Paul Maidowski Profile picture
Mar 18 15 tweets 8 min read
1. The art and craft of policy or the “there is no car” problem, as roy scranton calls it
2. Even if we had a driver, there’s a bigger problem: no car.

No problem for our friends over at @Wankpanzer!
3. If you can’t handle the road ahead, no biggie: just follow the flow 👍
4. I need to correct the meme slightly: acute phase SARS deaths increase AND collapse exponentially, as epidemics do. Excess mortality statistics assume ‘endemic’ change, slow rates of change like tides/seasonal influenza, hence the curious pattern. Japan added - what do you see? Image
5. Yes Japan is a perfect harmonious oscillator, very impressive of Japanese hospital patients to behave so nicely. ImageImage
6. That’s an enormous gap between recorded Covid deaths and excess mortality in Japan. Folks handling data can probably explain it, but the percentage difference is far greater even then vor the other three - each pretty bad. ImageImage
7. This is where the art of policy comes in. Look at the maps! WHO-reported COVID cases are vast undercounts (cases several times higher) because states are failing.

99% of the public discourse is about individual measures, not about public policy (IHR 2005, pandemic playbooks)! ImageImageImage
8. Even discussing masks, HEPA filters, lockdowns etc. is largely a waste of time. Lockdown was never part of WHO’s pandemic playbook, for good reason! They are not needed; and have been abused to stop the idea of eliminating SARS.

“Living without Covid” always was common sense.
9. This needs to suffice to introduce @RealCheckMarker’s excellent thread. Everyone should read it to understand the art of pandemic policy. 🙏
10. Live shot of the US ending the public health emergency on May 11 against all evidence of risk:*

* Never mind that XBB.1.5 XBB.1.16 XBB.ABC (the next big one) ensure this outcome. 🤦🏻‍♀️ Let’s see how long insurances and HCW will clean up after the administration. ImageImage
11. All the establishment types who couldn’t be bothered to protest now - or over the past three years when it really mattered:

“No one could have seen this coming!” 👻
12. Now excuse me as I dedicate a little more time to poetry and coffee.

Hit me up once a few more of you guys have grown a spine or something new needs to be said. The present mode isn’t effective/well-resourced/sustainable enough; we can’t keep driving in circles here.
13. Appreciate the irony of seeing the public and policymakers struggle with a simple pandemic, as if they had never thought about truly global governance problems before. This is quite straightforward compared to climate.

It even has solutions any five year old can understand.
The #LeonardiEffect will add positive feedback over the coming years. It’s a dynamical policy problem.

SARS requires international cooperation and rethinking the IS, not deflecting public attention. This can solve other problems, not climate or pandemics.

Be well everyone, 🤣🙏 ImageImageImage
14. The problem in climate: we have drivers but no car.

The problem of public health differs: we have a car and insurance that even covers climate events (IHR 2005). The drivers just can’t be bothered and the passengers don’t seem to care. 😂 @RoyScranton mustarinda.fi/magazine/post-…

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More from @_ppmv

Mar 20
1. Every day, not just today, is IPCC time. Hop on in!

It's all atmospheric and ocean chemistry in the end, genuinely fascinating. At a deeper level, then, it's about the culture and mental models that drive human behavior in the physical world.

How does public health come in?
2. Societies that reorganize to eliminate SARS-CoV will learn the governance skills, civil virtues, mental models to address climate.

Both are deeply connected:——syndemic.

If it helps you to humanize SARS-CoV-2 as villain forcing us to learn, fine! See it as human rights issue.
3. Background: read the article and thread (including ideally some references).

This is easily an introductory climate class: if you understand these concepts, you're well prepared.
Read 16 tweets
Mar 20
1. IPCC presser.

@LeonSimons8 is right—climate-aerosol dynamics are explained incorrectly.

@RealTadzioM @ReiSteurer @JKSteinberger are right—natural scientists do stunning work, but are unfit for social science/#polsci or scicomm.
@LeonSimons8 @RealTadzioM @ReiSteurer @JKSteinberger Julia blocked me for some reason; it's rare for a thread of hers to appear in my timeline. Well worth reading.
Read 9 tweets
Mar 20
1. Good question, not just for scientists. Remember that cell-level dynamics determine global outcomes.

IF SARS-CoVs behave like influenza, the problem "solves" itself, as current policy worldwide assumes.

BUT they don't. Social systems will destabilize. It's a systems problem.
2. SARS-CoV don't follow the 'textbook' rules of virology. Someone needs to rewrite the textbooks, but policy change cannot wait.

It's untenable for anonymous accounts on twitter, not national health authorities, to share such information with the public.
3. PhD level scicomm: "Read the citations not the paper!"

The citations: literally *thousands of papes,* incl. Tolstoy 🤣🙏 Image
Read 5 tweets
Mar 20
Feedback time! For what it's worth, we have serious policy problems to address. - thanks for some 7k followers for a non-affiliated, no-name account like mine. Much appreciate all exchange and learning!
ImageImageImageImage
What will always be funny: - Asking "How we can sustain complex societies over the coming decades?" garnered so little attention that my autodelete function killed it lmao. Thanks for all who care and try their best!
Read 7 tweets
Mar 19
This great Dark Anthropocene scholar meme by the kind @EliotJacobson reminded me to update the Covid equivalent.

It’s a point @RealCheckMarker made on ‘corporate democracies’ that sacrifice their citizens’ health for the (minuscule+highly subsidized) profit of airlines. However, Image
There are subtler versions, but here the simple math:
I’ll need updates on all the banks and economies we saved and will need to save as long as we follow the present “living with COVID” fetish.

Call me once folks are tired of that and want to try “living without Covid”.

😆🙏
Read 11 tweets
Mar 19
Meet the dumbest possible pandemic view, kindly verbalized by Leana Wen. Do the exact opposite of whatever she proposes and you should do fine for yourself.

How is she ever let anywhere near a policy (advice) role? That’s the real question here. Image
While Twitter never is medical advice, you now see virologic failure (sounds less cute than Paxlovid ‘rebound’, no? 🤦🏻‍♀️), viral persistence and resistance. Had MDs/scientists paid any attention, they’d have known better than to try monotherapies vs. SARS-CoV.
(1) Read this presentation (on HIV viral load) to understand the basic dynamics. (2) We warned extremely clearly. There is no way to beat SARS and SARS-CoV - disease and virus - if scientists continue to ignore the harsh lessons learned in 40 years of HIV science.
Read 4 tweets

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