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Jeremy Farrar

27 Oct, 10 tweets, 5 min read

@WorldHealthSmt

Honoured to join ⁦@WorldHealthSmt⁩ final panel with ⁦@DrTedros⁩ ⁦@IlonaKickbusch⁩ ⁦@UNITAID⁩ ⁦@GlobalFund⁩ ⁦@WorldBank⁩ ⁦@UNICEF⁩ ⁦@wellcometrust⁩ - Partnerships together & with many others to make a difference now and in future

Quick summary of comments - 1) Research is crucial, but not on its own without working with partners to make sure the benefits are equitably available & accessible.

2)Recent years some countries have taken more insular approach. The world has stared into the abyss of nationalism. COVID like all great challenges of 21stC has shown how dangerous that can be. Pandemics like global heating, access water, inequality etc do not respect borders.

3)ACT-A is chance to show multilateralism & partnerships work, not just in the abstract but by delivering concrete benefits that would otherwise not have happened. I would prefer contribute 10% something that really makes a difference than 100% to something of marginal benefit

4) All starts & ends within communities, communities in countries, in regions and then globally. The Centre of Gravity must shift, the questions asked, the lessons learned, the research done with equity & access integral at the start, not added on at the end. ACT-A is doing that.

5) Need move beyond global health as a global charity. Beyond Overseas Development Assistance funding, to innovative ways sustainably invest health, education & economies. World spending trillions of dollars to prop up global system. Investment & prevention have been much cheaper

6) Governments, agencies, philanthropy, industry need to be transparent & honest about funding, investment, donations & held accountable, not just for shiny announcements but on making those announcements real. Too often funding is announced multiple times or not real new funding

7) Public/private partnerships crucial & industry has made huge contributions COVID19. But Govts have a responsibility to invest public money in health, education & more. Neglect & undermining of public institutions before & during COVID has been very damaging to ability respond

8) ACT-A has opportunity show partnerships,collaboration & multilateralism can make real,tangible,difference to peoples lives,where ever we are,no matter rich or poor. Opportunity really deliver on the promise of fine words- multilateralism & partnership who.int/initiatives/ac…

@GantenDetlev

Thank you @GantenDetlev @IlonaKickbusch colleagues #WHS2020 bringing us together. Let us go away, & use next year,to commit to the fine words,aspirations & ambitions & by next year turn those commitments into reality.Under promise & over deliver.Progress in 21stC may depend on it

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More from @JeremyFarrar

Jeremy Farrar

@JeremyFarrar

24 Oct

@MackayIM

Thanks many people for Swiss (& Austrian) Cheese @MackayIM & colleagues. The mouse nibbling away via trust,communication & (mis)information.COVID can be controlled & impact reduced but needs combination clear consistent interventions & policies, personal & shared responsibilities

Last 24hrs UK 1056 people admitted hospital COVID19. 868 people admitted hospital COVID 24 March-1103 people admitted 25 March. In October we have better care & much better data. But we are watching a rerun of March-April but with winter fast approaching
coronavirus.data.gov.uk/healthcare

If the objective is to reduce community transmission, hospitalisations & deaths, pressure on NHS, illness COVID & non-COVID whilst protecting jobs, livelihoods, businesses then we will need to change the interventions currently in place & quickly. news.sky.com/story/sophy-ri…

Read 4 tweets

Jeremy Farrar

@JeremyFarrar

21 Oct

@drpennyheaton

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

Jeremy Farrar

@JeremyFarrar

21 Oct

@WorldBank

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.

@WorldBank

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.

@ACT

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.

Read 5 tweets

Jeremy Farrar

@JeremyFarrar

13 Oct

@BBCRadio4

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

Jeremy Farrar

@JeremyFarrar

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

Jeremy Farrar

@JeremyFarrar

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

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