The HIV pandemic was first suspected in 1981 when cases of a rare form of pneumonia started to pile up. By then, the people who were dying had, on average, become infected 10 years earlier, in 1971. Image
Now imagine that you are in 1971. The people getting infected with HIV then suffer flu-like symptoms for a few days and than recover. NOONE dies from the acute infection.
If doctors had known about the HIV virus then, what conclusions would they have reached? Some people got ill for a week or two with this virus, others barely had a sniff. No deaths. They would have concluded it was pretty mild.
Better still, those already infected seemed to have acquired immunity and didn't suffer the acute symptoms if they got infected again. They would have probably imagined that herd immunity would happen once everyone was infected.
It would only be years latter, when the first people started to die, that they might suspect something was up. But even then, people died 'with HIV and not 'from' HIV. Kaposi sarcoma, pneumonia, chronic diarrhea... it wouldn't look like HIV was responsible.
But that reality would still be years away in 1974. 3 years after the 1971 boom in HIV infection, most people still felt and looked fully recovered from the virus, so much so that people wouldn't care if they got infected.
There would be no public health insistence on wearing condoms or safer sex. In 1974, HIV would have been thought of as a mild, benign virus. AIDS was still years away.
I guess you have long realised where I'm trying to get. For SARS-COV-2 we are in 1974, 3 years after the infection became widespread. And governments are telling people to stop 'wearing condoms' (masks) and to have as many unsafe 'sexual' (social) encounters as they wish.
But we already know how the HIV infection turned out in the long term, the development of AIDS and premature death. But for COVID, 'AIDS' is already coming up much sooner. Strokes, hepatitis in children, diabetes, you name it, COVID is causing it already, and it's still 1974...
Can you imagine what the SARS-COV-2 pandemic will look like in 1981?
PS - this thread was written over a year ago, in April 2022, but that Twitter profile was deleted and the thread with it. I thought it was worth retweeting it. I only changed the year 1973 to 1974 to match the fact a year as since passed.
@Popart2015 If you want this conversation to go anywhere I ask you to be clearer.
@glengtoot So, yes, both are true. The immune system also takes a lasting hit, leading to opportunistic infections.
@thedesmodes I wouldn't have found this lost thread without your help. Thank you! 💪

