To those saying that those who have got their public health advice wrong earlier in the pandemic should put up their hands and apologise... a little cautionary lesson from another sector

A short 🧵

1/

Public health is not my thing

But Brexit is

And throughout 2019 and 2020 I have been trying to make predictions as to what will happen in that story. Lives do not depend on this, only my professional reputation (marginally) does

2/12
The three series of #BrexitDiagram I made in 2019 were extraordinarily accurate

Series 1/2
https://t.co/wOSzIXxJ2M

Series 3
https://t.co/E4fKeGoa5n

Series 4
https://t.co/yRsQ8mLGj1

Each series got that stage of Brexit right

3/12
The 2020 series was nowhere near as good - at one stage I had No Deal Brexit at 78% chance in early December - and that was not what happened

https://t.co/WNM4ip9HXs

4/12
I own this error - I was wrong

I know *why* I was wrong - I thought the European Parliament would fight more on Provisional Application, and I thought agreeing everything in a week wouldn't work. I wasn't right

The Manston crisis / borders closing changed something too

5/12
But what happened in the public reaction?

Last year did anyone go "you predicted it all right at every turn"? No, not a bit. People were grateful for how the diagrams explained everything, but praise for my prediction ability was not forthcoming

6/12
Now plenty of people are happy to rub my nose it it for getting this round wrong - even though I acknowledge I got it wrong publicly, and know why I got it wrong, and should be better in future

7/12
And some of those critics have even questioned whether I should even make judgments on *anything* else - having got 1 of the 4 phases of Brexit wrong

8/12
This also explains why much of the public political 'analysis' we read is not very clear and categoric in its recommendations or predictions - because it means it is then harder to be shown to have been wrong later

9/12
It was similar re. my UK tactical voting advice in 2019 - the vast vast majority of the advice was correct, but the attacks for having only relatively late changed Kensington to the correct recommendation outweighed the whole positive feedback

10/12
Putting your hands up and saying "I got that wrong" is damned hard, and having felt the reaction on something as minor as a Brexit prediction, I dread to think of the what the reactions would be if you had to do that on a matter of life and death

11/12
What's the solution?

I don't know.

But expecting people to own up to an error, when the price for doing so seems greater than the acclaim ever received for having got it right looks to be a long shot.

12/12

More from Jon Worth

OK, it can be avoided no more.

This is perhaps the most complex 🧵 on #Brexit I've ever attempted. But this issue really matters.

Business, possibly even lives, depend on getting this stuff right.

It is about the complexity of Brexit delay, and what to do about it.

1/25

If negotiations had gone to plan, it would have worked thus:

1️⃣ 🇬🇧&🇪🇺 agree a Deal, politically
2️⃣ That is then turned into a legally ratifiable text
3️⃣ Both sides then ratify - on 🇪🇺 side Member States and the EP, 🇬🇧 side the Houses of Parliament
4️⃣ Deal in force 1.1.2021

2/25

The problem: we do not have 1️⃣ yet.

And with just over 16 days to go - including 🌲 - we do not have time for 2️⃣ and 3️⃣ and hence no 4️⃣.

We *might* have time for 2️⃣ - and that could prove to be significant (see tweet 7 below), but definitely not 3️⃣ on 🇪🇺 side.

3/25

*Essential* problem: by having spent so long talking (I think 🇬🇧 tactic has been to run down the clock -
https://t.co/8EJZAJZHqz ) the path to a normal ratification is now ⛔️.

Now ratification becomes harder - legally, politically, practically - with every passing hour.

4/25

The most obvious stumbling block is...

🥁🥁🥁

... the European Parliament!

Parliamentary sovereignty, eh? A topic for another time.

Anyway, the EP has said it will not vote on a Brexit Deal this

More from Health

1/16
Why do B12 and folate deficiencies lead to HUGE red blood cells?

And, if the issue is DNA synthesis, why are red blood cells (which don't have DNA) the key cell line affected?

For answers, we'll have to go back a few billion years.


2/
RNA came first. Then, ~3-4 billion years ago, DNA emerged.

Among their differences:
🔹RNA contains uracil
🔹DNA contains thymine

But why does DNA contains thymine (T) instead of uracil (U)?

https://t.co/XlxT6cLLXg


3/
🔑Cytosine (C) can undergo spontaneous deamination to uracil (U).

In the RNA world, this meant that U could appear intensionally or unintentionally. This is clearly problematic. How can you repair RNA when you can't tell if something is an error?

https://t.co/bIZGviHBUc


4/
DNA's use of T instead of U means that spontaneous C → U deamination can be corrected without worry that an intentional U is being removed.

DNA requires greater stability than RNA so the transition to a thymine-based structure was beneficial.

https://t.co/bIZGviHBUc


5/
Let's return to megaloblastic anemia secondary to B12 or folate deficiency.

When either is severely deficient deoxythymidine monophosphate (dTMP*) production is hindered. With less dTMP, DNA synthesis is abnormal.

[*Note: thymine is the base in dTMP]

https://t.co/AnDUtKkbZh
🚨Important changes to lockdown/self-isolation regulations from 5pm

The Health Protection (Coronavirus, Restrictions) (All Tiers and Self-Isolation) (England) (Amendment) Regulations 2021

£800 'house party' FPN & police can now access track & trace data

https://t.co/k9XCpVsXhC


“Large gathering offence”

As trailed by Home Secretary last week there is now a fixed penalty notice of £800 (or £400 if you pay within 14 days) for participating in an gathering of over 15 people in a private residence


Fixed Penalty Notices double for each subsequent “large gathering offence” up to £6,400

Compare:
- Ordinary fixed penalty notice is £200 or £100 if paid in 14 days
- Holding or being involved in the holding of a gathering of over 30 people is £10,000


Second big change:

Since September has been a legal requirement to sell-isolate if you test positive/notified by Track & Trace of exposure to someone else who tested positive

Police can now be given access to NHS Track & Trace data if for the purpose of enforcement/prosecution


This will make it easier for police to enforce people breaking self-isolation rules. Currently there has been practically no enforcement.

Data says only a small proportion of people meant to be self-isolating are fully doing so.

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