Going by what we know so far, places like Germany or the US are in for a world of trouble in the coming weeks.

So I want to make a few general points here once that go beyond the science (will do the rest later):
Firstly, why are we in trouble?
Forget everything else for a moment and just look at the growth rate of #omicron in places like Denmark and Norway. Look at London. This virus is moving fast. It spreads fast. And it will find those most vulnerable fast.
Unfortunately, places like Germany and the US still have a lot of vulnerable people who are unvaccinated.
This variant will find those people fast and if it is anything like previous variants it will make a significant portion of these people very, very sick.
Even if it turns out that #omicron causes milder disease in unvaccinated people (which we have no way of knowing right now and no reason to assume), the sheer spread will likely eat up any advantage.

Add to that a lot of people sick and off work and hospitals already full...
As @BillHanage told me:
“There’s not much that can spread this fast and be benign to a society that’s already got full hospitals without it.”

science.org/content/articl…
@BillHanage I was reminded yesterday that I wrote a story last year called “A divisive disease” (vis.sciencemag.org/breakthrough20…)

Here’s the thing:
This virus has always been good at dividing us (and we have damn sure made it easy for it at times).
#omicron will make those divisions even starker.
@BillHanage Within countries:
In Germany we have 20-year olds with no risk factors who are vaccinated and boosted. The individual risk to them is really, really low.

We also have unvaccinated 70-year olds with risk factors.

So the gap between those most and those least at risk has grown.
@BillHanage Between countries:
Some countries have rolled out highly protective vaccines for basically everyone and #omicron is making them booster more and faster.

Other countries are still struggling to get vaccines to give those most at risk their first shots.

The gap is growing.
@BillHanage The only solution to this is to realize that we are part of a community, a country, a world and that we cannot extricate ourselves from that web of interdependencies.
So think things through starting at the end.
And then act accordingly.
@BillHanage I understand the frustration at the unvaccinated. I feel it.
But they are part of our community. If a lot of these people end up in hospital (plus lots of staff out sick), then healthcare is likely to collapse and that will affect you too. And your neighbour and your parents.
@BillHanage So giving up simply is not an option.
We have to try and reach these people and we have to try and understand their fears and address them and we all have to work to build trust in each other.
@BillHanage But the truth is:
Whatever we do now in terms of vaccinating the unvaccinated, it won’t do anything for this rapidly building wave.
We are stuck with our collective (political, societal) failures and we will have to deal with it.
So expect significant restrictions again.
@BillHanage Just remember:
It may feel like 2020 all over again, but your PERSONAL RISK if you are vaccinated and boostered is a LOT lower than it was then.

#Omicron presents a SOCIETAL RISK because it makes up for that by infecting many more people at once.
@BillHanage So for many of us when we think about our own personal health and well-being the next weeks, we should concentrate more on how to stay connected to friends and family, how to stay active.
So: Talk to people, prepare, do things you enjoy, make plans for the summer, for after.
This is a really important point:
If you have people dear to you that are older or have comorbidities and that you cannot convince to get vaccinated, you can still impress on them how dangerous the next weeks will be for them and that they need to reduce contacts, wear masks etc
One last point:
If - like me - you are vaccinated and boosted, you may still be worried about what is to come, you may be fearful for others and you may feel frustrated facing restrictions again amid this #omicron wave.
But remember:
We are PRIVILEGED!
We are largely protected from severe disease.
We have access to life-saving tools many people in the world have been denied.
We have not been manipulated by those who know better into believing dangerous nonsense.
Let’s try and turn that privilege into something positive:
Let’s look out for others.
Let’s support those most in need of support in the coming weeks even if they made decisions we disagree with.
Let’s help people by spreading good information from trusted sources.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Kai Kupferschmidt

Kai Kupferschmidt Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @kakape

16 Dec
As promised, a brief thread on main points from the Denmark paper in @Eurosurveillanc looking at the first 785 cases of #omicron in the country.

