docjon 💙
@docjon55
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Retired GP. Covid-19 shines a bright light on all the divisions in society; lets address them together. ※ NO JUSTICE, NO PEACE ※
London, England
Joined January 2011
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1/ No-one is coming to save us: Time to get organised.
Links to Covid Perspectives discussion 19 October 2023
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Airborne protections and vaccines in the hierarchy of controls: a health and safety approach to the pandemic. Vaccines are our last line of defence.
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💥 Infection control policy for an airborne pandemic – no need for aerosol scientists or engineers 💥
Not a single aerosol scientist, occupational hygienist, air quality specialist or ventilation engineer sits on the UK Infection and Prevention Cell,
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We have the tools to stop the pandemic.
IPC guidelines prevent us from using them.
#IPCguidelinesarescientificgarbage
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1/ 👏🏼👏🏼👏🏼FRANCE RECOGNISES AEROSOL SPREAD. French employment minister, Elisabeth Borne, said a new rule making mask wearing compulsory in almost all workplaces in France from 31 August, “reflects a growing scientific consensus that the virus is transmitted .....
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RCTs of masks are like using a stethoscope to see if your fridge is working. Masks belong in the engineering and aerosol sciences sciences, not medicine, along with air purifiers and HVAC systems. Their effectiveness is predetermined by industry standards and technical ...
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1/ Hey
@BBCNews
@BBCLookEast
@NickTriggle
, which is worse - Covid-19 or flu? When are you going to start reporting the truth: Covid is nothing like the flu and it is NOT seasonal. (And this doesn't even consider the 1.9m people with long Covid)
Today's data from I-SAGE.
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@royalhospital
Masks are a prevention measure. They are not a treatment that you stop after they are proved to work. The threat remains and is extremely high at present. Seriously, have we completely abandoned the principles of prevention and public health?
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📢 𝗧𝗵𝗲 𝗿𝗶𝘀𝗸𝘀 𝗳𝗿𝗼𝗺 𝗖𝗼𝘃𝗶𝗱-𝟭𝟵 𝗮𝗿𝗲 𝗻𝗼𝘄 𝗹𝗲𝘀𝘀 𝘁𝗵𝗮𝗻 𝗳𝗹𝘂, 𝘀𝗼 𝗶𝘁𝘀 𝗢𝗞 𝘁𝗼 𝗿𝗲𝗺𝗼𝘃𝗲 𝗺𝗮𝘀𝗸𝘀 𝗶𝗻 𝗵𝗼𝘀𝗽𝗶𝘁𝗮𝗹
On 4th April
@BBCLookEast
broadcast a highly misleading report on the risks of Covid-19
Long🧵
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📢 𝗕𝗕𝗖 - 𝗺𝗶𝘀𝗶𝗻𝗳𝗼𝗿𝗺𝗮𝘁𝗶𝗼𝗻, 𝗱𝗶𝘀𝗶𝗻𝗴𝗲𝗻𝘂𝗼𝘂𝘀 𝗮𝗻𝗱 𝗮𝗯𝗹𝗲𝗶𝘀𝘁
On April 4th
@BBCLookEast
broadcast a highly misleading report - virologist
@DrChrisSmith
said risks from Covid are now less than flu, justifying the removal of masks in hospitals.
A 🧵
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Absolute rubbish once again from
@DrChrisSmith
and
@BBCLookEast
. Really, how low are you willing to go? Once more outright misinformation and gaslighting of the public. Lets break down the latest canard from
@chrissmith
, the darling of
@BBCLookEast
🧵
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💥PHE OFFICIALLY RECOGNISES AEROSOL SPREAD OF COVID-19.💥
"SARS-CoV-2 is primarily transmitted between people through respiratory (droplet and aerosol) and contact routes. Transmission risk is highest where people are in close proximity (within 2 metres). Airborne transmission /2
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Please support our protest next Tuesday 27 July outside Dept of Health, demanding airborne protection for all HCWs. Covid is an airborne virus, but only ICU workers get FFP3 masks. Please retweet and come along if you can.
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At yesterday's Independent SAGE briefing
@davidnabarro
you said "Covid-19 is primarily, primarily, a droplet-borne infection, it may be airborne in certain circumstances, we still in WHO contexts still say its primarily droplet-borne". Please can you point to the evidence
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@1goodtern
Outdoor air pollution doubles that figure. We should be linking up with clean air campaigns for a common demand for clean air indoors and out. How much longer are we going to allow governments and corporations to do this to us?
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📢📢 If you're a medical professional please sign this. Its an international statement calling on HICPAC in the US to recognise airborne spread of Covid and call for proper protections in its recommendations to CDC.
