Kudos to Lothar Wieler, head of @rki_de (essentially Germany’s CDC), who had some very candid words for politicians today about the current #covid19 situation in Germany:

@rki_de Wieler started by telling them that of today's 52k notified cases (given CFR of 0,8%), about 400 will die.
“Everyone listening needs to realise: this cannot be changed”, he said. "None of us sitting here can help these people. That is a bucket of water that has been spilled."
@rki_de Already normal patient care is impacted in every region of Germany, Wieler told them:
Surgeries are being postponed, ambulances are spending an hour or two searching for a bed for stroke patients, children who need an ICU bed are being transferred far away.
@rki_de He also noted that there are less ICU beds available now than last year, because there are less nurses and doctors.
And he thanked all those working in the hospitals. “This country owes you a hell of a lot.”
@rki_de Prognoses for ICU occupancy are dire, he said. "We have an emergency situation in this country”, Wieler said. “Anyone who does not see that is making a huge mistake."
@rki_de He also came out clearly in favour of letting pharmacists give shots. “We are in an emergency situation”, he said.” Millions of people need boosters. “Everyone who can give shots, should give shots. Otherwise we will not manage this crisis."
@rki_de Anyone thinking it was possible to protect people in care homes given high infection rates was “naive”, Wieler said.
“That does not work. This virus is too contagious… Maybe if you lock these people away… but that is obviously unacceptable for many reasons."
@rki_de He also confronted politicians with RKI's prognoses from summer that vaccination coverage was not high enough to avoid a fourth wave with very high infection rates. “The modelled scenario has come true. We have known this since July."
@rki_de “We opened up too fast in too many areas”, Wieler said. Clubs and bars are hotspots. “They have to be closed." People need to reduce their contacts and vaccination rate needs to increase, he said. And boosters are needed.
@rki_de “We are heading into a serious emergency situation. We will have a very bad Christmas if we don’t act now”, he said.
@rki_de Don't think I’ve ever heard him quite this clear and candid.
He ended by saying:
“These are clear words, but after 21 months I simply cannot stand it anymore, when it is not recognised what I and others are saying."
Here’s a link that takes you straight to where Wieler’s part begins:

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More from @kakape

18 Nov
To all my international colleagues:
Your German word of the day (and the next weeks) is “Hospitalisierungsinzidenz” or “7-Tage-Hospitalisierungsinzidenz” to be very German…
This is essentially the number of hospitalized #covid19 patients per 100,000 per week
(with patients counted for the week their case was notified not when they were hospitalized)
and it’s now the variable that will be used to decide what level of measures is instituted.
If Hospitalisierungsinzidenz in a state is

3-6: Events will only be open to vaccinated and recovered peope (2G)
6-9: Events will only be open to vaccinated and recovered peope who also have a negative test (2G+)
>9: further measures may be added (if state’s parliament agrees)
Read 6 tweets
13 Nov
“WHO’s call for social science expertise, only to appoint more scientists, shows at best wilful ignorance of politics and political expertise or, at worst, active contempt.”
Do read this well-argued piece by @clarewenham, @DrJRMoon and @DrSophieHarman!

bmj.com/content/375/bm…
“Given everything we have learned about the role of social science in pandemic governance in the last 20 months (or indeed the last 20 years), the lack of political science (or social science more generally) expertise on SAGO represents a major gap in knowledge…”
“conducting an investigation under the microscope requires a myriad of both technical and political competencies. Not least, it requires an understanding of the politics of the institutions and states under investigation, to understand the context in which results are delivered.”
Read 4 tweets
28 Oct
The other issue I wanted to bring up in this new article is a question that I find fascinating: How may being a social media celebrity influence researchers going forward?

science.org/content/articl…
As @M_B_Petersen told me there is clearly a risk of being influenced by your followers’ likes. “Scientists are humans as well and humans like to get positive feedback, they like to be celebrated”, he told me. “That’s just how social media works”
Petersen told me that he saw some signs of this already. “In the beginning, everyone was just trying to figure out what is going on,” he told me. “Now, scientists are more and more locked into a particular position.”
Read 4 tweets
28 Oct
Some scientists have become twitter celebrities in this pandemic - bringing power as well as hate.
I talked to @devisridhar - a constant presence in my twitter feed the last two years - about her experience

Story here,short thread to come:
science.org/content/articl…
First of all: This story is part of a @NewsfromScience series on the “new normal” and just a brief peek at some of the issues scientists are grappling with in this time of viral posts and a pandemic virus. It’s a huge topic and I want to hear more stories and see more research…
But briefly:
One of the most amazing things early on in this pandemic was watching science (and policy) debates play out in real-time online. Some researchers have helped hundreds of thousands of people make sense of what’s going on and make informed decisions. They saved lives.
Read 10 tweets
27 Oct
Last week I sat down with @billgates to talk about global vaccine inequity, why COVAX has failed to curb it, his foundation more generally and Germany’s role in global health. Interview (€, in German) here and a few points in English to come:

zeit.de/gesundheit/202…
On Covax:
He told me one huge problem was the complete absence of US leadership on this.
Another one was basically bad luck: COVAX bet on vaccines that were cheaper and more easily distributed than the mRNA vaccines and many of these have hit snags
(It is worth remembering that the bulk of globally available doses so far have been of just four vaccines: Astra-Zeneca, Pfizer and Sinopharm and Sinovac. Of these, Covax only bet early on AZ. Others it was counting on like J&J or Novavax have hit snags along the way.)
Read 14 tweets
13 Oct
So today, @WHO unveiled a new team of scientists from around the world that will guide the search for the origins of #covid19 but also work on future outbreaks and more generally on emerging pathogens.

Story here (and short thread to come):
science.org/content/articl…
@WHO Who are they?

"This is an incredibly impressive group of experts”, @alexandraphelan told me: 26 researchers from 26 countries.

And @angie_rasmussen told me: "I’m pleased to see a list with such strong representation of the global south”

List is here: who.int/news-room/arti…
@WHO @alexandraphelan @angie_rasmussen The list includes seven researchers that were involved in the first WHO origins mission.

That might be criticised by some, @angie_rasmussen told me. But: "I think it is important for continuity and to assert that the first mission wasn’t a total wash"
Read 15 tweets

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