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More from @RPLerias

Oct 6
The US is fighting a proxy war against Russia to the last Ukrainian and is now fighting a proxy war against Russia and China to the last Israeli. That is what Israel is there for. Netanyahu is the Zelensky of Israel and is being used by the US to do their bidding. 1/
The US Deep State uses AIPAC to control the democratic will back home but it is the US that controls AIPAC and Israel. Don't buy into the argument that the US is trying to restrain Israel. The US has no friends and is now asking Israel to destroy itself for their master. 2/
This is why Russia has gone from being a security backer of Israel to being a security backer of Iran, because Israel has fully fledged into an US attack dog against Russia. The US is destroying any remnants of sustainability of Israel by weaponising it like never before. 3/
Read 8 tweets
Jun 7
The Portuguese (pseudo)Health Authorities have come up with a 'cunning' way to keep people from accessing Paxlovid. Check it out.
First, restrict access to the usual 'risk groups', leaving most of the population out, particularly the working population and children. 1/
Second, further restrict access to most of those that overcame hurdle one to those who haven't been vaccinated or previously infected within the 6 months prior, despite the immune protection from either the vaccine or the infection being at most 3 months. 2/
So this is how it goes. If you are, say, 70 yo you get vaxxed in October. If you then get infected in January, 3 months later, it's too early to be able to get Paxlovid. It then also means that once the next peak in May/June (<6 months) comes along you still can't get it. 3/
Read 5 tweets
May 11
I would like to stress how this mines the ability of us doctors to do a rational management of antibiotic prescription. To be confident that someone has a viral infection and does not need antibiotics, I need to trust I have all the epidemiological information necessary. 1/
I'm now second guessing myself if I left patients with pertussis untreated because I trusted Public Health to warn that it could be the case and they didn't. Initial pertussis symptoms are just like a myriad of viral infections, difficult to differentiate. Epidemiology is key. 2/
This break of confidence in Public Health as a good faith partner makes my job much more difficult. It makes me less confident in witholding antibiotics. Do you see where this is going? Trust in Public Health is essential for doctors to navigate their patients health issues. 3/
Read 4 tweets
May 10
It turns out I had whooping cough (pertussis). 🤯 In medicine what is common is common and what is rare is rare and inexperience with the disease and a lack of timely epidemiological warning meant this wasn't top of my differential diagnosis. A 🧵 on this crazy situation. 1/
A colleague from Spain thankfully reached out to me at the time to warn me about pertussis, as he was seeing many cases in Spain. 🙏🏻. But here in Portugal there was complete radio silence from Public Health. It turns out they were quietly sitting on a scary explosion of cases. 2/
They went public this week, as the silence became untainable. Days before, I had decided to test my antibodies to have solid evidence before going public about it. I had also reached out to a public health colleague to find if he knew anything. He too was in the dark. 3/
Read 20 tweets
Mar 30
Watching academia and scientific institutions fully embrace or be slowly made to conform to the minimizing of the SARS² pandemic has been one of the most disheartening aspects of the ongoing Pandemic. Here I present one saddening example of the subtle ways they do it. 1/
Life Expectancy from 1980 to 2021: for every world continent except Oceania there is a 2 year substantial drop in Life expectancy of around 2 to 3 years. Oceania had a zero Covid policy until middle 2021 and so no drop in 2020. The image puts the same graph side by side: on the left, as it was before, the y axis adjusted to the year selection and changed to start at 50 years, better showing the differences since then. This is this image. On the right, as it is now, the y axis starts at zero and doesn't adjust to the numbers, making the changes less obvious. That is the next image.
Life Expectancy from 1980 to 2021: for every world continent except Oceania there is a 2 year substantial drop in Life expectancy of around 2 to 3 years. Oceania had a zero Covid policy until middle 2021 and so no drop in 2020. The image puts the same graph side by side: on the left, as it was before, the y axis adjusted to the year selection and changed to start at 50 years, better showing the differences since then. That is the other image. On the right, as it is now, the y axis starts at zero and doesn't adjust to the numbers, making the changes less obvious. This is this image.
Our World in Data has been a huge resource during the pandemic. I've spent countless hours checking and interpreting their data, so I got to know the site pretty well. I have noticed some minimizing changes the last year, but this one really got to me. 2/
ourworldindata.org/grapher/life-e…
And it got to me because of its crudeness. It makes data harder to visualise and goes against the whole ethos of the site, it is just counterproductive. In this case, they simply stopped the y-axis from adjusting to the variable spread, making it harder to understand changes. 3/
Same left image as on top.
Same right imagine as on top.
Read 8 tweets
Mar 7
Like Mycoplasma, Chlamydia (Chlamydophila) psittaci is an aerosol spread, intracellular bacteria. Many are asymptomatic carriers. The immune system relies on lymphocytes to fight it. SARS² kills lymphocytes weakening the host defences. The quiescent bugs explode. People die. 1/
Out of the 5 deaths, 4 were in 'let it rip' Denmark. But every country is 'let it rip' now so Denmark is probably just doing a better job diagnosing it. The deaths coincided with the last COVID wave in Europe, but they are blaming birds and maybe soon avocados (/s). 2/
What'ss clear is the usual minimising protocol: it only happens to others (those with close contact with birds); they are mild deaths. "So far, the human health risk is low, the WHO said."
Mild deaths, I tell you. Also, probably immunity debt from decades long lockdowns. (/s) 3/ "While birds that carry this disease could be crossing international borders, there is currently no indication of this disease being spread by humans nationally or internationally," the WHO said.  Bold and bigger font: "There is currently no indication of this disease being spread by humans nationally or internationally."  The group added that national surveillance systems are closely monitoring the situation and that lab sampling of wild birds is under way to better gauge the prevalence of C psittaci in wild birds. So far, the human health risk is low, the WHO said.
Read 6 tweets

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