🧵 COVID-19 & B.1.1.529: a chance for govt & others to change their mind and their approach?

While we are still gathering data on B.1.1.529, the early indicators are very very alarming- likely far more transmissible and more serious than delta + more vaccine escape.
(1/10)
I'm not going to repeat the reasons why we are here or talk about what we could have done.
Instead, I'd like to suggest that this could be an opportunity to extricate the UK from the disastrous path it has been committed to for several months.
(2/10)
In the 🧵below I talked about how many of the architects and supporters of our pandemic strategy are essentially playing by the playbook of politics: never admit mistakes, double down when challenged, pursue the position relentlessly.
(3/10)
No U-turns, no chancing losing face.
The only way to change course is to create a new course but this requires a sufficiently powerful reason that justifies abandoning the old strategy and adopting a new one and a dramatic change of circumstances offers exactly this.
(4/10)
The old strategy no longer makes sense under the new circumstances, we need a new one and one that is justifiable because of the new circumstances.

This is what we have B.1.1.529. Delta was a game changer but this, this is looking like a whole other level.
(5/10)
B.1.1.529 is a long way away from the original Wuhan virus.
Whatever you thought about freedoms, restrictions, herd immunity, vaccinating children, mitigations in school, travel restrictions, with the original virus, or even somehow with delta, this changes all that.
(6/10)
Whatever you thought you could get away with, however you thought you were going to fight it or emerge from it, even with delta, this changes all that.

So given we are facing this very very worrying new variant, maybe we can use this to change things around?
(7/10)
Whether you're in govt or the media or you're a scientist or medic whose of the view that we've been doing the right thing all along, B.1.1.529 is an opportunity to stand by everything you said but still call for a different strategy, because of this new variant.
(8/10)
That faced with this serious new variant, we actually need to control transmission, keep cases down, protect children and the vulnerable, vaccinate children, restart proper contact tracing, etc. That we can't live it as likely a lot of fewer us of will.
(9/10)
As far as opportunities go, this is a truly horrific one.

But you could use this to change course to safer harbours.

People have already lost so much and this could make all that has already happened, pale in comparison.

Please do it. Please.
(10/10)

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More from @HZiauddeen

28 Nov
🧵 COVID-19 Omicron: it's worrying because it's expected, as are the reactions to it

About: 'you're scaremongering', 'wait for more information', 'it's the bloody COVID panic-mongers'

TL; DR: FFS just look at everything we've seen and learnt over the last 20 months!
(1/30)
As we approach the 2nd birthday of the COVID-19 pandemic, it is surprising how the stark biological reality of SARS-CoV-2 remains somehow a matter of contention. Well, not very surprising because that's what mis- and disinformation have actively been doing.
(2/30)
At the core of this biological reality is this:
SARS-CoV-2 IS A VIRUS.
Therefore it does not, and cannot, know or care about what you think about it, about how it should behave, and whatever hubristic attitude you adopt towards it.
(3/30)
Read 30 tweets
21 Nov
🧵 COVID-19: The playbook of politics

Mainly UK-centric but elements will apply to other countries as well
As the pandemic has continued to progress as expected, one wonders what exactly is being managed by our pandemic management strategies.
(1/30)
The UK strategy is certainly not managing case numbers (currently ~40,000/day), deaths (~150/day), or health service capacity (overwhelmed +++). As for #LongCovid...
(2/30)

If not these key outcomes, what else could the UK strategy be managing?
Our expectations?

'People of Britain! For too long have you expected your govt to protect you from dying of preventable infections. No more! It is time to take responsibility for yourselves!'
(3/30)
Read 30 tweets
31 Oct
🧵 The unspeakable horror of JCVI's strategy:

So I asked this last night and many people rightfully pointed out that one does not need to have children to care about them. This is completely true and profuse apologies to those who were impugned by it.

Some elaboration:
(1/11)
I asked the question given the unspeakable horror of the course they decided to take. While we have known from what has happened that they have been following a strategy of herd immunity through mass infection of infection, it is sickening to see it in writing.
(2/11)
For a good summary of the minutes, see below. For me the key points are: they simultaneously hold that children are at low risk and do not transmit, and that infected children would serve as boosters for adults and help control the pandemic.
(3/11)
Read 11 tweets
30 Oct
🧵COVID-19 and how a minority who hold power have endangered the world:

This isn't the only situation in which this minority have done this (see climate catastrophe) but I'm just talking about controlling the pandemic here or to be precise our inability to do so.
(1/8)
At the very outset, a global pandemic should have had a concerted and coordinated global response i.e. novel virus, serious acute illness, let's play it safe and suppress. Instead, you know what happened.
(2/8)
Over the last several months, we've seen what has happened when countries that had successfully managed their pandemic (Vietnam, Singapore) tried reopening. Cases & deaths started to rise again. Because once you open up travel you'll start bringing in cases again.
(3/8)
Read 8 tweets
30 Oct
🧵 LongCOVID and post-COVID sequelae:
Minimisation now sets up minimisation later

About how these are being minimised right now & for the future, with reference to the JCVI plan to deliberately infect children to control the UK pandemic and serve as boosters for adults

(1/18)
This isn't going to be a summary of the research so far on this area. We now have more than enough evidence* that COVID is associated with a risk for ongoing ill health as well as for future ill-health.

*enough to know that you would much rather not have it.
(2/18)
It is now clear that LongCOVID alone can be a very severe and debilitating illness. However LongCOVID most likely represents the more severe end of early post COVID sequelae.

*enough to know that you would much rather not have it.
(3/18)
Read 19 tweets
30 Oct
🧵 Bullying and cyberbullying: feeling compelled to defend yourself

When bullies impugn your character, this for many people is the red line 'I cannot let this pass, I can't let them get away with this'.
Unfortunately this is a very common tactic employed by bullies.
(1/18)
A lot of this thread is not unique to this kind of bullying but I'll use it as the main example.

The bully attacks, and attacks, and recruits other people into the attack. Bullies can work in networks that are coordinated to varying degrees.
(2/18)
They also 'recruit' other people into the bullying in less active forms such as exclusion and isolation. Raising questions about the character of the victim is a powerful means of doing this because this elicits very strong reactions as well a kind of obscene curiousity.
(3/18)
Read 19 tweets

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