A few weeks ago @ClareCraigPath, @RealJoelSmalley and I wrote a short piece on endemic Covid, and what it might look like.

It seems particularly relevant to current

Consider the possibility that all our naso-pharynxes together make up a single ecosystem, in which only one predator can be completely dominant.

We are not saying that this has definitely happened with Covid - but it would explain the disappearance of flu this year.
Every winter, we see "excess deaths" in the sense that more (mainly elderly) people die in the winter than in the summer.

This is a worldwide phenomenon.
It is now thought that all or nearly all of the extra deaths in Winter are due to infection with winter respiratory viruses, mainly influenza:

https://t.co/xOHDcSRgGB
However, we do not - and never have - extensively tested for the presence of such viruses in the critically ill elderly population, so we really have no idea how frequently infection is present, or in fact what its contribution to death is.
In 2017, researchers at 2 morgues in Spain swab-tested a series of recently deceased elderly individuals and found respiratory viruses in 47% of them. In only 15% of these had a diagnosis been made prior to death.

https://t.co/PBUnIfLtaf
The death certificates for all these individuals featured the usual wide range of pathologies that would be expected in this age group, but viruses were detected (post-mortem) across all categories of causes of death.
For this cohort - presumably representative of similar cohorts of subjects across Europe - what would the mortality picture have looked like had we applied a policy of recording the detected respiratory virus as the cause of death, irrespective of other pathologies?
That is, in effect, what we might be doing now, to some extent - Covid taking the place of other viruses (particularly influenza).

In other words, might some of the Covid deaths we are now seeing be those that would have sadly died in a normal winter anyway?
As is usually the case, the picture is more complex and there are probably a number of other factors contributing to the current mortality picture.
Firstly, there will of course be some additional "pure Covid" deaths as the virus moves into its endemic rather than pandemic stage.

This was seen in the year following the Swine flu pandemic:

https://t.co/uIB5lF7CKU
Secondly, there is increasing evidence of deaths being caused by nearly a year of restricted access to healthcare.

In fact, given the nation's state of health and presence of multiple diseases, it would be more surprising if there was no such effect.
That attendances at A&E departments making up the Syndromic Surveillance System (currently covering 82 hospitals in England) are running below the same period last year is consistent with this:
Ambulance calls for cardiac/respiratory arrest calls are high, yet calls for chest pain appear to be lower than average.

This is worryingly consistent with a picture of reluctance to seek help in time.
This would be highly unlikely to result in no excess deaths.

The numbers involved are not small, the arrest calls appear to be ~50-75 more than expected (daily), but chest pain calls ~250 per day fewer than expected.
Surprisingly, attendances for acute respiratory infections are well below average for the entire Autumn and Winter so far; although rising recently they are still below average.

This is consistent with the point made above - ie could Covid be replacing flu this year?
Some have previously claimed that this category does not include Covid, but the notes in the report seem quite clear that it does.
Finally, it must be acknowledged that the emergence of Covid is currently causing significant strain on our NHS, although it is worthwhile acknowledging that several reasons must contribute to this.
Firstly, it appears that treating Covid patients is more complex and onerous than treating those who would previously have been patients with a variety of other
- mainly undiagnosed - respiratory viruses.
Secondly, the reduction in beds available for a growing and ageing population is a major problem; they fell from 240,000 in 2000 to under 165,000 in 2019.

The figure fell by a further 10,000 beds to allow for social distancing between patients in hospital.
The need to segregate suspected Covid from confirmed Covid and non-Covid patients has a detrimental effect of bed management, as does the need for smaller bay sizes to accommodate distancing.

A&E departments can easily become clogged up by delays in finding beds for patients.
In some hospitals patients are not being discharged until their Covid test returns as negative.

Clearly returning patients to care homes during the window of infectivity would be a bad idea.

Beyond that this policy is surely inadvisable.
It should be recalled that some patients continue to test PCR positive for weeks or even months after infection, as experienced by the unfortunate British students stuck in Italy last summer:

https://t.co/qaIsjDD5Mm
PCR testing has led to a staffing crisis, as asymptomatic staff - even those who must be immune through known prior exposure - are made to self-isolate for two weeks.

50,000 NHS staff are absent for Covid reasons, out of 100,000 total absences.

https://t.co/qgpc00Otie
Finally, it should be acknowledged that staff are having to work in PPE and change it frequently, adding a significant additional burden to an already heavy workload.

More from Society

A long thread on how an obsessive & violent antisemite & Holocaust denier has been embraced by the international “community of the good.”

Sarah Wilkinson has a history of Holocaust denial & anti-Jewish hatred dating back (in documented examples) to around 2015.


She is a self-proclaimed British activist for “Palestinian rights” but is more accurately a far Left neo-Nazi. Her son shares the same characteristics of violence, racism & Holocaust denial.

I first documented Sarah Wilkinson’s Holocaust denial back in July 2016. I believe I was the 1st person to do so.

Since then she has produced a long trail of written hate and abuse. See here for a good summary.


Wilkinson has recently been publicly celebrated by @XRebellionUK over her latest violent action against a Jewish owned business. Despite many people calling XR’s attention to her history, XR have chosen to remain in alliance with this neo-Nazi.

Former Labour Shadow Chancellor John McDonnell MP is among those who also chose to stand with Wilkinson via a tweet.

But McDonnell is not alone.

Neo-Nazi Sarah Wilkinson is supported and encouraged by thousands of those on the Left who consider themselves “anti-racists”.
Brief thread to debunk the repeated claims we hear about transmission not happening 'within school walls', infection in school children being 'a reflection of infection from the community', and 'primary school children less likely to get infected and contribute to transmission'.

I've heard a lot of scientists claim these three - including most recently the chief advisor to the CDC, where the claim that most transmission doesn't happen within the walls of schools. There is strong evidence to rebut this claim. Let's look at


Let's look at the trends of infection in different age groups in England first- as reported by the ONS. Being a random survey of infection in the community, this doesn't suffer from the biases of symptom-based testing, particularly important in children who are often asymptomatic

A few things to note:
1. The infection rates among primary & secondary school children closely follow school openings, closures & levels of attendance. E.g. We see a dip in infections following Oct half-term, followed by a rise after school reopening.


We see steep drops in both primary & secondary school groups after end of term (18th December), but these drops plateau out in primary school children, where attendance has been >20% after re-opening in January (by contrast with 2ndary schools where this is ~5%).

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"I really want to break into Product Management"

make products.

"If only someone would tell me how I can get a startup to notice me."

Make Products.

"I guess it's impossible and I'll never break into the industry."

MAKE PRODUCTS.

Courtesy of @edbrisson's wonderful thread on breaking into comics –
https://t.co/TgNblNSCBj – here is why the same applies to Product Management, too.


There is no better way of learning the craft of product, or proving your potential to employers, than just doing it.

You do not need anybody's permission. We don't have diplomas, nor doctorates. We can barely agree on a single standard of what a Product Manager is supposed to do.

But – there is at least one blindingly obvious industry consensus – a Product Manager makes Products.

And they don't need to be kept at the exact right temperature, given endless resource, or carefully protected in order to do this.

They find their own way.
12 TRADING SETUPS which experts are using.

These setups I found from the following 4 accounts:

1. @Pathik_Trader
2. @sourabhsiso19
3. @ITRADE191
4. @DillikiBiili

Share for the benefit of everyone.

Here are the setups from @Pathik_Trader Sir first.

1. Open Drive (Intraday Setup explained)


Bactesting results of Open Drive


2. Two Price Action setups to get good long side trade for intraday.

1. PDC Acts as Support
2. PDH Acts as


Example of PDC/PDH Setup given