Conor Browne Profile picture
Feb 4, 2023 12 tweets 2 min read Read on X
1/ The response to the ongoing pandemic in the short-term and a call for advocacy: 🧵

Tragically, it is my opinion that globally, we will see very little in the way of improved mitigations against infection being put into place in the short-term.
2/ Even the basic protections required - masking in health and social care facilities, masking on public transport, air filtration of public spaces - seem to be gaining no traction in most parts of the world. Without these basic protections, people who are vulnerable...
3/... are essentially excluded from life.

This is not acceptable.

My feeling is that during the latter half of this year, some mitigations may be mandated again. There are two reasons for this. First, the erosion of healthcare capacity is an issue that will lose elections.
4/ Thus politicians seeking to gain or retain power will have to address it. Erosion of healthcare adversely affects everyone, not just people concerned about Covid-19. Therefore it becomes a major electoral issue. It certainly will be in the UK and Ireland.
5/ Second, as more and more people drop out of the workforce due to Long Covid and other sequelae of infection, and sickness absences increase due to acute infection and sequelae, business will start to pressure governments. Notice how the business press is covering Covid.
6/ But, sadly, this is months away. We all need to do something now. Bismarck famously said, politics is the art of the possible. As such, I propose a grassroots campaign focussed on small, attainable goals.
7/ The focus of this campaign will be threefold:

(1) To reduce transmission of SARS-CoV-2 in a limited way

(2) To allow some participation in public life for those who are vulnerable and those who wish to avoid infection
8/ (3) To demonstrate to businesses that there is a profitable market for providing safe environments

As such, and with the knowledge that these campaigns must be both focussed and local, I intend to do the following:
9/ Contact every local supermarket and press for one hour per week in which mask-wearing is mandatory.

Contact every local taxi firm and ensure that all drivers will wear good-quality masks if requested to do so.
10/ Contact all local politicians and press for 'mask-only' carriages on certain train services.

Contact all privately owned local indoor arts spaces - cinemas, museums, galleries etc - and press for one slot per week with mandatory masking, or one performance.
11/ The idea is to ask for the minimum, because the minimum is hard to argue against. In my professional role, I understand the importance of profit. I suspect businesses don't realise there is an untapped market for what I propose.
12/ Comments and suggestions are very welcome, as this idea is still in its infancy.

There are hundreds of thousands of people who think like this on this platform. We need to stop talking and start acting /end

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More from @brownecfm

Apr 24
1. This adds weight to a point I've been making for years, namely, that the important differential at the population level between now and the Spanish Flu of 1918-1920 is the considerably higher percentage of the global population who are immunocompromised.
2. People who were immunocompromised as a result of primary immunodeficiencies didn't live long in 1918, because antibiotic therapy didn't exist. Likewise, medication that causes immunosuppression didn't exist either.
3. Additionally, HIV / AIDS didn't exist in 1918. All of these factors explain why there are vastly more immunocompromised people now compared to then. As such, the global immune landscape is much more conducive to viral mutation in this pandemic than it was in 1918 - 1920.
Read 4 tweets
Mar 25
1. Perhaps the most damaging blowback from the response to Covid-19 in 2020 and 2021 is the mainstreaming of a public health ideology that is rooted in a dangerous combination of survivorship bias, nostalgia, and the naturalistic fallacy.
2. As a disease, Covid-19 elicits this widespread reaction because of what I refer to as its 'stretchiness' - the fact that it can cause disease on such a broad spectrum of severity, from asymptomatic infection to death and everything in between.
3. The assumption that one person's experience of Covid is representative of everyone's (barring the nebulous 'vulnerable') is the primary psychological driver of this. Although we should resist anthropomorphising a virus, this serves SARS-CoV-2 very well.
Read 6 tweets
Feb 26
1. To understand the navigation of an environment in which multiple and competing risks exist, a thought experiment - grounded in my own life - is useful. I am a recovered alcoholic, and my sobriety is the single most important element of my life.
2. If a genie was to appear before me and offer me lifelong and complete immunity to SARS-CoV-2 infection if I drank a single alcoholic drink, I would immediately refuse; the risk of jeopardising my sobriety vastly outweighs the risk of Covid-19.
3. Likewise, if I felt at risk of picking up the bottle again as a result of the extensive precautions I take to avoid infection with SARS-CoV-2, I would reduce or drop those precautions in a heartbeat. A heartbeat.
Read 4 tweets
Feb 23
1. Masks are tools used to mitigate the risk of infection by airborne pathogens, including, of course, SARS-CoV-2. The politicisation and the consequent symbolisation of masking has, overall, reduced their use. This is true whether you are anti or pro masking.
2. Increasing the symbolisation of masking is a guaranteed way to reduce their use even further. This is why I am adamant that my use of masks is purely for risk reduction. I make no statement by masking; I simply have no desire to get infected.
3. In addition, as I have often stated, the risk of infection by SARS-CoV-2 is one risk amongst many. There are situations in which removing one's mask is the correct risk / benefit decision to make. These are easy decisions to make when one accepts that masks are tools.
Read 6 tweets
Feb 4
1. As I have mentioned several times before, the moment I learned that anosmia was a cardinal symptom of Covid-19 was the moment I decided I was going to do everything in my power to not get infected with SARS-CoV-2.

nature.com/articles/s4159…
2. I knew anosmia was a prodomal symptom for both Alzheimer's Disease (AD) and Parkinson's Disease (PD). I also knew that encephalitis lethargica - which in some cases developed into a form of PD - was the major sequela of the Spanish Flu.
3. From the linked article above:

'While the observational nature of our study precludes definitive causal inferences, our results provide new evidence that mild-to-moderate SARS-CoV-2 infection may initiate or accelerate brain β-amyloid pathology...
Read 4 tweets
Jan 30
1. From the linked article:

The pandemic has been blamed for a decline in school readiness among reception-aged children, but some teachers who took part in the annual poll *said the “Covid baby” explanation was starting to feel like an excuse*.
theguardian.com/education/2025…
2. From this recent article in Nature:

'In summary, children exposed to antenatal COVID-19 have higher frequencies of DD as compared to non-exposed controls. Risk factors for DD beyond maternal COVID-19 were not identified across sites; ...
nature.com/articles/s4159…
3 ... severe maternal disease was predictive of below average neurodevelopment. Long-term neurodevelopmental follow-up should be considered in children exposed to antenatal COVID-19. Understanding of mechanistic pathways triggering DD should be investigated'.
Read 4 tweets

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