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THREAD: Bill Gates, Pandemic I The First Modern Pandemic 4/23/2020

gatesnotes.com/Health/Pandemi…
"...break the rules..."
...put everyone at risk..."

"Leaders should encourage COMPLIANCE"
So we know for certain it originated in China? Patient Zero?

testing, isolation

Early action means some countries didn't have to shut down their economies as much as others?
testing, testing, testing...
Impossible to defeat an enemy we can't see, ramping up testing in India & Nigeria where their population is disproportionately young, prob fewer deaths from COVID, low-income people have lowered immune systems, weakened by malnutrition or HIV, etc
Almost all respiratory viruses are seasonal, but don't get complacent-spreading in AU where seasons are opposite, virus isn't as seasonal as the flu.

Asymptomatic but infectious ppl w/complicate "opening up"

Opening schools is complicated b/c they can still spread to others
Take temps at airports & large gatherings, test those at greatest risk, not enough tests for everyone, spacing requirements for CLASSES or CHURCH still up for debate, fecal contamination an issue, older ppl at greater risk of illness/death, studying gender & race
More than 100 groups working on treatments, more than 100 groups working on vaccines, some GF funds but have influence on all, we still need billions more $ & the economy "cannot return to normal" until we "get the vaccine" Lots of talk between govnt, GF, WHO, private sector
Compares the pandemic to WWII, 5 categories for innovation: treatment, vaccines, testing, contact tracing, policies to reopen, until then "we cannot return to business as usual or stop the virus."
"Miraculous treatment" to feel "confident about going out again" must be 95% effective, but "can't count on that" Even if the "best treatments reduce deaths by less than 95%, still need a vaccine to go back to normal"

"Collecting blood" from recovered COVID patients,plasma
Antivirals: Remdesivir in trials now, created for Ebola-
Hydroxychloroquine being tested by Gates Foundation, results by May--results "modest at best" for late-stage COVID-19, immune system modulator--how body reacts to virus (late treatments)
Basically, treatments really don't work. "Short of a miracle treatments, which we can't count on, the only way to return the world to where it was before COVID showed up is a highly effective vaccine that prevents the disease." *Save time by compressing clinical safety/efficacy
This one blew my mind, may have to do a write up on this.

The RNA vaccine he's suggesting CHANGES YOUR DNA to attack the virus. Could be 1 shot, maybe 2. 6 month trials require 10k ppl at least. GOAL: "vaccinate the entire world" 7 bil-14 bil vaccines
Large-scale vaccinations could start anywhere as early as 9 mo-2 years, but more likely to be around 18 mo. The fight for who receives the vaccine 1st would go to gov'ts that provide funding, countries where the trials take place & countries w/largest outbreak
Testing: PCR machine can predict if you have COVID-19 before symptoms appear/infection of others. GF invested in research showing you can do the swab yourself at the tip of the nose, which is faster& can be set up in places other than medical offices "PCR test is quite sensitive"
Testing: South Korea did great, America "unacceptable" w/7day results. We need 2 types of PCR machines, low & high-volume for different testing capacity, RDT in-home test much like pregnancy test, report results, serology tests for antibodies too many false positives, unreliable
Lots of countries did a good job prioritizing testing, but not the United States cause they suck, says Bill Gates. "Ideally" symptomatic ppl & those in contact w/ppl who test positive would be sent an in-home test. Testing imperative to "opening back up"
Private companies will want to get PCR machines or RDT and will be able to bid higher than the public health system, so all govts should pull their wallets out & start bidding early. Also, Bill says govts should get involved in your household quarantine situation espec w/elderly.
China & South Korea have the right idea by requiring patients to give up info of where they traveled 14 days prior, & took GPS info & spending records straight off their phone. Gates doubts the Western world will mandate this, but it's ok cause we already trace it via phones.
Phones detect nearby phones using Bluetooth, as well as by sending out SONIC frequencies too low for humans to hear to detect each other. Germany also has the right idea by keeping a database of everyone who's come into contact w/someone testing positive-requiring that list
Docs in Germany are required to report to health office, get contact tracing info from patients testing positive, everyone on that list contacted by health offc to test & isolate, study databases, but staff can't handle the volume, so let's just go w/GPS apps, blah blah security
Phase II is "semi-normal" restaurants seat ppl at every other table, middle seats empty in airplane rows, schools open, but not stadiums, ppl working, but not as much as pre-pandemic. Rules should change gradually to see contact level increases infections. "Times are abnormal"
Microsoft China has 1/2 their 6,200 employees back to work, wearing masks, hand sanitizer & social distancing, extra cleaning-- Have I mentioned how fantastic China is & how fantastic they're handling this crisis? China is amazing & should be the model for the entire globe--🙄
Questions on how supply chain of restaurants & factories are handled & how those employees commute to/from work...Mentions state boundaries being a possibility...schools yes, sporting events no. Gray area: CHURCH. Human nature is weird, some remain home & others "buck the rules"
Another comparison to WWII & reference to COVID-19 being "the FIRST modern pandemic" which implies there will be more. He has given this a name: PANDEMIC I, again implying there will be a PANDEMIC 2, 3....and so on. PAIN today, PAIN for years to come.
The shutdown hurts low-income individuals & minorities the worst, opening up the economy shouldn't make this harder on them, Bill's impressed w/scientists at universities & small companies, Big Pharma CEOs, & heads of govt for getting HIS tools avail asap. (Testing, Vaccines)
@threadreaderapp please unroll this memo from Bill Gates, the Technocratic Lord of Lords we never wanted or asked for who wants to inject the entire globe w/his nanotech vaccines that change human DNA. #GatesofHell
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