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Niall Conroy Profile picture
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16 Oct, 6 tweets, 2 min read
We’re relocating back to Ireland in February and, much as I love Trim, I’ll miss having Urangan pier in #HerveyBay as my morning walk Image
It was one of those rare Saturdays where I didn’t get called in to work, so we got to enjoy the local Osprey having breakfast
There are about 10 of these MASSIVE pelicans living on the pier. The locals call them all “Steve” because nobody can tell them apart 😂 Image
Because I didn’t have to work, we were able to take a last-minute boat trip and watch the wildlife Image
Whales everywhere….
There’s the pier from the sky. All 850m of it. Surrounded by dolphins, turtles and if you have more modest tastes, whiting 😂 Once the borders open, I’d urge anyone who wants a big trip to head down under and visit Hervey Bay. One of the coolest places I’ve ever been Image

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More from @NICU_doc_salone

Niall Conroy Profile picture
18 Oct
It’s been a real Rabies/Lyssavirus week for me. And whenever that happens, I’m always amazed how much of an absolute operator the virus is. Some of it’s basic abilities include - Fooling your body into reducing its immune response (considering these viruses are 100% fatal….
…that’s quite the evolutionary achievement). One of the ways it does this is by inhibiting your body’s ability to produce B-interferon, which is a vital part of our immune machinery. In fact the #rabies virus has a whole chunk of its genome dedicated to doing just that….
…Rabies/lyssavirus also heads straight for your brain, where it increases the concentration of nitric oxide by about 25 times. That leads to a LOT of CNS overexcitement and it decreases your ability to fight off cell death; bad news when that’s happening in your 🧠……
Read 15 tweets
Niall Conroy Profile picture
16 Oct
As an end-user of the frankly awful data in the covid public health space, the best contributions that the various scientific advocacy groups and individuals around the globe could make, in my opinion, would be proper rigorous *systematic* reviews, especially around efficacy….
…of various mitigation strategies (many of which seem to be over-sold to the public) and the actual prevalence of the now well-defined long covid in different age groups. Without certainty around these questions, it’s really difficult to conduct rigorous risk assessments….
…,which are really the key to proper health protection. Instead we just get noise, with the public believing the 99% of stuff on twitter that is pure fiction, even from people who seem very credible and post links to convincing-looking papers. Most of what I see here is wrong.
Read 4 tweets
Niall Conroy Profile picture
14 Aug
People keep saying that when this pandemic is over, we have to make sure our contact tracing capacity is strengthened to cope with future threats. This reflects a misunderstanding of what contact tracing is. Contact tracing involves talking to a case and finding out who…..
…they’ve been in touch with. This is really important stuff, but that data is then used by specialists in outbreak control to assess and manage those contacts. Ultimately, public health teams need to use data from many sources to make a plan to control the disease. This is….
…complex work and requires years of training. Our contact tracers are superb, but people can be trained to contact trace in a short space of time. That function can be ramped up pretty quickly when required. What we need before the next pandemic are enough outbreak control…
Read 5 tweets
Niall Conroy Profile picture
8 Aug
When reporting on Covid in Australia, the world’s media is keen to report on a perceived inability to control the virus as time goes on. But context is important. This is a country that’s the size of a continent….
Most cases are in New South Wales, with less than 25 cases being reported today outside that state.
A lot of people were chuffed to report that Brisbane went into lockdown last week. That ended today, with all cases in South East Queensland in recent days linked to other known cases. That’s a great result in the public health world, though we’re DEFINITELY not out of the woods
Read 8 tweets
Niall Conroy Profile picture
22 Jan
I’ve been delighted to see the sudden surge in support for mandatory hotel quarantine (MHQ) in Ireland, with the aim of achieving zero covid. While it is, on balance, the best option, I fear that some commentators have underestimated the challenges. Here are some examples....
...1) MHQ is frequently framed as a temporising measure, with the aim of establishing quarantine-free travel bubbles with other zero covid regions. Not many countries have achieved zero community transmission. But in those that have, travel bubbles have been vanishingly rare...
...2) MHQ is super strict. The point of it is that it would allow Ireland to open up society again. If you miss cases in that context, you let infectious people into a country where socialising is the norm. The result is explosive outbreaks. In countries that have MHQ, you...
Read 10 tweets
Niall Conroy Profile picture
20 Jan
Getting the whole world vaccinated against covid MUST be a priority. It’s unconscionable that close to zero people in low-income countries have been vaccinated so far. This is important to absolutely everybody for three reasons...
...1) The ethics of only vaccinating a quarter of the planet should be unthinkable to us. 2) For many reasons, we will have vulnerable people who are not protected by the vaccine, now and in the future. These people will be at risk on an ongoing basis from imported cases if...
...the virus continues to circulate globally. 3) The longer the virus thrives, the higher the chance of mutations, which could make any vaccine less effective or ineffective....
Read 11 tweets

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