Please share too. Thanks
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I kid you not, there were 3 other people on the bus tonight wearing masks, and two were FFP3s!! And this was just downstairs; one can only imagine how many there were upstairs!
Is this the inflection point for the entire pandemic??
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"Covid is primarily a droplet-borne infection".
Please provide the evidence for this statement you made two days ago
@davidnabarro
@WHO
at the
@IndependentSage
briefing?
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Airborne protections and vaccines in the hierarchy of controls: a health and safety approach to the pandemic. Vaccines are our last line of defence. (updated version)
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🤩🤩 THE INDEPENDENT PANEL ON HIGH RISK AEROSOL GENERATING PROCEDURES 🤩🤩
or
How to make scientific policy on aerosols
without aerosol scientists
A long🧵 TL/DR see /2
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2/ ...not only in big drops projected when a person coughs or sneezes, but also in smaller ones suspended in the air breathed out by infected people that accumulates in enclosed spaces”. Germany and Japan do too. UK, US what's it gonna take??
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.
@ameliareynolds
interviewed virologist
@DrChrisSmith
who said risks from Covid are now less than flu, justifying the removal of masks by Mid and South Essex NHS Trust. This is wrong for several reasons and should have been challenged and a correction put out by
@BBC
. /3
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regulations. They work they always work, they have kite marks on them to say they always work. RCTs are just unecessary.
RCTs of masks are also totally unethical - to knowingly give one group of people inferior protection against an airborne pathogens is immoral.
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"We drink 2L of water per day. We filter water to remove pathogens. We breathe 70,000 L of air per day--but we do not filter the air."
Thank you
@kprather88
@CDCgov
how is it that experts like Prof Prather do not sit on HICPAC in the midst of an airborne pandemic?
Email I just sent to
@CDCgov
director after seeing their abysmal report on masking...
Hello,
I have spent the last few years helping people understand how to protect against the airborne nature of SARS-2. The pandemic should and could have ended long ago. (1/)
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2/ Along with lots of other people I made a formal complaint to the BBC, saying the report was wrong and amounted to misinformation. Prevalence, hospital admissions, deaths, long Covid, waning immunity and far greater infection rates make Covid a much greater risk than flu.
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In contrast 1 in 40 or 50 people are infected with SARS-CoV-2 now, so risk of getting infected with Covid-19 is much, much higher than flu now. Covid-19 is also not seasonal like flu - we had five Omicron waves last year - the infection level never falling below 1m people. /6
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So when your employer says, "You got it in the community", no you didn't. Schools, hospitals and workplaces are the main drivers of the pandemic.
Their own data:"About '70 to 80pc' of Victorian healthcare workers with COVID-19 caught it at work, Government reveals" Aug 2020👇
We don't need to keep reinventing the wheel. In 2020 HCWs were eventually provided N95s to arrest the nosocomial infections.
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REASON 4: LONG COVID. The emphasis on hospitalisations and deaths when looking at the risk and threat of Covid-19 ignores the enormous burden of chronic illness and disability caused by the SARS-CoV-2 virus. The long Covid “iceberg” shows this well
/16
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So it can be done when a country is serious about reducing transmission.
In Seoul, South Korea 🇰🇷, the comforting presence of "large volume air purifiers" on subway train platforms, cleaning away not only transmissible diseases, but also today's unbearable smog 🤮
Because transit riders deserve clean air!
#COVIDisAirborne
#CovidIsNotOver
#covid19bc
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3. And of course
@DrChrisSmith
brings out the old chestnut of "immunity debt" from lockdowns 3 years ago. Our immunity is not a muscle that needs exercising by regular infections. Even the FT says this is made-up, misguided and dangerous.
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@andreabarrett__
@NickTriggle
@BBCNews
Blatant misrepresentation of data by
@BBCNews
and
@NickTriggle
A great big graphic showing more deaths from flu over the winter and then a statement that there "would be" more deaths from Covid in 2022. There were; many more. This is the graphic you should have shown:
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@AbraarKaran
Airborne transmission = govt and business responsibility. Droplet transmission = individual responsibility. Very political.
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BMJ leader is surely the last nail in the coffin of droplet only spread. If we do not address aerosol transmission, there will be more and more super-spreader events and a dreadful winter. What say you, new NIHP?
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@joeyfox85
@jasmith_yorku
Medics continue to dominate the narrative around the pandemic to a ridiculous extent: engineering controls are referred to as "non-pharmaceutical interventions". Vaccines are essential but they are a part of the overall response.
