MBBS FRACP MRCP MPH MD. Flying doctor. Scientist. Strategist. Aid worker. Activist. Associate Professor Global Health Icahn School Medicine @ Mount Sinai.
Imagine how different the pandemic might have played out had
@DrTedros
been allowed as early as February 11, 2020 to warn us that Covid-19 is airborne. Instead,
@DrMikeRyan
forced him to retract that correct answer and endorse the false idea that it spreads mainly by droplets.
A tragic U-Turn for the history books!
Watch closely what happened AFTER
@drTedros
said what he already knew: “Corona is airborne!" (Feb. 11, 2020)
One quick intervention of
@DrMikeRyan
and
@drTedros
changed his statement: suddenly the virus spreads via droplets...
#WhyMike
?
A delegation of American and British doctors who just volunteered in Gaza says "the Israeli military is systematically destroying Gaza’s health infrastructure in order to drive Palestinians out of their homes."
These are blatant war crimes.
"Myanmar Red Cross first aiders and medics have been wrongfully arrested, intimidated or injured and Red Cross property and ambulances have been damaged. This is unacceptable. Health workers should never be a target.” --
@IFRC
.
Myanmar: "A member of a clandestine group of doctors working with the resistance describes the harrowing situation" in Yangon. "And at the end of the day, we don’t think back on the deaths. We let it slip by so we can retain our strength for the next day.”
Myanmar doctors are "routinely targeted with violence by the military, and prevented from treating the victims of its bloody attacks." The junta has "raided their facilities, searched & fired at their ambulances, detained, beaten and even killed" doctors.
"U.N. officials in Myanmar are “deeply concerned” about the impact of the continuing violence on the country’s health system, pointing to at least 28 attacks against hospitals and health personnel since Feb. 1."
#NotATarget
I stand with the healthcare workers of Myanmar. Since the coup, there have been 32 attacks on health-care facilities and staff, resulting in two deaths and six injuries, according to
@WHO
Dozens of facilities and several ambulances have been affected.
The population of Gaza “has been almost entirely dispossessed of the means and capacities to ensure food security, shelter, health, and livelihood,” said a UN Women’s representative. “Each displacement has brought more loss and fear.”
The Myanmar junta weaponizes people's need for medical care:
1. Security forces "used cars to run into protesters on motorbikes."
2. Security forces attacked "doctors, nurses and medical students...as they gathered." "Four doctors were arrested."
It is despicable that as the casualties mount of Myanmar protesters shot by the junta's security forces, the junta is also targeting the medical personnel who are needed to care for the survivors.
Foreign doctors in Gaza reported a “steady stream of children, elderly people and” other noncombatants “with single bullet wounds to the head or chest.” The types of wounds “led them to believe the victims were directly targeted by Israeli troops."
The
@WHO
says "amputations have become commonplace" in Gaza. "Limbs could have been saved with proper treatment. But after weeks of Israel’s blistering air and ground offensive, only nine out of Gaza’s 36 hospitals are still operational."
Healthcare should always be protected, but to stop protesters from being treated, the Myanmar junta's police "stopped an ambulance in March, dragged four paramedics out of the vehicle, and beat at least three of them bloody, then hauled them off to jail."
Stop,
@WHO
. Please, stop.
After 3 pandemic years we've all learned that hand-washing DOESN'T protect us or our patients from
#COVID19
& other airborne microbes. (hint: image)
Hand hygiene isn't a substitute for clean air, clean water and sanitation: this is Public Health 101.
Keep learnings from the
#COVID19
pandemic in mind: protect yourself and others from infection by cleaning your hands.
Accelerate action to keep patients and health workers safe on
#HandHygiene
Day and every day!
"It’s not just bullets and bombs. I have never seen health organisations as worried as they are about disease in Gaza. A quarter of its population could die within a year due to outbreaks of disease caused by this unprecedented conflict."
“No. It’s not airborne.”
Has
@mvankerkhove
@WHO
ever apologized for getting it so wrong, for so long, for so many hundreds of millions of not billions of people?
COVID-19 Technical Lead
@mvankerkhove
about early pandemic response:
“…too few took enough action to limit the spread… warn their populations.”
I wonder why…🤔👇
Just as the people of Myanmar urgently need doctors to try to save them after being shot, the junta arrests at least 19 doctors and charges them with "incitement" for participating in the civil disobedience protests.
