It's not well known outside of medical circles, but there's been a long-running fight between cautious physicians and a libertarian group who have been advocating allowing the virus to run rampant to produce natural immunity in the population - no matter the cost in lives.
They signed a document called the 'Great Barrington Declaration' (GBD) - much criticized for its 'let nature run its course' or 'let the weak die off' take on pandemic management. @tylercowen writes a strong critique here:
bloomberg.com/opinion/articl…
A few things that astonish me about the GBD:
- It's from Oct/2020 - little was known about long-covid and new strains. How could they be so certain this was the best way forward without data to back it up?
- It's backers constantly declare the pandemic over, and are always wrong.
Sadly the GBD has become undeclared policy in the UK, Alberta and red-state USA. Children are a key battleground, and this group advocates against vaccinating children and allowing them to get infected naturally, even though 1/100 will be hospitalized, 1/50 will get Long-Covid.
Physician signatories of the GBD sit on critical committees... and tried to derail approval of vaccines for children at the FDA in July by pushing for longer observation periods in the trials (up to 18 months!):
This faction over-reached when they recommended against vaccinating 12-15 year olds in the UK, and were overruled by the PM:
Signs that your government is following the GBD approach:
- statements like: 'only people with co-morbidities are dying' - not true, and an inhuman, eugenicist take on life
- they force children into unsafe schools with no masks, ventilation upgrades or other easy mitigations.

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More from @KashPrime

14 Sep
Really strong case for 3rd doses, especially for those over age 60:
This should be the biggest priority for decision makers in the coming weeks.
I'll go over why in this thread ->
Waning immunity is being observed in multiple studies, in elderly populations, and needs to be addressed. It's too bad our federal authorities are paralyzed by the election, a decision needs to be made soon.
Vaccine equity is an issue, but:
- the world is swiftly catching up
- Median age in Africa is 19.7 years, its 45+ in most Western countries, and death/ICU risk increases exponentially with age
Read 8 tweets
5 Sep
How is it that 18m after the first mRNA vaccine was developed we still don’t have an approved vaccine for kids?
This will be one of the greatest preventable public health failures in history, and it is happening in real time right before our eyes
What can we do? Some ideas: Image
The stakes are massive; cases in children in the US are rising exponentially. Given how infectious Delta is, and the lack of mitigations in most schools, we can expect many, perhaps most, children to be infected in the next few months. aap.org/en/pages/2019-… Image
And it must be emphasized, as seen above, children can get seriously ill from this virus; 1/100 will need hospital admission, 1/10000 will die. 24 died in the US last week out of 200k new infections
1/50 will get Long Covid:
covid.joinzoe.com/post/long-covi…
Read 21 tweets
18 Aug
Listening to this phenomenal seminar by @kprather88 and others on what's at stake on the return of kids back to school this month.

@denise_dewald explains that the ICU system for kids if fragile and not designed for big shocks

Letting children get infected (and 1% of them will need hospitalization) will overwhelm this system quickly, and opens the prospect of triaging which child gets life-saving care.
@kprather88 explains that aerosol spread is the primary mode of spread of SARS2, and can float and linger in a room. Indoor spaces need to be filtered, masks need to be worn.
Read 16 tweets
18 Aug
Going through US data on children and Covid from @AmerAcadPeds is pretty alarming reading. Cases and hospitalizations are accelerating quickly.
aap.org/en/pages/2019-…
It looks like a pediatric hospitalization rate of 0.9% is consistent across 23 US states (Texas, Florida, Arkansas and many others are refusing to report this data)
If you extrapolate roughly from the rate of new pediatric cases every week, which is at 120K children last week (and accelerating), that's >1000 kids needing admission this week alone.
Read 5 tweets
17 Aug
Happy to see that teachers will be required to vaccinate (or get rapid tests). Ontario's plan is probably the best in the country now, but there's still some big gaps:
- Require masks from JK up
- Eliminate unmasked indoor activities
- Come up with a safe plan for lunch-time
Some great ideas on making lunch-time safer, especially when the weather gets colder:
Overall our children need a circle of protection around them. Vaccinated parents, teachers, rapid tests, ventilation upgrades. We have the resources and time to get this right.
Read 7 tweets
3 Aug
Here is a checklist you can show your local school administrators on protecting kids <12 before school starts. Will post supporting documents and explainers later this week, but we have no time to waste... we have a month to get this right.
The stakes are high. As @DanielGriffinMD likes to say, kids are at low risk, but they are not at no risk. Perhaps 1/25 will get long-term symptoms, 1/140 may need to be hospitalized, 1/3000 may develop MIS-C.
Read 5 tweets

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