‘Let us hope that certain problems with the influenza vaccine — such as the failure of vaccination, in some years, to produce the desired increase in protection in previously vaccinated people — do not occur with the SARS-CoV-2 vaccines.’

‘Let us hope…’ nejm.org/doi/full/10.10…
@jmcrookston Monto may be a coronavirus expert, but I think he lacks imagination:

‘We need to learn to live with these illnesses, just as we have learned to live with influenza.’

Knowing the health system as I do, I think we’d be better off learning to live without SARS2.
Plus I dislike the premise of hope-based science:

• That mRNA vaccines maintain high efficacy

• That antigenic variant emergence can be outpaced by vaccine manufacturers

• That multiple rounds of exposure to a neurotrophic virus leave humans free from neurological injury
‘Living with’ SARS2 is just a shit policy choice, foisted on us by ‘scientist politicians’ lacking the necessary long term view & moral perspective required to deal with such an issue as this.

SARS2 will feed inequality, poverty & continue to ruin even ‘robust’ health systems.
Choosing to ‘live with’ SARS2 has its origins in the same immoral, unimaginative policy decisions as choosing to ‘live with’ poverty.

Humanity needs to wake up, & start choosing to live without both.

Humanity needs leaders who will try to take us there. 💙
@YouAreLobbyLud

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More from @DRTomlinsonEP

4 Dec
‘UK Legal Position

Biological Agents (such as SARS-CoV-2) are covered under the Control of Substances Hazardous to Health (COSHH) Regulations 2002.

COSHH provides a framework of actions designed to control risk. from exposure to hazardous substances.’

#AFRSMisNotPPE

/1
‘The Approved Code of Practice (ACOP) to COSHH Regulation 7 states that if employers cannot prevent exposure to a biological agent, they should take steps to ensure that it is controlled adequately & consider all the requirements set out in regulation 7(3), (4), (6) and (7).’

/2
‘They [employers] should apply the principles of good practice and use each requirement where, and to the extent that:
• it is applicable;
• the assessment carried out under regulation 6 shows that it will lead to a reduction in risk.’

/3 #AFRSMIsNotPPE
Read 13 tweets
3 Dec
Paediatric critical care & ECMO: interim
update Nov 2017

'Paediatric critical care is a highly valued service that saves the lives of children in England every day.'

#OmicronVarient #RWCS?

1/4
'@NHSEngland analysis supports an initial hypothesis that – if the model of paediatric critical care does not change – the services will not be sustainable or affordable in the medium to long term.'

#OmicronVarient #RWCS?

2/4
'There is variation in the number of patients from each hub who receive ECMO' [extracorporeal membrane oxygenation]

👇 4 yrs' data (2011-15): per annum ECMO Rx

E Mids: 70
London: 66
NE: 31
NW: 14
SW: 6
Wessex: 9
W Mids: 17
Yorks & Humber: 6

#OmicronVarient #RWCS?

3/4
Read 5 tweets
22 Nov
🚨 NEW 🇬🇧

Guidance on IP&C for seasonal respiratory infections including SARS-CoV-2

Welcome to the world of SEASONAL SARS2 [does this sound more 'cuddly' to you?] & alternative reality according to the IPC Cell.

🧵

gov.uk/government/pub…
Hot on the heels of the new campaign where dCMO @Thomas_Waite states:

'People with COVID-19 release virus particles into the air whenever they speak, breathe or cough & these can linger in unventilated settings.'

Will the IPC Cell sustain the AGP myth?

gov.uk/government/new…
Reviewing this on the fly...

'This guidance is intended to prevent transmission of seasonal respiratory viral infections focussing on influenza, SARS-CoV-2, & respiratory syncytial virus (RSV) in health & care settings'

Nice tactic: Try to remove focus on SARS2 alone
Read 27 tweets
20 Nov
Problem: RTAs kill drivers

Mechanism: High velocity injuries

Physical laws-based fix: A seat belt

Null hypothesis: A seat belt is w/o effect on RTA death

Randomise drivers: Unblinded=flaw (may affect driver behaviour)

Start RCT

Pre-specified interim analysis shows benefit…
Problem: RTAs kill passengers

Mechanism: High velocity injuries

Physical laws-based fix: A passenger seat belt

Null hypothesis: A passenger seat belt is w/o effect on RTA death

Randomise passengers: Unblinded=flaw (may affect driver behaviour)

…seriously?
Universally applicable physical laws are the ‘highest order of evidence’.

Engineers can help ‘fix’ the problem, based on physical laws.

Different engineering ‘fixes’ will have trade-offs: cost, comfort, efficacy; materials (CO2 impact / recycling options) etc.
Read 4 tweets
18 Nov
@WHO director of communications suggests that we need 'a consensus on terminology'; i.e. meaning of the word 'airborne'.

Logical possibilities:

1. She's right: 'airborne' has so many meanings as to render its use invalid.

2. She's wrong: 'airborne' has a single, clear meaning.
🚨 Dictionary evidence

Does this indicate multiple, potentially conflicting meanings, or a single, clear meaning?
🚨 Evidence from WHO teams' use

2014: IPC of epidemic & pandemic-prone acute respiratory infections in health care

'The spread of an infectious agent caused by the dissemination of droplet nuclei that remain infectious when suspended in air over long distances and time. (9)'
Read 11 tweets
18 Nov
Coronavirus: how to stay safe and help prevent the spread - GOV.UK

This guidance needs to be reported for misinformation.

As ever during this pandemic, the 🇬🇧 medico-political complex display an aversion to reporting empirical truths. gov.uk/guidance/covid…
THE GOOD

✅ ‘Airborne transmission is a very significant way that the virus circulates.’

Correct: aerosols are formed & exhaled during breathing, speech, singing, coughing & sneezing.

Can you live without breathing? Image
THE BAD

☣️ Symptoms requiring PCR testing STILL reflect the BS affirmed by @CMO_England in May 2020 based on data marred by selection bias: ISARICA4.

These data should NEVER have been used to prop up erroneously narrow test criteria.
@ProfCalumSemple now agrees: BMJ, July 2021! Image
Read 7 tweets

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