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Anthony Costello Profile picture
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15 Jul, 9 tweets, 4 min read
Seven excellent reports in the FT from UNICEF and Children in All Policies-2030 (cap-2030.org) on what governments + companies should pursue to help the next generation overcome the Covid-19 pandemic, climate change, and economic inequity.(1) ft.com/reports/unicef…
Why investing in children is the most important economic imperative. ft.com/content/01eb69… (2)
Why cutting UK aid damages families, children and also our own international reputation.(3) ft.com/content/137490…
Why we need Children in All Policies by my colleagues Helen Clark (former PM New Zealand), Awa Marie Coll-Seck (Min of State, Senegal), Bethany Jennings and Sarah Dalglish (Exec director, #CAP2030) (4). ft.com/content/b909c2…
What young people tell us about climate change. (5) ft.com/content/1ff2c9…
Time is running out if we want a safer, greener world for our children. From Lord Rees, UK Astronomer Royal. (6) ft.com/content/57bb45…
Political strategy and goodwill can do much to reduce global poverty. (7) ft.com/content/e504c8…
If you're interested in these issues follow the work of #CAP2030 (cap-2030.org), WHO and UNICEF. (8)
And check out our Lancet Commission report in 2020. A Future for the World's Children? thelancet.com/journals/lance…

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More from @globalhlthtwit

Anthony Costello Profile picture
18 Jul
I don't mind public criticism but I do object to being misrepresented, in a major paper like @thesundaytimes without being consulted. Their leader writer Dominic Lawson has taken a pop at me so let me correct his accusations. (1) Image
He says I am not 'an epidemiologist', unlike Chris Whitty. He might have checked my publication record iris.ucl.ac.uk/iris/browse/pr… I would guess 80% of my 403 research papers are 'epidemiological', including numerous population trials.(2)
He takes a 2019 twitter quote from me about being "to the left of Jeremy Corbyn on economics and environmental issues." If you look at the context you'll see I was actually defending @campbellclaret from being expelled from the Labour party. (3) Image
Read 9 tweets
Anthony Costello Profile picture
9 Jul
On vaccinating children. UK data released today reports that over ONE Year 5,800 children were admitted with Covid19, 690 children admitted with a linked paediatric inflammatory multisystem syndrome(PIMS-TS) of whom 251 required intensive care. 25 children died from Covid19. (1)
For those who want to look at the US figures and an excellent review of the risks and benefits, see this article: (2) sciencebasedmedicine.org/covid-19-and-b…
What about Long Covid? ONS figures: 14.5% (of children aged 12-16 have symptoms lasting longer than 5 weeks, and 5.7% (4.1-8.1) lose taste and smell. If half of all children aged 12-16 became infected we might expect >100,000 to lose taste +smell. (3) ons.gov.uk/releases/preva…
Read 13 tweets
Anthony Costello Profile picture
6 Jul
The story so far. About the failure of public health. Not masks. Look at the death rates in China (pop 1.4bn), Vietnam (100m), USA (340m) and UK (68m). Yes, you cannot see the death curves in the first two because they are so low. (1)
Our leaders/advisers said you cannot suppress this virus. China and Vietnam did. Then they said these countries will inevitably face a huge second wave. They haven't - just smaller outbreaks that they jump on with good public health implemented by people on the ground. (2)
We were forced into prolonged national lockdowns. Hugely damaging to livelihoods, the economy and mental health. None of the Asian states had national lockdowns, only local ones. Their economies had ten times less damage. (3)
Read 20 tweets
Anthony Costello Profile picture
4 Jul
On Children and Long Covid.
No. You are being disingenuous with these studies. We agree the Swiss study is worthless because of type 2 error. Let us now look at the Zoe and the Australia studies...(1)
People are rightly worried about Long Covid and possible effects on children's developing brains. The Zoe study shows 4.4% of 1,734 infected children (588 younger 1,146 older children) get headache, fatigue and anosmia (three neurological signs) lasting more than one month. (2)
Worrying. If children are now to be exposed to infection by the UK government failure with public health/vaccination measures, + say another 50% of children up to 16 become infected, we're looking at 8.8 million x 0.5 x 0.044 = 193,600 kids facing prolonged symptoms. (3)
Read 15 tweets
Anthony Costello Profile picture
4 Jul
Several scientists are referring to an unreviewed short Swiss paper to support the idea that Long Covid in children is minimal. medrxiv.org/content/10.110… (1)
The authors correctly point out "limitations include the relatively small number of seropositive children, possible misclassification of some false seropositive children, potential recall bias, parental report of child’s symptoms, and lack of information on symptom severity" (2)
The paper reports on just 109 children picked up as seropositive compared with 1246 negatives. No conclusions can be drawn because of classic type 2 error: failure to reject a false null hypothesis because of an underpowered study. (3)
Read 6 tweets
Anthony Costello Profile picture
30 Jun
I agree with you Rob about the severe social + educational impacts of lockdowns which children in countries that suppressed the virus with strong local public health measures to suppress infection have avoided. (1)
But look at the figures from your own pre-print study. 5.1% of 12-17yo positivecases had symptoms lasting over a month, with at least 4 out of five having neurological symptoms (2)
A recent study of 394 + and 388 Covid - adult controls who had brain scans before the pandemic and after showed loss of brain cortex tissue in taste and smell areas of the brain in + cases. (3) medrxiv.org/content/10.110…
Read 11 tweets

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