Worrying that China has arrested people for spreading concerns about a mysterious pneumonia outbreak, yet places medical staff under lockdown & quarantines 121 contacts. Is China trying to control both a potential new pathogen & public health information?
“Every day I saw babies die. They had been born healthy. Their mothers were so malnourished that they could not breastfeed, and we lacked formula or clean water to feed them, so they starved," says an American paediatric nurse practitioner in Gaza.
In Myanmar, healthcare workers are setting up mobile clinics to treat the sick and those wounded in protests.
Their biggest challenge?
"Not to get shot" -- a shocking reflection of the junta's utter brutality.
Palestinian civilians in Gaza won't die from only starvation: "Malnutrition makes humans’ immune systems more vulnerable to diseases sparked by lack of clean water and sanitation, and that those diseases are accelerated by overcrowding in unhealthy camps."
Why is the Israeli government blocking the delivery of insulin to Gaza? It is not as if Hamas will be shooting insulin rockets at Israeli towns. This is collective punishment, pure and simple. The weaponization of people's need for health care.
Today the UN humanitarian relief coordinator confirmed the Israeli authorities have blocked entry of insulin pens for children into Gaza. Can’t stop thinking about little girl who shared that insulin is a life & death drug for her.
“'It’s totally unacceptable to allow the military to base itself in the hospital,' said Dr. Kyaw Swar, a medical officer at Yangon General Hospital....
'Hospitals are not the place for them. They have been insolent. But they have guns.'”
@DrTedros
correctly warned the world on February 11, 2022 that Covid-19 is airborne spread—but
@DrMikeRyan
influenced him to immediately retract it and instead promote WHO's false idea that it spreads mainly by droplets.
Note: Shanghai admitted aerosol spread on February 6, 2020.
Testimonies of
@MSF
staff indicate that Israel carried out a strike on a five-car convoy of vehicles "clearly identified by MSF logos," says the medical group. Two staff were killed. MSF seeks an explanation from Israel and an independent investigation.
When we count the dead in Gaza, it is a mistake to include only those who died from bullets or explosions. The predictable deaths from the public health catastrophe caused by Israeli attacks should also be counted.
Hospitals are barely functioning.
Infectious diseases are rife and spreading fast in overcrowded shelters.
Hundreds of people with war injuries are unable to receive care.
Gaza is a public health disaster in the making.
"At least 139 medics in Myanmar are facing charges and possible jail time." "Troops are also "raiding clinics, firing at ambulances and beating and detaining doctors. Some medics no longer wear their uniforms because" of fear."
Myanmar "security forces have often targeted medical personnel and facilities, attacking ambulances and their crews." Now they are "taking over hospitals" to "allow the authorities to easily arrest wounded people presumed to be protesters."
Why is it "unwarranted" or "grotesque," as
@GabbyStern
puts it, for me to highlight senior
@WHO
personnel who denied for so long, contrary to the evidence, that Covid-19 spread through aerial transmission. Admitting what went wrong is essential for course-correction and trust.
South Africa cites Israel's pursuit of "a relentless assault on the Palestinian medical and healthcare system" as part of its genocide case against Israel before the International Court of Justice.
Why does
@WHO
publish Syrian government propaganda? Idlib was the hardest-hit in the February earthquakes, but because it is under opposition control, the Assad regime pretended that it wasn't affected and did not send any aid. Deaths in Idlib were 4x higher than in regime areas.
Israeli evidence "did not appear to substantiate claims made before the raid that Hamas had built a well-equipped command center in multiple connected bunkers beneath" al-Shifa hospital. Now Israel is attacking the hospital again claiming a Hamas presence.
WHO says: "The best way to prevent and slow down transmission is to be well informed about the disease and how the virus spreads."
So why doesn't
@WHO
say Covid-19 is an airborne virus and that spread is primarily caused by inhaling aerosol virus particles?
"Palestinian health officials in Gaza said Tuesday that they have lost the ability to count the dead because of the collapse of parts of the enclave’s health system and the difficulty of retrieving bodies from areas overrun by Israeli tanks and troops."
This raid on a healthcare center is part of a growing pattern of the Myanmar junta targeting health workers as they try to care for injured protesters in secret.
An intensive care doctor practicing in New York City joined a 10-day humanitarian mission to Gaza. "The civilian impact of the war that I witnessed in Gaza was almost beyond comprehension." "‘If I were injured there, the best thing would be to die.'"
