Jeremy Farrar Profile picture
Sep 26, 2020 8 tweets 2 min read Read on X
Tomorrow's @thesundaytimes. Data is clear. Political & societal decisions on what to do extraordinary difficult. Very little room for a middle way that keeps things open & also prevents transmission, illness & COVID/NonCOVID deaths. Needs a national debate thetimes.co.uk/article/no-fud…
Not possible keep society & economy open as now & suppress transmission,prevent hospitalisations & deaths COVID & non-COVID & pressure on NHS. Anyone suggesting there are easy political decisions or possible to open society & economy & control epidemic is doing a great disservice
Need urgent national debate & political decisions to be made & fairly binary choice:Open up society & economy but accept higher transmission,hospitalisations & deaths vs further restrictions implemented now, reduce transmission, keep schools open & reduce COVID illnesses & deaths
Accept there is a choice in this.But is an urgent choice, leave it a few days or weeks & situation much harder. With good chance of vaccine & drugs within 6mths I favour stronger, further restrictions now,keep schools open, suppress transmission & save lives. Others may disagree
What can't be argued with is: data is crystal clear, trends are clear, choice is now not soon.Every option has trade offs & costs, we need to be honest what those trades off are & their impact on lives,education,jobs,economy, inequalities.I do not believe there is a middle way
These are some of hardest political & societal decisions any country or Govt will ever have to make.Advisors, scientists,commentators,politicians,Govt,Oppositions should not offer simple,unattainable solutions.Need to be honest with choices & honest about impact of decisions.
We face such a choice,we face it now & decisions cannot wait,or be fudged.A consistent strategy for next 6-12mths is crucial,societal support & trust.I know what I would do, also accept there is an alternative,but let us be honest with implications.Very tough time for politicians
As in climate change some will chip away at the data,seek to undermine it & the people who provide data & its interpretation,say we do not know enough.The data is clear.The trends are clear.There are difficult real choices to be made.But not through undermining data or messengers

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More from @JeremyFarrar

Oct 20, 2022
Was really looking forward visiting @unibirmingham today with colleagues @wellcometrust to listen to research plans #Birmingham but with cough/chills/aches/etc feeling “yuk” & not wanting pass on whatever it is. Thank you for hosting colleagues today birmingham.ac.uk/research/impac…
Wellcome’s plans for 2022 and beyond @wellcometrust wellcome.org/news/wellcomes…
Discovery Research Michael Dunn @wellcometrust wellcome.org/news/unlocking…
Read 10 tweets
Oct 17, 2022
“Improving access & affordability of lifesaving antibiotics is central to preventing avoidable suffering.” ⁦@wellcometrust⁩ ⁦@_Jeremy_Knox⁩ ⁦@TimothyJinks1⁩ ⁦@GordonDougan1⁩ ⁦@DrCharlieWeller⁩ ⁦@gardp_amr⁩ ⁦@WHOgardp.org/news-resources…
Plus @wellcometrust Discovery Research all aspects curiosity, investigator/team science plus opportunities Infection Challenge Area-New targets and/or antibiotics,Stewardship Policies, Surveillance, @CARB_X, Vaccines, Diagnostics with a commitment of £16Bn wellcome.org/news/wellcomes…
An absolute commitment to Discovery Research, open, investigator/team based curiosity driven research - wellcome.org/news/unlocking…
Read 9 tweets
Jul 1, 2022
1/2 Personal view 1) I'll wear mask public transport & crowded indoors 2) Enhance ventilation work places/schools/homes 3) Ensure vaccinated & boosted 4) Support employees/education stay home if symptomatic or testing positive bbc.co.uk/news/health-62…
5) Make Test-Treat accessible & available 6) Prepare now for Flu/COVID in 2022/23, support staff in and enhance capacity of NHS, Care facilities Essential services & all employment/education for higher levels of illness and disruption through 2022/2023 bbc.co.uk/news/health-62…
7) Increase investment in R&D, Distributed manufacturing and equitable access for Tests, Treatment, 2nd/3rd Generation Vaccines that reduce transmission & prevent severe illness. 8) Prevention & response to another event or crisis & resilience to cope with more than one event
Read 4 tweets
Mar 17, 2022
@jburnmurdoch @ewanbirney Underlines "Vaccine Plus" strategy & need 2nd & 3rd Generation Vaccines that are transmission blocking & reduce illness/death Plus New Therapeutics, Access Tests, & Non-Pharmacological Public Health-Test, Masks, Community Surveys, Reduce contacts if symptoms/+ve test. Ventilation
@jburnmurdoch @ewanbirney Perspective @washingtonpost "What if we’re in middle not the end of pandemic?" What do we need to do & no regrets. Just hoping it is over, or only planning for some apparent easy transition to endemicity is not wise. Need to prepare for multiple scenarios. washingtonpost.com/opinions/2022/…
@jburnmurdoch @ewanbirney @washingtonpost The seductive political narrative is a transition to endemic infection, a less severe infection, "living with COVID". That is only one possible scenario.There are others. We cannot only prepare for the one we all hope for. We need to prepare for multiple scenarios.
Read 9 tweets
Feb 24, 2022
An honour to join @WHO @rd_blueprint Global Innovation and Forum. who.int/news-room/even…
Summary of comments 1) Events in east Europe over the last 12 hours remind us all if we needed it of what an uncertain, troubled and turbulent world we live in. 2) Pay tribute to Paul Farmer who passed away this week, who made such a huge contribution to so many.
3) Tribute @WHO Leadership, World Health Emergency Programme, @rd_blueprint Team & Health Care & Essential Workers,Researchers globally. 5) Tribute @WHO @rd_blueprint Meeting Feb2020 which set the spirit & tone of the collaborative approach public health, researchers, clinicians
Read 17 tweets
Jan 30, 2022
Huge respect all authors & agree with conclusions- "Entering new phase pandemic. All over world an assessment measures most suited to this phase. Top of list- Vaccination, good indoor ventilation, monitoring of SARS-Cov-2 & other possible pandemic threats. dailymaverick.co.za/article/2022-0…
Every country/region will need to do this,timing will vary as pandemic waves shift globally. Personal additions - Reasonable to plan for the most likely scenario but we must also have the humility to prepare for other scenarios
1: Equitable access, sustainable access to all tools needed Dx,Tx,Vx,Surveillance,Health Systems. 2: Shift to ensure utility all the time & beyond SARS-Cov2 by building stronger horizontal disease systems agnostic to specific type whilst not losing impact of vertical programmes
Read 7 tweets

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