Lazarus Long Profile picture
Nov 10, 2021 7 tweets 3 min read Read on X
We all know @MartyMakary has just destroyed MedPage's credibility.

Turns out he has destroyed his own, too.

A light thread highlighting how to lie with stats.
Referring to Makary here. And this is the harm caused by denialists like Makary. Image
Image
Image
So his big study. Was not a study.

Claimed it was about pediatrics.

The words child, children, or pediatrics are not listed.

This is how you, in effect, lie.

We've seen it from Gandhi, Hoeg, McBride.

And Makary is just another one. Image
So, he then just reuses this paper over and over again. Image
Closing out this thread by asking a great question Dr. Howard asked,

"If doctors feel the pandemic is largely over for COVID-19 and that we need to “move on” and stop talking about it, shouldn’t they lead by example?" Image

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More from @LazarusLong13

May 23
The WHO forbids contact tracers from masking or gloving up.

"Do not conduct home visits wearing personal protective equipment like masks, gloves, or
gowns."

It gets worse. Do not conduct home visits wearing personal protective equipment like masks, gloves, or  gowns.
They have a handy how to reduce risk of catching ebola at home.

It even has 5 masks listed on it.

But not for the other family members.

"7. If the patient has vomit, diarrhoea or bleeding, a mask or a dry towel wrapped around the face can be used to protect the nose and mouth Image
7. If the patient has vomit, diarrhoea or bleeding, a mask or a dry towel wrapped around the face can be used to protect the nose and mouth when touching the patient or items soiled with blood or body fluids. A waterproof gown, eye protection, gloves and rubber boots should also be worn in these circumstances.
Here are the 5 face masks. Image
Read 9 tweets
May 22
The "epidemiology" of Ebola tells us that it's not airborne. You've heard this over and over.

What drives it? The questions on the contact tracing form.

Quick 🧵. Image
COVID - the WHO and CDC said it wasn't airborne via aerosols, right?

The CDC said it was spread person to person via close contact - within about 6 feet.



And you remember it took FOREVER to get changed.

The contact tracing form was web.archive.org/web/2020032817…Image
Image
arranged around close contact. These are the questions driving the stats of how many and how are infected.



So, the CDC will only hear back what it's asking. This was the epidemiology of COVID - until it wasn't. web.archive.org/web/2020052514…Image
Read 16 tweets
May 20
Speaking of silly, can we agree that the WHO has Ebola experts?

Let's talk about PPE, and a bias towards "less PPE is better." Image
The WHO EBOLA IPC guidance:


Foreshadow on PPE

"...due to the desirability of an off-
the-face design, and not for protection from aerosols, respirators may be used instead of medical masks"who.int/publications/i…
If you can stay 3 feet away while screening? No medical mask needed. Image
Image
Read 12 tweets
May 10
Great article by @EmilyJoshu here.

Emily, there's another article in this that's even more shocking.

The aerosols from milking have long been discussed by many of us on X.

People like myself, @sri_srikrishna, @AbraarKaran have long advocated for comfortable aerosol
protective gear like PAPRs. But, have been ignored by the USDA who, of course, thought it was only contaminated milking gear like the claw.

But there is one more source of aerosols besides cow breath.

The wastewater. When you spray anything you generate huge amounts of Image
aerosols. And that farm wastewater, filled with milk dumped from being full of H5N1, gets reclaimed and reused.

Those milk and wastewater lagoons are on most dairy farms (my grandfather owned a dairy farm).

And there's something you should know.

Image
Read 15 tweets
May 7
Humanity's hubris vs the precautionary principle.

The virus, ANDV, will do what it will do. Pandemic? History tells us "NO." But history is in the past.

Let me show you what the studies tell us - and why I am livid that the WHO is insisting that surgical masks are ok.

🧵
Incubation time, or how long until symptoms show up?

The high risk time frame is 14–32 days. Not to put too fine a point on that, but that can mean a full month later

pmc.ncbi.nlm.nih.gov/articles/PMC32…

There have been some out to 8 weeks, but let's ignore those

gov.uk/guidance/andes… Image
Clinical features The most important complication of ANDV infection is HCPS, which is associated with a high mortality rate. Milder illness without significant cardio-respiratory compromise may also be seen. Illness usually develops 2 to 4 weeks following exposure, but incubation periods as early as 4 days and up to 8 weeks have been described.
But, what receptor does the ANDV attach to?

PCDH1 (protocadherin-1) is primarily expressed in the airway epithelium of the respiratory system, especially in the bronchial and nasal epithelial cells, and in pulmonary endothelial cells.

So, that means in the URT and the LRT.
Read 41 tweets
May 6
@mvankerkhove - a follow-up question on today's press conference.

In this bit, you were thanked for being very clear.

But, you said that the medical personnel taking care of those sick would be wearing PPE.

N95s are not PPE. They are Respiratory Protective Equipment. /1
Surgical masks are PPE.

So, is the WHO advising them to wear surgical masks or N95s/FFP2/KF94/KN95 (respirators)?

Second followup, @mvankerkhove, you referred to "really close contacts"

Close contacts are defined by the WHO as within 3 feet.
Cases 1 & 2 were close contacts.

How did the other cases get it? I realize you cannot possibly have an answer...but you are labeling this as "really close contact" for those cases - as well.

Staterooms are typical 2 person rooms.

It doesn't add up. Image
Image
Read 12 tweets

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