'COVID-19 #PHEIC 'officially' over but the #pandemic will be with us for many years. Nor is it clear that govts have learned sufficiently from the outbreak to be ready to fight off new emerging microbes that could trigger worse calamities.' @RobinMcKie
theguardian.com/world/2023/may…
Can't flick a switch and declare the pandemic over, especially one so damaging and of such scale.💯@SGriffin_Lab
Whether labelled global pandemic or not, many countries experiencing significant waves of infection, thousands dying every week.💯@SusanMichie
theguardian.com/world/2023/may…
'This bittersweet [@WHO] announcement seems more a white flag than a cause for celebration. While there has been profound progress, this decision reflects the political reality of Covid more clearly than the medical situation.' @DrBenNeuman @TAMU_Biology

theguardian.com/world/2023/may…
⚠️Pandemic legacy
✍️Profound and long-lasting.
✍️#SARSCoV2 still killing 1 person every 3 minutes.
✍️Millions suffering debilitating impact of #LongCOVID.
✍️The virus poses continued threat to elderly people and those with health conditions.
HT @RobinMcKie
theguardian.com/world/2023/may…
'We now have a new human coronavirus that will continue to blight human populations into the future. The pandemic’s impact will be felt for a long time, both in terms of new cases and those already suffering from #LongCOVID'. @andrewleedr @ScHARRSheffield
theguardian.com/world/2023/may…
'We NEED to invest in our healthcare systems to cope with all the extra people needing care every year'. @markjit @LSHTM
'Above all, the world will need to work together so that we will be better prepared for such emergencies in the future'. @RobinMcKie
theguardian.com/world/2023/may…

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More from @JoePajak

May 9
'𝗩𝗲𝗻𝘁𝗶𝗹𝗮𝘁𝗶𝗼𝗻* is an important line of defence for infection control in the healthcare environment.' @NHSEngland
✍️1,077,993 people currently predicted to have symptomatic COVID in the UK: report @Join_ZOE 9 May 2023.
Healthcare settings to note:
england.nhs.uk/long-read/appl… Image
✍️Important notice for healthcare settings:
'Application of #HEPA filter devices for air cleaning in healthcare spaces: guidance and standards.'
✍️Ventilation* is an important line of defence for infection control in the healthcare environment. @NHSEngland
england.nhs.uk/long-read/appl… Image
The current focus on #𝗩𝗲𝗻𝘁𝗶𝗹𝗮𝘁𝗶𝗼𝗻 highlighted areas of 𝗵𝗶𝗴𝗵 𝗿𝗶𝘀𝗸 due to 𝗽𝗼𝗼𝗿𝗹𝘆 𝗽𝗲𝗿𝗳𝗼𝗿𝗺𝗶𝗻𝗴 and 𝗶𝗻𝗮𝗱𝗲𝗾𝘂𝗮𝘁𝗲 𝘃𝗲𝗻𝘁𝗶𝗹𝗮𝘁𝗶𝗼𝗻 in 𝗵𝗼𝘀𝗽𝗶𝘁𝗮𝗹𝘀 and other 𝗵𝗲𝗮𝗹𝘁𝗵𝗰𝗮𝗿𝗲 𝘀𝗲𝘁𝘁𝗶𝗻𝗴𝘀. @NHSEngland
england.nhs.uk/long-read/appl… Image
Read 19 tweets
May 9
Latest @Join_ZOE 5 May 2023
🦠1,022,039 currently predicted to have symptomatic COVID in the UK
✍️Wave, after wave, of infections, means more illness, hospitalisations, deaths, and impact of #LongCOVID.
𝗜𝗺𝗽𝗿𝗼𝘃𝗲 𝗶𝗻𝗳𝗲𝗰𝘁𝗶𝗼𝗻 𝗽𝗿𝗲𝘃𝗲𝗻𝘁𝗶𝗼𝗻 𝗮𝗻𝗱 𝗰𝗼𝗻𝘁𝗿𝗼𝗹. Image
'Variation' is key to the #SARSCoV2 'waves', observes @MackayIM 🇦🇺
'Each peak of a ‘wave’ (a new epidemic).'
❔Likely that new COVID-19 waves, and hospitalisations, are driven and dominated by a genetically different variant of the virus called #SARSCoV2.
'𝗩𝗶𝗿𝘂𝘀𝗲𝘀 adapting to the situation, through selection and expansion of 𝘃𝗮𝗿𝗶𝗮𝗻𝘁𝘀' - in response to our immune system’s pressure on their evolution - has been the one constant driver of every wave in 🇦🇺, and probably everywhere...' @MackayIM
Read 4 tweets
May 7
#SARSCoV2 'waves':
'Viruses changing their ‘look’ through selection and expansion of variants in response to our immune system’s pressure on their evolution has been the one constant driver of every wave in 🇦🇺, and probably everywhere, so far.' @MackayIM
virologydownunder.com/variation-is-k… Image
'Variation is key to the #SARSCoV2 'waves':
'Each peak of a ‘wave’ (new epidemic) of COVID-19 hospitalisations has been driven and dominated by a genetically different variant of the virus called #SARSCoV2.' @MackayIM 🇦🇺

