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Dr Dan Goyal Profile picture
@danielgoyal
Oct 9, 2021 • 8 tweets • 3 min read • Read on X
Thread on FLU versus COVID

Apologies for lots of previous single tweets on this. Thread…

It seems many people believe Flu and COVID are in some way similar.

Many use this as an argument for easing Covid mitigation strategies.

Simply and utterly, completely wrong ..

1/n
To clear the first point up:

In the UK,

Flu deaths are 1200 per year.

At our current rate, COVID-19 kills over 40,000 per year. [this is even with vaccine coverage of >60%] Image
COVID-19 is currently killing more than 30 times more people than FLU.

FACT! Anyone says otherwise, ask for the evidence.
This is entirely consistent with what we see on the ground. Death from flu is rarely seen.

#COVID19 #MedTwitter
The confusion, I think, and aside the wilful distortion of facts, is that many organisations report “Flu and Pneumonia” together. Such as the ONS.

For example in ONS report:

Deaths First half of 2020,

COVID = 48,000
FLU = 394
Pneumonia = 13,600

But then report together
Pneumonia is very different than flu.

Pneumonia is one of the highest burden diseases in the UK. Almost always requires medical intervention.

FYI - COVID pneumonia is tripling the total number of deaths from pneumonia - AT CURRENT RATES!

Flu is the left column: Image
Thanks to @jneill for this graph, and thanks to @dgurdasani1 for sharing.

It sums up the flu versus Covid rates - current rates too. Image
Modelling studies for FLU

The modelling estimates are irrelevant in the argument for burden of health. They suggest we have not been taking flu seriously enough, that it is a root cause for pneumonia. The point, the burden from pneumonia is huge and covid is tripling this burden

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More from @danielgoyal

Dr Dan Goyal Profile picture
Apr 29
I have no inherent obligation to work in the NHS

My obligation is to my patients, whoever they are and wherever they live.

But I want to work in the NHS…

Selfishly speaking, I appreciate not having to say no to treatments because a patient can’t afford it..

But…

🧵 1/6
After 14 yrs of Tory rule and a cowed and complicit NHS Leadership, patients are being denied treatment due to lack of resources. It is hard to witness, day in and day out.

The very principal of the NHS - access for all - no longer exists!

2/6
So do I blame any doctor seeking work elsewhere? Absolutely not. Better to survive and help patients than to be broken by a system that makes treating patients harder and harder, in a country increasingly polarised. Staying in the NHS now can be very damaging for staff.

3/6
Read 6 tweets
Dr Dan Goyal Profile picture
Apr 21
This is simply unbelievable.

The way the Tories go on about it you’d think we spend all our money on the sick and unemployed

But check out the stats!

We should be paying much more…

Near bottom for incapacity benefit Image
Bottom half for social spending

France spends 50% more

Germany 25% more Image
Spending on unemployment is actually just ridiculously low..

Bottom of the table

About TEN times less than other comparable nations Image
Read 5 tweets
Dr Dan Goyal Profile picture
Feb 19
The first episode of Breathtaking was so spot on:

The chaos

The fear

The top down diktats ignorant to what’s actually happening on the frontline

And the kick in the teeth: there was no need for such chaos…we had plenty of warning!
1/n
You may be asking why only testing if travel history?

There were limited tests available, even though we had months of warning

It should have been a clinical call who gets tested not a management call
And remember at the time the UK was downgrading PPE, we were an international outlier. WHO never changed the advice. Even in poorer nations, medical staff were still kitted out in FFP3. Germany, France, Spain, Norway,…never downgraded.
Read 8 tweets
Dr Dan Goyal Profile picture
Feb 18
It’s been a brutal winter for most of us in the NHS.

Now I’ve a got a few weeks off I’m reflecting on medicine in the NHS in 2024
🧵
To be clear, as a general medicine consultant in the NHS we get an unselected patient group. We see all sorts from sepsis to heart attacks to strokes to cancer to drug overdoses to alcohol withdrawal…I will see most of them from admission in A&E through to discharge or death.
My impression
Medicine is way more advanced than it was when I qualified in 2001. For example, we used to have two or three medications to treat heart failure and most patients with heart failure died in three years.

Not anymore!
Read 17 tweets
Dr Dan Goyal Profile picture
Dec 12, 2023
The Covid Inquiry has been asking questions about whether Lockdown could have been avoided. Some (like Sunak/Johnson) have interpreted this as suggesting we shouldn’t have locked down. It’s the entirely wrong interpretation and not the question the Inquiry is asking…

1/14
It is true that some countries didn’t lockdown and did far better than the U.K. But it was not the presence or absence of lockdown that determined the outcome. It was the presence or absence of an effective pandemic response executed early and well that determined outcomes
Lockdowns are ultimately a failure of basic pandemic management - isolating cases, tracing contacts, infection controls, treating the sick, etc.. A last ditched, heavy handed measure when you have completely lost control of the outbreak.
Read 14 tweets
Dr Dan Goyal Profile picture
Dec 9, 2023
Johnson’s Testimony - Opinion

After 13 years of seeing this govt attempting to spin even the most damning of self-inflicted catastrophes, Johnson’s attempt to spin the UK’s tragically incompetent pandemic response takes the biscuit. It was as arrogant as it was hopeless.

1/n
It should have come as no surprise that Johnson would treat the UK’s Covid Inquiry with the same contempt as he had shown the British people throughout the pandemic.
But, in truth, I had hoped he would have contained his overwhelming sense to serve only himself for even a moment, so as to help the British Public avoid a repeat pandemic disaster - which is, after all, the primary reason for his appearance. He didn’t.
Read 33 tweets

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