If you are feeling sad/angry about NSW abandoning disease control… you are not alone. We will get back to disease control one day, meanwhile there are things you can do to keep yourself and your loved ones safer.

Follow @RealOzSAGE for advice.
Wear the best mask/respirator you can, and have no stubble/beard where the mask seals against the face.

Use double masking, mask fit devices, or knot and tuck to close any gaps around the edge.
Wear warm/cool clothing as appropriate and ventilate your workspaces as much as possible.
Remember, it’s not only about whether you get infected or not, it’s also thought to be important to reduce the amount of virus that infects you. So doing these things is not a waste of time, even if you don’t believe you will escape COVID-19.

Give your immune system a head start
And of course, get vaccinated if you can, at the first available opportunity.
Why do I think disease control will return as part of the NSW state strategy.

Two main reasons.

COVID19 is not going to be easy to live with. At some point they will realise that and a long term elimination plan will be drawn up, much like TB.
At some point the lack of ability to run a normal health system with full capabilities to deliver preventative and elective medicine will get tedious.
I think a third reason, but I am not sure yet about this one, is that better vaccines and therapeutics will come forward… and they will make coronavirus infections much easier to control.

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More from @NjbBari3

22 Sep
Published on 28th March 2021.

Recognition that ventilation is important for disease control because #COVIDisAirborne.

nsw.gov.au/covid-19/getti…
How many essential workplaces have been audited for compliance for adequate ventilation?

How many essential workers know they should be wearing a respirator?

#COVIDisAirborne
Why was the NSW lockdown allowed to fail in this way if airborne disease transmission has been acknowledged for to long?
Read 6 tweets
11 Sep
@shaz_harro There is going to be a honeymoon period as the high vaccination rate, together with ongoing mask use and school closures take effect.

A sense of confidence will return and further opening up. Preparations for Christmas will begin.
@shaz_harro Case numbers will increase slowly until the opening up occurs. For a short while even after restrictions are loosened all will seem well… and then the slow ramp of cases will begin again.
@shaz_harro If schools go back without adequate multi-layered mitigations, and it seems likely an attempt will be made to do this, children’s cases will skyrocket.

The pressure will fall on children’s hospitals.
Read 21 tweets
10 Sep
The size and length of the outbreak is irrelevant.

Educate people and give them the resources and infrastructure to empower them to avoid disease.

All you need is R<1.

#TargetingZero🦠
There are diseases that have stalked humanity for as long as humans have recorded history that we no longer suffer from in many parts of the world.

Never give up.

#TargetingZero🦠
If you can’t save yourself from the first infection, you may avoid a second or third. If you can’t save this generation, you may save future ones from this scourge.
#TargetingZero🦠mississippifreepress.org/15715/in-missi…
Read 4 tweets
9 Sep
Small study, and half the patients in the COVID-19 arm also had antibiotics, but apparently even after you control for this…

COVID-19 moves in to the gut like a squatter, chucks out your friendly gut bacteria and hangs out with the bad bugs!
H/T @jmcrookston ->
No GI symptoms persisting to indicate the gut carriage of COVID-19 either.

Sneaky.
pubmed.ncbi.nlm.nih.gov/32442562/
Live virus is shed in stools by COVID-19 patients for many weeks, if it becomes a part of the gut biome, this could be an extraordinarily long time.

We will need to think about how sewage is treated and discharged into the environment, and safety of shared toilets.
Read 4 tweets
9 Sep
A sensible leader would:

✅reattempt local elimination now vaccination rates are high. (the reduction in transmission afforded by vaccination should assist contact tracing).

Add

✅community medical mask/respirator use
✅emphasize ventilation at the daily presser.

#auspol
✅implement community home rapid antigen testing.

✅ use mass pooled testing

✅ use HEPA filters in apartment outbreaks and advise people to use HEPA when isolating.
✅ commence work on sourcing the equipment required to ensure schools have maximum airborne disease mitigation aiming for a solid start in 2022.

✅ procure vaccines for children and ensure all sections of the community have high vaccination rates.
Read 8 tweets
9 Sep
@NSWCHO

Thank you for trying. We will remember forever who it was that infected Australia.

It was @GladysB who made the final call to let it rip.
Please know, that @GladysB did this without ever offering essential workers respirators so that we could get R<1. Never deployed rapid tests to the community. Never in a whole year sorted out ventilation in schools or workplaces.
Decided that all children under 12 and 30% of the eligible population could be left to sink or swim in their own having never even had a chance to access a vaccine!
Read 4 tweets

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