Dr Dan Goyal Profile picture
May 19 23 tweets 5 min read
This week in Covid, those leaders pummelled and defeated by SARS2 begin trying to re-write history.

They, yet again, forget that pesky thing called science!

#TheWeekInCovid - a weekly "slightly" sarcastic summary of the pandemonium caused by the pandemic.
🧵
1. A new analysis from WHO that estimated around 20million Covid deaths have occurred worldwide was ceased upon by anti-public health commentators, as on initial inspection it seemed to paint a less damning picture. On closer inspection, it didn’t.
2. On the leader board of pandemic responses (excess deaths) the UK came 140th out of 200. Not as bad as Somalia at 141st.

3. At least it was better than the US at 156th, stuck between Namibia and Paraguay. In fairness, fewer people survive to old age in LICs, so that's OK.
4. On further inspection it seems that in the first two years of the pandemic the only time the UK has been at or below expected death rates was during the Summer of 2021, when public health measures were actually in force.
5. The United States have continued to lose more people each month than they would have if advertising revenue wasn't as important as not allowing any nut job with a theory a platform to derail public health messaging. You live and learn, or...
6. Despite this inconvenient truth, both Downing Street and White House continue to claim victory, getting the “big calls right”.

7. Always a bit dubious when an Etonian who read Classics at Oxford calls a pandemic over before actual scientists who know WTF they're talking about
8. The UK Gov tried to change focus to the economic recovery “the fastest recovery in the G7” (due to the previous greatest fall in G7) quickly turned sour as inflation grew to 9% and the Bank of England raised grave concerns about the impact Long Covid is having on the economy.
9. As we rush headlong into the second economic wave of Covid - Long Covid - with an estimated 100million cases worldwide, the same anti-public health commentators tried pretending Long Covid was folk just a bit stressed...forgetting, again, that pesky thing called science.
10. More evidence emerges that Long Covid has actual physical pathology emerges this week. Did seem a bit bold suggesting the after effects of a novel coronavirus was “nothing”. I guess the clue is in the name, “novel”. Usually means we don't know it and it needs studied.
11. In other news, Australian scientists suggest tracking what effects this mutating virus can have on the human body is a good idea. Genius!

12. It seems simply hoping it will mutate into a friendlier version isn't science. Who knew? Less Avengers movies for some, maybe.
13. Australia also makes the news this week as elections begin. After leading the world in lives saved, the Australian PM decided to go another way and try winning an election with Covid by throwing it all away.
14. As Australia experiences its worse period in the pandemic, hospitals become overwhelmed, and Aussies start asking, “why do I feel so knackered”, elections kick off. Maybe Morrison is bored and needs a challenge?
15. Meanwhile, a number of countries remain defiant.

16. Japan remains a beacon of intelligent governance, managing to save more people during the pandemic than prior to it. Yes, fewer people died during Covid than would have if Covid hadn’t hit (along with 29 other countries).
17. More defiantly still, they achieved it with mask wearing, ventilation, vaccine coverage, self-isolation, and no lockdowns.

18. Fundamental public health measures proven over centuries are effective. Who knew? Oh wait. It’s just basic common sense, even to school children…
19.…who continue to enjoy a full and rich education in Japan without repeated Covid infections or school closures.

20. So hang on…an effective, early response to Covid actually allows kids to remain in school? We are making some breakthrough revelations this week!
21. With an over 80% fully vaccinated population, Japan are opening up for tourists again, even those from the US and UK, so long as they are tripled jabbed, and chaperoned (probably a good idea!).

22. Japan once again putting the “advanced” into the term “advanced nation”.
23. But Japan certainly haven’t got everything right. This week they accidentally sent all £500k of a community’s Covid funds (yes, they still actually get government support to survive a pandemic - shocking!) to one man.

24. He duly gambled it all away in an online Casino.
25. He was then subsequently arrested.

26. In other news, £5bn of the UK’s Covid relief fund goes missing. No arrests follow. They do however discover the money. Curiously it all landed within spitting distance of The UK Government’s Ministers. Odd that.
27. In fairness The UK Prime Minister did get a £50 fine for having parties during the countries worst ever public health disaster, as thousands died, millions remained locked down and healthcare staff cried in closets so as not to spread the virus they were carrying due...
...to the ineffective paper masks and plastic aprons supplied by…yes,.. mates of the Government, who skimped on safety standards to make a quick buck, as millions suffered. No, not Britains finest hour!
28. And to add insult to injury, the threat of a new pandemic emerges…Monkeypox. No, seriously, Monkeypox. Dozens of cases popping up around the world. The CDC or UKHPA are investigating though, so that should be reassuring.
29. But it does genuinely seem less of a threat than Covid-19 does, or climate change, or disinformation.

