Another important study on outcomes after COVID-19 - higher risk of Diabetes at 1 yr. We already know COVID-19 is associated with increased risk of death, heart disease, stroke, neuropsychiatric disease long-term. This is the pandemic after the pandemic no one wants to talk about
These outcomes apply to 'mild' acute infections as well - those not hospitalised. This is one of the biggest threats to public health given how many people have been infected & the huge toll of COVID-19 long term. Yet, we seem to be unable to act to prevent it.
This is such a huge failure of public health policy- focus on deaths only (which also are at unacceptable levels). The impacts will be felt for decades later. Years later, I'm sure people will say hindsight is 20/20 & there's nothing we could've done. But they're wrong.
We never adopted the precautionary principle, and every single study on post-COVID-19 outcomes is concerning. We know enough to know infection isn't harmless even if it doesn't kill you. But politicians don't seem to be able to take a longer view.
Ultimately, this will not only hit life expectancy, it'll also hit the economy for the politicians who care so dearly about this. Human capital is the most important capital any economy has. And public health is one of the most vital parts of any economy.
Looking forward to the usual attacks from the scientists who played an important role in normalising the policies of mass infection that led us here. This is your legacy.

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More from @dgurdasani1

Mar 23
I've felt like this all my life. Sometimes the grief of the past & the shadow it casts is overwhelming. I've had to adapt to survive - and it's been painful. It's shaped who I am - and allowing myself to feel the grief is what made me who I am. A thread on adversity and trauma🧵
I've faced a lot of adversity and trauma through my life. This doesn't mean I'm not privileged in many ways. I am. I had choices that many people wouldn't have had in my place. But I also worked hard to get where I am. And it was a struggle. All through my life.
I've met and loved others like me, who also faced adversity. In my experience, people respond to adversity in two ways - they either internalise it, and the grief, and it hits their sense of self so they struggle to define themselves and their own intrinsic value.
Read 25 tweets
Mar 16
.@TheTelegraphUK has played a key role in putting out misinformation, undermining trust in experts, at critical points during the pandemic when action could've saved lives. Casting doubt on experts meant that govt inaction was normalised. Sadly, the damage is already done.
Worth remembering that MSM doesn't just report the news- it creates the narrative it wants. As the role of the media misinformation is discussed in the context of Russian oligarch ownership of newspapers, it's worth remembering the distortion of truth that pervades our news.
It's not just the distortion of truth in one respect- it's distortion in all respects. COVID-19 has been a clear area of propaganda and misinformation to justify govt policy. As a scientist I can say honestly that much of the media doesn't represent scientific consensus at all.
Read 22 tweets
Mar 15
Really? You don't get why masks are needed when 1 in 18 people are infected (the highest *ever* prevalence in Scotland), hospitalisations are rising rapidly to almost the Jan 2021 levels? Let me explain it to you. It's a vital public health measure.
I just don't understand how politicians who don't seem to have any understanding of public health 2 years into the pandemic feel free to wade in and put out completely uninformed and unhelpful rhetoric. We should be doing more not less...
And yes, waves will happen at different points in different nations. England had a worse initial omicron wave than Scotland because they had more measures in place, but Scotland saw an earlier resurgence as they opened up & now both are seeing rapid rises.
Read 4 tweets
Mar 14
It's a tragedy when govts, rather than using vaccines & therapies to improve outcomes (by using a vaccines plus approach), use them to promote policies that cause a much higher level of infection, long COVID & unacceptable levels of 'acceptable deaths'.
theguardian.com/world/2022/mar…
Shouldn't we expect better given we've had 2 yrs to do better? Vaccines, therapies, and evidence on so many airborne precautions that reduce spread? Or should we just tolerate higher infections? 27,000 deaths involving COVID-19 as per ONS in the UK since 'freedom day'.
>9,000 just this year in the 'mild' omicron wave. 1.5 million people with long COVID - with 685,000 having had symptoms for *more than a year*. 21,000 of these with symptoms more than a yr are children. Impacts of omicron not even fully felt yet on long COVID figures.
Read 6 tweets
Mar 11
UKHSA tech report out - TL;DR:
-BA.2 now represents >80% of omicron in England
-Growth rate 80% greater relative to BA.1 per wk
- regional growth seems to correlate with BA.2 frequency
-?lab reports indicating that BA.1 infection may lead to lower neutralisation against BA.2
🧵
BA.2 does not produce the spike gene failure (SGTF) on TaqPath PCR tests that BA.1 did, so it can be detected on some routine PCR tests. Looking at this 'SGTP' signature, it looks like 83% of cases are BA.2. This won't be fully representative of England but in the ballpark.
There are regional differences - which may at least partly explain the differences in prevalence and rises of cases in different regions. Highest in London, and the SE and EoE south, and lowest in the North.
Read 21 tweets
Mar 9
Really worth looking at what's happening in the 8-11 yr group- infections have continued to occur at a high rate (as per ONS data) in this age group- yet antibodies appear to be plateauing, and early declines being seen. This is well-described in the literature.🧵
Children *do not* develop sustained antibody responses- and the rate of seroreversion (going from antibody positivity to negativity) and antibody declines are faster than adults. Remember antibodies don't mean immunity in the first place (given the level of escape with omicron)
It is unlikely children develop lasting immunity to infection. The UKHSA data also shows this clearly, with re-infections being highest among children, with a significant proportion of BA.2 re-infections having occurred within just 3 months.
Read 5 tweets

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