"Skin diseases are running rampant in Gaza” due to “appalling conditions in overcrowded tent camps housing 100,000s of Palestinians driven from their homes, along with the summer heat and the collapse of sanitation that has left pools of open sewage."
Destroying Gaza’s Healthcare system is a war crime.
The ICC should prosecute Israelis responsible for bombing hospitals, denying access to medicines and vaccines, and causing excessive civilian harm
@ForeignPolicy
Israeli snipers "killed at least 21 Palestinians after they opened fire on displaced civilians trying to reach Nasser Hospital" in Gaza’s Khan Younis. Snipers "surrounded the hospital and were 'shooting at every moving object'" as people tried to reach it.
He's not crying because he's cold. He's lost his dad, his home, his future, he's terrified because we can all see his pain but no one is protecting him, R2P is down the toilet, the world is out to lunch, and on top of that he's fucking freezing because it's -10 degrees in Syria.
This
@WHO
message could be so much clearer and more effective:
1. Clean air is needed because Covid-19 is airborne (
@WHO
still fudges that).
2. Clean air is key to protecting EVERYONE (not just the limited people
@WHO
names).
3. Clean air requires BOTH ventilation and filtration.
Good ventilation protects you from
#COVID19
infection.
Ventilation is especially important if:
✅ you are indoors with someone at high risk of severe illness from COVID19
✅ you are caring for someone who is sick with COVID-19
Children in Gaza are "dying of starvation." This deliberate strategy of squeezing the civilian population to put pressure on Hamas -- a strategy of collective punishment -- is a blatant war crime.
Grim findings during
@WHO
visits to Al-Awda and Kamal Adwan hospitals in northern
#Gaza
: severe levels of malnutrition, children dying of starvation, serious shortages of fuel, food and medical supplies, hospital buildings destroyed.
The visits over the weekend were the first
It is now widely known that the Chinese government covered up human-to-human transmission in January 2020. What's not known is that Beijing sacrificed healthcare workers, with dire results, to maintain its deadly fiction.
"We have American and British doctors speaking of conducting amputations without anaesthetics, of babies dying in incubators because the power is turned off, of people dying because there is no insulin. This is not how war is supposed to be waged.”
Israel replicates Syria's blocking of essential medical equipment as part its collective punishment of Palestinian civilians in Gaza. Blocked items include "oxygen cylinders, gas-powered generators, tents and medical kits used in delivering babies."
In Oct, the UN estimated 50,000+ women in Gaza were pregnant, with 100+/day expected to give birth. Functioning hospitals have dropped from 36 to 8. With doctors overwhelmed, 100s of women are forced, at great risk, to go through childbirth alone, at home.
#Gaza
: "five people were killed here, including a five day old child. No child in the world should be killed, let alone one sheltering under the emblem of a humanitarian organization....this war has to end" - Gemma Connell, Gaza team leader,
@UNOCHA
@ochaopt
I appreciate the many who have joined me in asking
@WHO
to clearly repudiate its outdated rejection of Covid-19 spreading by aerial transmission. That position is not the fault of communications director
@GabbyStern
. She is following the WHO scientists who won't admit error.
Utterly shocked by reports of attacks on ambulances evacuating patients close to Al-Shifa hospital in
#Gaza
, leading to deaths, injuries and damage.
We reiterate: patients, health workers, facilities, and ambulances must be protected at all times. Always.
Ceasefire NOW.
In Ethiopia's Tigray region, the suffering due to the mass atrocities afflicted on civilians is compounded by the deliberate destruction of hospitals and seizure of ambulances-- cruelly weaponizing people's urgent need for health care.
Israel is found to have used a US weapon in a March airstrike that killed seven healthcare workers at an ambulance center in southern Lebanon, according to a Guardian analysis of shrapnel found at the site.
@HRW
found the attack to violate int'l hum'n law.
Here's the latest account of the Myanmar junta's weaponization of health care -- its brutal crackdown is coordinated with targeted attacks on hospitals, medics & ambulances to deprive injured protesters of urgent care. 109 attacks, 10 HCW killed, to date.
Attacks on health care in
#Gaza
are unacceptable.
Besides an attack on ambulances near Al Shifa hospital with at least 13 people killed and 60 injured, two further attacks were reported yesterday at Al-Quds Hospital and near the Indonesian Hospital.
The key medicine all these
The Myanmar junta's latest indecency is to arrest a doctor for being a doctor. Attacks on health care signal an indifference to the welfare of the civilian population.
