tern Profile picture
May 30, 2024 13 tweets 3 min read Read on X
>Holy Shit<

Whooping Cough cases in England

😮 flat graph that suddenly goes very high.
The last two weeks' notifications in red.
The growth is stratospheric. Image
There have now been more cases in the first five months of this year than in ANY FIVE YEAR PERIOD IN THE LAST TEN YEARS.
So, before the arrival of Covid, you'd get a few years' cycle of Whooping Cough cases that would build in a series of peaks before a drop. Image
And along with the roughly three year cycle, you'd also get a yearly cycle, with the main peaks happening around October. Image
So build up to October, drop a little, build up higher to the following October, drop a little, build up even higher to the following October, drop a lot.
Then this year: Image
How high does that graph go if it continues rising to an October peak?
Too high.
Somewhere between 8,000 - 16,000 notifications a month, I reckon.
Just a reminder that the UKHSA expect Whooping Cough cases to follow the usual seasonal pattern, so expect another five months of growth, and another few months to get back to the normal level. Image
All age groups. Image
All regions. Image

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More from @1goodtern

May 27
I've been thinking about this a lot since a woman in our community lost her unborn baby at 32 weeks while ill with a viral infection.

If you look at this chart, it's horribly obvious how much extra suffering viral infections have caused to pregnant women since 2020.

But... Image
But the huge spike in 2020/1, 2021/22, and 2022/3 hides a bigger problem.

That as of the latest data, viral diseases are now causing *three times as many hospital episodes as before Covid came along*. Image
I'm just going to gray those three years out to help you see.. Image
Read 13 tweets
May 19
If covid infections make you *more vulnerable* to almost every other pathogenic infection by multiple mechanisms, then you'd expect increases in almost every other pathogenic infection.

And that's what we see.

Ten completely unsurprising news stories:
1
Dengue virus
"Cases of the mosquito-borne viral illness have touched a record high in the Americas this year."
reuters.com/world/us/us-cd…
2
Measles virus
"Measles cases in the European region doubled in 2024."
reuters.com/business/healt…
Read 70 tweets
May 18
I was absolutely appalled to hear Bonnie Henry say "Personal Protective Equipment, the word we all dread".

You may have had an instant visceral reaction to that yourself, but here are the eleven things wrong with what she said:
It's like the head of NASA talking about the dread everyone has of space suits.
The space suit is something you *need* in space to be able to do the thing you want to do, and then to be able to do it again.

To hear the head honcho saying they dread it turns every single concept on its head.
Read 43 tweets
May 14
I don't think I have ever been so appalled about public health policy, information, and communication than by what I'm hearing about hanta at the moment.

It's like people's brains are just switched off.
Like they can't think straight.
It's unbelievable.
I genuinely think we should *not* be at high risk of a universal spread of hantavirus, but we don't need universal spread for it to have been an absolute failure.
If there are a couple more generations of spread, then it risks becoming a nightmare.

Is that going to happen? I don't know.
Neither do you.
The WHO doesn't know.
No one does.
Read 27 tweets
May 9
Since we've decided to do this all again:
🔟
Ten things that can reduce the risk of catching an airborne pathogen:
1 An ffp2+/n95+ mask (respirator) worn properly
2 Ventilation
Read 31 tweets
May 9
People are just not going to be able to get their heads round the slow incubation period of hantavirus.

On reflection, thousands of people have probably already been exposed, and those thousands could expose tens, even hundreds, of thousands more.
The sheer time scale is almost impossible to grasp when placed in the context of people engaged in the kind of fast international travel involved with a cruise ship.
You might think that's ridiculous because a cruise ship is slow and contained, but it's not the cruise ship so much as the interwoven pattern of flights people take to *get to and from* the cruise ship.
Read 23 tweets

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