A lot of focus has been on reducing the random seeding of new chains of transmission through travel.
That's important - but only one part of containing Covid-19 spread.
Thread on something really important.
At the outset of the pandemic, @DrMikeRyan called on us to "break the chains of transmission".
We haven't. The chains now number over 100,000,000 people.
Why? A central measure is often overlooked: isolating those exposed to the virus.
A lot of focus has been on reducing the random seeding of new chains of transmission through travel.
That's important - but only one part of containing Covid-19 spread.
But individuals cannot achieve it alone. Isolation only works within a system of support and enforcement
A study of 32,000 people in the UK over three months last year found only 18% of them actually kept away from others. In the Netherlands, data indicates it's about 44%.
Others have to buy groceries, or medicines, or need something for their child.
It's not just people being dicks -- they need support.
Meal deliveries, daily check-ups, sick pay, enforcement.
If not, then they need to be provided with somewhere like a hotel room to be alone, as in New York, Norway, Denmark, Singapore, Japan, many others.
Anyone exposed to Covid-19 is handed a legally-binding quarantine order with instructions on what they can and can't do.
It lays out steep fines for breaking quarantine. The order alone is enough for vast majority to comply, says @NICU_doc_salone
"We call them usually every day, we can arrange groceries. If they need to see a GP for something different we can help them with that, if they are alcoholics we can find them support," @NICU_doc_salone told me.
But examples in the US show how much can be done if we choose to adjust, like New York's hotel quarantines and neighbourhood health hubs
This study found that the introduction of two weeks' emergency sick pay due to the pandemic saw a drop of 400 Covid-19 cases -- per day, per state! https://t.co/k9VAscnbyM
Then, in lieu of targeted confinement, we end up with confinement of all https://t.co/zHFAMf1DcT
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fascinated by this man, mario cortellucci, and his outsized influence on ontario and GTA politics. cortellucci, who lives in vaughan and ran as a far-right candidate for the italian senate back in 2018 - is a major ford donor...
his name might sound familiar because the new cortellucci vaughan hospital at mackenzie health, the one doug ford has been touting lately as a covid-centric facility, is named after him and his family
but his name also pops up in a LOT of other ford projects. for instance - he controls the long term lease on big parts of toronto's portlands... where doug ford once proposed building an nfl stadium and monorail... https://t.co/weOMJ51bVF
cortellucci, who is a developer, also owns a large chunk of the greenbelt. doug ford's desire to develop the greenbelt has been
and late last year he rolled back the mandate of conservation authorities there, prompting the resignations of several members of the greenbelt advisory
his name might sound familiar because the new cortellucci vaughan hospital at mackenzie health, the one doug ford has been touting lately as a covid-centric facility, is named after him and his family
but his name also pops up in a LOT of other ford projects. for instance - he controls the long term lease on big parts of toronto's portlands... where doug ford once proposed building an nfl stadium and monorail... https://t.co/weOMJ51bVF
cortellucci, who is a developer, also owns a large chunk of the greenbelt. doug ford's desire to develop the greenbelt has been
and late last year he rolled back the mandate of conservation authorities there, prompting the resignations of several members of the greenbelt advisory
Watch the entire discussion if you have the time to do so. But if not, please make sure to watch Edhem Eldem summarizing ~150 years of democracy in Turkey in 6 minutes (starting on 57'). And if you can't watch it, fear not; I've transcribed it for you (as public service). Thread:
"Let me start by saying that I am a historian, I see dead people. But more seriously, I am constantly torn between the temptation to see patterns developing over time, and the fear of hasty generalizations and anachronistic comparisons. 1/n
"Nevertheless, the present situation forces me to explore the possible historical dimensions of the problem we're facing today. 2/n
"(...)I intend to go further back in time and widen the angle in order to focus on the confusion I believe exists between the notions of 'state', 'government', and 'public institutions' in Turkey. 3/n
"In the summer of 1876, that's a historical quote, as Midhat Pasa was trying to draft a constitution, Edhem Pasa wrote to Saffet Pasa, and I quote in Turkish, 'Bize Konstitusyon degil enstitusyon lazim' ('It is not a constitution we need but institutions'). 4/n
https://t.co/1GtPJaxi1H - Ka\xe7\u0131rmay\u0131n bu muhte\u015fem Bo\u011fazi\xe7i hocalar\u0131 ge\xe7idini !
— dilek cinar (@dlkcinar) February 16, 2021
"Let me start by saying that I am a historian, I see dead people. But more seriously, I am constantly torn between the temptation to see patterns developing over time, and the fear of hasty generalizations and anachronistic comparisons. 1/n
"Nevertheless, the present situation forces me to explore the possible historical dimensions of the problem we're facing today. 2/n
"(...)I intend to go further back in time and widen the angle in order to focus on the confusion I believe exists between the notions of 'state', 'government', and 'public institutions' in Turkey. 3/n
"In the summer of 1876, that's a historical quote, as Midhat Pasa was trying to draft a constitution, Edhem Pasa wrote to Saffet Pasa, and I quote in Turkish, 'Bize Konstitusyon degil enstitusyon lazim' ('It is not a constitution we need but institutions'). 4/n
Niger state shares borders with Zamfara, kebbi, Kaduna & Benin Republic. Terrorists from Niger republic and Burkina faso easily move money and arms across the borders of Kebbi, Zamfara and Benin R into Niger state. According to UN over 900,000 people have been displaced in B'Faso https://t.co/65YEMJhqDp
Niger, Mali and Burkina faso are weak countries populated by Shell terrorists who have now found a safe haven in the forests in Kaduna and Niger state. Birin Gwari, Mokwa forest, Nanati forests, Kanji lake areas.
No decent human resides permanently in forests.
We are facing both external and internal threats from these weak and failed countries we are surrounded with. As a senator you know that a FG police system with less than 300k officers can't actively police the landmass and borders in the North.
Form your state police now!
You and other senators should scrap the FG police system and devote the unaudited security votes and constituency allowance to policing your corridors and forests. Let the airforce bomb them and put your rangers in the forests. Issue an ultimatum for those in the forests to leave
You are all living in a dream if you think the current police structure will become efficient overnight.
Budget, Personnel, Technology, Equipment, Surveillance..It's impossible.
Form your state and community police and flush out the terrorists.
I am shocked and saddened by the attack on GSS, Kagara in Rafi LGA that led to the abduction of innocent schoolboys in Niger East. It is appalling that acts of violence against our educational institutions are becoming a norm & perpetrated on defenseless children.
— Senator Moh\u2019d Sani Musa (@MohdSaniMusa) February 17, 2021
Niger, Mali and Burkina faso are weak countries populated by Shell terrorists who have now found a safe haven in the forests in Kaduna and Niger state. Birin Gwari, Mokwa forest, Nanati forests, Kanji lake areas.
No decent human resides permanently in forests.
We are facing both external and internal threats from these weak and failed countries we are surrounded with. As a senator you know that a FG police system with less than 300k officers can't actively police the landmass and borders in the North.
Form your state police now!
You and other senators should scrap the FG police system and devote the unaudited security votes and constituency allowance to policing your corridors and forests. Let the airforce bomb them and put your rangers in the forests. Issue an ultimatum for those in the forests to leave
You are all living in a dream if you think the current police structure will become efficient overnight.
Budget, Personnel, Technology, Equipment, Surveillance..It's impossible.
Form your state and community police and flush out the terrorists.
