1/3 If we're testing #ivermectin for #COVID19, it exposes the scandal that #ivermectin is not licensed for routine use for #scabies outbreaks in the #UK. We know it works for #scabies (unlikely in #COVID19). It's on the @WHO #EssentialDrugs list! @UniofOxford @CMO_England

https://twitter.com/BBCSouthNews/status/1407593266913157122

2/3 .. our #scabies research explores why this local and global #NeglectedTropicalDisease gets missed in #UK #carehomes. Take a look here at our research. Why aren't we using #ivermectin routinely? @UniofOxford @NIHRresearch

https://twitter.com/jackiecassell/status/1250161842317668352?s=19

3/3 so #ivermectin is being trialled in #COVID19 while remaining unlicensed and hard to obtain for #scabies? Hope those @OxfordMedSci scientists will join us #scabies folk to get this changed #Principles

1/2 #Vaccines are amazing. They make normal activities - like #carehome and #amateur community #singing #choirs safe. Not just business. So what do you make of @DCMS ban >6 in new guidance? #COVID19 @DCMSArts

https://twitter.com/MakingMusic_UK/status/1395318207070756865?s=19

https://twitter.com/nadhimzahawi/status/1395805704280289280

2/3 There is probably no easier setting for doing an #outbreak investigation than a #choir. @MakingMusic_UK & others have well developed risk assessments. Ask @BarbaraEifler Around 300k people sing weekly - more than football (more women tho....)

3/3 my earlier analysis on #choirs #sti even more relevant in vaccine era. It's time to realise the benefits of our #vaccination programme for #singing - a low cost and life enhancing activity open to all! jackiecassell.com/choirs-coronav… (also listen at 17 mins bbc.co.uk/programmes/m00…)

1/3 In today's @Daily_Express I argue it's time to end #criminalisation and #coercion in managing #Covid19. We must return to the old ways of doing #publichealth - #inform #support #consent - they serve us well... express.co.uk/comment/expres…

2/3 #Vaccination doesn't only change what we can do - it changes the decision space. Let's think beyond emergency response, and build the trust and support needed for #ResidualCovid - new trade-offs.

3/3 and apologies to @adph should have said local authorities working with (not under) PHE. End.

1/4 Going to #Sheppey to record a @bbcsoutheast special on how #covid19 has affected the Islans. Which backdrop would you choose? Pics on next tweets

1/3 This thread sets out a very important and basic point about diagnostic #tests. As #COVID19 cases decline, a higher % of positive results will be false positives. Big issue for #schoolsreopeninguk
@educationgovuk needs to....

https://twitter.com/deeksj/status/1364575504272089092

2/3 @educationgovuk needs to state clear #exitstrategy for #covid19 testing in #schools to retain trust in a system that was always going to be fragile.

3/3 This will become an issue first in grammar schools and leafier boroughs where homes are less crowded, more #Zoomocrat educated parents. A guide to basics on #falsepositive #COVID19 tests here. #schoolsreopeninguk jackiecassell.com/moonshot-moons…

1/3 Once you get the #scabies itch, it's hard to get rid of it! @michaelghead and @MedVetAcarology doing fantastic international work #NTD

https://twitter.com/michaelghead/status/1362413985207898115

2/3 Which builds on our #NTD work in the UK, would you believe. Here's why we're looking forward to seeing #scabies again in #carehomes as #COVID19 ebbs jackiecassell.com/scabies-in-car…

3/3 With #scabies - like #COVID19 - we must ask "Can rates of infection be too low?" Same for #syphilis - took early #AIDS epidemic in #UK, and Maoism in #China. Something I ask students when teaching on #STI #HIV. Serious question.

1/3 Once >50s and clinically vulnerable people have had #Covid19 #vaccine, the tradeoff of benefits and #harms for #TestAndTrace and #asymptomatic testing in particular changes rapidly. My take at @bmj_latest #CovidUnknowns seminar yesterday

2/3 Big issue - when #hospitalisation #deaths low and the vulnerable protected, why would we ask #children #parents #essentialworkers and other non-Zoomocrats to #SelfIsolate, #test over and over to leave home? Listen to @bmj_latest #Covidunknowns webinar

3/3 Will we really ask the groups already most affected by #economic and #mentalhealth impact of #Covid19 to #SelfIsolate indefinitely when life opens up for others?

