10 things I have learned about society in the UK and Ireland since the pandemic began: 🧵
1. Ableism is baked into society. My father, who developed a seizure disorder late in life, understood this all too well. I only really understand it now.
2. Most people have shockingly low levels of both resilience and adaptability. This I always knew.
3. Progressive academics are, in general, hypocrites. I have less of a problem with right-wing people not masking because at least they're being honest. If you're making a career out of pretending to care, but you're not wearing a mask at conferences, you're a hypocrite.
4. Also, people who profess to loathe the government and express extreme distrust in anything politicians say are very quick to set that sentiment aside when it suits them. Which tells you a lot about people's core values.
5. Society is extraordinarily resistant to change. I absolutely understand people wanting to eat and drink in restaurants and bars - that's totally natural - but when people are resistant to something as banal as HEPA filtration, that tells you something.
6. People lie all the time. I've lost count of the number of times people have told me they mask indoors but then the pictures pop up on social media...
7. People are very vulnerable to peer pressure. Men I know who try really hard to project an image of being a tough, hard guy have let slip to me that, 'they don't like people looking at them' - because they're wearing a mask.
8. Scientific experts are far from neutral. Science itself is not a neutral, objective pursuit. An aside: the single most important part of my education in terms of understanding this idea was taking a Philosophy of Science module in 1992. Kuhn and Feyerabend. Thanks @UlsterUni
9. Similar to (3), most peoples' declared compassion for others in society is fundamentally performative. It wasn't that long ago when people stood outside and clapped for carers. Thomas Hobbes was absolutely spot on.
10. Magical thinking is everywhere, from governments to individuals. Even the most rational of people are vulnerable to it. Hope is not a strategy.
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1. As I have stated before on this platform, political decisions are often inextricably linked with biological risk - governmental policies can both mitigate or increase (or even create) biological risks. In that sense, one cannot assess biological risk in isolation of politics.
2. The domestic policies of the current US administration - severe cuts to federal public health programs, reduced disease surveillance, and sowing doubt regarding the effectiveness of vaccines (to name but a few) are clearly risks to the health of the US population.
3. The foreign policies of the US administration - cuts to USAID is a pertinent example - and the current war in the Gulf, which will adversely affect global medication and medical supply chains, and also increase global food insecurity, are clearly threats to global health.
1. Yes it did, and it continues to do so. SARS-CoV-2 is a virus that, amongst many other symptoms, can cause profound fatigue and cognitive dysfunction. Long Covid - much more common than people realise - can extend these symptoms for months, years.
2. Remembering that the virus can infect and re-infect on a very regular basis, a significant percentage of the global population are experiencing these symptoms at any given moment. This is one component of the break in society you are correctly observing.
3. Now layer on top of that the taboo around discussing Covid-19, the politicisation of both the disease and any efforts to mitigate it, and an environment of mass denial is created. This denial is a weight the vast majority of people don't realise they're carrying, but they are.
1. Sometimes, the absurdity of the situation we're all in just hits me. Going forward, ongoing and continuous transmission of SARS-CoV-2 will lead to an ever-increasing percentage of the global population developing chronic illnesses due to sequelae of infection.
2. Simultaneously, the immune dysregulation effect of infection will continue to create opportunities for other pathogens to infect, disable, and kill. One of those pathogens might well start the next pandemic.
3. In many countries, politics and the institutionalisation of anti-vax and pro-infection ideologies are actually encouraging this outcome. This is, to the best of my knowledge, unprecedented in human history: Humanity being overtly on the side of the virus, basically.
1. As a result of the current high prevalence of influenza and the accompanying media coverage of the spread of the disease, I've been asked about mitigations by a number of friends who take *no precautions against SARS-CoV-2*. A few observations regarding these conversations:
2. Very few people understand just how vastly more effective an FFP2 / KN95 respirator is versus a blue surgical mask. Interestingly, the fact that Boots (a UK pharmacy chain) actually sells own-brand FFP2s is a convincing point for some people: the power of a trusted brand.
3. The false binary nature of influenza vaccination is also obvious in these conversations. Some people seem to have difficulty with the fact that vaccination significantly reduces risk of infection and severe disease, but does not necessarily eliminate it.
1. The growing prevalence of H3N2 subclade K influenza - the strain driving this year's flu season - combined with the increasing prevalence of H5N1 and now H5N5 (I doubt the WA fatality is the sole human case) is a dangerous recipe for reassortment.
2. Influenza surveillance at the federal level in the US has been drastically reduced as a result of the current administration's very unwise budget cuts; human cases of H5N1 and potentially H5N5 are very likely not being detected.
3. As such, the first warning the US could have should a new, severe influenza strain emerge as a result of a reassortment event could well be an emergency room suddenly full of patients in acute respiratory distress.
1. I never think that the people at events I attend who aren't mitigating (which in Northern Ireland is essentially everyone) are clueless, careless, or useless. I actively like seeing people experiencing joy, although I am often concerned for them.
2. The broader point here is that I think it is deeply unhelpful to adopt a quasi-Manichean view of the world dividing people solely by whether they mitigate or not; life is infinitely more complex than that. The world is full of very good people who don't mask.
3. Likewise, there are people who mitigate purely out of self-interest and are not particularly good people in other aspects of life. Also, because so few people mask, feeling contempt for those people is very close to misanthropy. Masking is not the sole indicator of morality.