Worth remembering that in Jan a very large seroprevalence study suggested that antibodies had been detected in 56.13% of the population of Delhi that is being absolutely swamped with Covid now.

So either that was an overestimate/there’s a lot of reinfection or what?
Whilst there is reason to be optimistic that vaccinations will take the worst edges off even new variants it is also reasonable to be cautious because we do not actually know.

And even mild to moderate disease can cause significant illness in a good % of people.
I’m a fan of being cautious whilst we find out; curtail the possibility of what is occurring in India occurring here as far as poss whilst retaining some optimism in the way good vaccinations pump prime immunity

Always better to be several steps up the ladder than at the bottom
One of the questions that is relevant to successful vaccination programmes too is what level of the population has to have achieve immunity before herd immunity is achieved.
Wondering if it is markedly higher than we thought.

In which case maximum effort needed to support vaccination supply, deployment and uptake.

Also worth remembering that whilst India did maintain restrictions to a degree both religious and political events drew massive crowds
This article gives some insights into the testing and seroprevalence studies in India

Kerala has been pretty quick off the mark and systematic in its approach to Covid testing a far higher portion of its population than most states.

Just 10% were seropositive.
Also worth remembering that we tend to find out the effect of variants through the rear view mirror and after they have driven cases up (B117 being one example).

It’s fine to be cautiously optimistic.
But wise to retain humility in the face of what we do not know.

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More from @fascinatorfun

19 Apr
I want to talk about big holes in our border controls in more detail in the light of these instances from other countries showing how high is the risk is of imported cases from 🇮🇳 being spread onwards.

All these passengers had pre flight negative tests.
1/. In the U.K. a Lateral Flow Test is enough as a pre flight test.

2/. It can be done 3 days before departure. That is a long time when prevalence is high as it is in India. Nearly 30% positivity in Delhi yesterday.

How many slip through that net.

gov.uk/guidance/coron…
That was up from 20.22% just three days before on the 15th April.

Even that is scarily high.

No wonder so many are arriving in other airports (eg Toronto/ Vancouver/ Hong Kong) and testing positive after arrival.

3/ At lease they require arrival airport tests. We don’t
Read 20 tweets
18 Apr
Nearly all of the twice-daily flights between Delhi’s Indira Gandhi International Airport and Toronto Pearson Airport carried passengers infected with COVID-19.

Yes India is not on the U.K. #RedList

torontosun.com/news/local-new…
Since mid February passengers over the age of 5yrs are required to provide a pre flight negative Covid test.

But, like the Delhi-Hong Kong flight this is not stemming the flow.
There have been a total@of 106 infected flights landing in Canada since March 4th.

30 originate from Delhi.

Limited data on the extent of the reach of infection but 14 show a a minimum of a 6 row reach.

So more than one case.
Read 10 tweets
18 Apr
Do watch @BBC 2 Climate Change- Ade- even if you think you are not that interested.

Bangladesh & Bhutan.

It given you a sense of the personal stories. Individual people’s homes & dreams.

Also v interesting re Covid. You can SEE the travel connections- the way people love
Dakar, the capital city is experiencing massive immigration from people migrating to try and avoid the consequences of climate change.

And he visits Bhutan. Roughly the size of Switzerland but 750k people

It is gorgeous.

It isn’t just carbon neutral. It is carbon negative,
I was booked to visit it on a walking holiday c15 years ago.

“if you dropped your camera you’d still have a gorgeous photo”.

But the holiday was cancelled. Not enough people.

It was expensive but I thought it would be special.

I see this programme. I think it would’ve been
Read 6 tweets
18 Apr
Here Cameron refers to Crother as “a fellow board member”, something he now says was a mistake

But the FT also refers to a WhatsApp message from Lex Greensill intended for Scott Morrison but sent to another number in error. In that Greensill ALSO says Cameron is on their board
Here is the full text of that message. Seeking access to electronic staff records, doctors, nurses (admin? Management?) data and also Allocate - the staff rostering IT system.

We’re staff consulted about this, he makes it sound as if Simon Stevens amongst others was v keen
Read 6 tweets
17 Apr
India looked like it had beaten Covid, but cases are now skyrocketing. What changed?

“Loved ones wailing outside hospitals, ambulances queued up with patients, crematoria and graveyards drowning in dead bodies, failed resuscitations” independent.co.uk/asia/india/cov…
Families scrambling for beds, plasma, and even basic medical supplies such as oxygen, stretchers and ventilators: these are common scenes witnessed across India.

Families Sending out pleas on Twitter for oxygen, drugs, beds.

What changed from just three months ago?
Maharashtra was painted as an outlier a few weeks ago.

Now hospitals out of capacity. Reports of doctors not even able to find beds for their own.

No longer. It is worse now than at any point last year.

What has changed?
Read 6 tweets
17 Apr
Covid-19 appears to have jumped between neighbouring rooms in hotel quarantine in Sydney after seven cases of people arriving from different countries were revealed to have the same viral sequence.

Can Governments and @WHO stop being dicks. It’s airborne theguardian.com/world/2021/apr…
No. I’m not saying it is EXCLUSIVELY airborne.

Just that the accumulating evidence is that it is STRONGLY airborne.

And when so called academics seek to say otherwise please pause before you reply to this.
Because pretending the preponderance of evidence suggests otherwise is also dickheaded.

I really listened hard to the spiel back in March/ April/ May 2020.

On the whole believed the fomite/ droplet stuff.

But played safe, wore a mask but wondered if I WAS BEING a the dickhead.
Read 5 tweets

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