I am shocked by the damaging #10yearsjail move by @MattHancock @10DowningStreet It goes against our excellent traditions of #publichealth by consent. Look at how we handled AIDS - no coercion! @FPH @acmedsci @RCPLondon @rcgp @ADPHUK must tell govt how damaging this is. #ItsASin

https://twitter.com/sunilbhop/status/1359557435309096961

@jimmcmanusph @felly500

As you watch #ItsASin, remember the #UK did really well in the early #AIDS #pandemic (terrible though it was, and mistakes were made) by choosing #NoCoercion #NoNewBorders and through #communityorganisation. This was #publichealth at its best. @10DowningStreet must think again

Societal structures - #housing, #essentialworkers #unpaidcare expose people to #Covid19 risk. "Pandemic fatigue" is a convenient myth used to gloss over the real issues. Important blog on an issue now widely reported for...

https://twitter.com/ProfJohnDrury/status/1347193693216890880

example @bbcnewsnight 4th Jan, even @Telegraph telegraph.co.uk/news/2021/01/0… covered it, drawing on my

blog at jackiecassell.com/time-to-suppor… and excellent threads by @ScienceShared and @sdbaral. So

This is misleading messaging @SwaleCouncil - please delete and re-word. Always, always state *clearly* and early that even with a negative test you can be infectious. This could backfire, and badly. #COVID19

https://twitter.com/SwaleCouncil/status/1346792417693986817

Every test invitation should start with a caution about false negatives. A negative test is *not* a licence to stop social distancing #COVID19 @SwaleCouncil.

Also we know from #Liverpool that people who can't afford to #selfisolate aren't getting tested. This issue now getting attention - in today's @Telegraph @guardian and last night's @BBCNewsnight. My blog here. jackiecassell.com/time-to-suppor…

1/1 Let's target #SmartLockdown to address *unavoidable* contact patterns of the precarious #keyWorkers who carry most risk with #SupportToIsolate strategies. #tier4 #lockdown #ThinkLikeAModellerStingLikeABee. Here's why. jackiecassell.com/time-to-suppor…

2/3 #EssentialWorker jobs, overcrowded #housing, shared #transport, #unpaidcare roles, lack of money - these are major *mechanisms* of transmission, not just statistical associations. See jackiecassell.com/time-to-suppor… & @FinancialTimes #smartlockdown #tier4 #lockdownuk

3/3 This @PHE report says it all. Even before #newvariant effect, we knew it's the people who are out there working who carry our #Covid19 risk. We need a #SmartLockdown that supports every #Essentialworker to #SelfIsolate #tier4 #lockdown gov.uk/government/pub…

1/ Well informed and thoughful thread on changed #COVID19 #vaccination priorities in UK. Thanks @sandyddouglas #Scientific advice to govt here and it's... gov.uk/government/pub…

https://twitter.com/sandyddouglas/status/1344949258483621888

2/ worth remembering that when you have #booster for #tetanus #hepatitis or whatever, no one asks what #brand was used last time. With #COVID19 it's also ...

3/ important to know the scientific advice *will change again and again* in the coming weeks and months. This doesn't mean it is wrong now. It is what #followingthescience looks like, on speed, during #COVID19 from normal. This is...

Sadly not one journalist asked about need to protect every locality#s #NHS #ITU capacity in #cummingspresser. This is why #NoSecondHome #StayHome is important and will continue to be throughout #summerholiday. A very important issue to keep live as #lockdown releases

@Fox_Claire this is an important issue and I was sorry it wasn't asked. This hasn't got through and will matter for a long time to come.

When I started working on #scabies outbreaks in #carehomes some of my colleagues thought it was a weird, marginal interest. Now with #COVID19 it's changing. Everyone's realising that infection is a big deal in these #EndOfLife settings.

#Carehomes for older people are hard to study. Residents often have #dementia, staff are run off their feet, #consent to research is difficult - brilliant colleagues including @MedVetAcarology sorted this academic.oup.com/phe/article-ab…

Life expectancy on entry to a #carehome for older people is typically 8 months - these settings are largely #LastHomes. Everyone needs a plan for what will and won't happen for the common things likely to make them ill or deteriorate. #CPR probably not part of it