virologydownunder.com/variation-is-k…
'COVID-19 hospitalisation & ICU peaks & troughs (= 'down to' 1,200 admissions) by month, Mar '20 to 14 Apr '23:
Predominating variants indicated at peaks. Every peak = a new variant, as one would expect, given epidemics = first & foremost driven by pathogen novelty.' @MackayIM 🇦🇺 Image
Read 13 tweets
Apr 1
🦠1,483,797 People are currently predicted to have symptomatic COVID in the UK; from @Join_ZOE Health Study reports.
Updated 1 April, 5am.
@ONS should still be providing its weekly reports, without an 'early warning' system, we are unprepared for what lies ahead.
#COVIDisAirborne
#COVID reinfection can be problematic: doi.org/10.1038/s41591… @NatureMedicine 'Each subsequent COVID infection increases risk of developing chronic health issues like diabetes, and organ failure...' @zalaly @BCBowe @Biostayan @AmerMedicalAssn @tweetrambod
ama-assn.org/delivering-car…
'Study of 5,819,264 people, [443,588 with a first infection, 40,947 with reinfection...] compared to those with no reinfection, those who had reinfection exhibited increased risks of all-cause mortality, hospitalization & several prespecified outcomes'. @zalaly @BCBowe @Biostayan
Read 11 tweets
Mar 31
#LongCOVID is an emerging phenomenon that is not yet fully understood. These are Experimental Statistics. Estimates currently under development, and may change as scientific understanding of long COVID improves. @ONS advise caution when using the data.’

ons.gov.uk/peoplepopulati…
‘Prevalence of ongoing symptoms following coronavirus (COVID-19) infection: 30 Mar 2023.
Estimates of the prevalence of self-reported long COVID and associated activity limitation, using UK @ONS Infection Survey data covering the 4 weeks to 5 Mar 2023.’

ons.gov.uk/peoplepopulati…
‘Estimated 1.9 million people living in private households in the UK experiencing self-reported #LongCOVID (symptoms continuing for >4 weeks after first confirmed or suspected coronavirus (COVID-19) infection that weren’t explained by something else) as of 5 Mar 2023.’
HT: @ONS
Read 4 tweets
Mar 15
'Doctors have a role in tackling air pollution: here’s how some are rising to the challenge.'
@WanderingSal @bmj_latest

1/n

bmj.com/content/380/bm…
'UK’s air quality is a public health problem, particularly for children’s respiratory health.
Outdoor exposure to air pollution contributes to 26 000 to 38 000 deaths a year in the UK'.
@WanderingSal @bmj_latest #AirPollution
#RespiratoryHealth

2/n

bmj.com/content/380/bm…
'Outdoor exposure to air pollution contributes to 26,000 to 38,000 deaths a year in the UK - and has been shown to increase the risks of heart disease, heart attacks, cancer, and strokes.' @WanderingSal @bmj_latest @asthmalunguk
#AirPollution

3/n

bmj.com/content/380/bm…
Read 7 tweets

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