Doctor and activist


Notice: Undefined index: hide_archive_titles in /home/chesterf/public_html/wp-content/themes/modern-business/includes/theme-functions.php on line 233

Tag: COVID19

COVID Vaccine Works!

29 August 2021

An anti-vaxxer who keeps posting on my Facebook page also keeps demanding proof that the vaccine does more harm than good.  I told her to do her own research as it is really too obvious.

I looked at the figures for NSW today and they made the point very clearly.  There are 126 people in ICU of whom 13 have had one dose of vaccine and 1 has had 2 doses. The percentage of NSW people over 16yo unvaccinated are 37.3%, one vaccination jab 29% and two vaccinations 33.8%.

If vaccine did not work, the percentage of people in ICU would be the same in all 3 groups. This would mean unvaccinated would be 47 (37.2% of 126), one vaccine jab 37 (29% of 126) and two vaccine jabs 43 (33.8% of 126).  But the numbers are: unvaccinated 113, one jab 12, two jabs 1.

So those with 2 jabs have only I person in ICU instead of 43, and those with one jab have 12 instead of 37.  So the chance of being in ICU has been reduced by 42/43 (97.7%) with 2 jabs, and 25/37 (67.6%) with one jab.  This is just a one day sample (yesterday in NSW), but the results are very significant. The data is from NSW Health via Juliette O’Brien’s website.

And the chance of dying due to vaccine is about 1 in a million.

www.covid19data.com.au/hospitalisations-icu

Continue Reading

Attitudes to Anti-Vaxxers- a parallel with smokers?

20 August 2021

I spent over 20 years of my life with my principal task to fight the tobacco industry.  I saw how harmful smoking was in my patients, and tried to tell them. But smoking was common, allowed everywhere and, after food, the most advertised product in the country.  Shops were so covered with ads that when you drove into a town, you looked for the cigarette ads to find the food shop.  It was normalised. One of my patients, whose leg I had just amputated said, ‘All the doctors say that  smoking is harmful, but if it was the government would do something about it’.

There were almost no smoke-free restaurants anywhere, because the non-smokers had been trained to put up with it, and restaurateurs were worried that smokers might leave them. They knew that the non-smokers had no choice.  The tobacco industry told the pub owners that smokers drank more and gambled more, so they had better not offend them, so the Australian Hotels Association were the major lobby, with the Registered Clubs and Restaurant Association tagging along.  The tobacco industry disputed the science long after it was proved to any reasonable analysis, and smokers clung onto this. The tobacco industry PR followed what was called the ‘tightrope policy’.  They did not know if smoking was harmful because they were not doctors, so they were not responsible for selling a lethal product, but because everyone had heard it was harmful, smokers were taking their own risks.

Smokers therefore said, encouraged by the Industry that it was their ‘right to smoke’, and then they denied that it harmed everyone else.  So instead of the tobacco industry having to prove that passive smoking was harmless, the medical profession then had to prove it was harmful and then get legislation implemented, a process that took about another 45 years at about 43 deaths a day in Australia.  Since non-smokers also got heart attacks etc, the Industry argued that they could not blame them on the second hand smoke.

Now we have the ‘right not to be vaccinated’ and the ‘right not to be excluded because we are unvaccinated’.  Instead of spreading second hand smoke, unvaccinated people are spreading COVID virus. And they are saying that vaccinated people also spread the virus and can also catch it.  Perhaps. But vaccinated people spread less virus, and the right not to be exposed to a virus trumps the right to spread it.

China unashamedly goes for the greatest good for the greatest number and puts little store on individual rights. Our tradition of Greek thought is all about the individual reaching his or her full potential, even if this means we tend to overlook the exploitation of others. This is becoming increasingly relevant as unregulated markets, like a Monopoly game, move money upwards and increase inequality.

I saw a meme yesterday that the CDC (Centre for Disease Control) does not mandate masks.  This was in the context of the conclusion that ‘neither should we’.  No doubt CDC does not need to mandate masks (assuming that the meme was correct)- the people who work there will have the vaccine ASAP.

The answer in civil rights terms if that anti-vaxxers have the right to be unvaccinated as consenting adults in private, but they do not have the right to go into public spaces where they may spread the virus.  That is the individual rights answer and also the greatest good for the greatest number.  We had a tobacco epidemic for 100 years, when it should have lasted 50 years if there had been science-based policy.  This must not happen with this epidemic. We must have a lockdown until probably 90% of the whole population is vaccinated.  We should vaccinate people who want it as fast as we can. Then we should have vaccine passports so we can open up again. Florida in the US is showing us what happens when silly policies are followed.

