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devisridhar's profile
Prof. Devi Sridhar
Prof. Devi Sridhar
Prof. Devi Sridhar
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@devisridhar

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Prof. Devi SridharVerified account

@devisridhar

Professor & Chair of Global Public Health, Edinburgh Uni Med School. Director of @GlobalHealthGP. Views own. ☀️

Edin, Oxford, Wash DC, Miami
globalhealthgovernance.org
Joined August 2010

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    Prof. Devi Sridhar‏Verified account @devisridhar 29 May 2020

    Keep reading papers by clever mathematicians & statisticians about 'shielding' --> but find this concept incredibly problematic. Where did it even come from? Is it an effective, acceptable & ethical policy approach? @YasminRafiei & I have been digging into this & piece out soon.

    3:59 AM - 29 May 2020
    • 148 Retweets
    • 587 Likes
    • Martine Harris Hawthorne Darshani Nardani Ofer N #SaveSheikhJarah Universal Basic Income Lis Compier MD #ZeroCovid geordie Chris Barry Ros Hutchinson
    51 replies 148 retweets 587 likes
      1. Prof. Devi Sridhar‏Verified account @devisridhar 29 May 2020

        If gov't truly wanted to follow 'shielding' of vulnerable groups, LSHTM/Oxford study identifies 'being male' as key risk factor for death. Anyone up for strategy where men stay at home & women take over/circulate freely until a vaccine or another solution?http://www.ox.ac.uk/news/2020-05-07-risk-factors-covid-19-death-revealed-world-s-largest-analysis-patient-records-date …

        26 replies 128 retweets 462 likes
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      1. Alex S  🇬🇧 🚵‍♂️ #FBPA‏ @2ears2wheels 29 May 2020
        Replying to @devisridhar @YasminRafiei

        Keep digging. Sounds like something that works on paper but not in real world?

        0 replies 0 retweets 4 likes
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      1. New conversation
      2. Helen Ross‏ @Tighnacoille 29 May 2020
        Replying to @devisridhar @YasminRafiei

        If you were in your seventies with COPD, what would you do, Devi? Accept seclusion or go out to die?

        2 replies 0 retweets 6 likes
      3. Ian Bradbury‏ @IanBradbury17 29 May 2020
        Replying to @Tighnacoille @devisridhar @YasminRafiei

        Surely for some the answer might well be "go out". But I'm not sure individual behaviour by the "shielded" is all the point. If you have high community transmission, there's a decent chance that among the care givers and food bringers someone will be infected.

        0 replies 0 retweets 7 likes
      4. End of conversation
      1. New conversation
      2. Dr (as in physics) Mo' Flo' Mojo ...‏ @MoFloMoJo 29 May 2020
        Replying to @devisridhar @YasminRafiei

        The concept of "shielding" I think has gained prominence part of the bogus "herd immunity" narrative, where it has been presented as a spurious panacea. It also set up a false dichotomy that inhibited TTI.

        1 reply 0 retweets 8 likes
      3. Dr (as in physics) Mo' Flo' Mojo ...‏ @MoFloMoJo 29 May 2020
        Replying to @MoFloMoJo @devisridhar @YasminRafiei

        Even in its own terms, the dichotomy was wrong: you can identify the infectious more accurately than the vulnerable; the identified infectious population grows geometrically, the vulnerable linearly, with investment of resource; etc.

        1 reply 0 retweets 6 likes
      4. Show replies
      1. Don Syme‏ @dsymetweets 29 May 2020
        Replying to @devisridhar @YasminRafiei

        I've always wondered if there was any scientific basis for this bizarre idea since it aired in mid March. 👍 I've presumed it's just nonsense from Cummings, or else the old social engineering mindset of the UK establishment kicking back in.

        0 replies 0 retweets 3 likes
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      1. Shezza #FBPE equality #PR  🏳️‍🌈 🇿🇦 🇬🇧 🇮🇹 🇪🇺 🤿‏ @GSheralee 29 May 2020
        Replying to @devisridhar @YasminRafiei

        I think it’s very harmful especially if you have only 6 months immunity. without a vaccine and by letting the virus stay permantely with outbreaks flaring up constantly as no permanent immunity would this not mean there’s a permanent threat to the vulnerable & elderly?

        0 replies 0 retweets 0 likes
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      2. Hels‏ @HfromWales 29 May 2020
        Replying to @devisridhar @YasminRafiei

        Really looking forward to this, especially wrt ethics and acceptability and how they balance with effectiveness. Thank you 🙂

        1 reply 0 retweets 0 likes
      3. oculus_sinistra‏ @lefteyeseer 29 May 2020
        Replying to @HfromWales @devisridhar @YasminRafiei

        Here's a thought-provoking paper on the ethics of #segmentandshield by @gangulimitra and colleagues https://wellcomeopenresearch.org/articles/5-104 

        0 replies 0 retweets 0 likes
      4. End of conversation

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