Cost of London Olympics: £9.3 billion
Cost of test-and-trace: £37 billion

Other eye-catching/eye-watering contrasts are available so you can pick your own.

🧵 What kind of system and what kind of people do we have in govt in the UK?
1/7
The purpose of this 🧵 is just to draw your attention to 🧵s by @alexhallhall and @syrpis that I think are very important reading. I would highly recommend following both of them.

Both 🧵s succinctly outline the reality & the (lack of) principles in our govt systems.
2/7
First this 🧵 by @alexhallhall in which she beautifully describes the real nature of our systems and the people within it, and the painful disjunct between this and, what we think is right and how we'd like to see ourselves and our institutions.
3/7
@alexhallhall is not talking about some fantasy version of how we thought/think the world is.
It is the 'I know systems are shitty, corrupt & flawed & there are assholes a plenty, but there are also important values, good people, checks & balances, etc. But this is worse.'
4/7
And it is worse and has got worse under the Tory govt, particularly the current incarnation under Johnson. In this 🧵(and several others of his) @syrpis explains how this happens and just how sinister the current cabal is.
5/7
I'm trying to amplify these 🧵s because it is important that we know AND understand the systems and the people we are living under. It is also vitally important to bear in mind that these are the people who have been in charge of our pandemic response all along.
6/7
They have shaped our poor and at times frankly incorrect public health messaging ('masks don't work') and our shambolic public health response and are continuing to do so.

As of yesterday we've had 173,248 COVID deaths.
7/7

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More from @HZiauddeen

9 Jan
‘Excuse me, could you help me out?’
‘Certainly sir, what are you looking for today?’
‘I’d like to get a non-polarising information summary of the Omicron variant.’
‘Well, you’ve come to just the place sir, this is our fully comprehensive Facts package.’
1/6
‘Excellent! And it’s up to date?’
‘It’s the 2022 edition, sir’
‘And what do I get if I buy it? Can you give me a preview?’
‘Well, it gives you infection, hospitalisation, and death stays; lab studies, pathology, the works.’
‘Great, great, what’s the main takeaway?’
2/6
Well sir, to get the main, and indeed all of the, takeaway, you have to purchase it for £1.50.’
‘Ok, but I need to know what I’m buying, right? Right as in, the customer always is? So, what am I buying?’
(Sigh…)
3/6
Read 6 tweets
6 Jan
🧵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
Read 10 tweets
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

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