Not only did your study show no such thing, but it rests on demonstrably false assumptions, so it's really extraordinary that you continue to peddle those results. Here is a thread in which I explain why this study is worthless and should never have been used to guide policy 🧵
First, the model used in that study assumes that B.1.1.7, the UK variant, is 59% more transmissible than the historical lineage. This estimate is based from Gaymard et al. (2021), which obtained it by fitting a simple exponential growth model to only 2 data points from January.
As I explained at length in this post, even if we just use those 2 data points from January, this estimate is highly sensitive to the assumptions we make about the distribution of the generation time and there is a lot of uncertainty about that. cspicenter.org/blog/waronscie…
But more importantly, the data show *very* clearly that B.1.1.7's transmissibility advantage has totally collapsed in France since January, so the estimate of 59% that you use in that paper is completely outdated and therefore your results are totally worthless.
You claim that your study "showed" that advancing the curfew from 8pm to 6pm in January is what prevented the explosion, but this result is meaningless because it was already baked into the model, something you know very well but totally ignore when you talk to the public.
Basically, you told your model that a 59% more transmissible variant had been introduced in the population and fed it hospitalization data until the end of February, which showed no explosion.
Since there was no explosion despite the rise in prevalence of a supposedly 59% more transmissible variant, the model had to ascribe that to *something*, but it's set up in such a way that there is nothing else it could ascribe it to beside the curfew and the school holidays.
So obviously it ascribed the lack of explosion to the curfew and the school holidays, but what is that supposed to show? There was literally nothing else it could have ascribed it to, so this result is totally uninteresting!
In particular, the model couldn't have ascribed the lack of explosion to the actual reason, namely that B.1.1.7 doesn't have a constant transmissibility advantage of 59%, because again you just *assumed* that it did, even though you had data showing that's not true 🙃
If B.1.1.7 really had a constant transmissibility advantage of 59%, R would have been *much* higher by the end of March and there would have been several hundreds of thousands of cases every day by then, which obviously didn't happen.
So pretending that what happened in March somehow validates your results is profoundly dishonest, because if your model were accurate, both R and incidence would have been *far* higher. Of course, you know that, but you also know that most people have no idea how this works...
If your code were available, we could say more about exactly how wrong your model was, but as usual you didn't publish it and you ignored me when I emailed you to ask if you could send it to me (we only have the code of a similar model you used in another paper), so we can't 🤷♂️
People should systematically publish their code, there is *no* excuse for not doing so, but it's even worse when you're paid on the public dime and keep your code hidden, as you have done since the beginning of the pandemic even though your work is used to guide policy.
Back to your study, it's really incredibly that, even though it rests on assumptions that are now *obviously* false, you totally ignore new data and continue to peddle its conclusions instead of admitting that your model was flawed and going back to the drawing board.
In addition to the fact that your model assumes that B.1.1.7 has a constant transmissibility advantage of 59%, something that again we *know* to be false, it ignores many factors such as voluntary behavior changes in response to changes in epidemic conditions.
The whole exercice has no practical relevance whatsoever and should never be used to guide policy, yet that's exactly what you do when you use those meaningless results to recommend tightening restrictions. You are a total fraud who knowingly misrepresent the import of your work.
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Sauf qu'il n'y a aucune raison de penser que E(années de vie restantes | age = x & sexe = y & victime du COVID-19) est égal à E(années de vie restantes | age = x & sexe = y) et qu'il est même parfaitement évident que ce n'est pas le cas 🤷♂️
À n'importe quel âge, l'immense majorité des gens qui sont infectés par SARS-CoV-2 survivent, donc ceux qui en meurent sont vraisemblablement plus fragiles que la moyenne des gens du même age et du même sexe et auraient sans doute vécu moins longtemps.
Ce tableau est donc trompeur dans le contexte du débat sur le nombre d'années de vie perdues par les victimes du COVID-19. Bref, avant de faire le mariole et de donner des leçons de démographie aux autres, mieux vaut réfléchir un peu et s'assurer qu'on ne dit pas de connerie...
Des nouvelles de B.1.1.7, le « variant anglais » qui était censé provoquer un tsunami en raison de sa transmissibilité accrue, à partir des dernières données de Santé publique France 😂
Même chose mais quand on fait la comparaison uniquement avec la souche historique plutôt qu’avec tous les variants non-B.1.1.7. En gros, la première méthode est sans doute un peu biaisée, tandis que celle-ci ne l’est pas mais l’erreur de mesure est plus grande.
Je rappelle que les génies de l’Inserm et de l’Institut Pasteur continuent de faire l’hypothèse qu’il est 50% à 70% plus transmissible dans les modèles qu’ils utilisent pour faire les projections qu’ils présentent au gouvernement 👌
Top 3 things I've been wrong about during the pandemic:
1) That lockdowns were a good policy 2) Relatedly, that most of the uncertainty early on was about the IFR, as opposed to how to model the spread 3) That a vaccine wouldn't be approved until mid-2021 at the earliest
I should actually have put number 2 in first position, because it's the reason I was wrong on lockdowns. I thought there was a chance the IFR was significantly lower than 1% because of Japan, which I assumed was swimming in virus, yet still had very few COVID-19 deaths by March.
That's because I assumed a SIR model with constant contact rate was a good representation of transmission in the absence of strong government interventions, but in fact it's not and the explanation for Japan's low COVID-19 mortality was just that the virus had not spread much.
61% of people tested negative for antibodies, but instead of concluding that most people in that sample who claimed to suffer from "long COVID" are just hypochondriacs who were never even infected, the conclusion is that "long COVID" patients have a weaker antibody response 😂
But the problem is not that medical researchers make that ridiculous inference with a straight face, not at all, it's that a journal asked them to exclude people who tested negative, which apparently is racist because most of them were minorities 🙃
It's amazing, just have a look at how many doctors and scientists liked/retweeted this garbage, medical research is rotten to the core. The mere fact that a prominent researcher can say that with a straight face and apparently no fear of damaging her reputation speaks volumes.
People are assuming it would have been different with 2 doses, which might be true, but it's hardly obvious. There was an outbreak in my grandmother LTCF after every resident had received 2 doses and according to the doctor my father talked to this is not uncommon.
As I said in January, I think there are good reasons to think the most vulnerable people were undersampled in the trials, so unfortunately I suspect we're going to find out that vaccines are less effective on this group, even after 2 doses.
If this turns out to be true, it's very important that public health officials and the media don't lie about it to maintain trust in vaccines, because I think it will inevitably backfire and make things even worse. Unfortunately it's probably what they'll do though.
Epidemiologists claim that B.1.1.7 is far more transmissible than the historical lineage. In this post, I look at what happened in France and argue that, while B.1.1.7 initially had a large transmissibility advantage, it's been going down rapidly. (THREAD) cspicenter.org/blog/waronscie…
Various studies have estimated B.1.1.7's transmissibility advantage, but I focus on Gaymard et al. (2021), which found that it was between 50% and 70% more transmissible and has been used to calibrate official projections in France. eurosurveillance.org/content/10.280…
This estimate is based on fitting a simple exponential growth model to only 2 data points from January, during the early expansion of B.1.1.7 in France. This is problematic for several reasons and I won't get to the worst of them until the end of the thread, so stick with me.