Dr Dan Goyal Profile picture
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

Jun 19
NEW: SNP manifesto

This is the kind of manifesto many wanted Labour to deliver

The pitch is left of centre - socially progressive…

with a persistent argument about the harms of being tied to a broken Westminster

Protecting the NHS from privatisation is a key theme

🧵
Some highlights:

SNP taking a clear position on integrity in politics and the lack thereof in Westminster. Hard to argue against this Image
3. Some hard data comparing Scotland to England.

The SNP argues this is despite a stranglehold Westminster has on Scotland policy areas and the “power grab” of the current U.K. govt. Image
Read 12 tweets
Jun 17
Given some so called patriots want a French healthcare system, let’s take a look at it.

🧵

Summary: social insurance with 95% of people taking private healthcare to cover copays. Costs £40bn per year more. Less equitable than NHS, but can turn a profit
1/10
Akin to some other European countries, France uses a social insurance based model predominantly - where employer and employee pay a means-tested insurance premium

but unlike most EU countries the French people pay a surcharge on pretty much everything they access or use
This has led to 95% of the population taking out private insurance.

This is an insurance premium (on top of the social insurance premium) that is in part based on likelihood of needing health care - older people paying more.

Typical costs: Image
Read 13 tweets
Jun 14
Labour Manifesto - NHS

Some good policies but overall disappointing and a bit concerning.

A summary thread
1/x
1. There is the title: Build an NHS Fit for the Future

In one way, fair enough. Buildings are outdated and crumbling and IT is hopeless

But, Labour seems oblivious to the fact the NHS leads the world in medical and surgical care. The issue is merely access not tech upgrades. Image
2. "publicly owned and funded" is meaningless. Even the deranged health system of the U.S. has a publicly funded component - waiting lists are horrendous and access to treatment is very limited.

We want universal access to all available treatments - quite different! Image
Read 20 tweets
May 21
We are already in a two-tier healthcare system

Nuffield Trust reports this week on a massive increase in private provision

More worrying, a massive surge in people using their savings to access care

From the best health system to one of the worst in 14yrs!

Summary 🧵
The amount the NHS pays (this is our tax money) to the private sector has nearly doubled in five years…

From £1.66b to £3.1b

2/9 Image
This is catastrophic for the future of our health system

It’s based on political targets superseding clinical ones - Managers wanting to please whoever the latest Health Sec is versus prioritising clinical needs

Urgent and primary care should be priorities not GE fodder!
3/9
Read 10 tweets
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
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

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