** Allowing exponential growth of disease is like jumping off a roof instead of taking the stairs. **
The danger seems to "sneak up" on ppl, but it shouldn't. This is just how exponents work. They are much MORE POWERFUL than linear patterns.
🧵1/
Speed is distance over time. It has a *linear* relationship to distance.
Gravity measures acceleration, the *increase* of speed. It has an *exponential* relationship to distance.
2/
Every stair you take from the roof to the ground accepts a tiny bit of gravity's acceleration. But then it's controlled right away, before exponential growth lets your speed get too great to control.
When you reach the ground, you've traveled the same (vertical) distance...
3/
as you'd have fallen directly from the roof, but since you stopped exponential growth at every step, it never got out of control and you stayed safe.
You had to intervene early & often to control exponential growth of speed, long before it started to seem big & dangerous.
4/
This is just like controlling outbreaks right from the beginning (where case numbers look almost flat) before new cases growth speeds up to unmanageable, system-breaking numbers. H/T @GosiaGasperoPhD
But over and over, leaders and the public keep waiting to address exponential disease growth until it's already going too fast to manage easily.
6/
Even *worse* ppl keep endorsing *linear*-scale solutions over exponential controls:
- Staff more treatment beds in healthcare
- Get more treatment drugs
- Delay more surgeries
These are all 1-to-1 increases. 1 more bed helps 1 more patient at a time, not 2-4-8-16.
7/
They are important steps to reduce the damage, but they CANNOT fix the problem, ever.
We need exponential controls to address exponential growth. What are those?
Mainly, they are steps that REDUCE TRANSMISSION.
- Clean the air
- Ventilation/Filtration/UV
- Isolation
- N95+
8/
Each transmission blocked means that person does not go on to infect another, then those two don't infect 4 more and so on.
Each blocked transmission is like a single stair-step that stops gravity from making you fall a long way really fast.
9/
This isn't special to COVID. It's the reason we teach ppl to wash their hands before cooking and why we isolate measles patients. It was *NEVER* normal to just let disease run wild and plan instead to scale up treatment indefinitely.
10/
Now that we *intuitively* understand exponential growth, just like gravity - falling 1 small step vs several stories - we know why we need to act early, often and most-importantly, *preventatively* to control infectious disease.
It's official. Medical Officers of Health have a duty of care as Doctors, and can't hide behind the role as "public officials". They MUST follow the science, not the politicians.
And politicians have to use proper regulations, not just make decrees.
If you or your kids/family got sick from airborne communicable diseases since Feb that could reasonably be attributed to increased infectivity from schools w/o adequate airborne protections...
Now you can do something about it. UCP & School boards are liable. Make them fix it.
Public Health is a collective responsibility.
Access to safe kid's education is a right. Safe workplaces are your right.
Advocate now, file complaints now, HRC filings now. They're uncomfortable losing their govt backing & may be amenable to improvement instead of liability.
Surgical masks can approach the efficacy of formal respirators if used w/ a good "mask brace". Filter material of medical grade surgical masks is adequate, but the design leaves gaps around the edges. Brace prevents leaking through gaps around sides.
To work adequately, they must:
* have medical-grade filter of efficiency similar to N95
* not permit air to slip around edges or bypass the filter (no gaps)
NOTE: most washable masks do not work as well as N95...
But what if you have a negative RAT or PCR test? Doesn't that mean it can't be COVID?
No, it doesn't mean that. Especially early after symptoms emerge, false negative RAT or PCR can be common. PCR had 80% sensitivity on the BEST DAY early in the pandemic, worse at other times.
I'd be very glad if we stopped using the word "hysterical", especially to describe "excessive negative emotion".
It's mysogynist, ableist and usually intellectually dishonest.
🧵 1/9
Hysteria means "wandering uterus". It was a diagnosis for women deemed "neurotic" in antiquity-1900s. Incl. misdiagnosed physical illness, claiming they're imagined/faked/mental.
It ONLY applied to women
bc women were less rationale, controlled, intelligent & mature. (/s)
2/9
It was also a way to reinforce the idea that their experiences are less worthy of consideration and belief.
And literally used as justification for locking them away, indefinitely, in asylums. (Or sometimes, treating with vibrators, but that's a WHOLE different thread.)
3/9
Do not reply unless you're ready to treat these data in rigorous, scientific, dispassionate ways. It won't make you or your msg look good, it will just drive traffic to my argument.
But if you *do* have legit, scientifically-rigorous rebuttals or questions, pls give feedback.
Main Argument:
Where vaccination does not affect LC symptoms, lacking vaccination also cannot have a statistically-significant effect.
And where vaccination improves certain outcomes, it cannot simultaneously worsen them.