I think one of the biggest failures in the early pandemic response was the messaging around shielding the vulnerable. 🧵
1/6
It created a culture of us and them. Where some people became defined as weak. As less worthy. As different.
And everyone desperately wanted anything but to be identified as them. Desperately wanted to avoid the marginalisation.
2/6
Taking steps to reduce one’s risk of infection therefore became equivalent to self-identifying as them.
3/6
Initially, I believe this deeply rooted fear was part of the reason for the micro aggressions, bullying and harassment seen against those taking precautions.
4/7
To shun them; to marginalise them further helped increase the metaphorical gap between themselves and the weak.
Distanced them from the identity they so desperately needed to avoid.
5/7
So even if FFP2/3 masks correctly would have been communicated to protect against transmission, they became synonymous with an identity people couldn’t fathom adopting.
6/7
Communication lies at the core of public health. This is the impact of poorly thought-through communication.
PH communication goes beyond the need to be accurate, timely, and transparent. It also must consider the wider cultural changes it generates.
7/7
• • •
Missing some Tweet in this thread? You can try to
force a refresh
History repeated itself with covid, when its main mode of transmission - airborne - was robustly denied. This disinformation has had ripple effects lasting to this day, five years into an ongoing pandemic that’s so far killed 27 million and disabled 400 million people, … 2/15
…and only continue to do so due to a persistent lack of preventative measures and a failure to understand a layered approach to precautions. 3/15
Personality change following covid - a personal thread 🧵
I had a close friend who wasn’t covid cautious (wholly unaware of the risks before he got to know me) but deeply knew and respected that my risk assessment was solely founded on my scientific understanding… 1/8
… - not driven by emotions. A large aspect of our bond was our shared pragmatic, logical yet reflective approach to life.
We’d also spoken in depth about public health mitigations, how it’s invariably made of a number of layers with the appropriate mitigations to vary… 2/8
…depending on the setting. How this is omnipresent in our modern society - not just applicable to covid. How the dichotomy between “accepting” or “not accepting” covid doesn’t exist; that’s nothing but disinformation created by various strong forces with their own agenda. 3/8
Making others uncomfortable by taking airborne precautions…a short 🧵
I recently got disinvited to a close relative’s 60th birthday celebrations - mostly lunches and dinner events.
1/6
I’d explained that I wouldn’t eat due to the covid risk (but happy to drink with a SIP valve) but would love to see everyone and celebrate the birthday.
“Isn’t it best if you don’t come, it won’t be much fun for you, will it”.
Statement, not a question.
2/6
Pretty much the same thing happened for a friend’s wedding a while back.
I’d already said that I’d love to be there. I have no doubt I’d have a wonderful time. Since when is great company, wonderful atmosphere, plus wine/champagne not?!
3/6
Over 144 million people long-term sick. Increases in stillbirths, preterm birth, and postpartum haemorrhage. Young people in numbers not seen before presenting to cardiologists.
The experts are screaming at the top of their lungs.
Arrhythmias. Myocarditis. Pericarditis. Sudden deaths in fit and healthy adults. Blood clots in lungs and brains. Bowel ischaemia. Damaged kidneys.
The experts are screaming at the top of their lungs.
The politicians are busy outlasting lettuces. The media tags along.
The experts are screaming at the top of their lungs.
🧵 My 2-year #LongCovid anniversary present? A reinfection.
2yrs of gaslighting; dismissal; organ damage & subsequent chronic chest pain; the rare but amazing doctor who practices real medicine - listens, investigates & treats; my deep refusal to give up; and a very gradual and non-linear process of patching my life back together again.
And I’d done it. I was hiking mountains, running 5Ks in 27mins, routinely cycling 10KM to work, and gradually but successfully increasing my workload (cognitive rehab was slower than physical - but equally working, especially after stellate ganglion blocks..).
Commonly, the narrative around long covid is that we need to ‘understand how long the condition lasts’. I find that concerning.
2/9 It implies that #longcovid is a condition that will self-resolve with time, i.e. medical intervention is not needed. But we do not know this, which makes it a dangerous assumption.
3/9 If anything, @resiapretorius’s work on microclots and platelet hyperactivation suggests otherwise. New organ damage, occurring at any point during the disease process - including many months down the line, also suggests otherwise.