Dear First Minister Sturgeon,
@nicolasturgeon

Your instincts are right. Covid-19 needs to be taken more seriously; the UK’s national strategy falls well short of adequate. You are right to challenge Johnson’s impotent pandemic response and seeming disregard for public safety.
We support you. By 'we' I mean those of us who can see past the spin and half-truths and the shameful misrepresentation of the evidence. Those of us who respect life and can see the devastation Covid-19 is doing to our society.
Your instincts are right: Covid is not a benign infectious disease. It is, by a long way, the most destructive infectious disease in the UK. It is TRIPLING the number of pneumonia deaths and injuring many more. It is killing more than breast, colon and prostate cancer combined.
Covid has a monthly UK death toll greater than that of the second world war. It has already killed more civilians than WW2 did. Your instinct is right: Johnson is not a good war time PM; not a good leader during a public crisis that relies on strengthening public services.
Omicron is a warning shot…it is neither likely to be the last variant of concern nor the last pandemic pathogen to challenge society. So let us learn to BEAT it. Let us commit to the mitigation needed to reclaim our lives.
Let us expand our capacity to look after those who are infected and limit the consumption of limited healthcare for the others who need it. By doing so we diminish the threat of the virus and increase our tolerance of what comes next.
So challenge the inane. We will support you. And I am sure the many honourable scientists and brave commentators who have been challenging the ‘group-think’ mentality of Johnson’s pandemic response will too:
@trishgreenhalgh
@dgurdasani1
@Kit_Yates_Maths
@devisridhar

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More from @danielgoyal

28 Nov
Dear Tweeples,
I'm thinking about starting a campaign.
Healthcare provision for people with Covid-19 is far too inadequate in the UK. It does not even meet WHO standards for a low-resource setting.
With #Omicron on the horizon, I felt it was time to call for more #CareForCovid.
To date, Covid-19 cases in the UK:
1. Receive no initial assessment (triage)
2. Have no formal follow-up service - not even the high risk patients.
At the moment even an 80yr old can contract Covid and receive no contact from any healthcare professional. UNACCEPTABLE!
Finally,
3. Healthcare capacity.
To try and tackle a pandemic without increasing healthcare capacity (beds) is perhaps even more barmy. The UK is the only country I know of that has reduced their bed capacity during the pandemic. Everyone suffers!
Read 5 tweets
27 Nov
The new variant #Omicron reminds us that we MUST be pandemic ready.
The clinical basics:

1⃣ Find the sick.
2⃣ Treat the sick.
3⃣ Stop others getting sick.

Some nations have failed on all three.

Short thread.
If you want good care, you must demand it!
RT pls.
1/9
#Covid_19
It is worrying that some nations - 20 months in - still have not got the clinical basics down:
1. TRIAGE.
Triage is the initial clinical assessment when someone is expected or confirmed to have Covid. It determines if someone needs further medical care.
We know that identifying those needing care earlier reduces the need for ICU, the length of hospital stay, and the rates of Long COVID. #LongCovid
Being clinically proactive saves resources, keeps hospitals open, and crucially, diminishes the level of pandemic THREAT.
Read 9 tweets
27 Nov
The dangers of misunderstanding the comparison between FLU and COVID-19.

There have been significant misinterpretations of the FLU death numbers. For some this has justified a "covid is not that bad" mentality. The dangers of group-think, once again.

1/n
#COVID19
#MedTwitter
Covid and flu can both cause viral pneumonia. Both can lead to secondary bacterial pneumonia.
But the direct death rate of each is:
Flu = 4/day
Bacterial Pneumonia = 55/day
Covid = 125/day (at CURRENT rates!)

ONS:
Most of us experience FLU as an unpleasant but rarely serious illness. This remains true for those of us working in acute medicine - we rarely see a flu pneumonia.
We do see a lot of bacterial pneumonia and now Covid pneumonia.

[Thanks to @jneill for graphic]
Read 14 tweets
25 Nov
Why is Germany’s Covid-19 response killing less civilians than the UK’s?

Germany has not done particularly well. Yet, at a population level their death toll is about half that of the UK.

Thread 1/12
#COVID19
And their excess mortality is a fraction of the UK’s:
[UK = 11% excess deaths, Germany = 3%]
What this highlights is that the overall strategy employed by Germany has saved a lot more lives than the UK’s strategy.

And may have saved much more of the economy:
Read 12 tweets
24 Nov
An extract from the (future) Covid Inquiry:
Q: Prime Minister, now that we have established that you decided not to mitigate the spread of Covid-19 and allowed the virus to spread freely, can I ask, what provisions did you make to provide care for those who would become infected?
PM: Well, eh…the..NHS. Our fantastic NHS… was poised and ready to treat the sick.

Q: But was the NHS not already beyond safe bed occupancy levels when you decided to lift mitigation strategies?
PM: Ahh, but the NHS had over 6,000 beds available, and no patient was ever refused treatment.

Q: According to the government's own data, at the time you ordered the lifting of social restrictions did the NHS not have LESS capacity than before the pandemic struck?
Read 7 tweets
22 Nov
The Johnson Legacy:
"Pursuing a mass infection policy while refusing to provide the treatment needed for those infected."
The fact this is happening is irrefutable.
But why refuse to strengthen the NHS during a pandemic?
And is there time for the PM to change this legacy?
Things are a bit hazy just now. We are all reeling from a difficult 20 months. Most are fed-up with Covid-19. And many have realised the damaging secondary impacts of the measures implemented to control it. Popular sentiment bastes in this recent trauma.
Popular sentiment will change. Indeed, for PMs in office during major historical events their legacy takes on a different quality. And I think few will argue the Covid pandemic is the most historical event since WW2. It is certainly killing more civilians.
Read 13 tweets

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