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Jan 12 • 17 tweets • 8 min read
1. Happy 2023 everyone! 🥳🤗
2. Why don’t we have the manufacturing capacity and Health Care Workers to get everyone the care the deserve?
3. The family of Long COVID is growing at a rate of 100,000+ patients per day!

States are defying their legal obligations by not collecting data and not reporting to WHO as they should under IHR 2005.
4. Long COVID is defined as lasting symptoms 3 months after infection for at least 2 months. WHO names 200 symptoms.

It even fits a smartphone screen! (Important in the digital age) who.int/europe/news-ro…
5. As @RealCheckMarker says, no need to reinvent the wheel.

We have enough spare wheels to pull global health out of the mud.

The alternative: SARS-CoV-2 is an infinite-mud attractor; it amplifies OTHER pathogens. It will be harder to pull out the longer leaders procrastinate.
6. Here is how we will pull out of the mud.

No wishful thinking detected - it is the only way. No state can end SARS alone; without international cooperation we all remain stuck.

That’s what journalists need to report once they are tired of “how I reinfected my family” stories.
7. The interesting question is when we will be motivated to pull out.

I thought months to years, but people may also lower their standards and adjust to mud-life.

Could be 2050! The #dontlookup sketch here shows how 😬😎
8. No joke from me about these “how I reinfected my family” stories. I still wonder how we got into this particular layer of mud where journalists get better information from us than from their national leaders, but here we are. usatoday.com/story/opinion/…
9. You can also get some humor and a LOT of bad climate news from us, if anyone misses my heavy climate focus.

The choice is between screwing over millions to billions for the personal benefit of a few elites, or screwing some wheels on to help all.

To me no hard call to make.
10. To begin to understand or explain complex systems, we need to give them time to speak.

They speak in the language of public health and climate today, inaudible to most. That’s why we need interpreters, not least on WHO and - given the current state of the pandemic - China:
11. We had been making all these points for years before the pandemic; now suddenly many lives are attached to them. 2023 may be the year we learn to listen attentively to what complexity has to tell us.
12. Or 2024. Or 2050. It depends on how fast people are prepared to learn and organize.

No one keeps us from ending the pandemic as all the wheels we need exist.

They may be buried in infinite mud, ready to be washed off by man or tempest.

We just need to show where they are.
13. The technical term for SARS-CoV-2 as an infinite mud attractor is #LeonardiEffect.

Journalists with such low survival instinct that they struggle to make the connection between their coughing masseuse, masks and Covid will struggle also here, so we try to help them.
14. Take good care and follow the precautionary principle, because this is very much happening. It’s subtle and will take years to play out, so the earlier we act collectively at scale - just like on climate - the better our chances. 加油 messieurs dames,
15. What does frailty - early onset immunosenescence - mean in everyday language?

This is happening at population level. Tthe medical profession is casually complicit because they don’t warn more clearly, as Dr. Berger illustrates.

No child deserves this. We all deserve better.
16. Thread on solutions; may add to this later.
17. On China. (1) I appreciate China scholars aware of Chinese and global health politics - for Germany, e.g. @AMFChina @thorstenbenner @dktatlow -. (2) The sorry state of public intellectuals/scholarship calls for rapid, deeper study. Good place to start:

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More from @_ppmv

Paul Maidowski Profile picture
Jan 13
Exceptionally I share this 🧵 before reading the studies therein, because (1) it is above my nonexistent pay grade; the wizards among you will be better qualified; and (2) as emotional support. It is incredibly sad that we let this population-scale experiment proceed unmitigated.
1. We have been warning with exceptional clarity for more than half a year (or three years, depending what you count).

Yet it is different if you drill into the mechanisms - as you must if you want to explain and bend policy, against the forces of normal.
2. Here another great Canadian report building on the SARS Commission report by Mario Possamai (his surname’s literal meaning: he who never rests). Canada seems to be ahead of other countries in the pandemic race or in documenting lessons not learned. 🙏😌 nursesunions.ca/wp-content/upl… ImageImage
Read 17 tweets
Paul Maidowski Profile picture
Jan 13
Genius thread and Gedankenexperiment. Reflect; share your notes. - I’d add that, perhaps counterintuitively, public health shouldn’t expect the public to trust it. It is part of our problem. PH should provide accountability as we expect from corporations. (quote Sandman/@EIDGeek)
1. Great speech, I shared before because it fits SARS and even climate, if you follow UNFCCC #COP28 news.

Sadly climate is even worse off, no climate Dr. Fauci to be seen, so you’re best off iterating or integrating both. psandman.com/articles/berre…
2. The dynamics of SARS - the virus, disease, and IPE - are changing.

Just when I put them down as scripted, @ashishkjha @Bob_Wachter are warning clearly? Something shifted.

Dr. Jha even likens SARS-CoV-2 to climate & sea-level rise. For real, my respect ImageImage
Read 8 tweets
Paul Maidowski Profile picture
Jan 12
To UN/@WHO scholars or historians: “Notes from donor: was presented by two government/political science professors named Henry Galant & Priscilla Greeley on a Schenectady, NY TV station circa 1954-55”

Charmingly put, and shared with permission, by @wcanthony. Brilliant find, ty! ImageImage
Original link:
Manuscript could interest Cold War historians; perhaps #twitterstorian’s can give background. Ht @SethCotlar @nils_gilman @ProfPaulPoast
Read 4 tweets
Paul Maidowski Profile picture
Jan 12
1. Beautiful thread to renew trust in our ability to self-organize around shared meaning and values. 🥲🙏

—a Build #CorsiRosenthalBox's in school/kita; great educational projects!

—b Recall relative humidity is as important (should be 40-60%).

—c Scientifically, there is more:
2. Scientifically we face a systems-of-systems problem.

—c Aviation sustains the pandemic, ensuring that virus will always stay months ahead of drugs and vaccines. Standard quarantine regulations for some routes are key.

—a|b Local adaptations help but won't end the pandemic.
3. That's why we need policy people. There is no shortcut south of integrated, transdisciplinary analysis and effective policy design.

I should work rather than oracle on twitter, but no one talks about this.
Read 10 tweets
Paul Maidowski Profile picture
Jan 11
Find yourself someone who loves you as fiercely as Chris critiques the state of journalism on plague island. (Not picking on dear UK friends, I bet 🇩🇪 is just the same, I just don’t follow it here)

My god someone pls send her our accounts & threads on how to end the pandemic. 😬
1. There were warnings for those who cared to read.
2. There are even solutions no one talks about. I still don’t understand why.
Read 9 tweets
Paul Maidowski Profile picture
Jan 11
1. "Live with COVID," we were told. How long exactly?

We have 4,100 HIV infections, and more than 600,000 SARS infections per day (1.5 million/year v. 660 million/1100 days).

Both cause chronic immune activation, a systemic pro-inflammatory cytokine milieu, and premature aging.
2. Frailty - immunosenescence - follows. The effect is strongest in children. Literature on telomere shortening in HIV+ children exists.

This is what Drosten means, warning that at 30, unvaccinated SARS+ children may "have the immune system of an 80 yo."
journals.lww.com/aidsonline/ful…
3. He errs when he implies or claims vaccines will protect children. Their effect on LongCOVID (=chronic immune activation) is numerically irrelevant.

All this is already leaving out the finer reasons that make SARS-CoV-2 dangerous - positive feedback effects and other concerns.
Read 14 tweets

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