Nobody is denying that lockdowns are hard. But quite often, the negatives aspects of lockdowns are discussed without even a cursory attempt to consider what might have happened without them.
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Australia has had just over 30,000 cases of COVID-19 diagnosed and tragically 910 deaths. Globally, there have been 180 million cases officially diagnosed (and clearly many more who were not officially diagnosed) and nearly 4 million deaths.
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A recent study looking at unexplained deaths around the world suggests that the number of COVID-19 deaths is likely to be at least two to three times higher though.
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Countries overseas that have been hit harder than us by COVID-19 have had per capita deaths generally in the range of 50 or more times higher than Australia. France, Italy, the USA and the UK all have official deaths in the range of 1700 – 2100 per million people.
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Australia is at 35 deaths per million. In addition, the UK is reporting more than a million people dealing with the ongoing health problems of long COVID. In that figure, more than 100,000 are teachers and even more are healthcare workers.
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If even a small proportion of them are struggling to return to work, that will have enormous impacts on the running of schools, hospitals, and other workplaces.
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Had Australia gone for softer restrictions and been hit by COVID-19 as badly those four countries, it is likely that we would have had an additional 45,000 deaths and maybe 400,000 survivors dealing with long COVID.
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Had we done a little better like Germany, that number of deaths would still be around 30,000. So, while lockdowns are clearly painful, not locking down or doing softer but inadequate lockdowns also comes with an enormous cost.
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We can’t “live with” a highly contagious virus and magically expect that it will stay at a convenient number of cases. That option is only possible when a significant majority of Australians are fully vaccinated.
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While we work towards that, please remember that the sacrifices that you have made in the pandemic period have saved many lives.
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There has been a lot of focus on deaths related to COVID-19 but recently we have also been learning more about the degree of ongoing health problems in some of the survivors.
Thread on Long COVID 1/9
We are now aware that a proportion of patients have ongoing symptoms for longer than expected and are labelling this ‘long COVID’ when it persists for at least several months.
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Some healthcare facilities have been setting up clinics for these people to try to understand better their symptoms and also gradually to learn how we can manage them.
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Some journalists, economists and politicians have been saying that we just need to let the virus run and only worry about protecting the elderly or vulnerable.
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Given that would mean a lot more community infections, hopefully limited to those at lower risk of death or severe infection, let’s have a look at what it would take to try to protect those who need protecting.
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The residents of aged care facilities have been hit particularly hard, so we’d obviously have to focus a lot of energy on trying to stop COVID-19 from getting into their facilities.
3/17
Quite a few people have been asking why the restrictions and mandatory masks in Victoria aren’t getting the numbers down more quickly. There are quite a few reasons, which include:
A thread 1/14
1a.A reasonable proportion of cases are still related to the Aged Care Facilities. This can mean positive cases from the residents, the staff, and also the household contacts of the staff.
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1b. As we have seen around the world, it is particularly challenging to prevent spread within these facilities when there is movement of staff and residents throughout, and many moments where people come into close contact.
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If you’re unlucky enough to be in the situation of trying to care for a household member who has COVID-19, here are some suggestions for how best to do it:
• Have the infected person in a separate room with the door closed.
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• If practical, try to keep windows open to improve air flow.
• If possible, they should use a separate bathroom to others in the house.
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• If there's only 1 bathroom, avoid using it straight after the infected person, and keep a window open to promote airflow. Wash down surfaces e.g., door handles, toilet seat, the flush buttons, and sink area with either bleach or alcohol-based hand rub on a dry cloth
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