Anthony Costello Profile picture
Aug 19, 2021 8 tweets 3 min read Read on X
Lessons for Afghanistan (and Covid). In 1986 I visited Vietnam and met Dr Duang Quynh Hoa, paediatrician and former Minister of Health in the communist regime. She showed me a ward full of malnourished children and criticised her own government. (1) Image
I learned much abt the Vietnam war by reading the historian Stanley Karnow who concluded that the USA had lost the war before it began. They fought an ideological war, but lost to nationalists who simply wanted foreigners out. Many US supposed allies were VietCong spies.(2) Image
But Karnow reported the lessons gleaned from interviews with defeated US generals. How you need to know your enemies and allies. (3) Image
How there are no scientific solutions that supercede human commitment. (4) Image
How the architect of the war, Robert McNamara, used data and modelling to convince himself the US were winning...(5) Image
How military solutions cannot prop up 'unpopular, inept and venal regimes'. (6) Image
And how the victors of war face a miserable peace. Karnow also interviewed the paediatrician + Vietcong spy Dr Hoa, who realised that victorious Hanoi communist generals created an equally inept government causing mass childhood malnutrition. (7) Image
30y later Vietnam has created a stable + prosperous state + shown the world how to respond effectively to the Covid crisis. Afghans face a grim future under the Taliban. We must hope a more disciplined, uncorrupt, educated group enter government, without foreign interference. (8) Image

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More from @globalhlthtwit

Nov 21, 2023
Whitty's excuse about upscaling testing is wrong. He should have set up an advisory group to get this moving from day one. The excuses about lack of infrastructure compared with S Korea is a retrospective excuse and misleading. (1) THREAD
S Korea and the UK developed a test on the same day in January. S Korea had managed to get up to 6-18,000 tests per day during February 2020...see below. (2) Image
We can see from Adam Kucharski's figure that their R fell below 1 by early March and they stopped the epidemic in two hotspot areas. They have since had five times fewer deaths and no lockdowns. We are not talking about 'mass testing'. (3) Image
Read 9 tweets
Nov 20, 2023
On the Today programme this morning Sir John Bell echoed the official story that in the first six months of the pandemic we faced a new virus with little evidence to guide us. Nothing could be further from the truth. THREAD (1) Image
We can’t compare death rates between countries say statisticians. Sir Patrick Vallance wrote to the Inquiry that “a 'zero Covid' strategy could have been pursued, but required a national lockdown and border closures by the end of February.. (2)
to be continued indefinitely.” These statements are wrong. As early as January 28 2020 the UK Scientific Advisory Group of Experts (SAGE) unanimously decided on a pandemic strategy based on the wrong virus, influenza, simply to limit the spread. (3)
Read 25 tweets
May 18, 2023
One reason why climate change doesnt energise politicians and the public is because we describe heating in terms of temperature. Saying the world has warmed by 1.2 degrees seems like a nice pleasant weekend. Here are some other ways to describe it... (1) Image
We pump 1,337 tonnes of CO2 into our thin and fragile atmosphere every second... (2) Image
How much energy was required to heat the world by 1.2 degrees. In terms of 'Hiroshima bomb equivalents' how many bomb loads of energy have been added? Sixty, 600, 6 million or 6 billion? (3) Image
Read 13 tweets
May 14, 2023
How does poor family purchasing power in 1734 compare with Universal credit in 2023? Image
Jacob Vanderlint in Money Answer’s All Things in 1734 gave a budget for a laborer, wife+4 children in London of 16shillings per week to cover meat, bread,milk, salt, sugar, butter, cheese and beer (to avoid perils of water), coal, soap, candles, thread and rent for two rooms. Image
We might add on another two shillings for crisis expenses, transport, clothes and medicines. In 1750 £1 was equivalent to £284 purchasing power in 2023. That’s £256 per week or £1109 per month for the family costs in 2023 prices Image
Read 4 tweets
Mar 24, 2023
A short thread on the huge scale of hunger and food insecurity in the UK from a large survey in January 2023 by the @Food_Foundation (1)
One in six adults are experiencing periods of hunger. (2)
One in 19 adults report going without food for a whole day (3)
Read 7 tweets
Mar 17, 2023
Banks are nervous. They are rushing to borrow cash. The FTs Robert Armstrong has looked at three sources of cash lending to banks (or big depositors) in recent days in the US (1)
First, the Federal Home Loan Banks (FHLB) considered the 'lender of last resort ' for small banks. (2)
Second, the Federal Discount (whatever that is) (3)
Read 5 tweets

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