Honoured to join ⁦@WorldBank⁩ ⁦@WHO⁩, countries & partners in support of @ACT-A for: Health Systems, PPE, Oxygen, HCW, Diagnostics, Treatment & Vaccines. We need all of these, we need them all globally. Equitable & Fair Access.
Summary comments: Credit @WorldBank @WHO for leadership. At a time when some questioned value,impact & contribution of multilateral approach ACT-A can be example of benefit such an approach to equitable & fair access to essential tools. Concrete actions not just in the abstract.
Must remember that there is no magic bullet, we need all the tools in ACT-A. A broad holistic approach, through @ACT-A for: Health Systems, PPE, Oxygen, HCW, Diagnostics, Treatment & Vaccines.
Vaccines crucial, but note we may not have perfect vaccines & even when we do,we will still need health systems,protect HCW,oxygen & we will still need to make a diagnosis,we will still need to treat patients.And treatment as in HIV, TB, Malaria can also help reduce transmission
ACT-A can achieve this, but we must maintain a broad coalition & holistic approach. We cannot rely only on one part of ACT-A, we cannot have equitable & fair access to vaccines and inequitable & no access to good health systems, diagnostics & treatment.

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More from @JeremyFarrar

21 Oct
Pleasure to join #GrandChallengesAnnualMeeting2020 thank you @drpennyheaton for the introduction. Quick summary.
People will be writing,discussing,considering COVID19 in 100yrs as we discuss pandemic 1918 now. We are living through history as it is being made. When read history books can seem romantic. It never is. It is tragic, confused,trade offs,painful,difficult & frightening. As now.
This is the reality of COVID19 & will continue to be so. Focus on the drivers and perspective from the last 20 years.
Read 17 tweets
13 Oct
Thanks for invitation @BBCRadio4 World Tonight.
No easy choices in the UK now, every choice has very significant negative consequences. But delay before implementation is a decisions in itself & will make later interventions harder & need to be deeper & in place for longer.
Naively would be great if can avoid turning this into party political issue - this is a national crisis & will need a national solution.Every country that has managed well so far has done so on the basis of a national approach & consensus, trust, local ownership & broad agreement
The latest government plans are an attempt to compromise between health and the economy but may end up damaging both.
Read 13 tweets
10 Oct
Plan Continuation bias (PCB) - playing a role in COVID19? Lessons from aviation industry. A fancy name for “get-there-itis”. PCB which is an unconscious cognitive bias to continue the original plan in spite of changing conditions — & it can be deadly for general aviation pilots
Plan continuation bias was identified in a NASA Ames human factors study from 2004 which analyzed 19 airline accidents from 1991 to 2000 that were attributed to crew error. Out of those, almost half involved plan continuation bias. humansystems.arc.nasa.gov/flightcognitio…
Problem is in how it manifests. Study offered it becomes stronger as you near completion of the activity (e.g., approach your destination). It essentially impedes pilots from recognizing that they need to change course of action & because it’s unconscious,it often goes undetected
Read 10 tweets
9 Oct
The tragedy is how predictable this has been since at least early July. It was not inevitable. It is not inevitable now that this worsens, but to avoid spiralling out of control needs to be action now. We are close to or at events & choices of 13-23 March.
theguardian.com/world/2020/oct…
More data always useful, but don't try & bring more precision to public health interventions than a highly complex system allows. If strategy is to reduce r<1, transmission, hospitalisations,deaths,pressure NHS directly & indirectly it will need package of interventions now.
We are back to choices faced in the early March. With the lag time between making a decision, its implementation & its effect measured in weeks the longer the decisions are delayed the harder & more draconian are the interventions needed to change trajectory of epidemic curve.
Read 5 tweets
6 Oct
Latest data-COVID UK.Tough political decisions to be made. But data is clear. Community transmission increasing. Number people needing hospitalisation increasing. Tragically more people dying. Options for interventions might be debated but data is clear.
theguardian.com/uk
UK is on an epidemic path. The epidemic will continue to expand under the current restrictions. A choice we face. Need to be honest about the implications for the choices that are made. wellcome.org/news/covid-19-…
Some questioned the data & comments from @uksciencechief & @CMO_England on 21st September. Two weeks on, their comments were spot on.
standard.co.uk/news/uk/whitty…
Read 7 tweets
6 Oct
Great pleasure to join the @isirvAVG Therapeutics Meeting.
Thank you to Alan Hay & Fred Hayden & Organising Committee.
isirv.org/site/images/co…
1) Critical need for therapeutics for COVID19 in prevention, treatment & to halt progression of illness. Understandable focus globally on vaccines but even when we have vaccines we will still need therapeutics (& Diagnostics & Health Systems to make them available).
Always good to remember that for many infectious diseases we do not have vaccines despite many years of great effort & we know therapeutics can play critical role in reducing transmission, burden disease & save lives - HIV, TB, Malaria, Dengue & many others.
Read 18 tweets

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