Such pleasure join ⁦@louiseckenny⁩ ⁦@LivUni⁩ Prof Dame Janet Beer & colleagues this evening & a great title for series “Science & Society”. Thank you invitation Q&A. Hope did not offend but think it will by points difference end of season ⁦⁦⁦⁦@Everton
Quick summary - A: Thoughts on COVID & 2020. Drivers epidemics: Ecological & environment change, changes human:animal interface, urbanisation, travel & trade, neglect of public health, undermining of institutions & geopolitics. All features which will define 21stC.
B: Multiple warnings - Nipah, SARS-1, H5N1, H1N1, Zika, MERS, Ebola, Dengue, Chik, & many others. Epidemics becoming more frequent and more complex. Epidemics invariably have an inequitable impact, amplify & increase existing fault lines in societies.
C: Lead to four overlapping or concentric circles of impact i) Direct health consequences ii) Indirect health consequences iii) Economics, Trade, Education, Jobs, Debt, Trust between Governed & Governing and iv) Geopolitics wellcome.org/news/our-respo…
D: Way thru & out of pandemic is by changing fundamentals of the infection. We have to support the economy, jobs, trade. Spending trillions to do so is critical but is only sticking plaster. Until we change the fundamentals there is no exit. Too slow to invest in the true exit.
E: Only way to change the fundamentals is through holistic investment & approach to science: Social Sciences, Behaviour, Trust, Transparency, Diagnostics, Treatment, Oxygen, PPE, Vaccines & the data & health systems to deliver these tools. We need all these, not just one.
F: This will have major implications for science & sciences role in society. For Open Science & the role of the public sector in support the critical tools that are needed, particularly when there is on commercial driver, but which society critical needs.
G: Global scientific community done remarkable job, working in partnerships across borders & disciplines, sharing data,results & more. International partnerships been fundamental. Optimistically incredible progress in 2020 will catalyse a new way of working in the years to come
H: Over last decade we may have stared into the abyss of nationalism. COVID & great challenges of 21stC show how dangerous that is & will be. From epidemics, to drug resistance, to climate change, energy, water, food, others - none can be addressed with a nationalistic approach
I: You cannot turn on public health, health systems, trust, partnerships or institutions when you might need them. They need investment over years, investment in people, infrastructure & sharing ideas. It is investment over years that provides the resilience when a crisis comes
Ii) Invariably international partnership forged outside or between crisis that will be best placed respond in crisis @WHO @rd_blueprint @gavi @CEPIvaccines @UNITAID @ISARIC1 @GlobalFund @FINDdx @GloPID_R @GESDAglobal @SSHAP_action @DFID_UK @EU_Commission @CDCgov & many others
J: Learn lessons 2020: inequality,tensions within & between societies,diversity & inclusion,work patterns & work:life balance,benefits informal work interactions/benefits we cannot measure,flexibility,balance resilience vs efficiency, investment public services & institutions
K: Lastly - Wellcome's commitment to research culture, diversity & inclusion, how we do things as well as what we do, careers, early & mid researchers, people & teams, a research environment that is welcoming & allows us all to be & bring ourselves
L: With a focus & commitment from @wellcometrust to Discovery Research, Infections, Mental Health & the Impact Climate Change on Health. wellcome.org/reports/wellco…

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More from @JeremyFarrar

1 Nov
"This has been such a tough year already. Tough beyond belief for millions across the country & across the world. My experience from other virus outbreaks is that the second wave is always harder." @wellcometrust statements #COVID19 since 10 January 2020
wellcome.org/press-release/…
This isn’t decision any government would want to make. The sooner we act, sooner we start to recover. A very difficult few weeks now & no one can underestimate toll on people. But consequences of sticking with the current insufficient restrictions would have been much worse.
"I’d like nothing more than to have a normal family Christmas. If we can steel ourselves now for a few weeks of greater restrictions, there’s a chance we could ease up a little between Xmas-NY. But if we’d let it continue to multiply, we’d be in a terrible situation in December.
Read 12 tweets
30 Oct
There is lots of high-quality data on COVID-19, but we haven’t always done a good job of explaining what it really means, or put the data in context of a fast moving dynamic epidemic, when days matter. So I am going to have a go.
The @ONS have provided outstanding data & I'm proud @wellcometrust are a partner along with @OfficialUoM, @UniofOxford, @PHE_uk - @Join_ZOE, Pillars 1-4, Test-Trace-Isolate, @ISARIC1 CO-Cin, Public Health in Scotland, NI, Wales, #NHS, COG-UK, in Schools, Care Homes & many more
But looking at figures released today is like looking back in a rear-view mirror. When look at data on number of deaths today, we're seeing how prevalent infections were & state of the epidemic up or more than a mth ago.The data doesn't show you the state of the epidemic today
Read 14 tweets
27 Oct
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.
Read 10 tweets
24 Oct
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 Image
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
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
21 Oct
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.
Read 5 tweets

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