"Pandemic preparedness: UK government kept coronavirus modelling secret" @bmj_latest doi.org/10.1136/bmj.n1…
@DrMQureshi
Why was it @PHE_UK that said publication would "damage national security"? Is such a decision a PHE responsibility (I doubt it)?
1/8
Unless it reveals details of plans to counter bioterrorism or warfare that potential attackers would not guess and would help them, how could publishing reports on pandemic / epidemic preparedness exercises possibly damage national security?
2/8
This seems completely implausible.

Just like the identical claims that delayed (until protests forced publication ofthe reports on the impact of Covid-19 on BAME people last year.
3/8
"National security" is the government's get out of jail free card.

They claim that explaining how publication would be damaging would, itself, be damaging, and thereby prevent any rational discussion.
4/8
And they use the claim when, as here, it is so implausible that we have to deduce they are (as we have seen them do so often) simply lying, using the claim as a pretext to cover up incompetence or something embarrassing.
5/8
NB I was Chair of @TheBMA's Public Health Committee until Autumn 2020 and a @PHE_uk consultant emergency planning lead for Surrey and Sussex until I retired earlier this year.
6/8
I spoke directly with senior managers in PHE after a summary of the report showing the disproportionate effects of Covid-19 on BAME people, to say I believed publication was in the public interest. The response was not convincing!
7/8
When I say that it is implausible that the pandemic / epidemic exercise reports would damage national security, remember my role in @PHE_uk (tweet 6).
8/8
@PHE_uk re tweet 2 - an alternative is an outdated, paternalistic belief that the public can't be trusted with the truth. That eg telling them about inequities will lead to riots or other civil unrest, disproportionate to the benefits of truthfulness.

A convenient, false, pretext.

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More from @petermbenglish

1 Jun
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
Read 10 tweets
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

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