1/ Extremely quick summary of where we seem to be, in the Western world at least.

A) Ongoing 10-15% excess death rate, mostly in the older age group, of which about half are directly due to COVID. The other half are likely provoked by COVID.
2/ Excess deaths in younger age groups are lower, but still very significant, given lower mortality rates in that group. Average lifespans are dropping by multiples of years. YEARS.
3/ B) Significant rates of Long Covid at the population level, consisting of a smorgasbord of chronic conditions. This will have major and persistently accumulating human and economic effects over time.
4/ C) Unknown long term effects of COVID on the immune, neurological and other systems, but increasing evidence this is something to be very concerned about.
5/ In other words, with no consent, no mandate, no public discussion, the "dry tinder" (the elderly, those with chronic disease, those most at risk of "reaping" aka the economically unproductive) is slowly being burned off.
6/ Deaths and infirmity in individuals in this group can easily be explained away ("Oh, it was to be expected") and so they are easily discounted. The only way to identify that this is happening is through statistical analysis of death and illness rates, WHICH HAS BEEN DONE.
7/ But this too is easily ignored and is being ignored.

In the same way, increased demand on the healthcare system by larger numbers of people being sicker can easily be explained away by "decades of underfunding" etc.
8/ Meanwhile, herd immunity and "hybrid" immunity are clearly a bust, but are still providing cover for politicians to let it rip.

Overall, then, this is what "living with COVID" means:

Abandonment of two centuries of public health principles of disease control
9/ Accepting older and more vulnerable folk being culled
Accepting chronic ill health and a shortened lifespan for ourselves and our children
Accepting high risk of long term "unknown unknowns" from repeated infection with a multi-pathogenic virus
10/ And all for what? To keep the wheels of commerce turning smoothly for billionaires and their corporations. We didn't get asked if this was what we wanted and the effects of it are being concealed from us. It's a con job. I want out.
11/ Note: I haven't included references to underpinning material in this thread, because it's all been on my timeline in recent weeks and months and I'm sick of repeating it all.

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More from @YouAreLobbyLud

Oct 25
1/ The evidence for important airborne transmission of respiratory and other viruses is now overwhelming, underlining the need for maintaining airborne respiratory precautions:

Review of airborne transmission of respiratory viruses:
ncbi.nlm.nih.gov/pmc/articles/P…
2/ Quite why those in infection control are unable to accept that their paradigm has to change is the subject of numerous analyses in the past two years.

RSV:
atsjournals.org/doi/10.1164/rc…
3/ Reality, however, cares nothing for human-defined paradigms. And reality is telling us that if we want to keep our patients and our staff safe from hospital acquired infections of all kinds, then we need to maintain airborne respiratory precautions.
Read 4 tweets
Oct 24
MV COVID PRINCESS departs Broome, its cargo of 100 (and counting) COVID patients looking forward to an evening of frolicking at sea.
Cruise ships are a failed paradigm in the age of airborne pandemics, let alone the age of climate change. Deny it as you will, but the facts are the facts.
A lot of thought has gone into the onboard COVID protocols for cruise ships in Australian waters, but you can't make a cruise ship safe from an airborne pathogen. They have never managed it with Norovirus, which is also probs 90 airborne. See next tweet.

nsw.gov.au/sites/default/…
Read 5 tweets
Oct 24
1/ “It is difficult to get a man to understand something, when his salary depends on his not understanding it.”

― Upton Sinclair,

This quote does a lot of heavy lifting for me. Why is that?
2/ Turns out most people, even apparently smart ones, cannot reason to a conclusion which is unpalatable for them. They physically cannot do it.
3/ The problem is mostly not an inherent inability to reason, though that exists too. The problem is a lack of commitment to rigour, an unwillingness to go where the reasoning dictates.
Read 7 tweets
Oct 13
"things will not get fundamentally better or worse"

1. Big statement that just kinda slipped out there. Why won't they?

2. Are things so good now that we don't need protection?
Do you care about:

* The immunosuppressed
* The multiply co-morbid
* The elderly
* People with disabilities
* People on low wages who are constantly exposed to the public
*Otherwise healthy people being rendered unhealthy by repeated Covid infection?
Masks are a response to a threat. They are not THE threat. Framing the question from this direction is like an armed policeman saying "are we wearing body armour forever"?

It's the threat which determines the need for the countermeasures. The threat comes first in consideration
Read 5 tweets
Oct 12
Because what rural Australia desperately needs is for all its doctors to attend a maskless, superspreading conference in the middle of an airborne pandemic and then go back to their ultra-remote locations, where the redundancy is... zero.

Well done, guys. Top job. 👏👏👏
This is interesting:

"while not mandated, [attendees] are encouraged to wear masks"

but also:

"for a small number of people, COVID-19 has very serious health consequences. By attending RMA22, attendees acknowledge and accept these risks. "

rma.acrrm.org.au/register/covid…
Basically, we aren't going to do the thing which will most protect you, and if you have any kind of vulnerability "You're on your own, baby!"

I love being part of such a caring, inclusive profession.
Read 4 tweets
Oct 10
Let's remind ourselves: we remain in the midst of a pandemic of one of the most infectious diseases ever. It is still causing unprecedented numbers of deaths and long-term illness. Citizens have been given an unrestricted licence by the govt to spread it.

Go figure.
This is the greatest public health / civil defence failure in Australia's history and there is next to no interest from the media in this state of affairs. I feel like my head is exploding every single day.
The present Australian government policy of allowing unrestricted transmission of COVID represents a demented obeisance to corporate interests, which has been given flimsy cover by client "expert" advisors and senior public servants, who are so incompetent as to be negligent.
Read 4 tweets

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