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REASON 2: HOSPITALISATIONS. Many more people were in hospital with Covid-19 the whole of 2022. For 2 weeks in December more people in hospital with flu but since mid-Dec, Covid hospitalisations much higher again. So Covid worse than flu for 50/52 weeks per year. /7
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5/ There is no-one on this body who is expert in the behaviour of aerosols, monitoring of air quality or how we should and could clean the air, in order that we stop breathing in virus-laden air.
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For all these reasons the “risks and threat” from Coronavirus are greater than that from flu.
@BBC
should issue a correction to Dr Smith’s comments in their
@BBCLookEast
report of 4 April. /32
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Please read this. Multiple failures of care and infection control. This is not just about Covid, it is the unravelling of established principles and will increasingly happen in other areas of of health care.
⚠️ Please take a moment and consider the lengths to which Clinically Vulnerable people are going to take 'personal responsibility' to protect others.
#MasksInHealthcare
😷
@VictoriaAtkins
@wesstreeting
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Please support the protest outside the Inquiry on Thursday 30th Nov. 12.45h
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Airborne and droplet spread target areas compared.
@DRTomlinsonEP
@LazarusLong13
@gallagher_rose
@danielgoyal
@mikegalsworthy
@davidshukmanbbc
@Linzofm87
@mjb302
@LawtonTri
@CPita3
@karamballes
@trishgreenhalgh
@chrischirp
@dgurdasani1
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Repeat Covid infections lower our immunity by damaging the immune response, this is responsible for the surge in other viral and bacterial infections like mycoplasma pneumonia which has hit many countries this winter. Evidence of immune damage here:
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The tsunami of admissions to our hospitals has started. 250,000 admissions projected by SAGE. UK has 3rd highests HCW deaths in the world; 8,000 patients have died after catching Covid in hospital. And *STILL* no airborne protection for HCWs. Come to our protest on 27 July.
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11/ There is overwhelming evidence that airborne transmission is the main way Covid spreads, and no documented evidence that droplet transmission occurs,
2/ This is extremely puzzling, as it is now extremely obvious that airborne transmission is DOMINANT for COVID-19.
There are mountains of evidence, e.g. as summarized in our
@TheLancet
publication.
And NO evidence whatsoever for droplets or surfaces!
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The John Snow Project summarises the risks of SARS-CoV-2 infection well: people of all ages can develop debilitating Long COVID following SARS-CoV-2 infection, even after vaccination. Current evidence suggests infected adults and children are
/20
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15/ No-one is coming to save us. Time to get organised
Covid Organising Conference proposal
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A local cinema with a CO2 level at ~800 currently, is reducing fresh air intake in its ventilation system: "Following guidance from public health experts, we will no longer operate air conditioning that exclusively uses fresh air, but will be instead using the combination ../2
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than for Covid-19 at that time, the BBC said this was now. While the death rate from SARS-CoV-2 has reduced significantly, two newly published studies show that Omicron is still deadlier than influenza – one in the US showed a 61% higher fatality rate than flu /10
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3/ I also did a long thread (below) showing that Covid is much deadlier and disabling than flu.
📢 𝗧𝗵𝗲 𝗿𝗶𝘀𝗸𝘀 𝗳𝗿𝗼𝗺 𝗖𝗼𝘃𝗶𝗱-𝟭𝟵 𝗮𝗿𝗲 𝗻𝗼𝘄 𝗹𝗲𝘀𝘀 𝘁𝗵𝗮𝗻 𝗳𝗹𝘂, 𝘀𝗼 𝗶𝘁𝘀 𝗢𝗞 𝘁𝗼 𝗿𝗲𝗺𝗼𝘃𝗲 𝗺𝗮𝘀𝗸𝘀 𝗶𝗻 𝗵𝗼𝘀𝗽𝗶𝘁𝗮𝗹
On 4th April
@BBCLookEast
broadcast a highly misleading report on the risks of Covid-19
Long🧵
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..... so how does it make any sense to remove protections from both of them because one is less harmful than another? Both are pathogens, no?
The brutal reality of the ongoing pandemic, and the evidence from the UK Inquiry will expose these charlatans for who they really are.
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7/ and at least 11,600 patients have died from hospital-acquired Covid.
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@trishgreenhalgh
@deejcane
@DFisman
@Globalbiosec
@sameo416
Many thanks, great paper
@trishgreenhalgh
@DFisman
@sameo416
@deejcane
. My basic graphic of different expertise and evidence standards
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point blank to implement any precautions against transmission, encouraging the development of more infectious and immune-evasive variants from millions of us getting re-infected over and over again. Remember
@DrChrisSmith
in April when you said Covid is now less of a threat ...
