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Mathew Dyors @dyorsmathew@mstdn.science Profile picture
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Nov 9 • 18 tweets • 3 min read
/ 🧵A call for a fresh start to a public debate amidst an unfolding public health disaster

We need to discuss the future of public health.
/ A global public health disaster has been and still is haunting us. At best, learning from it will allow us to understand more about how to deal with the unfolding climate disaster.
/ This “mother thread” comprising seven subthreads is aimed at multiplicators who are invited to write their own story. Moreover, it is aimed at everyone for discussing, criticizing, supporting it, and for retweeting in order to facilitate a #FreshStart2PublicDebate.
/ If you are a journalist (one prototype of a multiplicator), this thread is intended as inspiration.
Inspiration to study the topics covered.
Inspiration to publish your own version of what is most relevant: a better version.
/ The aim here is an attempt to provide a self-contained condensed overview of up-to-date key information drawn from scientific advances relevant to a public debate about the future of public health in view of SARS-CoV-2.
/ As a bonus, it is an invitation to think about information ethics and the climate crisis.
/ Despite the shortcomings these threads will inevitably have, the hope is that, as a whole, this assembly of information will nevertheless have an inspiring effect and contribute to opening up the public debate.
/ We need powerful multiplication of why we would like to restart a fresh public debate. Moreover, we need to discuss new ways regarding ethical governing of reinforcement and suppression of information. Information ethics.
/ The beauty of pluralistic societies ought to lie in the fact that collective intelligence allows drawing up emergent images of problems and solutions that transcend what individuals come up with. Thus, journalists, write a better version of what matters. Amplify. Debunk. Argue.
/ There will be seven sub threads covering the following questions:

I. The two false binaries (“the double binary fallacy”) upon which public health responses to #SARSCoV2 mostly have been based on so far
/ II. Why is health not “binary” (alive vs. seriously sick or dead)?

III. Why is immunity not “binary” (immune vs not immune against a pathogen)?
/ IV. Where does the power to decide which information is reinforced and reaches the masses vs. which information is suppressed reside?
/ V. How does SARS-CoV-2 (and the misinformation that is proliferating under our current information distribution system) affect health systems, social systems, and, more generally, the economy? Why do we all need to be informed thoroughly and discuss it?
/ VI. What signs of having been outpaced by science and technology are international legal frameworks giving off?

VII. Conclusions: #TheFutureIsNow
/☃️ Part 1/7
/ ☃️ Part 2/7
/ ☃️ Part 3/7
Parts 4-7 will follow shortly. Stay tuned.

• • •

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More from @DyorsMathew

Mathew Dyors @dyorsmathew@mstdn.science Profile picture
Nov 11
1/ 🧵How much would you trust Harvard as a source of information as opposed to your family and friends?

Well, today, Harvard Medical School published an article as a part of its continuing coverage of COVID-19.

I would like to cite a few sentences.
2/ "Currently, published medical literature suggests that #LongCovid occurs in 5 to 80 percent of patients following an infection. The U.S. Centers for Disease Control and Prevention suggests that nearly one in five American adults who have had COVID-19 now have long COVID.
3/ A conservative estimate from the Brookings Institution suggests that #LongCovid may be keeping as many as 4 million Americans out of work.

#LongCOVID, considered a silent pandemic by many, is running parallel to the COVID-19 pandemic.
Read 10 tweets
Mathew Dyors @dyorsmathew@mstdn.science Profile picture
Nov 9
/ 🧵I. The two false binaries (“the double binary fallacy”) upon which public health responses to #SARSCoV2 mostly have been based on so far

This thread is part 1 of 7 of the mother thread #FreshStart2PublicDebate.
/ This subthread conjectures that public health responses have been relying on an overly simplistic understanding of immunity and of health, respectively.
/ Arguing black and white is of course almost always wrong. Health is not black and white. Immunity is not black and white.

However, people often argue that they have "had COVID-19" and seem to be done with the topic.
Read 10 tweets
Mathew Dyors @dyorsmathew@mstdn.science Profile picture
Nov 9
/ 🧵III. Why is immunity not “binary” (immune vs not immune against a pathogen)?

This thread is part 3 of 7 of the mother thread #FreshStart2PublicDebate.
/ Our immune system has two arms: the innate immune system and the adaptive immune system. The innate immune system is the first line of defense. It sends out the alarm that something is wrong. It generally recognizes patterns in cells that help sort self from pathogens.
/ For example, when an innate immune cell comes into contact with a bacteria cell, it identifies it as not self because bacteria have a cell wall structure that’s not found in human cells.
Read 46 tweets
Mathew Dyors @dyorsmathew@mstdn.science Profile picture
Nov 9
/🧵II. Why is health not “binary” (alive vs. seriously sick / dead)?

This thread is part 2 of 7 of the mother thread #FreshStart2PublicDebate.

It is about a nuanced understanding of health in terms of a complex state and about the effect of SARS-CoV-2 infections.
/ The state of health involves, for example, the state of the microbiome and it is characterized by a degree of inflammation / oxidative stress, and it is defined along the spectrum of aging / senescence.
/ Here is for revisiting the risks associated with a #SARSCoV2 infection.

The risks can be approached by dividing the time span after an infection into three phases:

The acute phase after infection
The 12 week window post-infection phase
The long term phase (3 months +)
Read 134 tweets
Mathew Dyors @dyorsmathew@mstdn.science Profile picture
Oct 14
1/ 🧵 on China’s oral vaccine

#ConvideciaAir

by CanSino Inc.

that received an emergency authorization in China.
2/ Booster vaccination with Convidecia Air (Ad5-nCoV) induced a superior T-cell response and neutralizing antibody responses compared to those induced by the homologous inactivated vaccine booster or heterologous recombinant protein vaccine booster.
3/ At day 7 after booster vaccination, intramuscular Ad5-nCoV induced an obvious IgG antibody response, but no IgG antibody response was found in the aerosolized Ad5-nCoV group, indicating that aerosolized Ad5-nCoV stimulated a slower systemic immune response .
Read 14 tweets
Mathew Dyors @dyorsmathew@mstdn.science Profile picture
Oct 14
1/ 🧵Jetzt beginnt eine neue Welle.

Dass @Karl_Lauterbach am 8. Oktober 2022 nicht wusste, dass im November eine Welle (BQ1.1, XBB, ...) Deutschland treffen wird, darf man wohl getrost als unmöglich erachten.

2/ Es am 8.10 als eine zunehmende Unwahrscheinlichkeit zu bezeichnen, dass BA.5 die einzige Variante in der Zeit bis zum nächsten Sommer bleibt, war nicht ein scherzhafter Euphemismus.
3/ Damit bleiben zwei Optionen:

Es war
a) eine absichtliche Verzerrung der Realität; oder
b) die Frucht einer Selbsttäuschung.
Read 17 tweets

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