For the "we've reached herd immunity in kids, and infections have peaked" crowd: unfortunately, this isn't true. It's the usual half-term related drop that is reversing. The trends are clear in many places, & early rises being seen in England. This is expected but very worrying🧵
The pattern is clear in places like Leicestershire that had half term a week before other parts. Rises clear in all children age groups and young people. Very likely other parts of England will follow.
Similar trends in Scotland where half term also started and ended earlier than England.
Early signs that cases may be rising in England again- age-breakdowns not yet available, but this is likely to be related to schools re-opening following half-term.
Cases are still sky high in children and likely to rise more now that schools have re-opened. Is the govt going to continue to do nothing in the hope that most children will get infected, and 'herd immunity' will be achieved? This is a dangerous and deeply unethical strategy.
It's a plan that's leading to increasing numbers of long COVID, and deaths in children. Long COVID has shown massive increases in these age groups in every ONS report that's come out recently - from 53,000 in Oct to 69,000 in Nov - for symptoms lasting 4 weeks, a 30% increase.
ONS deaths (certified as involving COVID-19) show higher numbers of child deaths occurring each week now, compared to before:
These numbers - long COVID & deaths will continue to rise unless govt acts to protect children and families. It's also clear from the pre-half-term rise, and this rise was followed by increase in cases in other groups, followed by a rise in hospitalisations and deaths.
With the NHS at breaking point, its essential we get on top of transmission quickly. Mitigations in schools, faster vaccination of children, approval for 5-11 yr olds, return of mask mandates, isolation of contacts, booster doses- all vital.

theguardian.com/society/2021/n…
None of this is unforeseen. It was entirely predictable, as were all the calls of 'stop fearmongering', 'the pandemic is over', as soon as cases started predictably declining. Yet half-term which could've been used to put mitigations in schools was completely wasted.
We've been here before. We know roughly what happens next. There is uncertainty, yes, but there's enough to tell us that there is a lot more we need to be doing to protect healthcare for everyone. People are dying waiting for ambulances.
Is the minor inconvenience of not wearing a mask worth people not having emergency healthcare for urgent illness for the foreseeable future? People dying because they can't get the most basic urgent healthcare because our systems are overwhelmed? This is dystopian.
The situation we're in is entirely preventable. I cannot fathom why the govt is doing absolutely nothing to mitigate this crisis. And it is a crisis. If you don't believe me, speak to people working in A&Es, ambulance drivers, paramedics, any HCW, GPs.
Speak to patients trying to access urgent and routine care. We are now living in a country where if someone has a heart attack, a stroke, or an accident they may not have access to an ambulance for hours.
Once an ambulance gets them to hospital, they may still have to wait outside for hours. Even after they enter A&E, they may not be able to get treatment or be admitted for hours.
Late treatment (e.g. for heart attacks/strokes) may mean lifelong disability or even death for those with life-threatening conditions. This could be any of us, or anyone we love. Needing care with something that's not foreseeable.

Are we willing to accept this? Because I'm not.

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More from @dgurdasani1

12 Nov
A quick look at what's happening in at least some parts of Western Europe where cases are surging.
Seems to be a combination of:
-school related surges due to lack of mitigations
-premature easing of restrictions
-over-reliance on vaccines, lack of multi-layered strategies
🧵
1) Austria: There's no doubt that children and young people are driving the pandemic. Austria removed masks from within classrooms when schools re-opened in Sept replacing this with a 3x wkly testing.
They also relaxed rules on quarantine, exempting vaccinated contacts & shortening quarantine with test and release on the 5th day for quarantine of contacts. There was supposed to be focus on better ventilation and air-purification but this doesn't seem to have materialised.
Read 37 tweets
12 Nov
Ok, so worth really looking closely at the @NatureMedicine paper that's been cited widely on the impact of COVID-19 on children's deaths.
This has several key limitations, and should not be cited in the way it is being🧵
The analysis is between March '20-Feb '21. Why is this important:
-delta was not dominant
-there were 3 lockdowns during this period
None of this is relevant now with delta, no mitigations, the highest infection rates we've *ever* had in children (4-5% even post- half-term)
The authors carried a review of 61 deaths in children who were positive for SARS-CoV-2/had PIMS-TS and come to the conclusion that only 25 were due to SARS-CoV-2. They conclude that only 25/61= 41% of all children who died 'with' COVID-19 died 'from' it.
Read 25 tweets
4 Nov
REACT-1 results from today:
-highest SARS-CoV-2 prevalence since the study started in May 2020
-very high prevalence in primary & secondary school kids
-higher infection in households with children
-⬆️ in AY.4.2 to 11% end Oct
- 4x increase in SW - due to Immensa scandal
REACT-1 shows the overall prevalence of SARS-CoV-2 was higher than in any previous round of REACT-1 since May 2020. It estimates that ~1.2 million people were infected on any day towards the end of Oct. Swab positivity declines towards the end of Oct coinciding with half-term.
The study finds the highest prevalence of infection ~5.7% among primary and secondary school age children, with increased risk for those living with children. They say this is driving the rise of infection in the 65+ age group where prevalence has *doubled* between Sept and Oct.
Read 14 tweets
23 Oct
Lockdowns happen when governments delay public health measures until too late. Scientists have been arguing for masks, ventilation, vaccination, support for isolation which have little/no negative impacts. Why're we portrayed as 'pro-lockdown' when we're trying to prevent them?
Almost every single interview I've done in the last few days has involved the interviewer conflating public health measures like mask wearing, social distancing etc. with lockdowns, speaking about a 'balance' between mental health & economic impacts and health. Please do better.
There is no dichotomy here. Masks, ventilation, vaccination, are all essential to contain COVID-19, and therefore essential to protect health, economy, and freedoms - because if we don't put these measures in place, it is likely we'll need more severe restrictions.
Read 8 tweets
23 Oct
Letter from our council today to parents.
'Schools are working hard to balance safety' with 'children receiving the education they deserve'...
Don't children deserve safety and education, especially when making their environment safer is what ensures they can stay in school?🧵
The next bit tells contacts they don't need to isolate, but are advised to get a single PCR test. The first bit of advice is to 'wash your hands for 20 secs'.
Kids are expected to 'wear a face covering.. where they encounter lots of people in an encloses space'.. except schools!
I couldn't bring myself to read the rest. Our children are being let down badly- by govt, by JCVI, by RCPCH, former PHE (now UKHSA), and local authorities. I feel completely hopeless for our children- who are getting infected in droves, while other countries protect theirs.
Read 5 tweets
22 Oct
I wish I didn't have to do this, but someone does- so let's rebut the multiple strawman and misinformed arguments on this thread 👇
Ok, so let's be clear on what people have been saying which is is that *current death rates* in the UK are >2x higher than *Western Europe*. This is entirely true. This tweet uses *cumulative deaths* which is misleading & conflates Europe with W. Europe.

There is *no doubt* that early lockdowns would've saved lives. A small first wave does not mean a large exit wave, as many SE Asian countries & Israel showed pre-delta. Those that did have large 2nd waves had these because of alpha spread from England!

Read 11 tweets

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