I have been saddened, angered and bewildered by criticism of my amazing colleagues at @IndependentSage of late. It strikes me that certain quarters have painted their own pictures, labelled recent outputs as problematic, whilst ignoring any of the actual substance.
As a fairly
new member, these are my own views and understanding of this group I am now privileged to belong too. I don't speak for others, but I'd like to debunk some myths and lazy accusations, if I may... 1. First and foremost, indie SAGE was, and is NOT set up in opposition to SAGE. It
was established because at the start of the pandemic there was a lack of clarity around SAGE membership, but, more significantly, around access to sessions for certain Govt advisors...which, as I understand it, isn't meant to happen.
Indeed, SAGE and indie SAGE agree on most
topics regarding the pandemic, and most indie SAGE reports, articles etc, are based upon evidence also produced/sanctioned for/by SAGE. 2. The role of the two bodies differs. I've not sat on SAGE, but I have been on other Govt committees, and the brief is always a focused set
of questions/scenarios, assessment of confidence in evidence, and specific recommendations in relation to the brief. This is relayed to ministers who make decisions.
Indie SAGE certainly publish evidenced reports around policy, key issues etc, but the idea is for these to be in
the public domain, serving to both guide policymakers as well as keeping the public informed. Indeed, this is another key function of indie SAGE, public engagement and accountability. Sir David set this up, in part, to pressurise govt to declare and publish SAGE membership and
advice that would influence policy. Note, the lack of transparency was/is nothing to do with SAGE members, it was a system forced upon them by government. The public need for understanding was low priority 2. Indie SAGE were/are NOT pro lockdown, do not want unending mitigations,
and want nothing more than the pandemic to end. That doesn't mean they didn't push for restrictions when the situation demanded it, but to suggest a blanket drive for lockdown is totally misguided and incorrect. 3. Along a similar vein, much is made of the notion that indie SAGE
were pro "zero COVID", and still are. Criticisms around school closures is also rife, remember, June 2020 was pre-vaccine. In summer 2020, transmission was at a very low ebb, approaching 10/100k, which is one criterion for elimination, so little or no community spread, but still
not gone. Any virologist, epidemiologist, or public health doc can tell you that the measures in place during spring 2020 were getting close to this level. However, instead of the final push, we instigated a return en masse to hospitality, led by politicians, not scientists. Also
at around this time schools and childcare returned. Thankfully, this short return wasn't sufficient to begin a summer wave, but the issues around a lack of mitigations in place to protect kids remain today. We also know that schools increase transmission, making kids vaccine
policy all the more bewildering. I don't like hashtags, but since vaccines became available the preferred strategy from indie SAGE has been "vaccines plus". There are papers, look them up. 4. We are routinely branded as being some kind of political campaign group, this is not the
case. Yes, many of us have left-leaning views, but not all. Moreover, whilst we may tweet about political stuff as individuals, indie SAGE comment on policy, not politics. All our reports and briefings are online if folks would like to check. Compare this to certain accounts and
elements of the media branding us as "leftist", or "hardline"...who's being political, exactly? 5. Similarly, some eejits imply we're in receipt of nefarious funding, and that our partnership with the Citizens biases our scientific opinions. First, we do this for free on top of
pretty demanding day jobs, and multiple other roles. We recently crowd funded to maintain our production/AV support from Citizens. C'est tout.
We get on well with the Citizens, we often support much of what they stand for. But, to imply that our scientific expertise is somehow
compromised is, frankly, insulting.
This is especially galling when we are accused by accounts belonging to individuals or pressure groups that have clearly crossed the line of political lobbying. The blatant vested interests of MPs linked to e.g. HART, GBD, U4T, Collateral
Global, BIRD group, Together, Brownstone, AIER etc is there for all to see, especially those from the CRG...(formerly ERG, lots of "research" going on 🤪🙄). @karamballes and @_johnbye post incredible threads on this. All of these organisations have collections of "experts" as
well...but I'd be interested to see stats on the number of complaints/suspensions/bans on Twitter for many of these...of course, this is censorship, not valid policing of social media 🙄. 6. One constant theme is attempts by some to paint a back & white picture where we are "pro
-lockdown, masks forever, restrictions etc, crashing the economy, damaging kids' development, "living in fear"...
Well, for a start, fear doesn't come in to it. Compassion, empathy, addressing inequality, yes. Moreover, restrictions following lockdown 1 have swung like a pendulum
between harsh restrictions and "freedom". This is a nonsense, mainly due to the huge role behaviour plays in transmission. Of course it comes back!
Vax+, clean air, the COVID pledge, pro-vax messaging, supporting those in need, addressing the NHS crisis, basic surveillance and
testing/isolation would all support vaccines and therapies such that we might eventually learn to live properly with COVID, rather than ignoring it, continuing harm, long COVID, and allowing unprecedented viral diversity...all of which may profoundly extend the pandemic.
