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Clare Wenham Profile picture
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May 12 • 13 tweets • 4 min read
For anyone else going thru this #paediatric #Hepatitis chaos, or interested. I’ve read pretty much everything out there and these are the best sources I’ve found - mostly descriptive or syndromic reporting - in no particular order🧵
preprints.org/manuscript/202…

(Pre-print; not peer reviewed)
UKHSA technical briefing

assets.publishing.service.gov.uk/government/upl…
journals.lww.com/jpgnr/fulltext…
Good summary for layperson (me!)

emilyoster.substack.com/p/pediatric-he…
Expert analysis of current (limited) data

sciencemediacentre.org/expert-reactio…
Good non-technical summary of what’s going on @anjahuja

ft.com/content/58a97f…
Summary in @TheLancet

thelancet.com/journals/lance…
I’m not sure any answers here, mainly more questions.

I am obviously not a clinician or epidemiologist or virologist, but a concerned parent/newly formed hepatitis cluster expert as of 5 days ago
Some useful threads considering previous hep in kids and current data
Here
Here
Here

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More from @clarewenham

Clare Wenham Profile picture
Aug 19, 2021
Perhaps a controversial opinion, but this “origins of covid” witch hunt is a smoke screen by global health community / western governments.

Yes, we need to know so we can prevent in future

But can we not focus on the abysmal pandemic management globally instead?
And this is something that the rest of the world has agency over and can make changes to pandemic plans to manage better in due course.

Spending time and effort fighting with China / WHO isn’t going to alter the course of #covid now, but improving global response could
To me this continued lab leak / naturally occurring argument detracts from the bigger issues at play.

Does it matter how it started when the real clinch was how badly many governments responded
Read 4 tweets
Clare Wenham Profile picture
Aug 17, 2021
One of my fears coming out of #COVID and preparing for the next one is that we focus on the wrong questions or asking the wrong people the right questions.

To me, most of the problems which led to #COVID *and continue to allow it to proliferate are all political. 1/
So before spending $$ on improved surveillance or tech solutions to genomic level sequencing we need to answer two key questions:

1. Why didnt the current system work - i.e. we knew about COVID in Dec 2020 - why did many govs not respond until March

This the the weak link. 2/
and

2. why dont governments comply with the current system of data sharing / transparency / following WHO guidance

These questions are not solved by "more tech" but are inherently political. 3/
Read 6 tweets
Clare Wenham Profile picture
Aug 1, 2021
I teach 2 course in politics of global health.

Many MD students never understood the point of the course - “but decisions are based on best clinical/public health evidence”

Have received a LOT of emails in last 18 months from former students “I get it now...”
1st course @LSEHealthPolicy @LSEnews #HP404 analyses global health institutions actors and politics: what drives global health policy and why:

how issues are framed, who makes decisions + how + why, what impact this has on different stakeholders + health

lse.ac.uk/resources/cale…
2nd course @LSEnews @LSEHealthPolicy #HP412 is the politics of global health security.

Why epidemics are driven by politics, why this matters, how this affects epidemic trajectory and outcome. Who benefits from securitising health, and who loses out

lse.ac.uk/resources/cale…
Read 4 tweets
Clare Wenham Profile picture
Jul 18, 2021
Throughout this pandemic I have been acutely aware of epidemic trespassing: not wanting to weigh in on things beyond my own expertise 🧵(rant incoming)
For me this is questions of epidemiology and disease transmission which I am wholly unqualified to answer.

This has also been subject to considerable gatekeeping by some epi/clinical folks.
Yet there seems to be limited concern vice versa.

Everyone weighs in on the politics of pandemics (and more broadly the social science), as if this is a new area that no one has ever thought about before.

Tl:dr : it’s not. We’ve been working on it for years.
Read 9 tweets
Clare Wenham Profile picture
Jul 5, 2021
This shift to personal responsibility for #COVID is straight out of the (poor) epidemic response playbook. The exact same thing happened during Zika.

Government told people not to get infected thru insecticide/long sleeves, improve vector control and not to get pregnant. 1/
What then happened was that govs were then able to place responsibility onto individuals to avoid having children born with #CZS - The approach was "we've given you all the guidance, if you choose to get pregnant and not protect yourself from infection, that's your decision" 2/
The problem with this was the multiple structural barriers which prevented many people from following this guidance... affordability of insecticide, poor sanitation which meant mosquito proliferation, poor access to contraception 3/
Read 9 tweets
Clare Wenham Profile picture
Feb 25, 2021
I think #vaccinepassports or #vaccinecertificates are a bad idea, and governments really need to think carefully before proceeding. They are a Pandora's Box.

Ultimately health status should not be the determinant of one's rights. A🧵
Firstly, in a pandemic intensifying all societal inequalities, we shouldnt be introducing mechanisms to further compound these. Those who are unable to get vaccinated (for health reasons, pregnant women) will be immediately discriminated against.
In the short term, this will also include younger people, leading to intergenerational tension, and indeed children who currently are not being vaccinated, and this in turn may discriminate against parents (mothers) if unable to interact in public when looking after them
Read 14 tweets

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