I’m sure @dgurdasani1 will correct me if wrong, but the message isn’t that Covid is inevitable or we must eliminate it.

We will get better at treating it and perhaps tolerating it (immune wise).

But to pursue a vaccine only strategy when herd immunity is not assured is wrong.
Deepti and others have IMO been right: the least global impact would be (and is) to eliminate SARS-CoV2.

The world has not been united enough, at least not yet, to achieve this. And our leaders have lacked the vision to even consider it.
Perhaps it raises important questions about our processes and systems, if we have the power to prevent an infectious disease with a similar mortality as Endemic Malaria from becoming established and have chosen not to.
Without a global strategy to eliminate it, I still consider our best option is to significantly expand our capacity to treat it.

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More from @danielgoyal

12 Dec
Preventing lockdown…
Our gov have had one eye on herd immunity since The start. This shaped policy and provision.
It must now change if we are to suppress Omicron - avoid lockdowns - and protect the public.

Mistakes are forgivable; failing to learn from them is not.

RT pls
Herd immunity leads to an attempt to minimise casualties NOT suppress infection.

Omicron is set to overwhelm healthcare providers. This will lead to higher mortality from Covid and Non-Covid disease.

Two things can stop it:
▪️Suppression of cases
▪️Optimising Care Capacity
1. Find the Sick!
Cough, Fever and loss of taste/smell account for less than 50% of presentations in early disease.

We must add “cold/flu-like symptoms” as reasons to test and isolate. It may be test and release is possible. But to avoid lockdown, we must catch more cases early
Read 11 tweets
10 Dec
Take Two:
"The Omicron Variant!"
Can we do better this time round?
Here are three animations born from the belief that we can!
🙏🏼 @VickiGSP

[Pls Share - if we can improve care for Covid, then we can save lives and reduce the hardship of restrictions]

1. The problem...
A lack of clinical follow-up costs lives and resources...

...but we can stay vigilant to signs of deterioration.

2. The Individual Solution
Early Intervention saves lives and resources, and frees up capacity for non-Covid illnesses...

...the more capacity we have to intervene early the safer society is!

3. The Healthcare Provider Solution...
Read 4 tweets
7 Dec
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!
Read 6 tweets
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

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