30. The reported mortality of 1% is thought to only be applicable if healthcare services are inadequate or there is limited access to healthcare. We should be fine then!
31. Finally, as we try to re-write the re-write with facts, we are realising the impact of an unmitigated novel coronavirus ripples way beyond the acute disease. Let’s just hope enough truth gets out so we’re not reading #TheWeekInMonkeypox or #TheWeekInBirdFlu anytime soon.
End

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More from @danielgoyal

May 20
We have received our national update on Monkeypox.

The risk to the General population from Monkeypox remains low.

But the risk for frontline workers is not insignificant.

Frontline staff are more likely to encounter it pre-diagnosis, so I will be taking some precautions…
National recommendation is to manage patients with possible, probable or confirmed Monkeypox in negative pressure rooms. And use HCID (High Consequence Infectious Disease) level PPE.

Direct or close prolonged contact most risky.
We are being told mortality in Africa of this form of Monkeypox is 3.6%.

Progression is:

Fever, feeling washed out, and often headache.

Swollen generalised enlargement of lymph glands often comes next, accompanied by a rash evolving like this: Image
Read 11 tweets
May 20
Have we learned from the pandemic?

Some of us seemed to have…
Many of us are more grateful for those family members who survived - both illness and death.

Some have had some sort of realisation after losing loved ones or near misses, choosing to drop a day at work to have more time with their family, or just deciding to be present more.
Some are more grateful for their freedoms.

Some are grateful for living in a place with resources, where we can get vaccines and treatments and exercise our right to demand better.
Read 14 tweets
May 18
Despite all the arrogance of the West, we got Covid wrong. We are still getting Covid wrong.

Time to look East, at those thriving while "Living with Covid"

Japan: no lockdowns, no excess mortality, better economic performance, and more socialising...
🧵 Image
This, albeit a bit "cheesy" promotional video from Japan, shows how they have actually reduced all cause mortality.

Key points...

Japan's new normal via @YouTube
1. Following the science.
2. Masks - people accept this as the new norm.
3. Social distancing.
4. Reduce congestion in social spaces.
5. VENTILATION - train conductors actually go around opening windows, constant CO2 measures of venues, etc..
Read 12 tweets
May 18
It's hard trying to raise awareness of governments' failure to manage the pandemic properly.

It shouldn't be, but it is.

Why, and why keep going:

1. There is a small but powerful minority who want the public to forget about Covid, even if that means more death and disability.
Consumer confidence is hit hard when people are constantly reminded of Covid by masks and notices and the need to self-isolate. And when money is on the table we see co-ordinated disinformation campaigns and tactics (some nasty) to suppress those who are raising concerns.
2. There is another group, not really motivated by money, who rail at the thought of further mandates to control Covid. In fairness, many of them have suffered greatly either through loss of livelihood or loss of loved ones due to the secondary effects of restrictions (as have I)
Read 25 tweets
May 15
Johnson’s dismantling of the NHS - the public bear witness!

It may seem that all is going to plan, for Johnson. The NHS is in a spiral, the public are not happy with it, and the government are poised to send the private sector in for the rescue.
1/11
According to the recent King’s Fund poll however, the public are not as gullible as Johnson and his party think they are.

2/11
For the first time since records began more people are dissatisfied with the NHS than are satisfied with it.

They are frustrated with the difficulties in seeing a GP, or getting in to A&E, or getting their long-awaited surgery.
3/11
Read 11 tweets
May 6
Astonishingly, folk are still asking:

“but what can we do about it”

…when confronted with the fact we are letting Covid kill more people than any other infection.

It’s two years now.

So let’s start with the simple stuff:

Don’t spread it around!
If you get Covid, don’t spread it around. I know, we are starting really basic.

If you have Covid - an airborne virus - then self-isolate.

Some genuinely can’t. But this is a very small minority of the country.

Remember self-isolation remains mandated in most HIC countries.
It is utterly insane that we have to argue for folk to self-isolate.

This will absolutely reduce the case numbers and prevent death and disability.

Remember, not everyone gets every variant. Skipping one or two is probably a good idea (it is, of course).
Read 10 tweets

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