I keep seeing articles commenting on whether we are entering a new "wave" of Covid-19.

I don't think there is any clear, official definition of a "wave". It's simply a description of what you see on a graph of [something] over time.
1/8
I'm not sure how useful the concept of "another wave of Covid-19" is, now.
2/8
Before saying there is a "wave", you need to be clear: what is it a wave of? (What is the y axis measuring?)

It may seem obvious, but is it? What are we concerned most about? Deaths? Overwhelming the health service, in which case it might be hospital or ICU admissions?
3/8
Or cases?

It used to be that a proportion of all cases would be hospitalised, and a smaller proportion would die; and the proportions were higher with increasing age.

It still is the case; but vaccination has affected it.
4/8
As we have vaccinated so many older and more vulnerable people, the proportion who get symptoms, significantly ill, require hospitalisation or critical care, or who die have shrunk.
5/8
So we could have another distinct "wave" of infections without having a very significant wave of hospitalisations or deaths.
6/8
So, if you read an article about the likelihood that we are about to experience or already in another "wave", ask yourself what the person using the expression means.
7/8
And if you refer to eg "another wave of Covid-19" yourself, make sure your listener's understanding of the term is the same as your own.
8/8
You can find a threaderapp version of this thread at threadreaderapp.com/thread/1399709…, and a slightly tidied-up version as a blogpost at peterenglish.blogspot.com/2021/06/what-i…

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More from @petermbenglish

29 May
I hear @PHE_uk getting flak for failing to ramp up testing quickly last year

@TheBMA and PHE staff repeatedly raised concerns about the closure of Public Health Laboratories (PHLs) over the last decade.
1/4
During the flu pandemic PHLs - particularly the London PHL stepped up and provided a vast amount of flu testing.

@PHE_uk was made to close the PHLs aftef the pandemic, in the face of opposition from public health experts who asked how we would manage the next pandemic.
2/4
Then, when Covid-19 arrived, ministerial decisions demanded that private laboratories should do the testing, when a fraction of the investment, given to NHS labs, would have provided a better service much sooner.
3/4
Read 4 tweets
22 May
The rules on travel to Germany at present… are confusing.

See gov.uk/foreign-travel…

From 23 May the UK is designated as a virus variant area of concern, so there are lots of restrictions on who can travel to Germany and the reasons which are permissible.
1/12
tldr: The @foreignoffice @fcotravel guidance is contradictory, but can be read as saying that you don't need to quarantine if you can show you're immune or were tested. I think this is WRONG. There appear to be few if any exemptions from 14-day quarantine.
2/12
Is it just me, or is this (image) contradictory? It looks like you can be "released from quarantine immediately if…" you can demonstrate proof of immunity (fully vaccinated or recent recovery), or…
3/12
Read 13 tweets
22 May
Can contacts of "clinically extremely vulnerable" people get Covid-19 vaccine even if they are not yet in the age group being offered the vaccine?

This question has come up recently, so I've had a look at the guidance.
1/13
There are two key pieces of guidance - an NHS letter, and accompanying operational guidance.

The letter:
england.nhs.uk/coronavirus/wp…
or via
england.nhs.uk/coronavirus/pu…
2/13
Read 14 tweets
21 May
The BBC has been a mouthpiece of the tory right wing every since politicians attacked it for accurately reporting Kelly's death.

They did not let opponents of the Health and Social Care Bill/Act (HSCA) speak.
1/6
Nearly all professional bodies - medical royal colleges etc - knew it would be a disaster. Yet the BBC fielded people for "balance" who actually supported the HSCA but provided token words against it.
2/6
Nobody who wasn't reading the trade press would have had any idea that the medical, nursing, social care and other professions were saying the HSCA would be the disaster it is now almost universally recognised to have been.
3/6
Read 6 tweets
27 Apr
1/8
Pregnant women are at greater risk if they catch Covid-19.

1.Adhikari EH, Spong CY. COVID-19 Vaccination in Pregnant and Lactating Women. JAMA 2021;325(11):1039-1040. (doi.org/10.1001/jama.2…).
2/8
In Germany, the risk is considered so great in pregnancy that the household members of pregnant women are offered vaccination to reduce the risk of their spreading it to the pregnant woman.
3/8
Pregnant women respond well to Covid-19 vaccines.

2. Gray KJ, Bordt EA, Atyeo C, Deriso E, Akinwunmi B, Young N, et al. COVID-19 vaccine response in pregnant and lactating women: a cohort study. American Journal of Obstetrics & Gynecology 2021. (ajog.org/article/S0002-…).
Read 9 tweets
27 Apr
Why are leaseholders having to foot the bill?

Because most of them are poor and cannot fight it, of course!

1/5
Somebody else was responsible for fitting unsafe cladding to their buildings. Leaseholders had every right to expect regulations to ensure their buildings were safe.

Maybe property developers fitted unsafe cladding knowingly, to save money; or perhaps were misled.
2/5
Either way, the responsibility for regulating buildings' safety lies with government.

It may or may not be reasonable to force developers or building owners to pay, but there's no point bankrupting them, and the ultimate responsibility lies with government.
3/5
Read 6 tweets

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