Why we formed OzSAGE @RealOzSAGE, who we are and why we're promoting:

- Living with occasional outbreaks, not widespread #COVID19 disease
- Ventilation & #vaccinesplus
- No one left behind
- Protecting the health system

🧵
Australia has many world class institutes, universities, etc. We know because we represent many of them!

Yet #COVID19 challenges us because it cuts across every silo of expertise. Virology to sociology. ICU to IT. So we gathered 50+ ppl from the largest relevant breadth we could
Diversity counts

People think similarly if they have same backgrounds, trained in same system or come from same place

We are proud to be a diverse group. Half women, multicultural, strong First Nations representation, many industries

Academics AND frontline healthcare workers
@RealOzSAGE isn't here to undermine the amazing work that many people are already doing. Remember, we represent many of those other institutions

Rather we are here to try and tie it all together. An additional resource for state & federal govs, business, education, NGOs & others
Know that the advice that @RealOzSAGE offers is free of political influence and financial interest. We're all volunteers

Also know that it's been through a robust, multidisciplinary discussion process. Let's just say there's LOTS of emails
You can see who the members are here:

ozsage.org/member-list/
In simple terms, we believe Australia has a choice going forward:

We can aim for high #COVID19 situation, or low #COVID19 situation

No one knows exactly what either looks like, but Australia has lead the way on effective public health campaigns on road safety & tobacco before
If we have option of ⬇️ amount of disease that kills old & young, cripples healthcare, shuts borders & causes long lasting disability -why wouldn't we?

With ⬆️ vax rates we will have the choice, and we believe we should aim to live w occasional outbreaks, NOT widespread disease
Fortunately, experience overseas shows us that there are effective ways to get there

First ventilation. WE SHARE THE AIR! If someone w COVID breaths out & we breath in, we get it

We need improvements in indoor air quality through ventilation, filtration & mask use when needed
Second - #vaccinesPLUS

Vaccines are amazing. They are the central plank of ANY rational strategy. But alone they are not proving to be enough. Test, trace, isolate & quarantine helps us all

Vaccines will likely also get better targeted to delta & other variants & immunity
No one left behind. COVID, like all diseases, doesn't play fair

It disproportionately affects Aboriginal and Torres Strait Islander ppl, remote & regional Australia & vulnerable groups such as long term residential care, disabled, chronic diseases

Protecting all protects all
Protect the health system

All of our health depends on a functioning health system to care not just for COVID, but for everything else

Unless our health workforce and workplaces are robust and protected, we risk preventable death & illness
You can read much more about @RealOzSAGE here, as well as catch our upcoming releases

ozsage.org

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More from @drgregkelly

1 Sep
Some clarity post Vic #COVID19 news today

Next few mths NSW/Vic won't see big change of restrictions due to health system overwhelm

REAL CHOICE is after that, do we aim for:

"Let it rip (vaccine edition)" aka #COVIDeveryone, or

"Maximal suppression" aka #COVIDelimination?
Degree of freedom that NSW gov has in next few mths very limited as the health system is already SEVERELY strained - of course gov knows this

We're in lockdown for the next few mths, aside from some minor relaxations like picnics, small weddings, etc to enhance tolerability
There'll be tension in the next few months, protests, "debate" about whether lockdowns work etc. IGNORE IT ALL FOR SANITY'S sake. The government has limited choices & they know it
Read 9 tweets
22 Aug
Those who argue that #COVID19 is not a concern in children because it only rarely causes serious illness and death might be surprised to learn that there are whole fields of medicine devoted to preventing kids getting sick and dying from other rare conditions
We also need to understand that even though the risk per infection is very low, if a very large number of kids are infected, that becomes important. Even a tiny percentage of a very large number is a large number.
In wealthy countries, very few children die, so even rare causes of death are significant. Eg, congenital heart disease affects ~1/100 kids & only 1/2 of that is life threatening. We can treat vast majority, meaning “only” causes ~150 deaths in Australia annually, 70 in infants
Read 7 tweets
1 Aug
I think much of the incoherence & backflips in #COVID19 response, esp in rich countries, came about b/c ppl don't understand who ICU teams are & what they do

I'm an intensive care specialist who did an MBA to try & understand this better myself, here goes at an explanation: 🧵⬇️
Firstly, it's TOTALLY MEANINGLESS to talk about death or mortality rates in a pandemic without talking about ICU teams

If you are in a rich country with a functioning health system there is ALWAYS an ICU team standing between you & a potentially avoidable premature death
We're NOT used to thinking like this b/c epidemiologists & ID normally think either about outbreaks of deadly diseases in places w/out ICU teams Ebola in Africa) OR non deadly diseases in other places where ICU is irrelevant - gonorrhoea is embarrassing, not life threatening
Read 18 tweets
15 May
Democracy is messy. Australia's #COVID19 response worked because ppl at the top, Nick Coatsworth & Morrison included, were able to bend to pressure when needed. That's something to be proud of

Yes, things happened slowly & avoidable harms occurred
Therefore attacking ppl that made success possible tarnishes legacy & reputation rather than defending it. Few direct points:

1. Advocating at risk to career, employment & reputation is not a feature of narcissism

Being thin skinned and offended by challenges to authority is
2. Denial that denial of #COVIDisAirborne occurred "positions of both sides..are similar"

Here is saying "it's definitely not airborne" & excerpt from letter from gov he was copied in saying only happens under experimental, not real world conditions

This is becoming post truth
Read 11 tweets
14 Nov 20
How me and 25 000 of my friends helped to save our country from #COVID19

And how you can too (a thread)👇
Obvious to all Europe, US & many others facing enormous 2nd waves of #COVID19

We know what works. 1. Lockdowns buy time 2. Limit transmission 3. Contact tracing 4. Protect HCWs

It works - Victoria absolutely crushed big 2nd wave & has had 2 weeks of ZERO community transmission
You health care workers know this. You are screaming it. But how do you get the decision makers to listen?

A -You ORGANIZE

1 voice is not a story, it's too easy to dismiss

1000 HCW voices is a story

10 000 voices can shape THE story

People listen b/c HCWs don't often speak
Read 12 tweets
17 Oct 19
Palliative & end of life care is a small but critically important part of #pedsICU

Our community has the knowledge & skills that our patients need but we lack simple & robust frameworks

My talk on #pedsPC at @worldcongressic #WCIC19
@worldcongressic Few kids die but they die after long battles, with chronic illnesses & in hospital or #pedsICU

¾ kids who die in PICU do after WLST

= palliative care in the PICU is inextricably linked with care in the PICU, & we are the best ppl to manage it

#pedsPC #WCIC19 @worldcongressic
@worldcongressic A simple & robust framework for palliative care in the #pedsICU

1. See clearly (use benefits vs burdens)
2. Build professional consensus
3. Create shared understanding w family
4. Offer active palliative care

#pedsPC #WCIC19 @worldcongressic
Read 7 tweets

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