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This Matt Hancock returning to work business is really important

Not only is he the 🇬🇧 Minister of Health, but how soon someone can return to work post- #Coronavirus #COVIDー19 is going to be a major question in the coming weeks

A (very detailed) thread
So the facts of the matter first

Hancock started to have symptoms Thu 26 March
irishexaminer.com/breakingnews/w…
He says he had two bad days, but when those were is not stipulated

He confirmed he had tested positive on Fri 27 March
Tim Shipman says he was in isolation before the confirmed test


And he was out of isolation and on BBC Question Time last night Thu 2 April
bbc.co.uk/iplayer/episod…
So what are those with #Coronavirus supposed to do?

Here is where it gets more complicated

There are two groups: those with Coronavirus *symptoms* and those who have had a Coronavirus test and are confirmed to have had the disease
The focus in 🇬🇧, and indeed pretty much everywhere, has been on those with symptoms - as really widespread testing is not available

And the NHS has guidance for those with symptoms:
nhs.uk/conditions/cor…

Screenshot of the relevant part 👇
Did Matt Hancock do this?

👍 YES 👍

He says he has no further symptoms, and returns to work 7 days (more or less on the dot) after symptoms first started
But sharp readers will have spotted two issues...

1️⃣ There is nothing about *when* during the 7 days the symptoms have to have ended
2️⃣ Hancock did not just have symptoms, he was also tested - and tested positive - for Coronavirus
On the period without symptoms...

This is what the CDC 🇺🇸 says

Source: cdc.gov/coronavirus/20…

Thanks @mrmattjackson for pointing me to this one

⏱with no symptoms before ending home isolation: 72 hours

Screenshot of the relevant part 👇
On the period without symptoms... the guidance in 🇨🇭

Source: bag.admin.ch/bag/de/home/kr…

⏱with no symptoms before leaving self isolation: 10 days (10 Tage)

Screenshot of the relevant part 👇
And in 🇮🇪

Source:
www2.hse.ie/conditions/cor…

⏱with no *fever* before leaving self isolation: 5 days

Thanks also @dloredonline

Screenshot of the relevant part 👇
Summary on period between symptoms ending and leaving self isolation
🇬🇧 no guidance
🇺🇸 3 days
🇮🇪 5 days (since last fever)
🇨🇭 10 days
(I am not researching every country - you get the idea by now)
But hang on 🤔

Hancock actually TESTED POSITIVE
Is there simply the assumption that everyone who has symptoms actually has Coronavirus?

Or should a case be made to be *extra* careful with those who are confirmed to have had it?
The problem in 🇬🇧 is testing has been slow to be ramped up, the NHS has no specific public guidance as to whether confirmed cases should be dealt with differently to those who only show symptoms

A few of countries are doing more testing, and have guidance for confirmed cases...
🇳🇴

Source fhi.no/nettpub/corona…
via @kristianaas who pointed out the 7 day limit

"people who have been diagnosed with covid-19 but do not need hospitalization [...] [isolation] lasts for 7 days after you are completely healthy"

Google translate:
translate.googleusercontent.com/translate_c?de…
🇮🇸

Source (PDF) landlaeknir.is/servlet/file/s…

"after recovering from the illness (10 days after the fever disappears)"

Google translate (confirmed to be correct by an Icelander):
translate.google.com/#view=home&op=…
So what I can find if countries have specific guidance on confirmed cases - period *after* symptoms have ended before a person can leave isolation
🇳🇴 7 days
🇮🇸 10 days (since last fever)
Oh, and what does the WHO say about the period *after* symptoms have ended before a person can leave isolation?
🇺🇳 14 days

Point is not whether Hancock complied with NHS guidance - he did

Important Qs
1️⃣ why does 🇬🇧 (unlike 🇺🇸🇮🇪🇨🇭) stipulate no period someone needs to be healthy before ending isolation?
2️⃣ should confirmed cases be dealt with even more carefully than those just with symptoms?

/ends
Error here - too much on my mind. Switzerland is 48h after the final symptoms have ended. 10 days from the *start*.

Thanks to @camphor82 for pointing this out!
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More from @jonworth see all

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Jon Worth
@jonworth
More from the archives...

A blog post of mine from December 2012, criticising a @fromtga column about a future in-out EU referendum (it wasn't called Brexit then)

jonworth.eu/enlightenment-…
TGA: when the people are “confronted with the facts” they will keep UK in 🤔

JW: "if we are to learn anything from the Irish referendum debacles over the Treaty of Lisbon it is that civil society based campaigns make more sense – any campaign must be participative, not top down"
JW: "The problem is that – contrary to the way TGA frames it – there is no one definition of the facts when it comes to the European Union. How can a number of jobs or a GDP gain [...] be balanced by a return of national sovereignty or no more contributions to the EU budget?"
Read 4 tweets
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Jon Worth
@jonworth
A short thread on Matt Hancock

And before sniping at me: this is *not* about his health. I wish him well, just as I wish anyone who has #Coronavirus the very best

But something is not right. These are the questions that need answering
1️⃣ Why was Hancock back in public 6 days after a supposed positive test, rather than the 7 days NHS guidance says?

