2/n
the majority of solutions proposed in the paper are not new. TTIS, masks etc.
they just hope implementation timing and coordination become better (earlier) and execution more efficient. Why would it? No answer.
Politics by its very nature is REactive, not proactive.
3/n
if you overload bureaucracies with tasks, NO task will be executed well and ALL effects will diminish.
focus on a few important tasks. less is more.
understand entropy, it's principles apply to governments and populations.
4/n onwards to the pan-European aspect
adding a layer of bureacracy will do what? 1. slower decision making 2. more compromise 3. wasting ressources due to equitable distribution compromises and hoarding 4. less political responsibility 5. the perfect scapegoat: other countries
5/n besides politics, the legal issues:
"Europe" is not a legal entity, the EU is.
Before the EU acts, all vulnerable will be vaccinated.
The EU has NO legal basis for public health interventions and NO financing.
Switzerland, Norway, some Balkan states are not members.
6/n now the outright delussional proposal
they want to test every border crosser and quarantine every traveller from a hotspot. IMPOSSIBLE without destroying supply chains and cross-border economic regions. Inform yourself about the movement of trucks in Europe and daily crossing
7/n the aspect of vulnerability is mentioned in one paragraph. unfortunately, not a single solution is mentioned.
Has any of the co-authors published anything on that topic?
8/n finally and most importantly: does the virus care about coordination? apparently NOT.
Patterns of 2nd wave in Europe are NOT in synchronicity.
9/n Summary: proposed solutions are impractical and would backfire since they would slow down and complicate measures.
focus on ressource availabilty (personnel and supplies, not money!) and executability/enforceability.
Europe is not a giant island.
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2/n
vaccination is stimulus: yes.
the paper is built around the axiom of rapid vaccination of the vulnerable and everybody else.
is this realistic? prove it!
head of Swiss vaccination commission, Christoph Berger, expects herd immunity in 5-10 YEARS. nzz.ch/schweiz/kurzin…
3/n
A. cantons HIDE vaccination data
B. anecdotal evidence show there is hesitance among the general population and nurses
C. low temperature logistics are complicated
D. elderly vaccination is complicated due to consent requirements from legal guardians nzz.ch/zuerich/corona…
2a/n nursing homes make up roughly ~1% of the overall population.
It MUST be possible to focus resources on this tiny population minority and achieve better outcomes.
We have 100'000 beds in Switzerland = 1.2% of population. Death share >>50%
1/25 nursing homes make up ~50% of Covid19 deaths but just ~1% of the population all over the Western world. we are proposing an INTERDISCIPLINARY APPROACH to improve outcomes and understanding. a thread with questions and sources @LTCcovid@AdelinaCoHe@keiserolivia@samiahurst
2/n Terminology: why are we using "nursing home" instead of "long term care facility" in this thread. we are using NH as a synonym for LTCF in because 1. it is better understood by laypersons and 2. it is shorter. In some visualizations shown below the French acronym is EMS.
3a/n Nursing home residents make up ~1% of the overall population? yes, look at bed capacities published by WHO and national/local governments. in many countries it is even less gateway.euro.who.int/en/indicators/…