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Mark Ungrin Profile picture
@Mark_Ungrin
Sep 19, 2023 • 18 tweets • 8 min read • Read on X
We need to start estimating the approximate death toll attributable to specific failures (for example WHO refusal to take airborne spread seriously) and rolling out criminal charges against individuals.

26 million dead is well into crimes-against-humanity territory.
For example, it's great that WHO's Chief Scientist has recognized what happened and that it killed people. But now we need to see some accountability.

How many is "an enormous number of lives", roughly speaking?

Who, specifically, is responsible?

It's clearly not an innocent mistake. At minimum, negligence. The SARS Commission provided crystal clear guidance on how to handle a new respiratory illness.

We know how SARS-CoV-2 should have been handled. To act otherwise was a deliberate choice.

WHO received warnings that required action under the precautionary principle established as the standard by the SARS Commission. No room for discretion, or judgment, or for the guilty to try and redefine "precautionary" or "airborne" after the fact.

pubmed.ncbi.nlm.nih.gov/36763042/
The error bars around the numbers are just a distraction. Tens of millions are dead - that's not hyperbole, it's the cold, hard truth, and doesn't count the harms of #LongCovid

Even 1% of 1% of that is an immense crime.

en.m.wikipedia.org/wiki/List_of_s…
It's already starting in other countries. Great to see movement, but as usual the little fish go first - very important that accountability gets pushed all the way up the ladder to the worst offenders as soon as possible.
And hospitals and physicians here have been warned they can face liability for failing in their duties here as well.

It's one of the reasons behind those weird declarations that certain non-precautionary approaches "meet the precautionary principle"; or that the principle does not automatically require precautions.

The bad guys are trying to redefine the words they're going to hear in court.
This is a post by Germany's Minister of Health.

Words like "immense" don't even start to describe the scale of the intellectual and moral failures here. EBM Lysenkoism at WHO and elsewhere 👉reduced life expectancy at the population level👈.

(see also: )
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It is not only public health and hospitals that are failing us. Bad advice and the examples of bad behaviour have rolled down to school boards as well. It's worth looking locally at whether yours is living up to minimum standards.

calgaryherald.com/news/local-new…
Also note these completely unambiguous recommendations by the SARS Commission to fix the culture of impunity when it comes to workplace safety.

This is the level at which accountability needs to *start*, and then we go up from there.

p51 in archives.gov.on.ca/en/e_records/s…
The Commission therefore recommends: • Legislative amendments and policies in relation to the waiver of potential Crown privilege claims, such that in such cases where charges do not result from Ministry of Labour and other investigations of deaths and critical injuries in health workplaces, the results of the investigation and the reasons for the decision not to prosecute be made public. • That Ministry of Labour investigations into critical injuries and occupational illnesses arising from a disaster of the magnitude of SARS be commenced and completed expeditiously. • That a review be unde...
Especially because the way that public health and IPAC have failed us in COVID show they learned nothing from the way they failed us in SARS.

"they cared more about what we looked like to the general public"

(p602 here: ) archives.gov.on.ca/en/e_records/s…
We heard a lot of how it appeared to people to see us wearing masks, how it frightened them off. You know you walk into a hospital and see people with masks, people get frightened. It just seemed like they were more concerned with what we looked like to the community, how we appeared. Okay, SARS is completely under control so there is no need to worry when in fact there was still high risk to us as it later showed, there was a high risk. Because I thought it was ridiculous that they cared more about what we looked like to the general public than they cared about how we could have been expos...
I'm sure a lot of HCW (and teachers, and workers in many other areas as well) can see where PH / IPAC failed in their duties here (p605 - ): archives.gov.on.ca/en/e_records/s…
During a public health crisis, no health worker should be denied the opportunity to use or be discouraged from using approved protective equipment and infection control and worker safety procedures she believes are necessary to protect herself. As one physician who cared for SARS patients told the Commission: Front-line health care workers should be allowed to exercise their own kind of caution, and I understand that there would be guidelines provided. But they should have unlimited access to personal protective equipment. Let’s say if there is a next epidemic, avian flu or whatever, then h...
It also makes it clear that public health / IPAC culture is just not fixable.

How many other places are there where you can make the same choices, screw up the same way, and kill (enormous numbers of) people *twice* and nothing changes?

(p607 - ) archives.gov.on.ca/en/e_records/s…
of hindsight we can see evidence of a failure to maintain a high index of suspicion and failure to capitalize on mechanisms which could have enhanced our ability to do so.661 [emphasis in original] In hindsight it appears likely that if the precautionary principle had been applied, and precautions had been maintained until the unexplained cases had been fully investi- gated and definitely ruled out as SARS, the spread of SARS could have been prevented.662 As one physician said: Answer: I think what SARS did is it humbled us and it also made us realize that even when we think we know everyth...
People in BC will be able to relate to this one in particular. Public health is not an evidence-based field - they use the approaches of "Evidence-Based Medicine" and since that has the word "evidence" in it, it's just assumed that's enough.

