One year later, can we put this question to rest now?
Countries (Australia, New Zealand & South Korea) that carried out the elimination strategy (zero COVID) did better economically than those who chose the mitigation or “living with the virus” strategy.

institutmolinari.org/wp-content/upl…
Just to clarify to provide context, the Australian Prime Minister wanted us to open the economy and live with the virus (mitigation strategy).

But practically most state Premiers & Chief Health Officers went for elimination strategy.
So in essence it was state leadership not federal politicians that fought the virus, saved lives & livelihoods.

The federal government did play a part, but strong leadership was shown at the state level.
Conclusions from the paper:
This is strong evidence now and proof that Economic Health is linked to Public Health.

Many economists have been shouting this last year. Public health is the priority. Economy follows.
Perhaps other countries who are still considering elimination at this point could seriously think about this now. Damage control. Focus on elimination while vaccinating the population.

The evidence shows that it is better in the long run to go early and go hard.
Also let’s put all the other peripheral factors aside.

It’s not the weather.
It’s not geography.
It’s not resources (though resources help).

Who did well? Vietnam, Hong Kong, Taiwan, Singapore, Australia, New Zealand, South Korea.

Who didn’t? UK, USA, Sweden, Brazil.
Hard to blame weather, geography or resources.

Success seem to be related to leadership strategies and community engagement.

But what do I know? I’m just a surgeon. 😷🤓

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More from @DrEricLevi

21 Dec 20
If you stripped away Santa Claus and the flying reindeers, the original Christmas story is much closer to us today than you could imagine if you scratched under the surface a little. (You don’t have to even believe it but just let the story, like any story, wash over you.) 1/
It was a time of geo-political unrest. The “king” was quite an icon. Historians have written about some horrible narcissistic character that was indicative of a poor leader somehow unfit to lead that region. I may be wrong. 2/
A big population census was being undertaken and people had to travel to their home towns. There was significant migratory human movement. In that context, a young peasant couple from a Jewish community had to travel to their country town. 3/
Read 15 tweets
20 Dec 20
Just to be clear,

Many people are already infected and carrying the virus now, but they are not displaying any symptoms. Some will show very mild symptoms only.

You may be lucky. But you may pass on the virus to someone who might die.

Let’s protect each other.
The reason why this virus is difficult to control is that by the time you display symptoms, you would have passed on the virus to many people.

So please restrict people contact the next few weeks. You’re protecting yourself and others that way.
Contact tracing is one part of the big game. Do everything else too:

Masks. Hand wash. Social distancing. Stay home. Limit movements. Limit people contact to essentials. PPE for HCW. Ventilate ventilate ventilate. (Consider it an airborne disease even if some still deny it).
Read 4 tweets
19 Dec 20
We had a Christmas party yesterday (Melbourne has had 50 days of #ZeroCovid).

The cardiologists, gastroenterologist, obstetrician, emergency physician had to go to take calls.

ID, ophthal, ENT, paediatrician & rehab physician ate & had fun.

They all lived happily ever after... Image
And in true subspecialty fashion, the Obstetrician had this in her oven and the ENT Head & Neck surgeon dissected this baby. Image
To be clear.

We followed local Department of Health instructions.

There were less than 30 people.
All doors and windows open.
Fans were on.
Hand hygiene and masks were available.
Read 4 tweets
15 Nov 20
Back in July, Melbourne, Victoria, Australia had over 700 positive cases a day.

In the last 16 consecutive days we have had zero cases. The job is not done but we’re looking at a COVID normal summer and Christmas.

How did this state of 6.5million people do it? 1/
The choice wasn’t economy vs health. Health is the economy. The economy is health. Without health, there is no economy.

Our experience (along with New Zealand, Vietnam, Thailand, Hong Kong, Cuba, Korea, Japan etc) shows that it can be done. 2/
Our interventions were in multiple levels. Not one single intervention that was definitive. Public health is a package.

Draconian is an emotive and misused term. A choice to act for the goodwill of the community is not draconian. It is life-saving and future-proofing. 3/
Read 12 tweets
14 Nov 20
Sunday meditations:

Do justice.
Love kindness.
Walk humbly.

(Some of you may know where this is from.)
Justice is something to do, to be done. Justice is not a thought, an ideology, a perspective or an opinion. Justice is an act. Justice is beyond the keyboard. It requires actions to keep leaders accountable and help the oppressed.
Kindness, interestingly, is beyond doing. Some would “do” kindness for an underlying reason. Loving kindness means you’re a champion of kindness in everything you do. Loving kindness is embodying kindness in everything, both character and actions. Kindness is positive strength.
Read 6 tweets
13 Nov 20
15 days of zero Covid. 10-20,000 tests each day.
Exodus of Melburnians to regional areas this weekend (yesterday the highways were full!).
Cafes are full. Economy is well and truly open.
Hospitals back to almost full capacity.

It can be done. I almost can’t believe it.
Yes, yes, yes. Before I get jumped on for saying it,

There’s much learning to do. There’s more work on the mental health arena. Fit-testing PPE is being rolled out. It’s not panacea. It’s a work in progress.

The alternative is much much worse.
Read 8 tweets

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