1, One year ago today the Italian government made a decision to reject the pandemic preparedness plans that had been long established and began a quarantine of an entire population Lombardy. The @WHO had advised against this in October 2019 who.int/influenza/publ…
2, This set in motion a response to the Coronavirus pandemic that was to be copied by most of the world within the following month.
3, Today, a year on, many populations are still are in lockdown and the collateral damages are only just beginning to be seen. collateralglobal.org#CGResearch
4, It is vital that the efficacy of mitigation measures are studied, outcomes measured and effectiveness evaluated and the findings are communicated to all of society.
We have begun this process with a number of other colleagues dedicated to this project. @collateralglbl#CG
5, The research process and our findings will be available to follow, and contribute towards, on a new website launching at the end of April. In the meantime you can find out more here collateralglobal.org We are dedicated to communicating this vital project to all of society.
6, Through commitment to the enduring principles of scientific inquiry, we aim to provide scholarship and research, building an evidence-based understanding of mitigation measures that is both accessible and actionable. collateralglobal.org#totalharms#CGResearch
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1. @facebook's deletion of the GBD site is both puzzling and troubling. Our last post was a statement in favor of prioritizing the elderly for vaccination against COVID-19 infection as a tool for focused protection of this vulnerable group,
along with a link to a Wall Street Journal op-ed that Prof. Sunetra Gupta and I wrote in December, which fleshed out our argument for this policy.
1, Government messaging has become progressively hyperbolic and confusing. Balance and perspective is in short supply. As a result, the information we receive often feels alarming and frightening.
2, Trust is a vital component of effective public messaging, erosion of it is deeply concerning.Disconnection between governments, local level management and society. Information given without context is harmful. A recent advisory report suggests tinyurl.com/y3sslazo
3, “ministers adopt a more straightforward approach to communicating with the public, taking care not to send out conflicting messages, admitting mistakes, foregoing “hyperbolic language and rhetoric” and adopting “an open dialogue rather than speaking at the public”.
1. We are all being asked to give things up to deal with this problem, but the sacrifices are not evenly distributed
Sunetra Gupta.
2. “We are seeing inequality within countries grow. You are seeing low-skilled workers being much harder hit, women being much harder hit, younger people being much harder hit than others are,”
United Nations is warning 2021 could be even more awful, with top officials saying the new year could be the worst in terms of humanitarian catastrophes in the organization’s 75-year history.
1. Is there a middle ground between lockdowns – with school, business and office
closures, curfews, and isolation – and a laissez-faire "let it rip" approach? gbdeclaration.org
2. In the Great Barrington Declaration, co-signed now by many thousand medical scientists and
practitioners, we laid out such a middle-ground alternative, with greatly improved focused
protection of older people and other high-risk groups.
3.The aim of focused protection is to
minimize overall mortality from both COVID-19 and other diseases by balancing the need to
protect high-risk individuals from COVID-19
Lockdown Harms #mentalhealth 1. UK @mentalhealth foundation November report states,there has been a slow decline in people coping with the COVID-19 restrictions and the impact this has on their mental health
2. The report states that Almost half (45%) of the UK population had felt anxious or worried in the previous two weeks. Feelings of loneliness were higher in younger people too, with 38% aged 18-24 , which has been consistently higher across all waves than the general population.
3. A decline in our populations’ ability to cope with the stress of the pandemic-from 62% to 73%. Of those who reported not coping with this stress well (17%),those who have pre-existing mental health condition(s) were more likely to not be coping very well or not at all well-37%
This year many countries have experienced reduced access to a fully functional healthcare system. Whilst it is difficult to forecast the harms and deaths that will result from this, we are beginning to see more data on this as we progress into 2021.
2.
It is becoming clear that one of the biggest threats to public health in the years ahead is that of cancer patients and cancer services. A report from @Carnall_Farrar - The Disruption and recovery of cancer from Covid 19.tinyurl.com/ybpp4v4k noted that
3. “The major disruptions to the cancer pathway have effectively stopped cancer screening, reduced referrals by more than 40%, and as a consequence have impacted considerably on cancer diagnosis and treatment, (including surgery, chemotherapy, and radiotherapy).”