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Conor Browne Profile picture
@brownecfm
Sep 16 • 5 tweets • 1 min read Twitter logo Read on Twitter
1. What concerns me the most, by far, about SARS-CoV-2, is that, in the absence of better vaccines and therapeutics, we are heading towards an inexorable reduction in global population health. Even if the virus maintains the same virulence, the data we now have on the average...
2... rate of re-infection, combined with the data we have on the likelihood of sequelae of infection and Long Covid with each infection, makes it a near-certainty that a growing percentage of the world will continue to become chronically ill and / or disabled. The pandemic is...
3.. often framed as a 'mass-disabling' event, but what I think most people don't understand is what that actually entails. It means pressure on global healthcare services that will be detrimental to everyone, not just those suffering from Covid-related illnesses. It means...
4... significant logistical and supply-chain problems. It means economic recessions. It could well mean an increase in civil disorder. Fundamentally, it means a drop in quality of life for all. Reducing the transmission of this virus should be the primary global priority...
5... right now. If we don't work this problem with the solutions we have (cleaning indoor air, fast-tracking better vaccines and therapeutics) everyone loses. Everyone. /end

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More from @brownecfm

Conor Browne Profile picture
Sep 13
1. 'Northland emergency doctor Gary Payinda said some viruses, which used to cause barely a sniffle in healthy adults, were now putting people in hospital.

"We're now seeing your typical regular healthy middle-aged person presenting to ED with...

1news.co.nz/2023/09/13/cov…
2...bad cases of RSV. And that's pretty novel for us," Payinda said.

He suspected Covid may have damaged people's immunity in *subtle ways* that fell below the threshold to qualify as long Covid'.

* my emphasis.

This is where people aren't joining the dots. Sequelae of...
3... SARS-CoV-2 infection isn't confined to Long Covid; the immune dysregulation effect of infection (as @fitterhappierAJ has warned about for years) is, imo, causing other infectious diseases to present more severely in some individuals. This effect, in my opinion, will be...
Read 4 tweets
Conor Browne Profile picture
Sep 7
1. A very important article on the impact of acute SARS-CoV-2 infection and also Long Covid on the firefighter community. The overall adverse effects of Covid-19 on both individual firefighters, and, arguably more importantly, on the *capacity of the service* itself, can be...
2... generalised across all emergency and security services (including organisations involved in national security). This is why addressing Covid-19, rather than attempting to systemically ignore it, is detrimental to society in general.

'It is often difficult to know when a...
3... firefighter is well enough to return to work, how to provide appropriate support to department members who are suffering from prolonged symptoms, and how to meet the operational needs of the department given the number of firefighters who may be out because of acute...
Read 5 tweets
Conor Browne Profile picture
Aug 13
1. I rarely quote tweet, but Professor Lucey has provided me with what might be referred to as a 'teachable moment' here. So, to clarify, the professor is correct in one regard: I am not a medical doctor. However, my work explicitly does not depend on a 'constant fear of...
2. ... Covid', as he puts it. Rather, I collaborate with organisations who, for their own reasons, want to understand how Covid - and other infectious diseases - will affect their business in the future. In that regard, my role, as I've said many times before, relies on the...
3... accuracy of my predictions. I can assure you these organisations are not driven by fear; rather, they are driven by profit. I also collaborate with organisations in the diagnostics sector - again, not just for Covid but for other infectious diseases as well; these...
Read 5 tweets
Conor Browne Profile picture
Aug 8
1. As many of you know, my mother lives in a nursing home, and has done so for nearly four years. She is clinically extremely frail and bedridden. A few days ago both myself and the staff nurse in her nursing home noticed a sharp decline in her health, and a GP visit was...
2... arranged for yesterday. As always, I visited my mum yesterday, and the nurse on duty told me the GP had been to see my mum earlier in the morning and would ring me later. Early afternoon yesterday the GP rang me, and told me, very gently, that it is very likely indeed...
3... my mum is in the final weeks, or even days, of her life. We had a discussion about hospitalisation, and both agreed that, sadly, it would be of no value to my mother at this point, and would only make her anxious and uncomfortable.

This news, while very sad, does not...
Read 8 tweets
Conor Browne Profile picture
Aug 4
1. Covid-19 Exceptionalism and Healthcare Systems Pressure: 🧵

I am constantly bewildered by the utter lack of joined-up thinking that I encounter when having conversations about this topic both on and offline. Simply put, the majority of people - who, sadly, at this point...
2. ... either hold the 'Covid is over' mindset or the 'Covid is just another respiratory virus' mindset (or, even more puzzlingly, both simultaneously), don't realise that - when it comes to pressure on healthcare services - they still, subconsciously, think of Covid as...
3. ... exceptional. That is to say, their psychological framework for Covid-19 is that there is one category of medical issues that is composed entirely of acute SARS-CoV-2 infection, and another category that contains every other possible medical issue. Basically, there is...
Read 10 tweets
Conor Browne Profile picture
Aug 4
1. As I keep saying to anyone who will listen, this will keep happening until we reduce transmission of SARS-CoV-2 in the community. These incidents of increasing Covid cases adversely affecting healthcare systems are not 'one-offs'. Quite the opposite:
thesun.ie/health/1113340…
2. ... they are mathematically baked into the situation we have created for ourselves. In the absence of 2nd generation vaccines or therapeutics and / or significantly increased health care capacity, if we allow the virus to spread without any mitigation, extreme healthcare...
3... service pressure is now the norm and will continue to be so. And make no mistake, people will die because of it. People who otherwise would not have died if our governments would actually take this virus seriously. This is what angers me the most. That, as a society, we...
Read 4 tweets

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