Powerful, well referenced piece.

The ‘mild’ narrative has dogged the response from day 1 & with omicron was premature, not correct & dangerous; delaying action & promoting spread. 1/

theatlantic.com/health/archive…
There is much more in this piece including why the ‘plus’ in vaccinesPlus is crucial (ie, current vaccines are not enough, although next-Gen vaccines might be), & how inequity is so central to the pandemic. 2/
Answers to new challenges: (1) Face facts - we must pragmatically face facts openly & early; no minimization but also no panic, we know what to do; 3/
(2) Act fast - to protect people & minimize chances of health system overload & so lockdown we must act rapidly BEFORE there is a major problem, in a precautionary way with ALL the minimally disruptive tools we have; vaccines, masks, ventilation, distancing and testing, 4/
(3) Understand the importance of, and barriers to, getting tools to everyone in our own community and around the world. Fix this and we end the pandemic 5/end

@BurnetInstitute @ausglobalhealth @PacificFriends @EndCOVIDForAll

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More from @CrabbBrendan

12 Dec
History has shown us that head-in-the-sand, rose-colored narratives don't work on covid. From the ‘it’s a bad flu’ beginning they have prolonged and worsened the pandemic. 1/
Underplaying the uncertain curve-ball that omicron presents threatens to stymie the accelerated & equitable vaccines-plus response we need to turn the ongoing pandemic around. 2/
We know enough as individuals (get boosted, tested, wear good-fitting masks & take care with the air you breath), and policy makers (promote the ‘Plus’ as strongly as you do vaccines); to protect ourselves & our health workers & system while living reasonably openly. 3/
Read 5 tweets
25 Nov
Globally and locally, we have a casual attitude to Covid cases; ‘focus on reducing hospitalisation/death’ is the common mantra. The result is ongoing waves as big as ever, huge disease burden in the un-vaccinated and the certainty of new variants. 1/ Image
Today’s news from South Africa is a wake up call to this. It may itself be a false alarm, desperately hope so, but there is no doubt we will see more variants with the current policy settings. 2/
So: (1) cases matter, we must bring the global burden down (2) extreme vaccine-inequity is a major driver of high cases (3) we are totally interconnected, what happen in one continent equally effects the others 3/
Read 5 tweets
8 Nov
A updated thread on Australia’s special chance to keep most people from ever getting COVID 1/
This encouraging news about a new pill from Pfizer is another step toward a vastly more powerful COVID toolbox that is rapidly coming our way. These promise to be game-changers 2/ nytimes.com/2021/11/05/hea…
The news reinforces what Prof Baxter @enenbee I wrote about recently, in the coming year keeping COVID cases low, and eliminating COVID, will become vastly easier than it is now 3/ theconversation.com/covid-doesnt-n…
Read 9 tweets
31 Oct
Exit from lockdown in #COVID19Vic was a relief for everyone & more than earned. But in our joy, I don’t think we thought much about those who died on that very day. 1/
It is important we celebrate, in part bc our collective action saved thousands. But also imp we remember the 82 who died of COVID in this last week. We should honour those people same way we do others who die tragically before their time. 2/
It’s important bc our behaviors - as authorities & individuals - still matter in these coming months. Think hard about how those people became infected, & to how we can further minimize that happening. Unvaccinated people esp, but also the vaccinated, can transmit delta. 3/
Read 6 tweets
16 Jul
A thread on our case @BurnetInstitute for why Sydney should move to Stage 4 restrictions without delay 1/18
First, as the Premier says, the only option for NSW (and all of Australia) is to get back to #COVIDZero while we get the country vaccinated. 2/18
Measures in place are keeping things in check. Tens of thousands of cases have been averted; much death & suffering prevented bc of the actions of NSW gov & people. 3/18 infogram.com/1plrmxlq5w1k19…
Read 18 tweets
15 Jul
Much talk to the effect 'we have the policies it's now up to the community to do the right thing'. Putting aside the notion that stronger restrictions send a strong psychological signal (eg, masks on when you leave the house) - the science of influencing behavior is neglected.
But there is a bit going on, such as the Optimise program @BurnetInstitute
burnet.edu.au/projects/459_t…
Here's just one example, improving testing uptake through behavioral science. It's not about blaming and shaming, but working with the people you're trying to influence, ie, not telling, but asking different communities what would work for them!
burnet.edu.au/system/asset/f…
Read 4 tweets

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