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Dr Satoshi Akima FRACP 『秋間聰』 Profile picture
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Oct 2 • 4 tweets • 2 min read
So is some genius out there planning to deleverage all the 40+ years' worth of “immunity debt” we've accrued since eradicating smallpox in 1980? That's just unsustainable debt after all and the sooner we start paying it off, the better, right?...right? #LetItRip
The laissez-faire economic argument is that intervention just delays the inevitable, so #LetItRip—get the “depletion of susceptibles” done. It is futile to oppose Nature and her law of survival of the fittest. Intervention just perpetuates the survival of unfit elements.
Economic intervention during recessions allows the perpetuation of unfit entities better off liquidated. Medical intervention allows unfit individuals to survive and breed in violation of Nature's law of survival of the fittest. Intervention in Nature only delays the inevitable
Both socioeconomic and medical intervention unnaturally engender a form of debt to Nature. It is better not to be in debt to Nature, by allowing a proactive depletion of susceptibles rather than permitting unfit social ballast to breed like rabbits to the detriment of the species

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More from @ToshiAkima

Dr Satoshi Akima FRACP 『秋間聰』 Profile picture
Sep 22
Both China and the West have prioritised the economy. Only the West follows economics where the non-interference with natural forces of creative destruction liquidating labour units is crucial for its competitive fitness. Economics is the last bastion of Social Darwinism
“Creative destruction” normally means a laissez-faire laying off of workers and downsizing in response to adverse market forces. Its implied Social Darwinism easily slips into a euphemistic language of allowing the weak to die for the good of the economy
The result is that neoclassical economics has unintentionally lapsed into a caricature of negative population economics based on optimising resource utilisation through a Darwinian process of liquidation of social ballast as “creative destruction”
Read 6 tweets
Dr Satoshi Akima FRACP 『秋間聰』 Profile picture
Sep 2
1. A reminder to everyone that earloop respirators are generally not much better than surgical masks. Please upgrade to N95 (or better) and abandon using KN95/KF94 mask (like you gave up bandanas and scarves in 2021) journals.plos.org/plosone/articl…
2. NIOSH doesn't approve earloops respirators for a good reason. HSE in the UK has issued an urgent warning against the use of earloop respirators, saying “they do not protect you”. Please heed their warning
3. If you are one of the rare individuals who passes a fit test in an earloop respirator, it is fine to keep wearing it, but the vast majority of people will fail dismally on formal fit testing reddit.com/r/Masks4All/co…
Read 13 tweets
Dr Satoshi Akima FRACP 『秋間聰』 Profile picture
Aug 29
For those who have followed the immunomodulation/immunothrombosis in sepsis literature for over two decades before 2019, the anti-cytokine strategy had looked like a dead end. This study shows it was too premature to just blame a toxic “cytokine soup” for poor sepsis outcomes🧵
All the 90s/00s anti-cytokine trials ended in failure, with one landmark NEJM trial of Etanercept showing signs of a trend toward worsening outcomes. This led to almost everyone abandoning research on anti-cytokine therapy for sepsis
Most in the field moved on to looking at immunomodulation that did not result in immunosuppression eg NETosis inhibition or clearing cellular organelles released during sepsis. Avoidance of harming the host became tantamount
Read 5 tweets
Dr Satoshi Akima FRACP 『秋間聰』 Profile picture
Aug 29
The aim is simple: Perrottet wants to kill more people for the good of the economy. The more of the vulnerable you kill, the more it stimulates the economy by offloading the social ballast holding us back. The “Ballastexistenzen” aren't newsworthy #NegativePopulationEconomics
The translation of these next political weasel words: “healthy economy depends on healthy people”? That we must liquidate the unhealthy social ballast holding back the economy so that the healthy who sustain the economy can soldier on unburdened.
It is all part of the same ableist cult of the healthy body. One that needs to maintain its status through a ruthless Social Darwinist cleansing of Ballastexistenzen. Only by being ruthless, can healthy people enjoy a healthy economy. Competition is the inescapable law of Nature
Read 5 tweets
Dr Satoshi Akima FRACP 『秋間聰』 Profile picture
Aug 27
@VicGovDH are giving away dodgy masks. They comply with a Chinese surgical mask standard, GB19083-2010. Level 1 may mean >95% particle filtration efficacy. But it is not a KN95, NIOSH/N95, or compliant with Australian Standard 1716:2012 so can't legally be called a P2 respirator
Information on the Chinese surgical mask standard GB19083-2010 can be found here. It differs from the Chinese KN95 standards “GB 2626-2006” or “GB 2626-2019”. chinesestandard.net/PDF.aspx/GB190…
There is a reason NIOSH do not approve earloop respirators, and that is that they have a poor fit test pass rate. HSE UK has issued an urgent warning cautioning against earloop respirators even when used with the provided “snugger”
Read 5 tweets
Dr Satoshi Akima FRACP 『秋間聰』 Profile picture
Aug 22
Do elastomerics necessarily have a such a high fit test pass rate than disposables that fit testing can be dispensed with? The answer to this is a resounding “NO”. In this thread, we will explore why. 🧵
Like everyone else, I have been citing this one Australian study claiming that elastomerics have a 98% pass rate, whereas disposable have a dismal 57% pass rate. Who needs to get fit tested when you can get any elastomeric instead? …ccess.s3-ap-southeast-2.amazonaws.com/AustralianAnae…
If you don't believe that I've been quoting this study to support the claim that elastomerics have a spectacular fit test pass rate versus disposables, here's me doing just that (though I didn't start this trend I've contributed to it)
Read 24 tweets

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