This is what happens when you chronically underfund health services, and devastate it by keeping it in crisis mode for almost 2 years by failing to control COVID-19. If there's no slack in the system, it has to come from somewhere. And that means inadequate care for someone.
This is all short-sighted, because ultimately primary care is central to treatment of most vulnerable people and those with chronic conditions. It's the first port of call for people. If you overwhelm it, the spill over will be to already overwhelmed emergency services.
It'll mean people aren't routinely monitored, may not get the routine care they need, and that means emergencies, unplanned hospitalisations, and ultimately poorer patient outcomes, because they're being treated when things get really bad, rather than routinely monitored.
Not only is this bad for people, but for those govt officials who care so much about the economy, it's terrible for the economy from may angles- ultimately increases healthcare costs longer term, leads to loss of workforce to poor health & loss of human capital as HCWs leave.
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A bit fed up of hearing media/govt suggest COVID-19 policy changes in July were a 'balancing act'. Can somebody explain to me what the balance is in removing mask mandates that don't cost economy, but save lives? They may even help the economy if people feel safer going out?
And if the 'balance' is with our freedoms, it's very clear from polls at that time that most people supported continuation of mask use in all those settings.
So is the argument for balance that people dying help the economy? Because otherwise I really don't understand this.
So please stop using words like 'balance' to justify a policy of mass infection, avoidable deaths and chronic illness. This was never about balance. It was always about ideologies that don't value the lives or health of vulnerable, and disadvantaged people.
Really concerning but predictable results from the ONS long COVID survey- *77,000* children reported long COVID for 4wks or more by the end of Oct. Occupations with highest levels of long COVID were health and social care workers (3.6%) and teachers (2.7%).
Any more comments on how our policy of letting it rip through the summer was a great one, and put us in a better position that the rest of Western Europe? Not only have we had one of the highest death rates in W. Europe over the summer, but a huge toll of long COVID.
When did we become ok with children being chronically ill? From preventable disease? A disease we have vaccines for, but are delaying or not vaccinating children, nor mitigation infection in high-risk areas. How can the UK consider itself developed or civilised?
Just done an interview on 5 live, where there was a long discussion on Lilico's anti-mask statements. If we're still debating whether people should wear masks on transport & in shops at a point in time when our NHS is overwhelmed & a new variant is spreading, we're in trouble.
I think as the host of the programme mentioned I don't think the scepticism is as widespread as it's platformed on the media. There are several highly influential actors who are push out anti-vax and anti-mask rhetoric. It's important to go beyond this and address the reality.
In reality the idea that the public won't cope has been pushed by govt messaging for a long time. It's far likely that members of the Tory party won't cope, but the public will if the messaging is good. Messaging and role-modelling has of course been shambolic so far.
Masking in 'communal areas'. Seriously? What is the evidence behind this? Do you honestly believe that transmission doesn't happen in classrooms where children breathe shared air for literally hours! @kprather88
Literally almost every other country, including in Europe have mask mandates in schools- both primary & secondary, and in some high-grade masks provided by govt. And they have far higher vaccination rates in adolescents, and lower infection rates than us!
Infection rates rapidly rising and highest in primary & secondary school children. Some of the poorest mitigations in schools across W. Europe, and no isolation of contacts required. Every new variant spread disproportionately through school outbreaks.
And we're doing nothing.
Today's briefing appears to be an exercise in doing the bare minimum while seeming to signal that our response is in someway proportionate to the potential threat. Let's be clear- this response doesn't even go far enough to deal with delta, far from dealing with anything beyond🧵
Let's remember we're entering a period of uncertainty and high *potential* threat with our NHS already under unsustainable pressure (something that doesn't seem to have been discussed at all during the briefing)! Ambulances are on black alert with emergency services struggling.
We've been having excess deaths and very high transmission for months, and are currently at 50K cases or so a day, and rising, esp in children. This has been accompanied by huge rises in self-reported long COVID in young people- something not addressed at all in the briefing.
For 19 months, I've been constantly attacked for advocating for elimination, and saying SARS-CoV-2 isn't a virus we can and should live with. It's been evolving in one direction from the start- greater transmissibility, escape & virulence. 🧵
But the hopium on 'benign endemicity' has been widespread- the idea that it'll magically become the common cold when all evidence has been pointing the other way for 19 months. Unfortunately, early signs don't look good.
So, I'll say this again. And trolls and my 'colleagues' can and will attack - but progressive coordinated and supported global elimination was the only way to really deal with this threat. And with every new variant, it gets harder to do this.