Switzerland, with >1000 cases daily planning large relaxation 🙈 #PrecautionaryPrinciple please channelnewsasia.com/news/singapore…
Read 4 tweets
In-depth individual interviews of 25 #women #workers at the Ambassador Bridge produced #breastcancer risk understandings & agency narratives.

Kathy said: “put us all together, and pretty soon you have just got lots of stories that all have the same ending.”

A thread

1/
The research captures & explains layered & multifactorial influences on women’s narratives of #breastcancer risks & related agency and to see how #health and health knowledge are constructed in a #nested set of relationships.

2/
Multiple information sources influenced #women’s #breastcancer risk and agency narratives.

Social, cultural & experiential information were all included.

#Workplace & #environmental exposures & socio-cultural aspects of work & environment were critical to the narratives.

3/
Read 27 tweets
Is it not astounding that @Ludvigsson announces that he will "refrain from continuing covid research after threats and hatred." I am actually dumbfounded. In #Sweden experts who have made mistake after mistake when criticized turn themselves into victims.

svt.se/nyheter/lokalt…
It is a classic tool to deflect the reality of the damage these experts have done and to almost engage in revisionism in the hope that people will forget. During the Spring @AnnLinde went out in force shouting "discrimination" and "bullying" when #Sweden`s #Nordic neighbours
closed their borders to #Sweden. They closed them to several other countries too. But when #Sweden closed its borders to #Norway they responded with grace and understanding. A Norwegian newspaper nailed it by stating that one has to tread very carefully when criticizing anything
Read 7 tweets
@SimonChapman6criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2
@SimonChapman6 criticizes #vape advocate for mentioning success, not failure. What's the failure rate of #ColdTurkey, Simon? Not heard you mention that..
#AusTHRInquiry2020 #PH2
Read 203 tweets
Friends, as you know I've advocated #masks for long time. Certainly longer thn @CDCgov & people at my... place of employment.

Qualitatively, I believe they work. How much they protect is hard to quantify, however.

Today, saw something thought provoking in this vein.

continues:
Anti-masker in inbox wondered what we say in a year, when (in his words/imagination of future), consensus changes against masks.

If can't quantify good masks do, how we know benefit isn't marginal?

Valid question, but #PrecautionaryPrinciple says not to play no-mask roulette.
I was here when they said it was nothing.

~ when... it was no worse than flu.

~ when... it would "only" kill 100,000.

The latest is that "masks won't stop it". It *is* hard to quantify #mask effect — but, I'm sorry but I can't endorse that.

I'm just not that kind of asshole.
Read 4 tweets
@jesse_kroll @linseymarr @dylanhmorris @DrNeeltje As with anything, more knowledge is better. When we study #airborne contagions or #AirPollution many disciplines are required. Clinical, forensic, environmental, social, & occupational epidemiology all must be informed by all science. 1/
@jesse_kroll @linseymarr @dylanhmorris @DrNeeltje The preference of 1 observational association vs a 2nd (but 'newer') observational association (both being classified 'low level' evidence until dozens of associations are collected) when confronted with a novel #CoronaVirus or any other contagion is not
#ScienceBased. 2/
@jesse_kroll @linseymarr @dylanhmorris @DrNeeltje We must be prepared to quickly apply or adjust existing (i.e., #influenza) public health non-pharmaceutical recommendations to those of a new threat when we know the risk of harm from these interventions is low. 3/
Read 8 tweets
Brexit formally occurred on Jan 31. People had voted for it to have borders with integrity, even if there was an economic cost. The Con Govt immediately had an opportunity to put this into practice: it actually made sense to tightly regulate our borders, with #coronavirusUK. 1/
So what happened after Jan 31? The Cons moved immediately in the OPPOSITE direction. They refused adamantly to impose any border controls, and let flight after flight after flight in, carrying #coronavirus into the UK. Johnson gave this speech on Feb 3: gov.uk/government/spe…
The speech is astounding, the way it’s been ignored by the MSM v. revealing. In it, the PM insists the UK will remain open for business during the coming pandemic, no matter what the cost.
I repeat my key pt: this was the opposite of what one might expect from a Brexit Govt. 3/
Read 21 tweets
Austria 🇦🇹 not alone in their attempt to gradually re-open after Easter. Denmark 🇩🇰 & Norway 🇳🇴 have similar plans:
businessinsider.com/austria-denmar…. #coronavirus

Assessing the effect of each step will take at least two weeks. Isn’t the Austrian schedule a bit ambitious? I’m worried. /1
Interesting difference in strategy & priorities: Austria 🇦🇹 re-opens garden centres, Denmark 🇩🇰 re-opens primary schools first. Is there any epidemiological reason? Or are these strategies based purely on economic and/or social criteria? Any opinions out there? /2
Testing levels high in Austria 🇦🇹, but not so in Denmark 🇩🇰. Neither of these countries seem to have tested controlled samples to estimate asymptomatic cases, although such a study is under way in Austria. Is it wise to re-open before we have better estimates of true cases? /3 Image
Read 5 tweets
Wow!! One of the most outstanding books I’ve ever read.

Sand Talk: How #IndigenousThinking can save the World

A great recommendation for these days!!

Thanks Tyson Yunkaporta. Your book is a gem to be discovered: #wisdom #values

textpublishing.com.au/books/sand-talk
A few years ago, I wrote a post about the #philosophy of Good Living or Living Well from Indigenous People
academia.edu/6528305/_Good_…

I talked about #biomimicry, learning from Nature with humility, and then we could also learn from the wisdom of indigenous people
I've decided to start a month-long project where I'll tweet a “wise” tip about "Sand Talk" every day during April. 30/30

#WiseBoomerang #1 This will be the 1st one.
It's about #humility the antonymous of #hubris. #Communication #DialogicalEthics #Connectedness
Read 32 tweets
@VRiffault @jljcolorado @WHO @DrMariaNeira Devil's advocate now... Unknown risk associated with lack of evidence when the volume of observations is high should provoke the precautionary principle if no harm is clear.
We dont know if an infectious dose is possible via micro droplets. But, they could be. What's the harm? 2/
@VRiffault @jljcolorado @WHO @DrMariaNeira There's a shortage of masks for medical workers. Full stop. That's the key message. We can & should make our own masks or use the reusuable pollution respirators with silocone seals that medical workers are not using. WHO recommends masks for asymptomatic influenza outbreaks.
@VRiffault @jljcolorado @WHO @DrMariaNeira 'non-pharmaceutical public health measures for mitigating the risk and impact of epidemic and pandemic influenza'.
Search "Asymptomatic". You will land on the relevant guidelines table.
#PrecautionaryPrinciple
apps.who.int/iris/bitstream…
Read 6 tweets
Chief Medical Officer Dr. Theresa Tam: doctors can test very ill patients in hospitals, in care for #covid19Canada “the net has been cast wider than travel”
but need rapid massive testing even mild illness, no travel, contacts of contacts in places w/ #covid19 infection control. Image
#Canada citing need to use “science,” expert-based evidence for #covid19canada.
Here’s science: Harvard infectious disease expert @BillHanage calls for stringent measures test rapidly, widely, even mild illness, no travel, contacts of contacts.
#PrecautionaryPrinciple #covid19
Canada needs to step up #COVID19canada testing, locate clusters now, prevent Italy catastrophic outbreak.
Can’t wait for very ill patients to show up in hospitals, care homes, doctor’s offices.
Do these places have adequate #covid19 #InfectionControl
Risk wide #CommunitySpread
Read 3 tweets

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