I can’t be bothered getting into the “is SARS-CoV-2 HIV” debate.

It’s no more likely to be exactly the same as HIV, as it is going to be exactly the same as the flu.

Is some form of acquired immunity-deficiency possible… maybe. Keep getting infected and we may find out.
T-cells are being activated when they don’t need to be though. That means that they may attack the wrong things (autoimmunity) or be switched off because the are not required. When they are switched off, they become unresponsive. ->
Unresponsive means that if something (virus, cancer cells, other bugs) comes along later that might have been recognised by that T-cell, it is no longer available to participate.

We have also seen T cells being destroyed in COVID-19 syncytia. So some may be lost there too. ->
Most things have more than one feature for a T cell to recognise though, so the amount of T cell loss before an immunodeficiency due to COVID-19 might be apparent is again unclear. ->
In the immediate post viral period, many viruses cause a relative immune suppression due to many reasons.

Fungal infections and bacteria often invade in this post-viral phase. Reactivation of latent viruses is also common.
We have also seen that macrophages can be infected directly. Some people think of macrophages as the conductor to the orchestra. Infected macrophages may send out all sorts of signals, and the rest of the orchestra will play very badly. news-medical.net/amp/news/20200…
So no… I can’t neatly put SARS-CoV-2 into a box with other viruses from other families, but I can tell you that it is no good for the immune system,it has multiple methods by which is can suppress immunity or over activate it, and immune system breakdown is not far-fetched.

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More from @NjbBari3

Jan 18
THE PRESSURE SORES!

There is no end to the cruelty of this government.

@ScottMorrisonMP @Dom_Perrottet

have FAILED as leaders.

#auspol
For people that don’t know what a pressure sore is… it’s when you sit or lie in one position for so long, that the tissues and even the bones erode away.

Starts off as red skin, and then becomes deep holes.

They are extremely painful. Agonising in fact.

Hell on earth.
That’s what the government has unleashed on the vulnerable.

Hell. On. Earth.

#auspol
Read 4 tweets
Jan 18
What are they doing?

Does this look even vaguely *competent* to you?

#auspol
Like… what on the earth?

No, no it is not OK to send all the double vaccinated teachers to the ventilators and then all the parent volunteers to the hospital, or maybe just to their own beds after that.

#auspol
You don’t just *plan* to burn through all the human beings. I haven’t even started on how detrimental it is to kids to have a different “teacher” every day.

#auspol
Read 5 tweets
Jan 17
Dear @VictorianCHO

There is a purpose to “prolonging the pain”.

Increased availability of quality care for COVID-19 patients and non-COVID patients. Better drugs, earlier treatment, earlier rehabilitation. 🧵

->
Maintenance of cohorting of airborne disease, so that vulnerable patients can access healthcare without massively increased risk of death.

->
Time to advocate to government for N95 or similar masks in the community to be manufactured and supplied for free to those that need it.

Gradual improvement in airborne disease management infrastructure such as HEPA in classrooms and workplaces.
Read 9 tweets
Jan 14
The audience has changed in Australia, and I am sensitive to that. A lot of people will now be infected, or know someone they love that is infected.

Now it’s about how to survive beyond that… and to do that we still need to #CutDownTransmission
Just because you have had COVID-19 once, and you thought it was mild, it doesn’t mean the next one will be mild, or the one after that. Timing vaccines and waves is not easy, so we need to flatten those waves.

We also need to reduce the amount of organ and systems damage.
Vulnerable people in the community are relying on us to reduce the prevalence of disease. For them, it literally is a matter of life and death.

We can do this… we need to start small. Better ventilate our homes and workplaces. Wear the best mask/respirator we can.
Read 5 tweets
Jan 6
Nearly a year ago I said that the most dangerous thing about acknowledging #COVIDisAirborne, is that governments would give up trying to control disease.

They have given up in many well resourced countries.

This another huge mistake.

Airborne disease CAN be controlled.
Step 1

Stop asking doctors how to fix an environmental problem. Airborne disease is a problem of air flows and stagnant air.

Ask engineers, architects, aerosol scientists…
Step 2

Stop picking only the “easy” thing to do (ie what the individual can do). Airborne disease requires teamwork, competent governments and community efforts.
Read 5 tweets

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