I met up with an old friend for a walk earlier this week, taking advantage of a glorious sunny autumn day.
He's not covid cautious or conscious and he didn't know I am, so when I put on a mask to go inside a public building he was taken aback.
"Do you always do that?"
Yes I do.
We continued on our walk, chatting about all sorts of other stuff, and he brought the subject back round to the mask.
He respects me, and I respect him, so respectfully he asked if I thought masks worked.
I said that it depends what you mean by 'work'.
They reduce the amount of airborne particulates you inhale.
Covid is spread mostly by people exhaling and inhaling airborne particulates.
So if you want to reduce your risk of catching Covid by reducing the amount of Covid you inhale, then yes they work.
They're not perfect, but what is?
I've been watching all my colleagues get repeatedly sick, while I've stayed well for five years.
And then he asked what made me think that covid was worth avoiding.
I thought about my reply for a moment, and then said "science"
Not anxiety, or fear, or superstition.
Science.
The science outlining what Covid infections are doing is solid and vast.
And the links between what science predicts (eg that covid infections will cause disability) and the effects we see in the everyday (rising disability) are unequivocal.
I've given up trying to always be a cheerleader in these kind of situations.
It's a path that most people are unwilling to consider, so people can take or leave my opinion.
But he asked, so I told him.
I told him that I think everyone ages but people who catch Covid repeatedly age quicker in terms of key indicators like lung and brain and heart health.
I told him that waves of Covid infection cause ambulance delays and hospital overcrowding.
I told him that sickness rates in some sectors have doubled.
I could have kept going, but I didn't have the energy or the heart.
He acknowledged that it was potentially true.
But he, like so many others, thinks that he couldn't handle the lifestyle change.
And since we were being honest, I said that isn't a luxury that people with Long Covid have.
They don't get to choose their lifestyle change.
They have had it forced on them by a society that has chosen to get sick and make them sick.
At which point, to my astonishment, he told me that his wife has long covid.
I boggled for a while.
I'm still boggling now.
My mind is boggled.
I told him that the biggest risk factor for worsened long covid seems to be repeat infections.
And we talked about some other stuff like kids and jobs and friends we know whose health has mysteriously gone downhill in the last two years.
But all of the rest of the stuff hung in the air.
I don't know what he's going to do with it.
When a culture is so set against recognising a danger, it's very hard for an individual person to turn and go against that flow.
Good luck to all of the people who hear and make that turn.
Oh, just going to clarify this.
He actually said "My wife thinks she has Long Covid".
Covid infections make people more vulnerable to other infections.
Here's what the Cleveland Clinic say about Brucellosis:
"Brucellosis is an uncommon bacterial infection that comes on slowly and can last for a long time. It can look like a lot of other illnesses, so it’s important to see a healthcare provider to get properly diagnosed and treated. Brucellosis usually isn’t serious, but it can infect your bones and organs, so it’s important to keep a close eye on your symptoms."
Less uncommon now, apparently.
Meanwhile... listeria continues its rampant ascent.
Ok... so this is going to be an extremely weird thread...
If you're squeamish or sensitive, *stop reading*.
You know that you have mites living in the hair follicles of your eyelashes and eyebrows, right?
The ones pictured in the tweet above - and another similar species.
I mean, *almost* every adult does.
You're not born with them, and not many kids have them, because they feed on something called sebum, secreted by your skin, and kids don't produce much sebum...
The UKHSA have started publishing this goldmine again - but this year it's even more valuable *because they've reset it to a period when testing was consistent*.
This is very important and it shows yet again:
Covid infection makes you vulnerable to other infection.
So... in the weekly flu and covid surveillance report (that also covers other respiratory infections too), they publish these two charts.
Covid and Flu's interactions with other infections.
Most people just don't understand the immune system, its different components, how covid weakens it, and what that leaves you vulnerable to.
We tend to imagine immunity as a single light switch.
On or off.
Maybe on a dimmer switch.
Strong or weak.
In reality it is a whole set of tightly coordinated systems, and covid happens to damage several of the ones you rely on for dealing with infections that hide inside your own cells.