So where exactly are we now in the #COVID19 pandemic and where are we going?

Long thread ⬇️
@DrTedros @DrMikeRyan @WHO
3 years ago @WHO described the situation of #COVID19 as a pandemic, but it was 6 weeks earlier - on 30Jan20 - that @DrTedros declared the evolving situation as a Public Health Emergency of International Concern (PHEIC), our highest alarm to the world.

From 1 Jan 20 to that point, @WHO had issued EISs, DONs, comprehensive technical guidance, a global strategy to suppress transmission & save lives, sent officials to China to learn, started daily pressers warning the world to take action in the hope we could prevent a pandemic…
In addition, @WHO had published the first PCR test methodology so that the world could start testing and caring for patients, a report of the Feb 2020 WHO-China Mission…

who.int/publications/i…

Here is a timeline of other actions of WHO…

who.int/news-room/spot…
… unfortunately, too few listened… and too few took enough action to limit the spread, get hospitals ready for patients, increase supplies, warn their populations…

Around this time three years ago, the world woke up to the seriousness of #COVID19, to stay at home orders, to life - as we had known it - changed…
We have all been impacted by the #COVID19 pandemic, we are all different, and we cannot go “back” to the way it was, we need to make our futures better…
I know the world wants so desperately for the #COVID19 pandemic to be over. I do too. But we aren’t done yet and this virus isn’t done with us yet. It is here to stay and we can do more to protect everyone, everywhere…

covid19.who.int
People are dying from #COVID19 every day, people are suffering from Post-COVID-19 (#LongCOVID) condition, health systems are strained, workforce is exhausted…
... #COVID19 medications are not available in far too many places, #COVID-19 vaccination rates are too low among populations who are at the highest risk of severe disease in all countries around the world, especially in low and middle income countries…
So where exactly are we now in the #COVID19 pandemic and where are we going?

Well into the 4th year of the pandemic, we are still in a PHEIC & a pandemic, though we are in a MUCH better situation thanks to the hard work of so many to reduce the impact of #COVID19 using…
…available tools like masks, personal protective equipment, ventilation, tests, treatments, vaccines…

We can, and I believe we will, end the emergency of #COVID19 this year…

This doesn’t mean the fight is over. We need to remain vigilant because we are all still at risk, because

The impact of COVID-19 is still high
The virus continues to evolve and has not settled into a predictable nor seasonal pattern
Access to life-saving tools is not equitable…
…and because we still have approx 10,000 deaths a week. Deaths reached 40,000 a week a few weeks ago. This is 10,000-40,000 too many when we can prevent them…
We can live our lives and, at the same time, take steps to reduce our risk of infection. We must bc the virus is circulating unchecked. The risk of severe disease exists particularity for those not vaccinated or not boosted (as recommended). The risk of future variants exists…
We know so much more about this virus and #COVID19, but not everything. The risk and extent of Post COVID-19 condition, e.g., is significant. When we talk about burden we must also talk about and address #LongCOVID, in addition to hospitalisation & deaths
who.int/teams/health-c…
We have to maintain surveillance, sequencing, sharing data to track #SARSCoV2 known #Omicron variants and detect new ones…

As individuals, we can protect ourselves by taking simple measures: vaccinate, mask, ventilate, clean hands, stay home if unwell, test and seek treatment, share good information, help others, etc…

Governments need to be vigilant. Do not let down your guard. Do not dismantle systems.

Strengthen systems to be agile. Maintain/sustain what you’ve enhanced for #COVID19 (surveillance, clinical care, testing, sequencing, IPC, vaccination etc)…

… Tackle the #Infodemic, build trust and address misinformation, disinformation and politicization…

… continue to work together, support @WHO and SAGO to better understand the start of this pandemic …

…because work we have done, the systems that have been enhanced during #COVID19, are also critical for influenza, RSV, Ebola, Marburg, #mpox, Chikungunya, other known pathogens and the next disease X.

Responding to COVID is pandemic preparedness for the future…
While all countries are in different situations, @WHO is working with all governments around the world through this period where we are ending the #COVID19 global emergency in all countries and with them to adjust systems for longer-term integrated disease management and control.
We will get there…. and we use the trauma and pain of the last three plus years to do better the next time.

@WHO will be there with you every step of the way.

