Kit Yates Profile picture
Feb 17, 2023 13 tweets 5 min read Read on X
Apparently the government are planning to tell doctor's to "sign fewer patients off sick" to reinvigorate the economy.

Unfortunately, just telling people they are not sick, doesn't make them not sick, so I think this plan will probably fail.
Lets have a look at the data.
🧵
1/12
Firstly, we saw a sharp rise in the UK sickness absence rate from 2020 to 2021*.

This is the highest level since 2009.

*2022 data is not out until April.

2/12
The pandemic has had a number of different and potentially conflicting impacts on these data.

It's possible that measures such as furloughing, social distancing, shielding and increased homeworking may to have helped reduce other causes of absence in 2020...
3/12
However, a large part of the uptick we saw in 2021 was undoubtedly due to covid.

The return to pre-pandemic working patterns and the cumulative impact of millions of covid infections have taken their toll.

You can clearly see rises in every age group in 2021.
4/12
If you look at the industries that had the highest sickness absence rate, you can to see "Human health and social work" right at the top, followed by "transport and storage".

These are two industries (particularly the first) highly likely to be impacted by covid.
5/12
If you look at the main reasons people were off work unwell in 2021, COVID is the first single identified reason (second behind the cumulative total of "other").
6/12
Even in 2020 (grey bars) - despite only being recorded for 3/4 of the year and the suppression measures we underwent - covid was still the fourth most common reason for being sick off work.
7/12
We know large numbers of people have been off on long term sick leave with Long Covid.

Again, it's not surprising to see Social care, Health Care, Education and Transport near the top of the list of sectors affected.
8/12
Large proportions of these people off sick with long covid find that it is limiting their activity either a little (orange) or a lot (red).

Is it going to help to deprive people of a fit note if they are not able to do their job?

I would suggest, not.
9/12
If we really want to do something about tackling workforce absence then one thing we could try is reducing the number of people who are getting sick with covid.

Here's a bunch of ways we might go about doing that (ventilation, filtration, masks...)
10/12
theconversation.com/covid-treatmen…
Another thing we might think about doing is improving sick pay so that people of the UK are allowed the requisite time they need to recover (and not to infect others with e.g. covid).

We rank a long way behind many of the European countries we might compare ourselves to.
11/12
It's certain that we have a problem with sickness absence.

In Nov. former Chief Economist at the BofE Andrew Haldane warned of the economic consequences of an unhealthy population.

Forcing unwell people back to work isn't the answer to the problem.
\ENDS
health.org.uk/about-the-heal…
With thanks, as always, to Bob Hawkins, for his help preparing the data.

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More from @Kit_Yates_Maths

Mar 31
Science is under siege. Political forces are undermining expertise, dismantling research institutions, and replacing evidence based policymaking with ideology.

This is a global crisis.

🧵
1/31
The covid-19 pandemic underscored the importance of scientific independence.

While vaccines, diagnostics, and therapeutics saved many lives, governments that ignored expert advice and downplayed the threat allowed lives to be lost.

2/31
Sometimes, it became a political battleground as public health experts were vilified and disinformation flourished, with deadly consequences.
3/31
bmj.com/content/379/bm…
Read 31 tweets
Mar 3
Today the Royal Society will meet to discuss “Fellows’ behaviour”. Without doubt the fellow they will primarily be discussing is Elon Musk.
The behaviour may range from his public dissemination of unfounded conspiracy theories to his attacks on the science
🧵
1/38
Musk is also an important figure (some would argue the most important) within a US administration that is laying siege to science and to scientific inquiry itself.
2/38
researchprofessionalnews.com/rr-news-world-…
The new administration’s executive orders have restricted research, silenced climate scientists and cut funding, as part of a systematic targeting of the scientific community.
3/38

insidehighered.com/news/governmen…
Read 37 tweets
Feb 28
The populist right is damaging US science.

Here's what I think we should be doing to ensure that the UK (and indeed other non-US countries) does not suffer the same fate.

🧵

1/37
The United States is currently witnessing an unprecedented assault on its scientists and scientific institutions, driven by populist agendas that prioritise ideology over evidence.

These orchestrated attacks threaten the foundations...

2/37

aaup.org/report/nationa…
... of evidence-based policy-making and scientific progress. Funding has been slashed, climate research censored, and public health is in jeopardy.

Watching the disaster unfold one step removed, UK scientists must not stand by but instead react to support our US colleagues

3/37
Read 37 tweets
Feb 21
Silence will not shield scientists from the consequences of an increasingly hostile political landscape.

UK and other non-US scientists must act to support our US colleagues.

Here's what I think we should be doing...

🧵

1/35
Science thrives on collaboration and openness.

The people who practice science are committed to seeking truth and combatting falsehoods.

2/35
In an era where political forces increasingly seek to distort, suppress, or co-opt scientific knowledge for ideological purposes, the global scientific community must recognise that staying silent in the face of these challenges is no longer an option.

3/35
Read 35 tweets
Feb 18
Fiona Fox’s recent article in Research Professional News cautions that expelling Elon Musk from the Royal Society could undermine public trust in science.
I disagree...
🧵
1/25
researchprofessionalnews.com/rr-news-uk-vie…
I think that this perspective overlooks the critical role that scientific institutions play in upholding ethical standards and defending the integrity of science, especially at times when science and scientists are subject to threats and intimidation from political institutions
2
It's imperative that scientists and their representative bodies actively engage in political discourse to protect scientific integrity, particularly when it is under direct threat, as has been clearly evidenced by recent developments in the United States
3
iflscience.com/us-science-is-…
Read 25 tweets
Oct 15, 2024
After hearing some underwhelming testimony last month at the #COVIDInquiry on the use of respirators, @trishgreenhalgh and I decided to write a rapid response to the @bmj_latest to set the record straight.
Here's what we wrote...
1/15
bmj.com/content/386/bm…
"Respirators outperform surgical masks; fit-testing is desirable but not essential"

Professor Susan Hopkins (UK Covid Inquiry, 18th September 2024) claimed that evidence for the superiority of respirators (which are made to an industry standard and designed to fit ...
2/15
closely around the face) over medical facemasks (which are not generally made to any quality standard and often fit loosely, leaving gaps around the sides) is “weak”.
She also claimed that respirators are of little use if they are not fit-tested.
3/15
bmj.com/content/386/bm…
Read 17 tweets

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