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dr ben janaway

@drjanaway

21 Dec

The ethical case for #vaccination. A thread.

Before we consider what is, I believe, a reasonable case for universal vaccination, we must first address the problem of misinformation. There is no better way to do this than to present the facts as they most reliably exist.

First we must consider the truth that nothing in science is ultimately correct in all cases, but based on a statistical likelihood that error is less likely. Essentially if the relationship between two variables exists by something less than chance, we can be confident of 'truth'

This is not to remove the philosophical quandary of what defines 'truth' in its entirety, and if we were to be strict and reference Kant's diktats of reason we would conclude the same, that all knowledge is inferential and thus subject to our senses and conceptualisations.

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dr ben janaway

@drjanaway

21 Dec

So let's talk about the #COVID19Vaccine and #Booster based on the evidence, including #death rates.* This data looks at non-vaccinated vs vaccinated (per dose) and booster (separate study). Links to the evidence are posted at the end of this thread.

Note before starting:

The ASMR (age-standardized mortality rate,) is a unit that compensates for differences between age groups. This is because mortality changes over age band, so it can be misleading not to adjust.

The use of 'person-years' is a unit designed to make sense of the number of people and time under an illness, i.e a measure of incidence and duration. The data used in the first study uses ASMR/100,000 person-years.

Read 24 tweets

dr ben janaway

@drjanaway

18 Dec

Had a lot of people angry at me today around my tweet on the #londonprotest . I agree with many of them. Mandates suck, passports suck, and I worry about the government finding more reasons/ways of disempowering people. But my focus is the virus, and what it may do to people.

The virus is relatively equaliser, it doesn't care if you are labor or conservative, rich or poor. The inequalities bred out are societal, not of its making. The government have taken full advantage of the despair and chaos to profit, and certainly advance their agenda.

With legislation around protests, whilst having parties themselves, they have shown themselves to be the selfish malignancies they are. However, I do not align myself with them, but the effort to reduce infection and save lives is a common theme that we all share.

Read 10 tweets

dr ben janaway

@drjanaway

15 Dec

https://twitter.com/LozzaFox/status/1471236773728731141

Thanks for the opportunity, Laurence. So lets take a moment.

Two years ago we had no vaccine and relatively new virus. We have since been fighting between public health measures and viral spread/mutation

https://twitter.com/LozzaFox/status/1471236773728731141

As a virus continues to spread, it gains opportunities to mutate. This happens in any species as part of reproduction, and some mutations are good for it, others bad for it, and others bad for us.

The emergence of 'variants' such as delta and omicron are those that have mutations that have enabled greater survival. This means that they have adapted more to the environment, including the vaccines.

Read 17 tweets

dr ben janaway

@drjanaway

14 Dec

What tires me most as NHS staff is that most of this is preventable.

Those refusing a vaccine that could save their (and others') lives are harming others and prolonging the pandemic as they paint themselves as the heroes. This is a juvenile fantasy.

Grow up, get jabbed.

Inb4 you are mean mr psychiatrist. Half of my ward has the infection. My patients are at a higher risk of severe illness. My words are less severe than death, get over it sunshine.

Oh and the bluetickbuffoons going on about nazi germany and freedom, go talk to a holocaust survivor about how a mask and vaccine is the same as Auschwitz. Stop insulting actual genocide survivors for retweets and sponsorships, plebs.

Read 4 tweets

dr ben janaway

@drjanaway

2 Dec

From an ontological standpoint, both psychoanalytic formulations and psychiatric diagnoses work on an estimate of categorical fluency between cases, to form a framework of workable ingress. It is not for either to claim moral authenticity over the other.

Even Laing would agree.

To proffer some level of deeper understanding is reasonable for the former, but this does not provide a tautology in moral reasoning, other than reductionism in a more specific form. Neither promotes a fair epistemology, only a translation by which work is done.

From a more superficial and ideological standpoint, I suggest that political conflict between the approaches is one of secondary narcissism, not a significant variation in practical application. One is not the tail of the other, but both the tail of the unicorn.

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