Dr. Deepti Gurdasani Profile picture
Apr 5 15 tweets 3 min read Read on X
The success of movements and their reach often depends on solidarity between these leading to advocacy on multiple related fronts. Health equality, disability advocacy, decolonialism, anti-racism, feminism, trans rights, climate justice, health & social equality, are connected🧵
Not all movement leaders see these connections. From my experience, it's often the least privileged groups, and/or groups with an understanding of systemic power structures (often because they are subject to systemic violence themselves) who understand these connections better.
I often see solidarity missing from movements like the COVID cautious movement, and even some advocating for long COVID. Often people with ME/CFS or other chronic illness, or disability are excluded, despite similarities and the v. long history of systemic violence against them.
Many who seem to advocate for caution to protect children in the context of COVID-19 don't seem to see the connections with the public health crisis in Gaza, largely impacting children. They don't seem to value people's lives in other contexts beyond their own privileged bubbles
Similarly health equality for disabled people is also closely linked with racial health equality. Not only is it linked, this is intersectional in nature, with the impact of one amplifying the impact of another.
Disappointingly many movements started with intentions to protect one group have not been able to see the oppression and injustice affecting other groups, and how these are connected. The COVID cautious movement has had a problem here.
While there are some who see the connections, and advocate across many fronts, many simply don't. They have an isolated view of this being one instance where capitalist interests have superseded public health. This is an inaccurate and narrow view & does many people an injustice
Those who have been fighting fights on several fronts for decades know this. That systemic violence against people to serve the interests of capitalism, the interests of western imperialism is not something new. It's in fact very very old.
If the COVID-19 pandemic was the first time you felt let down by govts, or institutionally betrayed, you are among the privileged. There are people who have lived with daily systemic violence and institutional betrayals directed at them for decades.
Ask any black person living in the UK or US. Ask any disabled person trying to access care, or support. Ask whistleblowers. Ask people living under severe oppression and apartheid under colonial violence. Ask morally injured and betrayed health and care workers.
There are advocacy groups who have been fighting these fights for decades. There is nothing new about the systemic violence against people we've seen during this pandemic. Ask those involved in climate justice movements, or anti-tobacco industry movts.
That's why solidarity is important. To learn about the structural violence that exists and has always existed in our societies (that our cultural hegemony often makes it hard to see). Don't just care when it affects you, when it's affected so many for decades.
If you were subject to trauma or systemic violence that has now made this visible to you, please understand that this existed even before you could see it. To truly understand it, you must see those who have been subject to it before you, and understand their struggles too.
Solidarity is vital to change, but also to acknowledging the world we live in, and seeing everyone's struggles, not only ours. And not having to experience a trauma ourselves to advocate for groups we don't (yet) belong to. Caring enough to advocate for change for everyone.
It's not a zero sum game. It's not about 'not letting x or y distract from z', but rather fighting for x, y and z. Public health cannot exist with capitalism and climate injustice. Anti-colonialism and anti-racism is antithetical to capitalism. We need to see the bigger picture.

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More from @dgurdasani1

Apr 2
This epidemiological history suggests there may be cow-to-cow transmission of H5N1 taking place (cows affected without clear exposure to poultry/birds), which is quite concerning. To date, mammal-to-mammal transmission has only been identified in experimental conditions. 🧵
H5N1 has been showing adaptation to mammals (PB2-E627K and PB2-D701N mutations)- which may explain the extensive transmission to mammals (sea lions, cats, foxes, and now cows) and high mortality among mammals affected over the past year.
There is spillover to humans that has also happened in some cases, but to date there is no clear instance of human-to-human transmission that has been identified (almost all cases have had contact with birds/poultry).
Read 13 tweets
Mar 31
A huge point missing from the 'cumulative risk' discussion is that it's not just about the cumulative risk of developing long-COVID population-wide, but also what happens to the quality of life of those who have long COVID with subsequent infections. Or does no one care?
The limited research we have so far shows that this group is at high risk of worsening with each infection- significantly affecting their quality of life. Something not measured in cumulative risk studies- because those studies only measure new LC among those who don't have it
Given the high levels of prevalent long COVID in every single country (as shown by the ONS survey, the household pulse survey and others), shouldn't we also care about what repeated infection are doing to this very large population?
Read 10 tweets
Mar 30
Given that 'cumulative probability' has now become additive- I guess the chance of getting a head from three coin tosses is 50% +50% +50% =150%?
(yes this is a subtweet, and no those calculations make no sense at all to anyone who has any basic understanding of probability!)
The *real* cumulative probability for getting LC is as follows: 1-(the probability of not getting LC)=
(1- [(1-x)(1-y)(1-z)]....), where x, y, z... are the probabilities of getting LC at 1st, 2nd, 3rd infection and so on. The probability increases with each infection.
Always amazed by how people can be so consistently and confidently wrong when they clearly don't even have basic mathematical knowledge to be able to grasp the most foundational concepts.
Read 8 tweets
Mar 24
A brief 🧵on recent experience with possible MCAS (Mast Cell Activating Syndrome) as part of long COVID. Hoping this thread may help others who have symptoms of MCAS post-COVID who may not have been diagnosed, or have considered this possibility & may be untreated as a result
Some background- I have had hypermobility, GERD, auto-immune disease (UC) & mild POTS before COVID. After COVID, the POTS, GERD worsened & I developed fatigue, brain fog & PEM. To those who know about MCAS, none of this will be surprising, as all these are associated with MCAS.
I recently had a wk long episode of gastro-enteritis, and was very puzzled as to what was going on. I hadn't eaten out & no one else at home was ill. I am on treatments that could cause this as a side effect, but I'd never had these effects with the doses I was using before.
Read 18 tweets
Mar 15
The media won't cover high quality peer reviewed published evidence on the long-term impacts of COVID-19 on every single organ system, but rushes to cover 'expert opinion' on an unpublished non-peer reviewed abstract that contradicts everything we know about LC so far.🧵
And of course no one can really critique because we know nothing about the actual nitty gritty of the study, as it doesn't exist, even as a preprint. How does one deal with a system like this?
It would be like if there was a whole body of empirical evidence that supported the earth being spherical, but one person conducted a study that they say showed the earth was flat (unpublished), but asked us on the basis of that to stop referring to the earth being a globe...
Read 11 tweets
Mar 14
Using TV shows to support the hegemony of normalising COVID by dismissing those taking precautions as having 'post-covid anxiety'. These shows, like MSM serve to maintain the status quo by dismissing anyone whose actions may threaten this normalisation as 'anxious'.
This is how a one normalises mass infection with an illness with serious long-term consequences. First, they call it 'mild' and suggest it's like the 'flu'. Then they talk about how mitigations like masks are harmful (they're not) & onerous, & how 'people don't want to continue'
Then they try to minimise the long-term impacts saying they either don't exist, are all in the head, or are *rarer* with vaccination and current variants. Relativism is used here- i.e. 'the situation is better', although absolute risk at population level is still unacceptable
Read 5 tweets

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