Paper is here:
eurosurveillance.org/content/10.280…
@Eurosurveillanc First off: Things are moving incredibly fast with #omicron.
This timeline gives a good overview of how fast things happened in Denmark:
eurosurveillance.org/content/table/…
@Eurosurveillanc One key finding: More than one in five cases cannot be linked to previous cases.
"This indicates that within 1.5 weeks from identifying the first case of #Omicron, there is already widespread community transmission in Denmark, which challenges further epidemic control."
Read 9 tweets
16 Dec
Two interesting papers on #omicron just out in @eurosurveillance:
One from Norway on THAT super spreading Christmas party in Oslo:
eurosurveillance.org/content/10.280…

One from Denmark on the first 785 #omicron cases there:
eurosurveillance.org/content/10.280…
Norway first:

117 people attended the party
99 had had two shots of mRNA vaccine (no-one boostered)
8 had recovered (unclear to me if they were vaccinated as well)
Everyone reported a negative rapid test before
81/110 (interviewed) people got Omicron, so the attack rate was a whopping 74%

As of December 13 "we detected nearly 70 other guests that were likely infected at the venue, and the Omicron variant
was detected in 53 of these through PCR variant
screening or sequencing"
Read 10 tweets
15 Dec
“The doubling rate of Omicron in some regions is now down to less than two days and I'm afraid we're also seeing the inevitable increase in hospitalizations, up by 10% nationally week on week and up by almost a third in London”, Boris Johnson just said in his briefing.
UK now boostering anyone over 18 whose second jab is more than 3 months ago.
"From tomorrow, we're speeding things up even further by removing the 15 minute post-vaccination waiting time. And while we're at it from Monday, 12 to 15 year olds can book in for a second jab."
Johnson really leaning into boostering:
“We're jabbing in hospitals, we're jabbing in surgeries, we're jabbing in pharmacies and in pop-up centers, we're jabbing in shopping centers and on high streets, in football stadiums... Wherever you are, we'll be there with a jab for you."
Read 6 tweets
15 Dec
Here is the Global Preparedness Monitoring Board adding its voice:
"If governments and the public continue to focus on the severity of the variant, which is yet to be determined, there is a real risk that we miss the opportunity to prevent and slow down the spread of Omicron"
"Optimistic predictions are based on limited evidence, bringing false comfort and lulling some countries into a state of inaction. We cannot make the same mistakes again.”
gpmb.org/news/news/item…
“Curbing transmission of Omicron in the next few weeks is essential. Acting fast and erring on the side of caution is the right way forward. If we don’t act now, it will be too late.”

They call for 7 steps:
Read 6 tweets
15 Dec
Okay, one last quote from yesterday’s @WHO presser (and then I'll stop before people think this is actually Mike Ryan tweeting here).
He was talking about the many questions about #omicron that had no clear answer yet:
@WHO “Those answers will come”, @DrMikeRyan said.
"But in the meantime, we need to be ready to deal with what is likely to happen, which is a large wave of cases, which may or may not be more or less severe, but which will in themselves generate pressure in the health system"
@WHO @DrMikeRyan “We need to do what we can to stop that, to reduce that pressure in the system”, he said. "We need to protect those who need to be protected as quickly as possible. And we need to prepare our systems for that."
Read 5 tweets
15 Dec
New risk assessment from @ECDC_EU estimates that "based on modelling predictions, and depending on the growth advantage and level of immune escape, the Omicron VOC is likely to become the dominant variant in the EU/EEA within the first two months of 2022”

ecdc.europa.eu/sites/default/…
@ECDC_EU "Even if the severity of disease caused by the Omicron VOC is equal or lower than the severity of the Delta VOC, the increased transmissibility and resulting exponential growth of cases will rapidly outweigh any benefits of a potentially reduced severity."
@ECDC_EU "Rapid reintroduction and strengthening of NPIs is necessary to reduce the ongoing Delta transmission, slow down the spread of the Omicron VOC and keep the COVID-19-related burden manageable."
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(