South African doctors are tough. We are used to extreme conditions. Making do with little. Going the extra mile for our patients. We have faced surge after surge of trauma patients hit our depts every weekend, managing the wounded, bleeding, critically injured. A thread 1/

I trained in the early 2000s. When SA didn't have ARVs for patients dying with HIV/Aids. In 2003 as a med student we marched so that South Africans could have access to ARVS. Millions of South Africans died due to the slow rollout of ARVS in the early 2000s 2/
As an intern, as ARVs were just being initiated, countless patients died - too sick to be started on ART, it was too late. As an intern at Bara, I remember certifying 8 patients dead in a night. Some patients were my own age - 24. 3/
ARVs made a huge difference. Life expectancy increased. Child-headed households decreased. More patients living a normal life. The #Covid19SA pandemic has reminded me so much of that pre-ARV era - the helplessness, being overwhelmed with patients and lacking resources 4/
Although we always get nervous when being exposed to HIV, we feel reassured that there ART prophylaxis. With #COVID19 HCWs are at high risk of getting sick, and also severe illness. We have continued to face this fear all year 5/
We have continued to work in an overburdened healthcare system, doing our best. Yet not even the PPE we are given has been of an acceptable standard. This article looked at N95s given to SA HCWs and found them SUBSTANDARD. 6/ https://t.co/Gg4KBK0pXK
Aerosolisation of #COVID19 has been proven to be a major concern. We don't have negative pressure rooms. We work in poorly ventilated departments overcrowded with patients. We are at high risk of getting sick with covid-19. Yet we don't have masks that fit properly 7/
Given our working environment, our poorly fitting masks, our second wave that is surging beyond the peak of the 1st wave, the need to reopen the economy to tourists, South Africa needs to make getting the #covid19vaccine its UTMOST PRIORITY. 8/
South African Healthcare Workers MUST hold @HealthZA accountable. We need the vaccine NOW, as we face our second wave. Getting the vaccine mid-year is TOO LATE for us and our patients. 9/
Let's not forget how long it took to get anti-retrovirals to patients with HIV/AIDS in South Africa. I will never forget what we went through back then. Delaying the covid19 vaccine is the same thing. 10/10 end

More from Health

this simple, counter narrative fact keeps cropping up all over the world.

hospital and ICU utilization has been and remains low this year.

it's terribly curious that so few of these monitoring tools provide historical baselines.

getting them is like pulling teeth.


we might think of this as an oversight until you see stuff like this:

this woman was arrested for filming and sharing the fact that their are empty hospitals in the UK.

that's full blown soviet. what possible honest purpose does that

this is the action of a police state and a propaganda ministry, not a well intentioned government and a public heath agency.

"we cannot let people see the truth for fear they might base their actions on real facts" is not much of a mantra for just governance.


90% full ICU sounds scary until you realize that 90-100% full is normal in flu season.

staffed ICU beds are expensive to leave empty. it's like flying with 15% of the plane empty. hospitals don't do that.

and all US hospitals are mandated to be able to flex to 120% ICU.

the US is currently at historically low ICU utilization for this time of year.

61% is "you're all going to go out of business" territory as is 66% full hospital use.

can you blame them for mining CARES act money? they'll die without it.
I applaud the #EUCancerPlan *BUT* caution: putting #meat 🥩 (a nourishing, evolutionary food) in the same box as 🚬 to solve a contemporary health challenge, would be basing policy on assumptions rather than robust data.

#FollowTheScience yes, but not just part of it!
THREAD👇


1/ Granted, some studies have pointed to ASSOCIATIONS of HIGH intake of red & processed meats with (slightly!) increased colorectal cancer incidence. Also, @WHO/IARC is often mentioned in support (usually hyperbolically so).

But, let’s have a closer look at all this! 🔍


2/ First, meat being “associated” with cancer is very different from stating that meat CAUSES cancer.

Unwarranted use of causal language is widespread in nutritional sciences, posing a systemic problem & undermining credibility.

3/ That’s because observational data are CONFOUNDED (even after statistical adjustment).

Healthy user bias is a major problem. Healthy middle classes are TOLD to eat less red meat (due to historical rather than rational reasons, cf link). So, they

4/ What’s captured here is sociology, not physiology.

Health-focused Westerners eat less red meat, whereas those who don’t adhere to dietary advice tend to have unhealthier lifestyles.

That tells us very little about meat AS SUCH being responsible for disease.

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