2003: WHO executive director for communicable diseases - headed the global response to SARS
2017-2022: Chair of the WHO Strategic & Technical Advisory Committee on Infectious Hazards (STAG-IH)
Written evidence 🥁
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Annex 2: Matters to be addressed from Letter of
Instruction
I hope you don't mind, but for obvious reasons I'll focus on his comments on transmission
#COVIDisAirborne
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Transmission: pt 71 onwards
'Researchers addressed major questions about transmission of SARS-CoV-2 during the first months of the pandemic
It was known...that the virus spread easily...especially in indoor & other closed spaces such as the Diamond Princess cruise ship...
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...in what appeared to be superspreading events
[superspreading = a hallmark of airborne transmission, obvs]
Prof H continues:
'As a result the question was raised as to whether it was spread by aerosol particles, or whether infection was transmitted from human to human...
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only by droplets as had occurred in some SARS infections, & as appears to be the predominant means of transmission in MERS; & whether fomites (objects or materials that are contaminated with droplets containing infectious virus) played a role in transmission'
Wait for it...
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'Both droplets & aerosol particles contain virus surrounded by moisture - mucus, saliva and/or water
It was known for other respiratory infections...that transmission could occur...when droplets & aerosol particles spread from a cough or sneeze & also by voice projection...
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'Early studies in China suggested that the SARS-CoV-2 could be transmitted by aerosols as well as by droplets'
🚨Jan 2020
He's mentioned the bus, @LazarusLong13 @EvonneTCurran!
The clever droplet flying backwards 5m & causing infection - NOT
#COVIDisAirborne Jan 2020: FIN
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& look @jljcolorado, Prof Heymann goes on to mention the Skagit county superspreading choir event as further early 2020 evidence of aerosol transmission
But: he clearly sees the word airborne as a WHO hot potato - he only mentions it in the context of IPC guidance during AGPs
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Point 80: He probably thinks he's being clever here though, suggesting a problem with terminology as a reason for WHO, PHE, CDC et al allowing HCWs to go to their deaths thanks to the restriction of N95/FFP3 to AGPs
But he's forgotten THE PRECAUTIONARY PRINCIPLE
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In fact @mdc_martinus isn't it true that WHO IPC guidance for pathogens with pandemic potential require adherence to the PRECAUTIONARY PRINCIPLE until modes of transmission are definitively ascertained?
🚨IPC guidance authors should NEVER have deprived HCWs of this PPE QED
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Coming in to land on this one...
Strength of evidence underlying benefits of community mask wearing is stated to change over time - 'unreserved recommendation' by WHO, Dec 2022
& dear gaslit by all Gov-linked agencies HCW readers, please note the last sentence, point 88...
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'& the current WHO recommendation, that a particulate respirator should be worn by health workers along with other PPE before entering a room with an infected person, is supported by a solid evidence base (WHO, 2022; Coia, 2013)'
What's my point?
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Well the obvious one is that UK IPC leadership is so deranged, that the infection control manual mandated for use by all NHS providers states that SARS2 is only airborne transmitted during AGPs
It's a droplet transmitted disease in UK hospitals, don't you know?
Is 🌏 flat, too?
But check out the reference Prof Heymann uses to affirm the 'solid evidence base' for particulate respirators: includes Coia et al
IPC authors, SAGE, NERVTAG, CMO, CSA are clearly in a hole after this evidence alone, but Heymann further dumps them in it by using JVTs own paper!
🚨Summary
SARS2 was known to be airborne in Jan 2020: when did you know?
Vague & unconvincing statements about the need for clearer terminology don't stack up against the complete abandonment of WHO's own precautionary principle
HCWs were shafted, & died caring for others
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Millions more were infected, & died, thanks to WHO's inability to say the word 'airborne' & state an empirical truth they knew to be correct, in Jan 2020, loud & clear
#CovidIsAirborne
Bring on the UK 'scientist experts' to wriggle on the hook & claim they did not know
‘Healthcare leadership has lost its way. Its foundation should be in love, not lies. We are truly sorry for what we have done’
** ‘testimony’ 🙃
/🧵
‘We knew SARS2 transmission was airborne in Jan 2020, but instead of showing love to healthcare workers & being honest with them about the RPE shortages, we lied to them & kept on lying’
‘…we are truly sorry for what we have done’
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We knew AGP-only aerosol risk was a smokescreen - a thinly disguised rationing tool for RPE - but instead of being honest with HCWs, in love, we lied to them & kept on lying’
If you missed what Prof Sir Chris Whitty said on IPC & PPE, or just couldn't carry on watching after the amazing @Kevin_Fong [God bless you sir, & thank you for all you do 🙏]
TL/DR
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Sir Chris worked shifts on the wards in every wave
Wore FRSM mainly - as per IPC guidance, he said
HCID declassification had no bearing on IPC guidance
"I am not an expert on IPC'
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On national IPC guidance:
'quite a lot of people had partial responsibility'
Now we've seen IPC Cell minutes from 22/12/2020 & the plea from 'CB' for wider FFP3 use because:
'Our understanding of aerosol transmission has changed'
🚨Would you like to know whether very late 2020 was when *all* 🇬🇧Gov departments knew of the importance of aerosol risk?
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Obtained via FOI request
🚨From the Department of Business, Energy & Industrial Strategy
🦺Working safely during coronavirus (COVID-19)
10 July 2020 update
'You should ensure that steps are taken to avoid people needing to unduly raise their voices to each other...
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'This includes...refraining from playing music or broadcasts that may encourage shouting, including if played at a volume that makes normal conversation difficult. This is because of the potential for increased risk of transmission, particularly from aerosol transmission.’
Over the last 2 days at @covidinquiryuk the NHS has shown its dark & ugly side
There was never going to be an apology from IPC guidance authors whose guidance drove disproportionately high rates of death & COVID19 in non-ICU HCWs & huge rates of nosocomial SARS2, but…
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the level of obfuscation, evasion & incompetence on display from those tasked with keeping HCWs safe, is jaw dropping
I was one of the lucky ones: my NHS Trust ALWAYS provided HCWs with FFP3 when caring for those with COVID19 - my IPC remained precautionary
As a result…
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by Dec 2020 the number of consultant staff working on Covid wards testing positive was: 0
🚨The ONLY deviation from national guidance was universal FFP3!
The last & most vital line of defence - FFP3 - *is life saving* @SMHopkins
TL/DR in evidence to @covidinquiryuk, CH stated SARS2 transmission is via large droplet & fomites
But:
Following peer review triggered changes 6 Jul 2022, CH's own work stated that SARS2 transmission is via 'fine aerosols & respiratory droplets, & to a lesser extent...fomites'
Why omit the empirical truth that SARS2 transmission occurs importantly via the airborne [aerosol inhalation] route?
Why do this, particularly as David Heymann's 13th Oct 2023 evidence to the PI clarified the @WHO position:
WHO knew SARS2 transmission was via aerosols, Jan 2020
'Arguably the most fundamental misstep in the UK response was the presumption that covid would be an unstoppable flu-like wave'
This
underpinned the early (Chris Whitty) position on T&T, & the Vallance view on 'herd immunity' (later air-brushed)'
Aside
Early SAGE minutes clarify the UK rationale for stopping community SARS2 testing: it was deemed unnecessary because with rapidly increasing case numbers there was no point in testing, as there were insufficient personnel to contact trace
Good to know whose plan this was
'But there was an alternative'
'This led us to question...though we found ourselves quietly dismissed as not understanding the science'
'Ironically, the pride in our science & our capabilities, slowed our ability to learn lessons from other countries'