Agree with most of this article “issue with Covid19 is that when you should act, you appear mad & when you have to act, it is too late, as fatalities are sky-high & gross damage has already been done to healthcare system” hospitalisations and deaths spectator.co.uk/article/if-tie…
“This is because of the in-built delays in infections leading to hospitalisations and deaths.”
Statement I don’t agree with is “This makes Covid a guessing game: working out how today’s infections translate into tomorrow’s hospitalisations & deaths”. It’s not a guessing game. Mid-predictions based on data & lessons Feb/March made impact autumn/winter entirely predictable
Increased community transmission, leads to transmission in all age groups, that inevitably leads few weeks later to hospitalisations & deaths. Hence SAGE advice 21Sept. Not a guessing game.The data has been there.Challenge is making decisions & acting early & decisively & prevent
Lessons Jan & Feb, lessons from Aug & Sept, lessons from other countries. Trajectory of this pandemic more predictable in mid term than many epidemics. Got to have learnt those earlier lessons & not repeat in Dec-March, especially with vaccines & treatments becoming available
New Tier systems have good chance to work, if we respect them, start with more restrictions than some think are needed,get ahead & reduce transmission & not behind the curve. Take care over Xmas/NY. With vaccines/treatment can look forward to Spring next year with optimism & hope
But what we do through December will determine the trajectory of epidemic in Jan-March.

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More from @JeremyFarrar

17 Nov
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.
Read 14 tweets
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

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