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More from @mvankerkhove

Mar 2
🧵As an American myself and directly involved in the response to #COVID19 pandemic and in the origins studies since day 1, comments by @MarshaBlackburn, @SenatorRisch and others about @WHO and our work are deeply hurtful and inaccurate.
As the #COVID19 health operations & technical lead, my role has been to convene the world's expertise & consolidate that knowledge into actions that save lives. As the responsible technical officer for advancing our understanding of this current pandemic to prevent future ones…
I am deeply frustrated at the lack of additional information from the US reports assessing #COVID19 origins, which have not been shared with us and from investigations in China that can actually further the technical, serious discussions.
Read 5 tweets
Jan 19
New @WHO-led analysis shows that hybrid immunity provides higher protection, demonstrating the critical importance of vaccination even after people have had COVID-19. thelancet.com/journals/lanin…
These are the findings of a systematic review: One year after developing hybrid immunity, a person has >95% lower chance of getting severe #COVID19 or needing hospitalization compared to unvaccinated and uninfected individuals.
No, this at all promoting infection! I have said it many times before and I will keep saying it: do what you can to avoid infection/reinfection
Read 4 tweets
Sep 14, 2022
Today @WHO issued 6️⃣ #COVID19 policy briefs outlining essential actions national policy makers can implement to end the COVID-19 emergency worldwide.

“We have never been in a better position to end the pandemic” - @DrTedros

More on each brief👇🧵

who.int/emergencies/di…
1️⃣ Testing: It remains critical to continue to test for #COVID19 to reduce morbidity and mortality through linkage to prompt care and treatment, reduce onward transmission and track the evolution of the epidemic and the virus itself.

who.int/publications/i…
2️⃣Clinical care: Establish & sustain clear pathways to clinical care for #COVID19. Integrate COVID into primary care systems. Provide access and follow up care for #LongCOVID. Utilizetherapeutics for those at risk. Plan for surges.

who.int/publications/i…
Read 8 tweets
Aug 20, 2022
Millions have died from #COVID19 since the start of this pandemic and 15000 are still dying each week.

15000 mothers, daughters, fathers, sons, brothers, sisters, friends… people we love.

I know we are tired, but when did this become acceptable?

A short thread…
Globally, over the last 4 weeks, 26,722,228 new cases and 62,892 new deaths were reported to @WHO. That’s a 15% ⬆️ in new cases & a +35% ⬆️ in new deaths over the reporting period.
We expect cases to continue to occur given the limited use of public health and social measures🌎, but #COVID19 hospitalisations, deaths & #LongCovid can be minimised.

Efforts need to be made to strengthen the use of life saving interventions. We can do this AND live our lives.
Read 9 tweets
Aug 7, 2022
The next weeks & months are critical to be vigilant for #COVID19

As individuals: get vaccinated and take measures to reduce risk of (re)infection. Mask indoors when around others outside your immediate family. Distance. Test. Ventilate. Wash hands. Live life safely. Be kind.
1/
Governments: reinforce surveillance, testing, sequencing, access to treatments & O2, vaccinate all at risk, surge capacities and PPE, invest in ventilation & in a strong protected work force. Ensure policies are agile to deal with epi, capacities & financial needs…
2/
…continue to invest in research of this virus and its many variants and continue to develop new tools; support patients with Post COVID-19 condition (#LongCovid); fight the infodemic and misinformation; communicate regularly and openly and rebuild trust; share successes.
Read 4 tweets
Jul 16, 2022
🧵Brief thread on the circulation of SARS-CoV-2 variants

#Omicron and all of its sublineages are classified as VOC (Variants of concern) by @WHO. This includes BA.1, BA.2, BA.2.12.1, BA.2.75, BA.3, BA.4, #BA5 and many more

(Watch this video and keep reading 1/7)
. @WHO is working with our TAG-VE (technical advisory group for virus evolution) to assess the genotypic and phenotypic characteristics of all variants we are monitoring (VOI, VOC, VUM) and comparing differences between variants (eg #BA5 vs BA2) who.int/en/activities/…
Assigning greek letters is a way @WHO established to help communicate about the variants (we won’t hesitate to use them) but the scientific names remain in use. Agree it’s not ideal to be saying BA.2, BA.2.12.1, BA.5 (trust me!), but remember these are all #Omicron and…
Read 7 tweets

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