2️⃣ Why is UK guidance 7 days, and WHO guidance 14 days?
3️⃣ Did Hancock have a further test at the end of the quarantine period to confirm he is now virus free?

4️⃣ Were all the people he was in contact with while he was infected adequately tracked and tested?
Read 9 tweets
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Jon Worth
@jonworth
More from Jon digs into his old blog posts... a 2010 post looking at influence in the EU-Twittersphere

jonworth.eu/who-are-the-ma…

All based on an Edelman tool. Links to the WayBack Machine now corrected!
Feat. @kattebel @linotherhino @dicknieuwenhuis @europasionaria @JulienFrisch @Nosemonkey @kosmopolit @MacarenaRG @spiller2 @pstrempel @erikwesselius @euroced @letzi83 @steffenmoller @mvanhulten
Some trade associations early to Twitter @EFPIA @EuropaBio @WindEurope @cropprotection
Read 5 tweets

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AmyRuckes🌺
@AmyRuckes
(THREAD) Reduce the risk of infection with respiratory care

from Prof. Viola Vogel @ETH

(translation into English from a German article)

#coronavirus #COVID #COVID19

ethz.ch/de/news-und-ve…
A look at biology shows that besides hand hygiene there are other options available to us to reduce the risk of a serious infection with the corona virus, writes Viola Vogel.
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🌊ⒿⒶⓎ🇺🇸ⒷⓇⓄⓌⓃ🗽
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<THREAD> Trump quotes on #coronavirus #COVIDー19 1/13

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<THREAD> Trump quotes on #coronavirus #COVIDー19 2/13

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Carolyn B. Brodersen
@BroderWriter
From James Robb, MD FCAP (thread via @SusanVermazen)

"When I was a professor of pathology at UC San Diego, I was one of the first molecular virologists in the world to work on coronaviruses (in the 70s).

#CoronaVirus
#COVIDー19
@thespybrief
"I was the first to demonstrate the number of genes the virus contained. Since then, I have kept up with the coronavirus field and its multiple clinical transfers into the human population (e.g., SARS, MERS), from different animal sources.
"The current projections for its expansion in the US are only probable, due to continued insufficient worldwide data, but it is most likely to be widespread in the US by mid to late March and April. Here is what I have done and the precautions that I take and will take.
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Konatham Dileep
@KonathamDileep
Important update about Coronavirus COVID-19 case reported in Hyderabad. A 24 year old techie who works in Bengaluru had traveled to Dubai on 17th Feb on official work. Apparently few of his teammates came from Hongkong. He came back to India after four days. 1/n
The said techie came to Hyderabad from Bengaluru in a bus. He fell sick after reaching Hyderabad and took initial treatment at Apollo Hospitals, Secunderabad branch. The patient is now transferred to Gandhi hospital and is being treated in isolation ward. 2/n
CM Sri KCR has instructed the Health Dept and Municipal Administration Department to take necessary precautions. Isolation wards have been set up in Gandhi Hospital and Chest Hospital in Hyderabad.
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Dr. Chris Mackie
@Healthmac
A thread on why I am not panicking about #Coronavirus #COVID-19.
In 2003, the world experienced an outbreak of SARS (Severe Acute Respiratory Syndrome). I was in med school. Initially, the illness seemed to be linked with travel to China, but the Chinese government was not saying anything about it.
The cause of SARS was completely unknown, and it was five months between the illness first appearing and the World Health Organization (WHO) becoming significantly involved, alerting public health authorities around the world.
Read 46 tweets
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Abdul El-Sayed
@AbdulElSayed
Want to understand why we're dealing with the scepter of serious #Coronavirus #COVIDー19 outbreaks in the US?

The @realDonaldTrump admin's profound mismanagement.

A Thread:

The public health approach to stopping an infectious disease is about "contact tracing."

1/
Contact tracing is painstaking work. It involves identifying all of the known or potential contacts of someone who has the disease in question, finding them, and then isolating them--and then rinsing and repeating.

It's a serious test of your gov's abilities.

2/
It requires that:

1) Gov't is funded appropriately to do this work
2) Gov't employees trust higher-ups to give them bad news, rather than pretend that cases don't exist.
3) Ppl trust their gov't to protect them--and to share information with them

3/
Read 10 tweets

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