@dgurdasani1
Do you really think that someone who has spent their career trying to save lives & put their own life at risk by volunteering to work, unpaid, to save the lives of Covid patients is now trying to justify policies that lead to mass infection, disability & death?

1/
Although it’s tempting to respond in kind, I prefer to assume those who disagree with me are acting in good faith and also want to reduce death and suffering even if- based on my interpretation of the evidence- I believe their policy recommendations are wrong or even harmful.

2/
Of course we may differ on how to achieve that aim, as do other scientists/doctors, and differences are inevitable given the uncertainty of the evidence.
But I would hope that all of us would respect that all are sincere in their intentions.

3/
Also, I assume you not have seen anything else I have said or written throughout the pandemic (which is on my blog drraghibali.net) because, if you had, you would see that the idea that I was justifying policies that cause harm could not be further from the truth.

4/
My primary aim has always been to minimise overall health/societal harm – due to COVID but also from the response to it as restrictions and lockdowns have health harms too which need to be weighed against their benefits - as is the case for any health /medical intervention

5/
I have tried to do that through my clinical service, work on the vaccine campaign, govt. advisor role (all unpaid) and contributing to the public debate by giving my views on how to achieve that.
And sometimes that meant supporting govt. policies & other times opposing them
6/
and also challenging the false assumptions and myths of the Covid/lockdown/vaccine sceptics.
You would also know that I backed restrictions/ lockdowns in previous waves, including the delay to step 4, as it was clear that they would help achieve a reduction in overall harm.

7/
I put this thread out to encourage people to think critically & question the evidence/assumptions that inform their policy recommendations based not just on what should happen - but what actually happened - & whether those policies will therefore lead to the desired result.

8/
And as scientists we should welcome debate, discussion and constructive criticism – that’s how science progresses.
And that's why I'm happy to retweet your rebuttal and let the public & policymakers make up their own minds based on the evidence.

9/
Re. the specific points you raise, I'm happy to discuss them with you but for now I'd ask you to think about a few questions:

1. Why did so many countries that implemented early lockdowns & had small 1st waves then have much worse 2nd waves & higher overall death rates?

10/
2. Why did Wales have the same death rate as England in the 2nd wave despite having the circuit breaker lockdown?

3. Why did cases and hospital admissions fall in July and September despite there being no restrictions, and against the predictions of so many scientists?

11/
4. And finally – and of most relevance currently - what is the evidence that bringing back restrictions now will result in lower overall health harm in the long term?

12

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More from @drraghibali

21 Oct
Seven persistent myths about Covid and lockdowns in the UK / England.

I thought I would put one thread together on what I think are 7 myths that continue to be propagated - mainly by those who, although well-intentioned, always assume that more restrictions are the answer.
1. The UK has had the highest Covid death rate in Europe during the pandemic - mainly due to being late to lockdown twice. (see myths 2 and 3)
Even compared to EU countries, the UK would be 11th on Covid deaths & 15th on excess deaths (20th in all Europe)
economist.com/graphic-detail…
2. Thousands of lives would have been saved if we had locked down earlier in the first wave.

Most of the countries with higher death rates (shown above) did lock down early & had small first waves followed by very large second waves.
Discussed more here:
telegraph.co.uk/news/2021/03/2…
Read 13 tweets
21 Oct
To those calling for a return to restrictions, a reminder of some criteria I set out last year that should be used before suppression measures are implemented:

i) Evidence for effectiveness in reducing cases
(particularly in over 60s) hospital admissions & deaths

(1/4)
ii) Evidence that a mandatory approach produces better outcomes than a voluntary one.

iii) Evidence that a blanket approach produces better outcomes than a targeted one. e.g. on adherence, suppression

(2/4)
iv) Evidence for broad public acceptability with high levels of sustainable adherence.

v) Most importantly, that the intervention has been shown through transparent impact-benefit analysis to produce less overall harm. (Health in QALYS, cost per QALY saved.)

(3/4)
Read 4 tweets
22 Mar
Would an earlier lockdown really have saved tens of thousands of lives?

A thread summarising the main points of my article earlier today. (References at the end.)
Many people have claimed that if only the government had ‘followed the science’ last year and locked down a week earlier and closed our borders - as other countries did - we could have saved tens of thousands of lives.
I have tried to look at whether an earlier lockdown really would have reduced our eventual death toll over both waves. I have relied not on the models on which these claims are made, but looked at what has actually happened in Europe over both waves to date.
Read 18 tweets
24 Dec 20
My final thread of the year - a brief review of the current situation and why I think the govt. is right to resist calls for another national lockdown.

Throughout this pandemic I have tried to stress the twin dangers of fear and complacency -
– excessive fear harms our mental (and overall) health and led to the deaths of thousands in the first wave who were too scared to seek medical help when they needed it. And complacency about the real risks of COVID leads to riskier behavior and increased spread of the virus.
Many recent headlines highlight record numbers of cases and increasing deaths with calls for another national lockdown. And of course it is true that the situation is getting worse but it is important not to panic people by exaggerating the threat but to give the true picture.
Read 12 tweets
24 Dec 20
A thread on some early evidence on the impact of the new COVID variant - increasing cases, increasing hospital admissions but not yet the expected increase in deaths.

Is the new variant less deadly?
Generally, over the course of the second wave, we have seen a pattern of cases rising overall and then in the over 60s - which is then followed by hospital admissions rising with a 1-2 week lag, and then deaths with a 1-2 week lag.
However, as shown in the figure below, that pattern seems to have changed since cases linked to the new variant started increasing rapidly at the end of November with admissions increasing as expected, but not deaths.
Read 8 tweets
30 Oct 20
Plan B:
Why Sweden provides a potential model for us to follow - but not for the reasons most people think - and only if we learn from their mistakes.

And why - whichever plan is chosen - we need to build consensus. And how that could be done.
No country has received more attention for its approach to dealing with COVID than Sweden but there continue to be widespread misunderstandings of its strategy - with many thinking they followed the approach outlined in the Great Barrington Declaration.
However, the actual, official Swedish government strategy is ‘to limit the spread of infection in the country and by doing so, to relieve pressure on the health care system and protect people’s lives, health and jobs.’

And as its Chief Epidemiologist, Dr Tegnell has said,
Read 18 tweets

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