tern Profile picture
Nov 15 24 tweets 2 min read Read on X
Oh.
I suddenly get it.

They *don't know* that they're avoiding diseases spread by water, blood, food, faeces, because society is set up to do most of that work for them *without them knowing*.
Most people move through life inside a cocoon of invisible infrastructure that quietly blocks whole categories of disease transmission.
So they don't *try* to avoid those modes of transmission, they just do the only thing they're told to:
Wash hands.
Because:
Clean water just appears from taps.
Sewage disappears without thought.
Food is inspected, regulated, refrigerated.
Blood products are screened to a standard unimaginable in the 1980s.
Cooling towers, pools, air systems, kitchens… all have rules, filters, treatments.
So people assume hand contact is the only real mechanism left... because it's the *only one they're ever warned about*.
They don't realise that the absence of waterborne, foodborne, vectorborne, bloodborne, faecal-oral outbreaks is *manufactured*.
It's the artefact of decades of ingenuity, engineering, law, inspection and regulation.
Sometimes even the people who maintain the systems don't even know why they're doing it.
Airborne transmission is the one major route where society hasn’t built the same invisible protective scaffolding.
No compulsory ventilation standards.
Routine air filtration is rare.
No fresh-air quotas.
Very few CO₂ monitors.
No pressure to fix stale air in classrooms or crowded offices.
So people think airborne spread must be trivial or rare… because if it were real, then someone would be doing something about it.
They think "if airborne transmission mattered, surely the buildings would be designed for it" or "surely someone would have fixed that by now".

But they haven’t.
No one has.
Which is why airborne diseases tear through populations while public health officials with contact obsession insist it's all about hand hygiene.
So yes, the one route society didn't engineer away is the one route everyone is programmed to chronically underestimate.
And the horrific thing is that we haven't seen the worst of it yet.

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More from @1goodtern

Nov 17
Eye problems are one of the most common after-effects of covid infections, and one of the most common issues of Long Covid - but they're not talked about much.

This is part two of my thread working through eye conditions that have become *much more common* since Covid struck.
Little step up in older adults. Image
A messy plateau in older working adults. Image
Read 100 tweets
Nov 15
Stan Laurel said your eyes are the windows to your soul.

I don't know about that, but I do know that your body is really complicated, but your eyes... yeah, your eyes are something else.
An orbital disorder is a problem affecting the eye socket. It can involve swelling, pressure, pain, double vision, or inflammation around the muscles and tissues that move the eye. Image
Covid makes these problems more likely because it can trigger strong inflammation in the tissues behind the eye and can affect the blood vessels and nerves that run through the orbit. That extra inflammation means more people needing hospital care for eye socket pain or pressure.
Read 96 tweets
Nov 15
I've written before about the confusion Covid causes when it affects different age groups in different ways.
I'd like to just illustrate that by talking about the way the body handles potassium.
Potassium balance relies on four major systems:
Kidneys.
Hormones.
Acid base control.
Cell integrity.
Covid infection interferes with all four systems, and the result is *hyperkalaemia* - too much potassium in the bloodstream.
Read 26 tweets
Nov 14
For the last month I've been asking headteachers and staff at seven schools a simple question:

"Are repeated covid infections affecting pupil health?"
I've been asking the question in person, face to face, while chatting to them about other issues, including staffing problems and attendance.
When I've asked it, I've watched their faces very carefully, because people's reactions are very telling.
Read 39 tweets
Nov 13
Three quick things about this year's flu wave. Image
Has it actually 'kicked off' yet?

Look at 2019 and 2024.
They have one kicking off point.

Interestingly it was the same week in both years - the week kids go back to school after half term break.

From there it skyrockets. Image
2022 in Orange kind of has two gears.
It starts off at a steady pace in August, then goes into afterburners in mid-November.

(2023 starts later in the year, but still changes gear in November) Image
Read 22 tweets
Nov 12
I've been sent the text below, which is an extract from a proposed article that didn't make it to publication.
The writer asked me to share it.

For American readers: categories like Motor Neuron Disease include things like Amyotrophic Lateral Sclerosis/ALS/Lou Gehrig's disease. Image
"There is growing concern among clinicians and researchers that COVID-19 infection may be contributing to a striking rise in rare but serious neuromuscular conditions such as motor neuron disease (MND) and spinal muscular atrophy (SMA) among younger adults.
While these disorders are typically regarded as genetic or idiopathic, mounting evidence suggests that viral infections...
Read 12 tweets

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