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...and risk than the flu? (It never was and never will be, Covid is much worse.) And then you used that lie to justify the removal of masking in our hospitals. But Covid and flu are both airborne, as are more than 20 pathogens, ....
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REASON 1: PREVALENCE. Risks of infection = risk of hospitalisation, death and disability AND risk of getting infected. There is very little flu around now, so there is very little chance of getting flu. /5
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6/ UK IPC policy is notorious for its failure to protect against airborne transmission of Covid-19. Over 2,100 health and social care workers have died from Covid,
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REASON 3: DEATHS. Last winter saw a lot of deaths from flu and pneumonia : 3000 deaths in Dec. This was higher than for Covid-19 but Covid-19 deaths soon exceeded flu again. Note chart below is *weekly* deaths with Covid-19 on the death certificate. /8
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@KashPrime
Great post, thank you
@KashPrime
This is what Coronaviruses can do in hospital ERs.
One patient infected over 80 other people.
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and vaccine immunity wanes after several months. 44% of people had their last vaccine more than 6 months ago, and will be more at risk. So our “highly vaccinated population” is not so highly vaccinated. The new restricted vaccine booster program will not help. /25
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While flu can lead to long term complications, lasting damage is rare, while lasting damage from COVID-19 is anything but rare. The last ONS report at the end of March said that 1.9 million people had long Covid, with 380,000 people saying /17
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The current wave is due to weaker population immunity from repeat Covid infections, together with yet another new highly infectious, immune-evasive variant, i.e. Pirola JN1. Acc to Prof Christina Pagel, this wave is likely to be "as high as the large waves of 2022 .....
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"The failure to plan for other viruses of pandemic potential was catastrophic and unjustifiable. The statement by the Covid Airborne Transmission Alliance systematically dismantles the UK's …… failure to engage in long term planning for an aerosol transmitted SARS virus" /2
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" .... and possibly even the highest so far, in terms of infections". Covid is rampant right now and that is why so many people are ill, not some fantasy triple virus infection occurring in an immune-indebted population, in a "bad year". We have JN1 right now because we refuse
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immune dysregulation, brain and memory dysfunction, ocular damage, and dermatological complications. In fact, there are few tissues that SARS-CoV-2 cannot harm, largely because COVID-19 is predominantly a vascular disease, causing clotting disorders and vasculitis, /22
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@mariacaulfield
@doctor_oxford
Official guidance is unscientific doğma and ignores airborne spread. You know that, your dept and the IPC Cell knows that. Matt Hancock admitted at the Covid-19 Inquiry that he knew "in early summer of 2020" that airborne >> droplet spread. And still the guidance hasnt changed.
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The BBC response to
@jo_wood11
was also selective: the FT article also quoted Professor Christina Pagel as saying Omicron’s rapid transmissibility meant “the threat of Covid could still not be equated to flu”. This was not mentioned in the BBC’s reply. /12
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5/ Here's my reply. There's a thread reader app unroll at the end.
To BBC Complaints Team. Thank you for your reply. However it is very belated especially given the importance and urgency of the issues and the fact that the public remains misinformed by
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The constant risk of infection and reinfection with SARS-CoV-2 also severely impacts the lives of millions of clinically vulnerable people and their families. Everyday activities like work, school and shopping carry risk, isolating people from the rest of society /31
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6/ the content of your broadcast. The further away we are from the date of the original broadcast the less it matters; old news gets little attention, as you are well aware.
Your reply and that of Dr Smith are not only disappointing, they are misleading and indeed
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2.
@DrChrisSmith
then says " Many of these things come in cycles and we're due for a bad year this year." Oh yeah, I thought last year was a bad year Chris - you were emphasising how bad flu was, remember, even worse than Covid you said. Maybe its a every year bad year cycle.
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2/ the body that makes policy and issues guidance for control of infections in UK hospitals, clinics and care homes. FOI requests reveal the IPC Cell has 41 members in total; 28 from England, 3 from Wales, 3 from Northern Ireland and 4 from Scotland.
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For overall deaths, ONS said in May 2022 “COVID-19 has been the underlying cause of death in more than four times as many deaths as flu and pneumonia in England and Wales since March 2020. “Annually, deaths due to COVID-19 have been higher than /13
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1.
@DrChrisSmith
contradicts himself in the space of two sentences: "We *occasionally* see people who are diagnosed with 2 or 3 viral infections simultaneously.... (this) is happening *a lot* at the moment." So which is it - occasional, or a lot?
