🧵COVID-19: Kids and masks
Children can wear masks, can understand the need for masks, and can decide to wear masks. They do not have to reach the age of 11 to be able to do so. Primary school children in several countries have been doing so for several months.
1/10
The evidence for the effectiveness of masks is clear. It's why we're fighting for FFP2/FFP3 masks for HCWs. At this point in time, with the evidence we have, arguing that masks are not effective or necessary is frankly disinformation.
2/10
Arguing this with the case numbers we have, is frankly harmful.
And the benefit does not rapidly tail off below the age of 11, nor do the vaunted harms outweigh the benefit. We should encourage primary school kids who can wear masks to do so.
3/10
We do not want kids to catch COVID if it can be helped. For those who have moved from arguing that kids don't get COVID to kids don't get seriously ill with COVID, to most kids recover completely from COVID; COVID is now one of the major causes of child death in the UK.
4/10
We do not tolerate this amount of child mortality for other conditions. Then of course there's LongCOVID.
Given the high prevalence of infections in kids, we need to be doing more to protect them. Masks, ventilation and air purifiers would help greatly with this.
5/10
It is troubling how 'children don't get seriously ill' & 'children have already suffered so much' arguments used to perpetuate the false dichotomy of making schools safer vs school closures, are now being used against making schools safer.
6/10
At least before 'children have suffered so much' had some credibility in terms of wanting children to have schooling. But now it's arguing against making schools safer for children. Why?

The evidence is strong enough here & the precautionary principle is esp important.
7/8
If you're arguing about unknown future harms or against an imagined draconian imposition of masking on children or the damaging impacts that the second will have on communication, then you're arguing for a position that is more about and for you.
8/10
With primary school kids we'd encourage them to wear masks if they can. A few may not be able to for various reasons and that's fine. Those who can wear them will protect themselves and others. The more kids who wear them, the easier it becomes socially for more to do so.
9/10
And if you think primary school kids wearing masks is barbaric, that is far more likely to be about you than the kids, especially when it comes to those kids who would prefer to wear masks to protect themselves and their families.
10/10

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More from @HZiauddeen

5 Jan
Home invasion:
(Fiction, CW: violence)

One of the strange things about having been homeless is just how long it takes for a home to start to feel like a truly safe place. I've been living with David for 2 years & I've only started sleeping better in the last few weeks.
1/12
Sleep is a helluva lot more restful when you aren't keeping an ear open at all times.
Then the bloody ear infection. Maybe something I picked up from the streets made it worse, the doc wasn't sure. Point is, it's buggered.
I'm totally deaf in my right ear.
2/12
And suddenly 2 years of recovery have just disappeared. The constant uneasiness is back, I can't sleep, all the vulnerability is back. It's different, but kinda the same.
I feel like wounded prey again but this time it's in my own home.
3/12
Read 12 tweets
2 Jan
🧵COVID-19 : Thinking about the longer-term

Thanks for sending me this 🧵 @timcolbourn. I'm replying here with some thoughts, sorry for the delay in getting back to you.
Anyone else reading this, I've let Tim know I'll be replying via QT to make it easier to 🧵
1/26
I think there are some additional factors to be considered and I'd put them under 3 categories:
1. The real world complexity of ongoing high transmission.
2. The health economic (& broader economic) costs of ongoing high transmission.
3. Messaging & intervening.
2/26
Real world complexity:
-I think we need to consider this as a complex dynamic problem, with potential for rapid, large magnitude changes at different local-global levels e.g large superspreader events, national oxygen shortages, new variants with significant immune escape.
3/26
Read 26 tweets
31 Dec 21
🧵 A New Year's Eve tale:

June 1990
"Hello, could you tell me when the next train to Birmingham is?"
"One moment, ah yes, it's at 1:40."
"Brilliant!"
"People aren't usually this excited about Birmingham."
"I've got a date with Sam, I can't believe it!"
"Have fun young man."
1/12
July 1990
"Hello, are there any trains to Birmingham tonight?"
"Last one's at 8:00 but you'll have 2 changes."
"That's no problem, thanks so much!"
"It's Sam's young man isn't it?"
"Oh, was it you I spoke to last time? Sorry, I was a bit excited."
"Sounds like it went well."
2/12
July 1990
"Hello, when's the next train to Birmingham?"
"Another trip so soon? Sounds like the second date went well.
"What? Oh, yes, very well, thanks. I mean, sorry, seems a bit weird..."
"There's one at 5:20."
"Thanks. I'm Tom."
"Martin. Have fun Tom."
3/12
Read 13 tweets
31 Dec 21
This is an excellent 🧵about this new paper led by @emcat1.
@dgurdasani explains the details much better that I ever could but one important takeaway from this is that Omicron is a rather different virus from Delta in key aspects.
What are the implications of this?
1/8
1. We should be careful when we extrapolate from what we know about delta and previous variants, and from what we know so far about differences between Omicron and Delta.
2/8
2. A virus capable of such plasticity is fascinating but it means that there is a lot we still have to learn about Omicron and we should be cautious.
3. Boosters are important, please get yours if you can.
3/8
Read 8 tweets
28 Dec 21
🧵 'What's the alternative?!'/'What's your alternative?!'

This question came up several times in the replies to this 🧵 so I'll take it in good faith and answer it. I'll be very clear and explicit so that you won't have to presume what I really mean or want, I'll tell you.
1/24
Here goes:
First up, there is NO zero-inconvenience option for controlling the pandemic.
We have an airborne virus that is highly transmissible and can cause severe illness and death.
There is no option that will mitigate the impact of the pandemic without inconvenience.
2/24
I say zero-inconvenience very deliberately because all through this pandemic, measures like masks have been deemed an unacceptable inconvenience.

So what is the alternative that many of us (I am not even a bit player) have been fighting for?
3/24
Read 24 tweets
28 Dec 21
This thread by @BallouxFrancois troubles me for several reasons, first and foremost because he is now advising our health secretary Sajid Javid.
The central message of his 🧵is that COVID is inevitable, we're all going to get it, let's just get on with life.
1/23
To be fair, he's not saying anything here that he hasn't said before. It is more troubling because he seems to have the ear of a govt (& media) that doesn't want to do v much to control the pandemic.
I'd like to draw your attention to the seeming reasonableness of the 🧵.
2/23
He says:
'This is not an easy message to convey',
'it gives me no joy to announce (this terrible news)',
'in an ideal world I wish we could have'
'Pretending we remain in control, of sorts, is just becoming too costly'
3/23
Read 24 tweets

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