(p1140 ) archives.gov.on.ca/en/e_records/s…
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Also of interest RE the pattern of betrayal of worker safety by CMOH / IPAC in BC and beyond:

Particularly important to note that who the authors of the deficient Seven Oaks report were (and that they were also involved in SARS): archives.gov.on.ca/en/e_records/s…


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In SARS, as we have seen again in COVID, infection-control decision making seems to have been driven more by prejudice and magical thinking than by reality (p652 - ). archives.gov.on.ca/en/e_records/s…
Another nurse reported discussing the deaths with a charge nurse, but the explanation given was that the patients are elderly and have medical problems: I heard that some nurses talked to the head nurse and talked to the nurse in charge at the desk about these deaths, because there were just so many pneumonia patients who died. And the charge nurse said that, actually, I was there when one of the nurses told her about it, and she said, well, they’re old and they have past medical history, so they’re expected to die. Others nurses reported hearing rumours that colleagues had raised SARS conc...
Meanwhile, instead of trying to fix their massive, ongoing failure the big shots at WHO are spending their time trying to redefine words to cover it up. Infectious Disease newspeak is a choice to harm even more people to save themselves.

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More from @Mark_Ungrin

Mark Ungrin Profile picture
Nov 14, 2024
@dsoq @PeoplesCDC "Narrative A" in the Isolation draft depends almost entirely (looks like >97%?) on the Radonovich 2019 and Loeb 2009 studies, which were intermittent-use trials (e.g. participants put the N95 on 👉after being exposed👈) - and they wonder why scientists don't take them seriously. Image
@dsoq @PeoplesCDC This is the problem with the mindless embrace of "Evidence Based Medicine" by public health. 👉EBM is not rigorous👈. The entire foundation for "Narrative A" is "we don't know how to use PPE and we don't want to learn, therefore it won't work".

Sloppy thinking, sloppy product.
@dsoq @PeoplesCDC The tension between clinical guidance development and science is in how a big, expensive, fatally flawed study (poorly designed, poorly implemented, misrepresented, etc) is dealt with.

Science throws it out.

Clinical guidance calls it "pragmatic" and "best available evidence".
Read 4 tweets
Mark Ungrin Profile picture
Sep 24, 2024
@moss_sphagnum @PeteUK7 The study showed noninferiority of wooly hats under an intermittent-use protocol, with workers donning their hardhats when within three feet of a falling object. Experts attempting to educate IPC leads in use of PPE were drowned out by shouts of "pragmatic!" and "gold standard!"
@moss_sphagnum @PeteUK7 Initial results showed inferiority of wooly hats when exposed to falling objects on the jobsite.

The study was then relocated to an earthquake zone where participants were struck by falling debris in the community.

Injuries were not affected by the type of hat not being worn.
@moss_sphagnum @PeteUK7 Failure of randomization resulted in a statistically significant bias towards male participants being allocated to the more protective, standards-compliant hardhat arm of the trial, and female participants to the wooly hat arm, invalidating the trial.
Read 8 tweets
Mark Ungrin Profile picture
Sep 18, 2024
I want to highlight a story from May 2020 that really hammers home the mismanagement of the pandemic by public health and infection control leaders.

Nursing home in Montreal, COVID everywhere, staff sick, people dying. It killed a significant proportion of the people there. Image
Why did this happen? The employer was denying N95s, denying testing. Not even properly isolating infected residents, and no one paying attention to ventilation either.

This sounds like:
1) homicidal stupidity
2) what IPAC is currently doing in most hospitals Image
The military was brought it, and because unlike IPAC they are not complete idiots and have an understanding of how to protect against biological hazards, they wore the proper PPE (and the nurses were allowed to have N95s as well now) - and someone checked the ventilation. Image
Read 5 tweets
Mark Ungrin Profile picture
Sep 11, 2024
@EvonneTCurran Evidence Based Medicine. It isn't just that EBM has subjective methodological preferences that override research rigour. It's that belief in EBM as "how science works" is *inherently incompatible with rigour*.

It's like believing 2+2 can be 5 if the right people say it is. If...
@EvonneTCurran ...you train someone to believe that, you haven't just misled them about the outcome of that specific calculation. To get them there, you'd have had to destroy their connection to the logic of mathematics. You couldn't trust any calculation they did after that.

When used...
@EvonneTCurran ...properly - as a heuristic, recognizing it's only a heuristic - EBM can be useful. But believing EBM is "how science works" is incompatible with the rigour and logic necessary to understand and apply science.

You can have one or the other, but you can't have both.

So...
Read 4 tweets
Mark Ungrin Profile picture
Sep 5, 2024
This is just the tip of the iceberg of Russian manipulation in Canadian politics.

Pay attention to which politicians *don't* want it looked into, and ask yourself why that might be...and whether their wealth is consistent with their income.

mapleridgenews.com/news/former-la…

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Canada doesn't have just a peripheral role here either. Support for Ukraine - and the influence to spread that support - likely made replacing Canada's government with a friendlier one a priority for Russia. It actually looks like TENET got its start here:
tennessean.com/story/news/cri…
I really hope CSIS and the RCMP are on top of this, and looking into Russian election interference in Canada via this program - and what other efforts are out there as well. What channels does Russia have into the secretive back rooms of our political parties?
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Read 27 tweets
Mark Ungrin Profile picture
Aug 25, 2024
@globeandmail Because our public health leaders are completely out of their depth, and care more about covering up their own incompetence than doing their jobs.

Because an MD is not a PhD, and letting cosplay scientists exclude real ones is not an effective way to handle a science problem.
@globeandmail Because medical politics is a toxic, authoritarian tar pit that selects for the worst members of the profession, and gives them control over their betters.

Because a "Thin White Line" mentality means outside criticism of pseudoscientific medical guidance is ignored.
@globeandmail Because journalists haven't put enough thought into who they platform, and just accept silly claims by clinicians with little or no relevant advanced training that they understand everything that touches human health better than actual experts.

Read 12 tweets

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