Starting to get a bit annoyed about this...

Let us be clear:

If we are forced into heavier social restrictions (e.g. circuit breakers/lockdowns) the BLAME sits more with those who supported Mass Infection, and NOT on those who tried to stop the spread.

Rant 1/5
If you are one of the toddler-adults who have refused to wear a mask to protect others...its on you!
If you are one of those who promoted unmitigated Mass Infection of a novel pathogen...its on you!
If you are one of our Leaders who chose to strengthen the private sector in favour of the NHS....it's on you!

▪️£37bn to T&T.
▪️£0.25bn to Primary Care. (1% that spent on T&T)
▪️4% Less bed capacity (shrinking healthcare during a pandemic!).
▪️1% pay rise (insulting).
We have had plenty of opportunity to prevent social restrictions and avoid circuit-breakers.
We have had plenty of opportunity to strengthen the national health service.
We have had plenty of time to develop ventilation systems in places of work and education.
So when healthcare capacity is overwhelmed and more and more severe social restrictions come in...feel free to be frustrated and disappointed. Just remember who failed to mitigate and who failed to improve healthcare capacity.
End.

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More from @danielgoyal

5 Dec
Thanks @jburnmurdoch for clear update.
Clinical concerns:
At an individual level we are still not clear on threat level.
At a societal level, the numbers are very worrying. And the government should be panicking.
The rate of hospital admission seems very high with #Omicron.
1/5
A number of countries do not have the additional hospital capacity to manage yet another surge.
The US and UK (and others) are (IMV) in a very poor position to manage #Omicron.
In the UK and US the ongoing Covid-19 wave is TRIPLING the healthcare burden of 'normal' pneumonia.
Access to care for both Covid and Non-Covid diseases are already limited and this lack of capacity is causing death and disability.

[Table = 'extra deaths from any cause'] Image
Read 6 tweets
4 Dec
How to prepare for #Omicron?

We have learned much over the last two years.
As we face another variant we should not panic…
but we should prepare!

Ten things we can each do...

#CareForCovid
1. Keep perspective.
Covid-19 is not the flu. It carries a significantly greater mortality. But, equally, the overall mortality rate is likely to be somewhere between about 0.5 to 0.05% (variance between countries). The odds are most definitely in your favour.
2. But take #Omicron serious.

Whether it is this variant or another or it is another pandemic, we should be ready. Individually we can prepare now so when it arrives we can continue with our lives, less anxious, less consumed.
Read 13 tweets
30 Nov
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.
Read 9 tweets
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

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