Can anybody tell me how the "COVID-19 Antivirals Taskforce" announced this week gov.uk/government/new… relates to the "The COVID-19 Therapeutics Taskforce" which has I think existed since early 2020? gov.uk/government/gro…
1/8
Is this just yet another example of the government announcing something it's already done as something new, to make us think they are doing more than they actually are?
2/8
(They usually do this with money, announcing "new" spending which, when you look at the small print, isn't new at all.)
3/8
In any case, why focus on antivirals?

By the time people get to hospital, their disease is caused by the immune system's overreaction, not by persistent virus. What they need is drugs to control the excess immune response.
4/8
Antivirals, if they have a place, will be in postexposure prophylaxis (PEP)- treating vulnerable people who haven't been or can't be protected by vaccination, and who have [probably] been exposed to a case.
5/8
Most antivirals work best if they are given very early in disease. With flu, they work well given before the onset of symptoms, as PEP. They are less effective once symptoms have started; and the later they are given the less effective they become.
6/8
If antivirals were to be used more widely for Covid-19 - what would be the indications? If you await a test result it might be too late (and tests lack sensitivity anyway).
7/8
It is unlikely we will be using antivirals widely any time soon.

So this announcement looks to me like another distraction. Wishful thinking at best; or just another dead cat.
8/8

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More from @petermbenglish

16 Apr
This Cansion vaccine is intriguing. Like AZ, Sputnik, Janssen, it is an adenovirus vector vaccine. But it is given via inhalation - a little like nasal spray flu vaccines (although those are live attenuated virus vaccines).
1/7
The link @hildabast provided is to the trials page. A previous paper is here: thelancet.com/journals/lance…

2/7
In theory at least, inhaled vaccines may, by virtue of the fact that they act directly on the respiratory mucosa, induce a better mucosal immunity (IgA etc) than system (eg IM) injection.
3/7
Read 10 tweets
11 Apr
Intriguing conclusion to this generally excellent article on screening for Covid-19.

thelancet.com/journals/lanep…
1/
It is good to see references to the frameworks for thinking about screening - very familiar to public health specialists like myself, but less well understood by others, including some in the medical professions.
2/
The conclusion intrigued me because it didn't even attempt to answer the question in the title; and it sat on the fence wrt whether screening for Covid-19 (and any very widespread testing amounts to screening) is a good idea.
3/
Read 6 tweets
11 Apr
Healthcare staff - including those working in @PHE_uk or its successor organisations, and the public health profession has a duty to speak out and challenge the "lock them up [for longer]" view that is so prevalent, particularly in right-wing, populist politics.
0/17
In my >20 year career as a consultant in communicable disease control, prisons have been the setting I've struggled most with.
1/17
As a previous tory home secretary said, "Prisons are an expensive way of making bad people worse".

I've tweeted about this before. or threadreaderapp.com/thread/1373255…
2/17
Read 19 tweets
20 Mar
It's sad to hear both PM Johnson and LotO Starmer colluding with the idea that the answer to problems is longer prison sentences.

Prisons only help when people who are dangerous and cannot otherwise be prevented from harming others are sent there.
1/14
Prison is worse than useless for anything other than keeping us safe from too-dangerous-not-to-be-there people.

Prisons are unhealthy - the risk of Covid-19 in prisons demonstrates this.
2/14
People don't come out of prison reformed or changed for the better. Some come out older (and therefore changed); many come out worse.

People not already addicted get addicted.
3/14
Read 15 tweets
15 Mar
People have been commenting that the protest shouldn't have happened on Saturday, it risked being a superspreader event and was therefore properly banned due to Coronavirus, and therefore the police had no option to ban it.

This is a non-sequitur.
1/
I would have preferred there not to be a large gathering on Clapham Common right now. The number of new cases of Covid-19 is still too high, and opening schools is likely to push this up considerably.
2/
Vaccination is going well, but the groups most likely to spread Covid-19 have largely not been vaccinated so far. (OTOH, there is increasing evidence that vaccination will decrease transmission, when enough people are fully vaccinated.)
3/
Read 17 tweets
14 Mar
My email to my MP (Chris Grayling) about the Police, Crime, Sentencing and Courts Bill…
1/6
Dear Chris,

I'm sure that, as a former Home Secretary, you will be as concerned as I am about the events of last night.

Of course, the reason why protest is not permitted at present is the Covid-19 regulations, which I  broadly support.
2/6
We hope, of course, that within a year or so - possibly even within months - the restrictions necessary for the control of Covid-19 will become a distant memory. However, undue restrictions on protest look like they may continue as a consequence of…
3/6
Read 6 tweets

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