This is the reason cvd is causing such widespread harm, the serious immediate impact is relatively low, and the longer term impacts aren’t usually immediate.
If 50% were dying while visibly hemorrhaging, there’d be more urgency broadly.
Think 1918 flu or the Plague.
But, if you approach cvd as formal risk, it changes the perception. Most can’t (or won’t) do this.
LC 5-25% incidence. 1/20 to 1/4 odds with any infection, increasing with repeats. That’s more than enough to require mitigation.
How many lottery tickets give a 1/20 win?
But LC is not always visible or recognized. “Brain fog” “Fatigue” “Dizziness” “It’s not cvd!”
Immune de-regulation is far more concerning. Even more difficult to see along one person’s horizon, but clear in population data.
No indication of probability I’ve seen, possibly 100%?
Lacking any probabilistic risk data tells me much more caution is required.
But most individuals “doing a personal risk assessment” don’t know how to do that beyond, “I feel ok, no one I know is really sick”. Especially with public health massively failing to provide that data.
Even MDs don’t get this mostly. Story from .@1goodtern about how they suggested a child might have PANS, and the GPs were surprised as they didn’t know cvd could do that.
Where does an individual get quant data for proper formal risk assessment?
We’re at the point where systems designed to do this for us have failed or stopped caring.
Literally need to read the research papers coming out several times per day now.
And follow risk assessment experts to see what they’re projecting.
Citizen science is all we’ve got left.
(And I’m not a risk expert)
Did formal assessments in flight test, escape systems and business risk…but I’m not someone to listen to about health risk.
What I do know is how poor risk analysis causes catastrophe. And I see lots of those harbingers today.
Bunch of comments about the “values before science” report just released.
Trying to satirize it and discovered I can’t. It’s a problem. Here’s why.
CW: colonial violence
Setting up that ‘values before science’ is a problem requires the assumption that science itself contains an ethics/moral value system that stands alone.
I’m not sure that’s accurate.
And in cases where we ‘follow the science’ our cultural values allow grave harms without pause
My first thought is the main problem is it’s a simplistic dualistic either/or fallacy. But it’s more complex.
Science values are informed (created?) by the cultural values.
Eugenics as case in point. Maybe pseudo science, but a clear case of values permitting lots of harm
"For the pandemic, everyone looked to medical doctors and public health officials for guidance, and they certainly have expertise in what's happening with the virus when it's in your body and what we can do about it on a population scale.
But I think they were not savvy to what we can do in the indoor environment to reduce the risk of transmission, because they weren't really aware of the mechanics of transmission.
And that's where aerosol scientists and engineers can play a role. But we were shut out of the discussion because it was thought that our expertise wasn't relevant."
That's it. Shut out of the discussion b/c their expertise wasn't considered relevant. npr.org/sections/goats…
There's a short Youtube video going around of an AME explaining why aircraft ventilation is so good and aircraft cabins are free of contaminants. I did some checking to get ready for @TheReSisters2@MaryJoNabuurs@coopSpeak community tonight. Sharing my fact check here.
AME = aircraft maintenance engineer, holder of a federal Transport Canada mechanics license.
I've done 3 threads looking at cabin ventilation and disease transmission from published literature. First is here:
Listening to the radio today, heard Midnight Oil's song The Dead Heart. Listened to them since college, but I'd never really heard the lyrics of this song before.
I knew their hit "Beds are Burning" was about Indigenous rights. These lyrics really caught me today.
We carry in our hearts the true country
And that cannot be stolen
We follow in the steps of our ancestry
And that cannot be broken
The Manitoba Metis Federation, government for the Red River Metis, ratified the first modern treaty for Metis in Canada this past weekend. It's the end of decades of advocacy, court cases and negotiation with the federal Crown.
A thread about the movement aka safety differently, and how this is another thing industry could teach public health and infectious disease physicians.
For decades the prevailing safety method was based on compliance. Cause if you reduced errors to zero, there’s be no accidents!
This was loosely based on early research that said if you could reduce near miss or minor injury accidents to zero, you’d eliminate serious and fatality accidents.
Again, cause it’s all about eliminating errors.
But people noted that while the low impact incidents were reduced,
Serious and fatality accidents seemed to settle at a constant level. Realized the eliminate errors model was wrong.
And the way eliminate errors was usually implemented, meant being involved in an accident meant getting fired. Cause compliance. Eliminate the errors, end accident
Normalization of deviance is the technical term. We do a particular thing repeatedly and conclude it’s safe because nothing happened, when the reality is the cheese holes just didn’t line up for us.
Classic example involving pilot ejection seat 🪂.
A jet broken in North Bay and sent a T-33 down with a replacement pilot. The pilot in North Bay flew back in the back seat of the T-33. When I heard this I asked “who fit his parachute?”
Backpack parachutes require custom fitting. It’s a six week course to learn fit & pack.