“Living with the virus” has failed. The wishful thinking, the regression to allowing biology to dominate society, the idea of normality of widespread disease has not worked. No way to justify the damage as health, economy and freedom are lost. Its advocates should reassess. 1/
Let us stop justifying the failure by claiming nothing else was possible, that we couldn’t have known, that we couldn’t have succeeded anyway. It is not becoming of our identities, it is not respectful of our ancestors, it is not a way to build our futures. 2/
Society, through medical systems, transportation systems, manufacturing, construction of homes, industries, cities, and scientific knowledge, links us in a shared destiny, MLK's "inescapable network of mutuality". Together, we transcend individual biological destiny. 3/
If ever there was a time, now is the time to say “We have not yet begun to fight”(JPJ). The future is for us to create. 4/
The alternative? We can embrace a #zeroCovid strategy. Difficulties—cacophony, pessimism, self-doubt—can be repaired. Center our feelings in compassion, our will in defeating an enemy, our creativity in innovation, we can transform society for collective action and win. 5/
Where there is a will there is a way. 6/

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More from @yaneerbaryam

Jan 16,
The NHS isn’t ‘coping’ with Omicron – just ask doctors and patients | Rachel Clarke theguardian.com/commentisfree/…
“It’s going to crush the system”

Hundreds of Arizona health care workers demand COVID-19 mitigation policy. Open letter.

1+1/
Open letter
drive.google.com/file/d/1R0s9nA…
"More than 1,000 healthcare workers from across the state signed an open letter urging proactive COVID-19 mitigation measures, including enforcing mask mandates in classrooms and expanding testing sites."

1+2/

fox10phoenix.com/news/its-going…
Read 7 tweets
Jan 16,
Context is missing and the information provided in this tweet is misleading: It takes time for people to progress to severe disease. Omicron cases in this study have an average observation period only of 5.5 days, compared to 15.8 days for Delta. 1/
The study quoted treats this using a dynamic statistical (Cox) model but this doesn’t fix the limited data availability, whose analysis is limited to 14 days after infection. 2/

medrxiv.org/content/10.110…
Essentially all Omicron hospitalizations start less than 14 days before study ends, limiting observation of severe cases & mortality, which generally take longer—less than 1 in 10 expected Delta deaths occur during these 14 days (14 day mortality ~0.07%, Nov US mortality .85%) 3/
Read 8 tweets
Jan 12,
No Surrender - Where There's a Will There's a Way

@TheWHN

@smbilodeau @CecPhil @M_F_Schneider Sunil K Raina @DrEricDing @nntaleb @ShutiChiou

JAMA released Comment on:
A National Strategy for ... COVID
jamanetwork.com/journals/jama/…

1/
Emanuel, Osterholm, Gounder (EOG) propose that, in contrast to a zero COVID policy, we surrender to the pandemic, setting an acceptable level of deaths as policy success.

2/
In an accompanying article Michales, Emanuel, and Bright propose this can be achieved by improved vaccination, testing, surveillance, masking, ventilation and distancing.

3/
Read 17 tweets
Jan 12,
New paper: Mice and Men have Covid brain damage

Mild respiratory SARS-CoV-2 infection can cause multi-lineage cellular dysregulation and myelin loss in the brain

Cancer therapy cognitive impairment and Covid have similar patterns of brain damage

1/
biorxiv.org/content/10.110…
Survivors of SARS-CoV-2 frequently experience lingering neurological symptoms: impairment in attention, concentration, speed of information processing and memory.

2/
This long-COVID cognitive syndrome shares many features with the syndrome of cancer therapy-related cognitive impairment (CRCI).

Neuroinflammation, and dysregulation of hippocampal neurogenesis is central to CRCI.

3/
Read 5 tweets
Jan 6,
New Zealand is almost back at elimination!

Community transmission (top figure) declining
Dec 31: 49
Jan 1+2: 105
Jan 3: 27
Jan 4: 31
Jan 5: 17
Jan 6: 19

Traveler quarantine cases increasing, mostly Omicron going into quarantine facilities, up to 43!

Congratulations! Image
Very high vaccination, very high masking (including a lot of N95s), local restrictions based upon local conditions.
Read 4 tweets

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