Are we really unable as a community to process these concepts? 🧵

- covid infection should be avoided by everyone, whenever possible
- herd immunity only works with effective vaccination, never by infection
- vaccines can rarely cause damage & affected people must receive help
- saying vaccines can rarely cause damage & we must look after those people does not mean we are antivaxx or that the vaccines are not the BEST tool we have to prevent severe acute covid
- #covid is airborne so clean air is essential
- masks are easy, useful & suitable for all
- the sick, disabled & elderly do not deserve to die ONE DAY earlier than they want to just so that the rest of us can avoid minor inconveniences to protect them
- the gap between healthcare outcomes for rich whites & everyone else will grow the more we ignore covid transmission
- being very young makes severe acute disease unlikely, though not impossible, but also means the number of years to live at risk of #ChronicCovid sequelae is greater
- the effort we expend on managing much lower risks than covid, eg road toll, smoking & drownings, contrasts ..
with the approach to #SARS2 - which now gets the public health equivalent of a shrug from most people.
- being young & or healthy is not permanent. We are all at risk.
- #covid makes the rest of healthcare much harder & directly contributes to many other diseases.
The main thing we are missing in our pandemic response at present is good leadership that inspires everyone to protect people by controlling covid transmission with up to date vaccines, masks, clean air & antivirals.

We must invest now to maintain a healthy economy & society.

• • •

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More from @drajm

Sep 18, 2021
Long 🧵

Countries have a choice between ‘save as many as possible then open up’ or ‘save a lot then open up’.

Some have chosen option 2 already.

They find experts to sell it as ‘moving forward’, which is leaving many people, & nearly all kids behind to be infected.

/2
2/

The PLAN is to infect them.
EVERY topic now has two sides. Dont get caught up in arguments over details without knowing how many the other side is ok to leave behind.

If they want to ‘move forward’ to ‘live with covid’ while many get infected they dont want or see the

/3
3/

need for spending time or money on bright ideas to save people.

So testing, tracing, quarantine, lockdowns, better vax education, masks, ventilation, school safety are all just BARRIERS that can be dismantled & ignored UNLESS they speed getting to vax ‘target’ &

/4
Read 12 tweets
Sep 15, 2021
🧵 Israeli parents : 30% of us think our kids have long covid

Australia : probs just lockdowns eh? Kids hate not being at school.

Kids : well it is biologically plausible that a lethal virus that causes multisystemic inflammation could easily cause long term problems
/2
2/

so to be scientifically honest you should avoid reassurance AND childhood infections until concerns from Israel, UK & US doctors are properly investigated.
Vaccine is nearly here!

Aust : no all you overseas are wrong. We have next to no experience of this so relax.

/3
3/

Israeli parents : We have lived through more stress & disruption than most countries & we have not seen our kids like this before covid. We want the vax for kids thanks.

UK : we set up 15 new NHS clinics just for long covid kids. It’s NOT all ok.

/4
Read 4 tweets
Sep 8, 2021
1/
I can’t help but feel the lack of ambition in securing a broad range of vaccines for Australia early in 2020 goes hand in hand with the covid minimisation we STILL see now from some quarters.
Those who obstructed worker protection, blaming us for our own infections /2
2/
when it was obviously airborne spread in their crowded stagnant hospitals; who STILL say kids dont spread or suffer from covid; who STILL say we can’t close state borders, were CENTRAL also to vaccine choices that have left us now at the back of every queue. Where is the /3
3/
local mRNA vax & PPE manufacturing we need? Where are the community N95 masks & CO2 meters? The school protections & the plan to vaccinate 0-11yos? Quarantine? Rapid tests? ALL sabotaged by patronising pompous decisions made for us without consent by covid minimising /4
Read 5 tweets
Jul 25, 2021
1. So has the penny dropped yet that there are some medical ‘experts’ in positions of influence who for some reason (ideology, politics, employment, tribalism, ego) are permissive of others getting covid - kids, young adults, whoever?

Not their vaccinated selves though, oh no.
2. They obstructed decent PPE & masks & denied that covid is airborne.
They assert that lockdowns are bad for the economy & mental health - in both cases, rampant covid is worse. They say we must learn to ‘live with the virus’ without saying the corollary : many would DIE.
3. They minimise long covid. They have a voice because they are officials, &/or the media likes to hear ‘both sides’. In Sweden, UK & USA they won.
In Aus they were losing until Delta leaked from inadequate PPE & they encouraged a ‘proportionate’ (= inadequate) response in NSW.
Read 5 tweets
Feb 16, 2021
We are served so well by epidemiologists, virologists, vaccinologists, public health, ID physicians & more.

But just cos me & my colleagues inside & outside medicine are not ‘one of those’ does not disqualify us from learning, understanding & questioning those disciplines.

/2
2

Esp when we know
- there are differing views within groups
- this is a new disease
- there is a cultural as well as a scientific element with many judgement calls being made
- there are conflicts of interest within science where people go along with tribes to advance

/3
3

& of course demographics & politics impose bias all the more when diversity is lacking.

Averaging all with the most diverse & egalitarian mechanism, always honouring the facts, will help prevent fallacy, & human failings like greed & hubris crippling our responses.

/4
Read 4 tweets
Feb 4, 2021
1.

Many people in WA are asking

if this UK variant was so infectious how come the 4PSheraton patient

(let’s call him WA Hero Guard)

did not spread B117 despite having a social life way better than mine?’

The B117 covid when in the wild will spread to around 3.4 people

/2
2.

on AVERAGE from each patient if no masks, social distancing like in WA 2021.

The key is ‘on average’ but the variability is high. That means that of say 100 people infected most will infect less than 3. Many will infect none.

But SOME of the 100 will infect MANY.

/3
3.

These are the Super Spreaders who drag the average right up to 3.4.

When we hear that a positive B117 has been out and about we do not know if someone is a super spreader until we see what the damage is by testing to find out.

That’s why even low case numbers are scary.

/4
Read 9 tweets

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