The last two weeks' notifications in red.
The growth is stratospheric.
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.
And along with the roughly three year cycle, you'd also get a yearly cycle, with the main peaks happening around October.
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:
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.
All age groups.
All regions.
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You've heard the expression 'salt of the earth', right?
A religious teacher seems to be the first to use that expression to refer to people a couple of thousand years ago, and I thought it seemed relevant to the whole 'salting the vibes' thing.
A quick thread... 🧵
The story of the teacher using that phrase gets recorded in three different accounts of his life, and the context and details are very subtly different, so it's actually really hard to know exactly who the teacher is talking to and what exactly they're trying to mean.
But the way I read it is that he's speaking not just to his close followers, but to all of the crowds who gathered to listen to him.
That's implied by two of the accounts.
And he says to them:
"you are the salt of the earth"
So the mutation that is the backbone of the latest peak of the current wave (the s31 deletion) is basically a new one to Covid.
This is all four years of available sequences, and a new mutation causing a *massive* wave, that isn't even close to peaking yet...
... and that may be followed by a wave from variants with *another* deletion.
I said it's 'basically' new.
But there were a few sequences that popped up in the very early days missing that amino acid.
Today I walked across cliff paths to an isolated beach, then at low tide scrambled round rocks to an even more isolated cove and found strange piles of artwork there that maybe only I will have seen.
Where the sea washes in onto the rocks of the beach with each tide, it had swept up pebbles that were gradually wearing smooth indentations into the rocks over the years and decades and maybe centuries.
And then as the rough seas earlier gave way to the calm seas now, the waves left these pebbles in small piles in the indentations.
I've noticed a trend in how people ask me questions about my mask.
They summon up their courage to ask me a question that is, in their minds, a question that can't be answered.
So, having asked it, they switch off instantly and don't even listen for an answer.
For example, "when are you going to stop wearing that?" which actually means "why haven't you already stopped wearing that?", and they think there is no reasonable answer, so they don't listen for one.
They're just there to deliver what they think is a gotcha question.
This article is a tough read.
We need our health services, and are so grateful to them when they do things right, but they are institutions packed with ordinary people.
And ordinary people are flawed.
"Pregnant women suffer racist and discriminatory abuse at NHS trust, says inquiry head"
So I read this article about reports of racism in one trust, and a string of healthcare failings in maternity care, and, of course, it made me think of the failings in healthcare about Covid.
Doctors and nurses and healthcare professionals are not prefect.
This thread is really important.
But it's not exactly easy to understand.
I'm going to *attempt* (and probably fail) to explain it using the image of a building site.
It's about how scientists are figuring out how to spot the microclots that people with Long Covid are producing.
Think of your body as a building site, and your immune system components as workers.
Some of those immune system components are key to this situation: monocytes and platelets.
Your monocytes do perform multiple functions, but in this instance they're acting as supervisors.
They put the important tools in the right place, and carry plans, and materials that are essential to the building process.