7. Finally, yes, we want all this to end. We don't crave fame or attention, but we all consider scientific communication to be paramount during a pandemic. Some of us have clinical vulnerability, or family in such positions, but we all recognise the importance of public health at
the population, not the individual level to safeguard the significant minority that are, or have become, most affected by the risks of disease. This is not to the exclusion of other issues, but the thing about pandemics is they tend to affect lots of people!
This is supported by
numbers and expertise - try reading the reports or watching the online briefings, research papers, OpEds, commentaries, etc. Oh, and address the content, not the authors, please! @bmj_latest
In summary, Indie SAGE is a genuinely well motivated group seeking to promote public
understanding of science around the pandemic. Members are motivated to maximise awareness, and hasten rather than hinder the transition from the SARS2 pandemic to an endemic set point that is as low as possible.
In the meantime, I will continue to work with this amazing group.🙏
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So, yet again the UK is an outlier for kids vax.
Kids turning 5 after Aug22 are now unable to access SARS2 vax.
This is short-sighted, will cause profound harm in the short term, and could be detrimental to "living with" COVID in the longer term. Short 🧵
The UK has an established narrative that infection in children, esp Omicron, is harmless. Whilst IFR in recent ADULT vaccinees is lower, we've long known that omicron ≈ delta 4 <18s. So MASSIVE prevalence = huge impact. Excellent summary from @dgurdasani1
There are many that quote the incidence of severe disease in kids relative to adult disease, this is the wrong comparison. Other vax preventable infections in kids cause ⬇️⬇️harm. Also, ratios are fine 4 personal risk, but you MUST assess ABSOLUTES across populations.
I heard recently that "marketing" boosters this autumn may be scaled back...
It's September in a few days and English schools are back next week...already in Scotland.
Reassuring that summer was spent wisely, preparing for a winter of COVID and flu, with extra support 4 NHS?
Guidance at present seems limited to use of additional 70s wool based garments in lieu of a sustainable energy policy...
What will happen when resurgent BA5, or the next instalment +flu/RSV, hits schools and deprived populations unable 2 pay 4 heat? Clapping won't cut it...🤬💔😢
Again, as with all things, those least able to cope will suffer most. Clinically vulnerable, socioeconomically vulnerable, all far lower on the list of priorities than squabbling over votes from an insanely polarised minority of the UK population...democracy, anyone?
The total
@rwjdingwall, this is a total strawman argument. For a start, there hasn't been mass vaccination of children because of this precise attitude. Second, JCVI recommended vaccines for under 12s. The only age group they were unsure of was the 12-15, largely
due to a limited brief that excluded long COVID or societal protections. @CMO_England supported their rollout. @IndependentSage are by no means the only group supporting vax 4 kids, what about @projecthalo, @cv_cev, @LongCovidKids and others?
Comparing public health in the 50s to
now, and COVID with polio is totally disingenuous. By your own previous logic, polio is endemic in parts of the world, and essentially harmless in a vaccinated population, "most people" will be fine. It is eliminated here.
Of course, I don't hold with that and of course we should
OK, why am I quote-tweeting myself and resurrecting PHE exercises that were conveniently lost/ignored/forgotten and so never made it to #Nervtag or #SAGE?
Well, frankly I'm pretty sick of the ridiculously polarising situation in the UK, which is largely due, imho, to Government.
Everything to do with the pandemic (& Brexit, Climate etc., but I'll "stay in my lane"😜) feels like this. I and my colleagues (but I am speaking for myself here) are often called such delightful things as "Lockdown Zealots" or some such, certain papers have the nerve to say I
have a "leftist" view of science...well, maybe I do if it means I don't like the thought of disadvantaged groups suffering, fine. I digress...
Equally, there are views from the opposite standpoint, and deliberate anti-vax aside, this is to be debated and reasoned, not just a
I despair at the messaging around #vax4kids that I'm seeing.
All medicines are licensed based upon a balance of clinical benefit vs risk. All medicines will have risk, but as a population reducing the harms from disease outweighs it.
This does not diminish the problems faced by
those that comprise the rare group that experience moderate to severe or even deadly side effects.
Issues can arise when, on a population scale, risks are over-stated, or the perceived benefits are underplayed. Of course, the opposite is also true, but there's some pretty good
and unambiguous safety and efficacy RCT data out on COVID vax, despite the 💩some Quacks are spreading.
There is also the sensible mitigation of future risk that combines with the evidence base from trials, aka precautionary principle, to consider...for example, when dealing
I remember before the pandemic doing my first TV on holidaymakers bringing Zika virus back to the UK from Brazil. My brief was to reassure folks that UK mozzies & midges weren't able to spread it through the country🙄.
The Ebola outbreak caused huge concerns over a handful of
imported cases, tragic as the situation in Guinea, Sierra Leone etc was.
Monkeypox is filling the headlines at present, absolutely fair enough, but the clinical impact remains relatively low.
Naturally, we are concerned about things that directly affect our country, our families
and friends. Yet, we rarely hear about the people that succumb to endemic (apparently another word for benign according to some 🤦♂️) viruses in the UK, things like zoster, influenza (I'll come back to this), HIV...
Do we hear about the tragic impact of dengue virus, Lassa, yellow