Continue Reading

NSW Govt tries to Blame Limousine Driver for New Sydney COVID Outbreak

26 June 2021

The pathetic efforts of Gladys Berejeklian to blame the limousine driver for the latest COVID outbreak, which has now caused a city-wide lockdown and an increasing number of cases needs to be judged on its demerits.  Obviously there should have been regulations that anyone on the front line had to be vaccinated, and surely driving a limo from the airport to the quarantine hotel is ‘front line’. 

She said that she ‘could not control the subcontractor of the subcontractor.’  Actually, she could have. Now she has the regulation that she should have had months ago- front line staff have to be vaccinated.

Of course, the reason for the spread of the virus from the Melbourne quarantine hotels months ago was the fact that the support staff had many jobs, because they were not permanent and had shifts everywhere.  The same problem occurred with transmission in Victorian Nursing homes- casual shifts.  Now it is Sydney drivers. 

The farmers are moaning that they will not be able to pick the fruit without the visas for backpackers, foreign students and Pacific Islanders.  Skilled migrants?  I do not think so.  It is about sub award wages and poor conditions.  If Australia is a rich country we need also to remember our roots as the country of a ‘fair go’. If top wage are high by world standards, so they should be at the bottom. If wages were high enough Aussies would pick the fruit, and  cleaners and limousine drivers would have regular jobs and award wages.

But here was the NSW Government trying to blame the limo driver for the outbreak.  But today’s Sun Herald has the Police Commissioner saying that the driver had committed no crime.   Neither has the NSW Government- they are just incompetent, but no one seems to blame them.

www.abc.net.au/news/2021-06-17/nsw-quarantine-worker-may-have-breached-health-order/100223120

Continue Reading

Clotting Risk from Vaccines and COVID19 Infection

28 April 2021

A new Oxford Study compares the incidence of Cerebral Venous Thrombosis with the Astra-Zeneca vaccine, the Pfizer or Moderna mRNA vaccine and the risk if you get COVID19. The risk from the A-Z vaccine is 5 per million, the Pfizer and Moderna 4 per million and the risk if you catch COVID19 is 39 per million. The sample size is large with over half a million cases in each group, so the reliability of the research is quite good.While there is no COVID19 about, it is obviously safer to have no vaccine and no risk, but the COVID19 situation could change at any time. The Business Council and other non-medical political groups are calling for a more open society and for the case chasers to try to keep a certain level of infections once the gates are opened. i.e. We get the money- someone else fix the problems. Presumably they will try to stop further lockdowns, particularly as the percentage of the population who have been vaccinated increases.The bottom line is that the A-Z vaccine is almost as safe as the Pfizer one, and it is a good idea to be vaccinated ASAP in case the situation changes for the worse. I had the A-Z almost 2 weeks ago and only noted a slight headache, and tiredness on the evening of the vaccine, and a bit of local tenderness at the injection site the next day. I will have the second shot in 10 weeks.

www.ox.ac.uk/news/2021-04-15-risk-rare-blood-clotting-higher-covid-19-vaccines-0?fbclid=IwAR2TIjtz8C7ku_M1OXcELaa2BfrC4hBTwBSoD_svCfdhwWQORr6K4sx4BOI

Continue Reading

Politicisation of Vaccine Rollout has caused the Problems

13 April 2021

Scott Morrison’s objective was to have a low risk strategy. He got the States to handle the COVID19 crisis, while he merely took the credit for its success. Then he wanted to have a successful vaccination programme, and go quickly to an election. He announced a lot of vaccine deals, waving a chequebook with our money to put us high in the world’s vaccine queue. (Tough luck poorer countries with much more cases).

But the deals were soft, the Qld vaccine had problems with false positives for the HIV/Aids test, and it seems the Astra-Zeneca vaccine is not quite as effective as the others, and had a few side effects. So his loudly-touted intervention has just made him look ineffective.

The problems in the health system with the overlapping Federal/State responsibilities and cost-shifting, and the starving of Medicare with subsidies to the private system have all been swept under the carpet in the crisis. But the government’s new dynamic, which is to ignore good advice and treat everything as a political problem, with Morrison giving advice on every subject from weather forecasts, to fires to vaccines is part of the replacement of knowledge by politics, which is a problem in many areas.

Here is an analysis of this fiasco by Steven Duckett, one of Australia’s leading health economists.

https://theconversation.com/4-ways-australias-covid-vaccine-rollout-has-been-bungled-158225

Continue Reading
Continue Reading

JobKeeper becomes an Unaudited Subsidy to Big Business

6 March 2021

It seems that while JobKeeeper did help employees, some businesses did not actually need it, but got it anyway.  Now it is ‘moral issue’ that they give it back- that is to say it is voluntary.  If they have already taken it as executive bonuses or shareholder dividends it is probably not refundable.

