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#MasksInSchools Dr Noor Bari Profile picture
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23 Nov, 6 tweets, 1 min read
If any country around the world signalled tomorrow that a strain of COVID-19 has emerged that is significantly more lethal despite vaccines, and due to original antigenic sin, we can’t easily vaccinate against it…

How prepared are we to meet this challenge?

#COVID19Aus
All essential workers, healthcare workers, border workers need to have fit tested respiratory protection.

Schools need proper set up.

We still need proper border quarantine facilities to repatriate from disaster zones. Volume of which is to be determined.
Otherwise we are as unprepared as Dec 2019… 🤦🏻‍♀️
Even the scenario of sprouting a home grown challenge ought to be worked through. If we are going to gamble high stakes against SARS... we need deep pockets. What are our plans if a domestic, resistant strain emerges?

It's not so unlikely that we can ignore it. Plan?
Let me put it another way. Our default position of lockdown was unable to save essential workers, because they can't lockdown. It was unable to terminate the outbreak. What have we done to prevent them being left out to die again? What have we learned?
Even if therapeutics and vaccines are eventually brought to bear, what have we done to be able to bridge the gap in time until supplies can ramp up? We know that isn't instantly available...

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More from @NjbBari3

#MasksInSchools Dr Noor Bari Profile picture
19 Oct
@CMO_England

Please sit down one day, in a quiet place, undisturbed, and pore through the literature on COVID-19 pathology.

Look at the scans, slides, autopsies.

Then do something to mitigate the oncoming catastrophe.

Prepare the brief on projected chronic disease burden->
-> and present it to parliament.

Every single MP should be made aware of what the potential damage could be. From the confirmed neuropathology and autoimmune issues, to the projected pathology and human lifespan we may expect. ->
This is critical for future planning in every area of life, from what age people should plan to start a family, to how mortgages and life insurance should be planned.
Read 7 tweets
#MasksInSchools Dr Noor Bari Profile picture
17 Oct
I am a zero COVID strategy advocate.

I don’t believe we need to be locked down forever to achieve it and there is good evidence for that.

I don’t believe it is a permanent state. Mitigations are needed at all times for many years so they need to be smart and tolerable.
When we have defeated COVID-19, and it will happen at some point in time, there will be other pandemics and epidemics. Other airborne diseases.

So no,life isn’t going to be perfectly safe again. It never was in the past. We can deal with it though, & maybe make it even better.
Better vaccines will come. Therapeutics are being made. We know how these viruses get about, and we know how to stop them getting about. Plenty to be hopeful about.
Read 6 tweets
#MasksInSchools Dr Noor Bari Profile picture
17 Oct
In my view lockdowns absolutely were needed in the beginning.

We weren’t ready.

People think that getting ready means vaccinate & that is partly the solution. We should have also been spending the last 18 months teaching people how to wear respirators, and cleaning the air.
Lockdowns still have a place in disease management… in countries that don’t have access to vaccines, in case of a resistant variant, and early in an outbreak to try and get ahead of the curve… but they are a very blunt instrument. Severe side effects.
The side effects of lockdown in an unvaccinated population are small compared to not locking down though.

But… if we have continuous settings that work to suppress disease transmission. Like ventilation and respirators… even early outbreaks may not propagate as well. ->
Read 8 tweets
#MasksInSchools Dr Noor Bari Profile picture
16 Oct
Third case in this small case series is most interesting.

Something to keep an eye on over the next few years.

👀

#COVID19

ncbi.nlm.nih.gov/pmc/articles/P…
We know there is evidence of chronic COVID-19 because of persistence of virus in stools.

We know COVID-19 can infect macrophages. A white cell that is involved in other granulomatous disease, like TB.
We know COVID-19 can trigger autoimmune phenomenon too.

Now just a handful of cases with granulomas assoc with COVID-19. Very small number, so could be a coincidence. But it’s plausible.

This type of pathology can take many years to become apparent. Suggest caution.
Read 4 tweets
#MasksInSchools Dr Noor Bari Profile picture
6 Oct
Reminder

Doctors used to say kids don’t need anaesthetic or painkillers… because they did not recognise pain in very young children.

Kids do need protection from COVID-19. The very young may take years to be able to tell us what is happening.
If a child is younger but developmentally capable to wear a mask, I think it should be gently encouraged.
If developmental delay becomes apparent, you can refer to a specialist and work on the problem to help catch up. There are many ways to prevent it too. Clear masks, daily reading time etc.
Read 15 tweets
#MasksInSchools Dr Noor Bari Profile picture
2 Oct
CDC defines influenza as an epidemic disease. Even though it has been around for ages, and is never truly gone from the earth, it comes and goes in waves. COVID-19 will likely be similar.

Endemic illness stays at a constant level roughly.

cdc.gov/flu/about/inde…
I don’t think you can just decide to call something endemic at an arbitrary point in time… it has to show some characteristics of steady rate of disease.
I hope we don’t chose to allow COVID-19 to be at very high endemic levels, or have large epidemics. Would be better if it was sporadic outbreaks. Much safer.
Read 15 tweets

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