It's been rather disappointing to see the lack of attention to the huge levels of hospitalisations we've been seeing in children in England in the past few weeks. >800 hosp/wk is non-trivial in children, and would've expected more attention on this. Brief discussion.🧵
Here are minutes from SAGE from 7th Dec- critical bit here:
"there does not appear to be a reduction in hospitalisation risk for omicron compared to delta younger children (under 10 yrs)"
Here's from the UKHSA report recently:
3x increase in hospitalisations in children in two weeks
Top 3 complaints of hosp admissions under 5 are consistent with respiratory infection- indicating COVID-19 is *causing* much of the increase seen under 5.
I actually don't find this tweet from RCPCH reassuring- while many of these hospitalisations may be 'mild' these kids were hospitalised, and infection/hosp in them was preventable - rather than considering this an inevitable consequence of rising cases.
We've moved from saying that kids don't tend to get very ill to saying, yeah, loads of kids being hospitalised but the hospitalisations are 'mild'. Yes, most children aren't requiring ICU care, but why aren't we trying to reduce admissions - however 'mild' they may be.
Not to mention that long COVID in kids had already tripled pre-omicron!! Why aren't we vaccinating children- with benefits to them and younger siblings? Why aren't we mitigating infections in schools? Why isn't this a much bigger scandal & being reported in the media?
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hypothesis: the aim of this govt was to use pandemic chaos to plunder the nation, enrich themselves/donors, remove any accountability for themselves while eroding democracy (media independence, voter suppression) & making it much harder for them to be elected out in future.
Public health was never the aim- and I would say the aims have clearly been met, and they've succeeded in all of this. The destruction of the BBC, after years of eroding its independence and voter suppression are the final nails in the coffin of the myth of democracy in the UK.
The saddest bit has been the lack of any real opposition to all this or even much discussion of what's happening in the UK now. Imagine passing a voter suppression bill, and it not even making most of the headlines in the news! How did this happen?
Completely stand with @Kit_Yates_Maths whose been subjected to a disgusting hit piece - in the Daily Fail. Research shows huge reductions in flu(95%⬇️), bronchilotis (82%), measles(90%), meningitis(50%) hosp in children during the pandemic. Why shouldn't we aim for this?
Since when is 'doing more' to prevent flu and prevent deaths from flu a bad thing? If simple things like better ventilation, masks can do this- for all airborne pathogens, then worthwhile also considering these additional benefits- It's clear that much more disease is preventable
Interested in the UK media culture where scientists who're talking about saving potentially thousands of lives every year with simple measures we need anyway for SARS-CoV-2 are targeted in this manner. While those who talk about 'acceptable deaths' are widely platformed.
Um, no. Vaccines don't provide sufficient protection against infection, or transmission, or long COVID (they do protect, but far for complete protection) - all these impact children- educational disruption, long COVID, in children and parents & risk to carers. Every layer matters
It's literally basic real-world observation to see the multiple superspreading events of omicron observed exactly in this situation - among vaccinated people who thought they were safe, even among people who were LFD tested... Vaccines do not replace other mitigations.
They add to them. Tbh, I'd much rather sit in a room with a person wearing an FFP2 well, than a vaccinated person with respect to infection, as protection is much higher. Of course, the best is both + ventilation + testing . Why would you ever present it as one or the other?
It's precisely because of pre-symptomatic and asymptomatic spread that we need masks, social distancing, ventilation, testing & quarantines. It's an airborne virus and these measures are vital. Also it's not 90-99% less severe- certainly not in unvaxx/non-immune (e.g. children).
also wrong to say hospitals won't come under severe stress- they will, and this is happening all across the globe, including in the Uk, and many parts of the US as well: theguardian.com/commentisfree/…
Important that discourse on omicron considers all evidence, and is accurate so as to inform the public. Saying masks don't work with an airborne pathogen due to asymptomatic spread is frankly ridiculous and unhelpful. High grade masks vital at this time.
We're living the 'focused protection' GBD fantasy now- except that it doesn't work. Ask the many CV families who have been in self-lockdown for yrs with no end in sight - & those are the ones who can afford to. The ones that couldn't risk their lives & health every day.
When you think about the minor inconvenience of wearing a mask, imagine their plight. Their lives are much smaller than they used to be, because they've been devalued by a govt & society focused on 'freedoms' for some over others.
They have to choose between having a life and being alive. Many children losing their childhoods to this, because their freedom depends on school policies, and what others around them do. Please do consider that a huge proportion of our population is CV.
There have been a number of recent studies that haven't really reached MSM - highlighting the complex biology of long COVID. TL;DR: Long COVID & even 'mild' infection is associated with:
- long term immune dysregulation and inflammation
- virus persistence
- neuro-inflammation
Here's a study of 147 people with SARS-CoV-2 infection - of whom 31 had long COVID (fatigue, breathlessness or chest pain at 4 months). These patients were compared with 31 age, & gender matched controls who had symptomatic acute illness but no long COVID. nature.com/articles/s4159…
They were also compared to uninfected healthy donors (UHDs) who were essentially healthy patients who had provided research samples before 2019, as well as patients who had been infected with other seasonal coronaviruses (not SARS-CoV-2). Levels of 28 biomarkers were compared.