The welfare recipients who had spent money and were accused retrospectively of Robodebt could not repay it either, but were hounded till the end.  All that will happen to the big end of town is a few days of newspaper articles.   

It is surely a reasonable principle that if taxpayers’ money is given away there should be monitoring of where it goes. If it was too hard to set up a monitoring system quickly, the obvious solution would be to make a regulation that it had to be used for purpose and would be checked and there would be prosecutions if it were misused. This would have allowed follow up, a few prosecutions and majority compliance.  This government seems incapable of any sensible management of anything, unless you think that deliberately handing money to mates is an unwritten policy.

Now even small businesses are annoyed.

www.smh.com.au/politics/federal/pretty-close-to-theft-small-business-slams-big-corporate-jobkeeper-profits-20210304-p577sn.html

Continue Reading

Privatisation of Quarantine = Government Collecting Money for Corporations- Permanently??

21 February 2021

There are two quarantine stories extant, one short-term, one long-term:

The Sun Herald front page story is ‘State Debt Collectors eye hotel millions’.  It is about how 5264 invoices covering 7214 travellers who stayed at quarantine hotels have not paid and thus have to be chased for the money.  The fact that they had to stay at these very expensive hotels for 2 weeks to be allowed to come home seems irrelevant. The fact that they may have had to stay in hotels for 9 months overseas in lockdown situations, had to come home  on very expensive flights  and may have no money and no job is also not mentioned.  What might have been thought of as repatriating citizens caught in a situation that was not of their making is now a routine debt like a speeding fine, to be chased by the NSW government’s privately contracted debt collectors.

Meanwhile down in Victoria in today’s Age there is talk of building a quarantine hotel at Avalon Airport.  Avalon airport was ex-RAAF and is about 3 hours from Melbourne (as I discovered to my cost when taking a Jetstar fight to Melbourne without looking where it landed). It is now owned by Linfox Transport group, and the Wagner Corporation of Townsville was keen to build the quarantine facility.  When asked by an interviewer what accommodation would cost, Mr Wagner replied that this was ‘commercial in confidence’.  There was none of this nonsense about giving arriving travellers a ‘fair go’; presumably such assurances are not necessary to get the contracts these days.

The colonial-era Manly Quarantine Station, which was saved from developers some years ago and remains in the dangerous situation of being  a historic site in NSW used to have 3 levels of accommodation, for the rich, middle class and poor. At least the financial reality was recognised then.

Presumably backpackers who needed to come home would be happy to stay in backpacker accommodation, whereas some business folk really cannot manage less than the Ritz.  But the government ought to make provision for Australians who want to come home and returning travellers needing to be quarantined should have the right to return without having to pay whatever a privatised accommodation facility chooses to charge them, without the government’s contribution being to unleash the debt collectors.

www.smh.com.au/national/nsw/it-s-not-optional-debt-collectors-sent-in-for-overdue-quarantine-hotel-bills-20210219-p5747y.html

www.theage.com.au/business/companies/bold-brash-and-benevolent-wagners-wheels-turn-to-quarantine-facility-20210219-p5744b.html

Continue Reading
Continue Reading

COVID-19: The Swedish Response. Is it OK?

27 May 2020

Sweden likes to present itself as a highly sophisticated welfare society where a caring State looks after all its citizens. But conservative governments have been quietly undermining its welfare system for some time, and this opening up of the country and talk of ‘herd immunity’ may be both hypocritical and very poor public policy.

The assumption that healthy people will not die, and the rest do not matter is a very callous moral judgement. The assumption that without normal commerce the economy will not function and thus it is the economy versus a few oldies welfare is a morally appalling position, which is creeping in by default.

When I was a NZ sheep and beef farmer standard practice was that the breeding females had a performance criterion. If they did not get pregnant before winter, they went to the abattoirs as they were too expensive to feed over winter.

Managers love performance criteria, and as Management now dictates political actions people now have to perform also. Not strong enough to survive a COVID19 infection? Funeral for you! It is assumed that the rest will be infected once and then be immune. And when most people have been infected so that the virus cannot propagate in the society, we (hopefully) have ‘herd immunity’.

Politics being what it is, things have to dressed up a bit. Less tests, fewer masks, omit certain types of hospitals, change the death certification. Do not state the policy bluntly, and give no mandatory orders from the top, but make it vague enough with scope for non-implementation of best practice and plausible deniability. Make concerned statements of good intent, select some good figures to quote, and praise the people for their fortitude. If the odd whistleblower says something and manages to get publicity, be surprised, deny, promise to investigate and call it a ‘one off’ case or situation.

Brave New World is here. The only surprise is that it has started in Sweden.

Continue Reading