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at greater risk of new onset diabetes, adults are at increased risk of cardiac problems, and the long-term impact on children’s cardio-vascular health is uncertain. In addition, people can experience kidney injury, liver damage, erectile dysfunction, hearing loss, /21
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11/ greater than flu; each death matters to those who died, their families and communities. Try telling them “Oh, but their risk of dying was small compared to the overall number of infections in the otherwise healthy population”. It’s a nonsense and you and Dr Smith know it.
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The Health and Safety Executive told its inspectors that they weren’t allowed to wear RPE when visiting workplaces, including those which had Covid outbreaks “because COSHH didn’t apply”. Geoff Fletcher HSE inspector at TUC Congress yesterday
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12/ yet the IPC Cell still clings to its discredited theory of droplet spread, and continues to exclude the very scientists and engineers who should be leading our efforts to end the pandemic. It is only by cleaning the air of virus can we prevent large scale transmission.
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7/ disingenuous. You have simply ignored all of the points I raised in my complaint apart from the risk of death, and then restricted this to the infection fatality ratio (IFR). Dr Smith’s exact words were: “…the risk and the threat posed by Coronavirus…”,
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13/ communities and populations, indeed it is the whole basis of public health.
Secondly, our communities do not consist of only “otherwise healthy people”; there are large numbers of people with disabilities and underlying health conditions, making them vulnerable
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Reinfections matter. Most cases recover but serious illness can occur: emerging evidence also indicates that risks of hospitalisation and severe complications are cumulative with each infection, regardless of vaccination status. /29
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13/ The Chief Medical Officer of England spoke in January of “the extraordinary importance of improving the ventilation of workplaces – not just for Covid, but also for many other respiratory infections.” Hospitals and care homes are workplaces.
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REASON 5: UNVACCINATED PEOPLE AND POOR VACCINE IMMUNITY. Dr Smith’s reference to “a highly vaccinated population” gives false reassurance. 26% of the population has never had a vaccine, people with immune deficiency respond poorly or not at all to vaccines, /24
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17/ UK Covid-19 Inquiry which begins next year. The epidemiology of SARS-Cov-2 (which includes how Covid is transmitted) is to be examined in the first module of the Inquiry. Lets try and make sure that that happens. /end
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10/ the UK IPC Cell rejects the evidence, and refuses to provide respiratory protections for NHS and social care staff against airborne spread of the virus.
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REASON 6: FLU IS SEASONAL, SARS-CoV-2 IS PRESENT ALL YEAR-ROUND. The very high prevalence of SARS-CoV-2 all the time means that increasing numbers of people are getting reinfected. A third or more infections are now reinfections. /28
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8/ Hospital acquired infection rates are a national scandal, and hundreds of thousands of HSCWs have long Covid.
On the plus side, news from various IPC groups and conferences suggest that we're finally moving towards taking airborne transmission seriously - hopefully putting us in a much better position for other diseases, futher Covid variants, and even future pandemics!
#FreshAirNHS
n/
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The removal of masking in our hospitals also breaches the NHS Constitution, which repeatedly emphasises patient safety. Specifically it says “You have the right to be cared for in a clean, *safe*, secure and suitable environment.” It also says staff /42
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@theAliceRoberts
Its also a giant gain of function experiment. Unmitigated transmission of a highly mutating virus necessarily leads to variants with greater infectivity and immune evasion becoming dominant.
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on which you and WHO base that assertion?
@DRTomlinsonEP
@microlabdoc
@mjb302
@trishgreenhalgh
@jljcolorado
@kprather88
@CathNoakes
@CorsIAQ
@JOHNJOHNSTONED
@doctor_oxford
@LawtonTri
@linseymarr
@jmcrookston
@Orla_Hegarty
@Poppendieck
@ShellyMBoulder
@CPita3
@richardhorton1
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in 2022/23 flu season, and another from Israel showed a 55% lower risk of death from flu than for Omicron for the 2021/22 flu season. The latter is around the same time as the FT calculation was done so the evidence is mixed for that time period. /11
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While the risk is greater after severe infection, long covid can occur after asymptomatic infections, and it can occur in fit, healthy people. There is a LC Facebook group for endurance athletes for example, with 1.4k members. /19
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We are holding another protest outside the Covid Inquiry this Thursday. Please come if you can. If you can't come, please send us a message to be read out on the day. Last week we had lots of messages from people. Please fill in this google form..../2
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12/ This also individualises risk, encouraging people to think only in terms of their own individual risk rather than the risk to others and the community generally. As a virologist Dr Smith knows this very well, the “risk and threat” from infectious diseases is to individuals,
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