So, lots about @WHO calling an end to the #PHEIC
First, this is a response, and it has a defined set of criteria. Whether or not these are met doesn't actually mean that #COVID isn't a pandemic, it's an interpretation of guidance and is pretty arbitrary, really.
Second, and this
really IS important...whether or not the WHO, mainstream/social media, or any other form of messaging put this across properly, national governments will have been briefed IN FULL, AHEAD of time, with the five pillars of the ongoing response in black and white, LARGE FONT etc...
Third, that certain Governments refuse to heed these recommendations, or even bother to review their own policies on how they're handling things is down to them, NOBODY else.
My opinion, fwiw, is that this is an abdication of public health responsibility that, as usual, affects
those least able to cope most...
Fourth, and it's upsetting to have to say this, to play on the stepping down on the PHEIC as a means of saying it's all over, but then NOT accept these recommendations, is just abject hypocrisy. You can't, and should not, have it both ways folks.
Finally, and this probably includes me and many of us, but the lack of massive spikes of infection, or settling into "normal/predictable" patterns that we're more used to...not that it's happening yet for SARS2, should NOT mean that we just switch off and accept things. The whole
"just the flu" 🦬💩 speaks volumes, seeing as even seasonal influenza is a killer for some, and H5N1 is knocking on the door...we should be striving to bring down excess deaths, not lying back pleased as punch because they are the same as a few years ago. We do this for non-
communicable diseases, why less so for infections?
The ridiculous tropes around endemicity began in 2021, possibly earlier in certain preprints 🤪, which was not only incorrect, but deliberately equated to benign...
The pandemic is certainly in a new phase for many, but not for
all, which is something the government is supposed to take the initiative on, on our behalf. Yes, the usual comparison to roads and smoking etc., but just think what could be achieved if we were more proactive? Respiratory virus disease is something that CAN be mitigated against
without impinging on some people's perception of "freedom" or meaning harsh restrictions. The benefits beyond COVID could be huge, for other diseases (esp with advances in vaccines), pollution, productivity, etc. Yes, investment is needed, but the pay off would be incredible...
Moreover, the tragedy of #LongCovidKids and #LongCovid remains, more research is needed, but prevention is ALWAYS better than cure...something that perhaps our vaccine strategy ought to reflect? 🤦♂️
We also need investment in Therapeutics as well as vaccines, and we should be
planning for the NEXT pandemic, not falsely patting politicians on the shoulder for a job/party/VIP contract/Testandtrace well done...
I AM going to end with a cliche, but I don't care cos I don't think anyone has ever put it better...(the original, that is, note the source 🤪)
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Occurred to me today that some of the 💩 that's peddled by certain folks, including those who should know better, those who purposefully poison, and those too inward looking to see any wood amongst those trees, will have SERIOUS connotations for any sort of science teaching...🧵
For example, let's just say, for the sake of argument, that this stuff gets accepted by "the establishment"...what on earth would we be saying in lectures? Imagine this... 1) Jenner was wrong , smallpox was a fluke...much better to get infected, "natural" immunity beats vaccines
2) Even the most beastly virus will be laid low by "healthy immune systems" and become a tame, vapid wet lettuce of a parasite, barely able to form particles... 3) That Nobel prize winning anti-parasitic drugs with an exquisitely defined mode of action are, in fact, a cure-all...
Couldn't clip the whole thing, but anyone doubting the impact of #LongCovidKids just needs to listen to how brave Freya is, but also how sad 💔
Heartbreaking. We need to do so much more.
Thanks @jamiecoulsontv and @BBCLookNorth for highlighting this incredibly important issue 🙏
@drclairetaylor@CounsellingSam@Capricopia_Farm@kathryn_revell@LozzaFox <<sigh>> 1. Disease is a function of virulence, immunity and environment. 2. IFR is always an estimate, but must be scaled by prevalence...the risk of something that isn't around to infect you is 0. 3. Risk to children is a U-shaped curve, higher in u5's, dips in primary yrs and
@drclairetaylor@CounsellingSam@Capricopia_Farm@kathryn_revell@LozzaFox then increases with age. The lack of pre-school vax is therefore a huge concern. Again, this is scaled by prevalence. 4. Vax reduces long COVID risk, not much else does. 5. Omicron is not one virus. BA1/2 were less virulent IN RECENTLY VAXD populations cf delta, but it didn't
@drclairetaylor@CounsellingSam@Capricopia_Farm@kathryn_revell@LozzaFox evolve from delta, so this is not a reduction in virulence. It is similar to original strain, look at Hong Kong in spring 22. 6. Recent omicron subvariants, eg BA5 and derivatives, are not only more infectious, antibody evasive etc., they are also better at antagonising innate
No tests...like flu?
5 waves/year...like flu?
>30k dead in 22...like flu?
2M+ with long COVID...like flu?
10s of 1000s in hospital...like flu?
Vax 4 vulnerable, NOT kids...like flu?
1 antiviral...like flu?
Cardio, neuro, metabolic sequelae...like flu?
FFS
Please don't take this as being dismissive of flu, it's a dreadful disease, i work on both 4 good reasons.
But our dynamics with seasonal strains is nothing like our friendly pandemic CoV.
I'm continuously astonished by the total absence of population scale considerations...nuts.
While we're at it, of course I'm pro-vax, but mainly pro- #VaccinesPlus as ever...
No one thing is enough to mitigate this virus. Our vaccines are incredibly good vs severe COVID, but that's not the whole battle, by any means...
Some long-standing critics of @IndependentSage appear to be conducting an interesting work of fiction casting us as either some useful stooges, unintentionally supporting government mind control strategies, or a dedicated psy-ops operation trying to create a world of restrictions
Well...
Whilst several amongst this number are indeed trying to sell books, watchful magazines...or rose-tinted retrospectoscopes 🤪
I'm sure it helps comfort some suffering with the increasingly common affliction pre-vax amnesia (PVA) that some sinister plot was in fact responsible for
Thanks @iansample for this nicely balanced article.
Aware some embittered souls have tried to make a stink around what @uksciencechief thought about the @IndependentSage NAME.
If there was confusion, yes, that's regrettable, but remember how things were.
SAGE was secretive, and seemingly attended by some with vested interests, and/or in need of an eye test...
None of this is the fault of SAGE members who, let's face it, faced an impossible task.
I can't imagine how it must have felt in Autumn 2020 to be on SAGE, to watch as alpha
emerged, knowing you'd warned those in power repeatedly...only to be scuppered by folk who, let's face it, had certain conflicts of interest...
The WhatsApp revelations must be salt in an open wound.
Yes, @IndependentSage did science, policy, advice, media and public fora, the