Israelis may not worry about their bombs falling in Gaza, but now that there is a polio outbreak in Gaza, their soldiers even if vaccinated can carry the virus back to Israel's large unvaccinated population. Prolonged vaccination pauses in Gaza are needed.
A London surgeon who had been working in Gaza accuses Israel, saying "the destruction of the Palestinian health system was a military objective of the war."
Nestlé "adds sugar and honey to infant milk and cereal products sold in many poorer countries, contrary to international guidelines aimed at preventing obesity and chronic diseases." It doesn't do that in Europe, its main market.
Chinese authorities could have allowed healthcare workers to protect themselves as a precautionary measure, even while lying about the lack of human spread. Instead, to sustain the lie, authorities insisted that healthcare workers not protect themselves.
Gaza's other killer: "A lack of food, clean water and shelter have worn down hundreds of thousands of traumatized people and, with a health system on its knees, it's inevitable epidemics will rip through the enclave, 10 doctors and aid workers" warn.
"Palestinian medical staff in Gaza have told the BBC they were blindfolded, detained, forced to strip and repeatedly beaten by Israeli troops after a raid at their hospital last month" -- Nasser Hospital, the main one in southern Gaza.
I deplore today’s strikes on the
@PalestineRCS
-run Al-Amal hospital in the southern
#Gaza
city of Khan Younis, which severely damaged the Palestine Red Crescent Society training centre located within the hospital complex.
My
@WHO
and
@UNOCHA
colleagues today undertook a mission
"The Indonesian Hospital, one of northern Gaza’s largest healthcare facilities, was so severely damaged in Israeli attacks that it may never open again." Nurses say "troops beat and humiliated them as they refused to leave patients behind."
MSF calls on all parties in Myanmar "to ensure safe access to health care." "Many patients are forced to choose between seeking treatment at a costly private facility or at a military-controlled hospital where their safety could be at risk."
The
@WHO
guidelines state that when a new infectious disease is identified, airborne precautions should be applied. Instead of adhering to their own guidelines--the precautionary principle --
@mvankerkhove
,
@DrMikeRyan
and Bruce Aylward promoted China's line of droplet spread.
Given that the Chinese government sacrificed healthcare workers in Jan 2020 to maintain its lie about the lack of human transmission, why can we trust it to give honest information about the role of the Wuhan Institute of Virology?
"Newborn babies now have little chance of survival in Gaza," a hospital director warns. "Mothers are so malnourished they cannot breastfeed, so their babies are dying...starving to death - because they cannot get the vital nutrition they desperately need."
Q: Why is Beijing telling people in China not to buy imported goods despite ZERO evidence of surface transmission or proof that Covid has ever spread that way?
A: To maintain the fiction that Covid arrived on frozen food rather than originating in Wuhan.
With Israel having destroyed so much of Gaza's healthcare system, interrupting vaccinations and other medical care, it is hardly surprising that the poliovirus has been found in sewage samples, putting thousands living in crowded displaced camps at risk.
Assad’s new form of biological warfare: by deliberately destroying and degrading public health infrastructure, the Syrian regime is reviving long-eradicated diseases and killing civilians.
The Syrian military has systematically attacked medical facilities and personnel in opposition held areas yet the government insists that photos of the non-practicing "doctor" Assad looms over the country's destruction.
Hundreds of Palestinian children have undergone amputations, many without anesthesia, because of Israeli violence. They have not had access to proper care due to a collapsed medical system.
The UN calls Gaza the most dangerous place in the world for children.
By covering up human-to-human transmission, the Chinese government persuaded the
@WHO
investigative mission to falsely reassure the world there was no major threat to health care workers. In Italy, 16,991 health care workers were infected within six weeks.
The spread of polio in Gaza reminds us that the death toll will be recorded not only in terms of those killed directly by Israeli bombs but also by the consequences of Israel's destruction of large parts of the healthcare system in Gaza.
“Every hour that passes with Israel preventing the provision of safe drinking water in the Gaza Strip, in brazen breach of international law, puts Gazans at risk of dying of thirst and diseases related to the lack of safe drinking water." -- UN rapporteur.
"Dr. Adnan Al-Bursh was arrested at a hospital in the Gaza Strip last December, with his death at an Israeli prison quietly announced four months later. Palestinian detainees who saw him say...he had gone through hell," but Israel won't disclose details.
Polio is spreading in Gaza because "sanitation and water systems have been destroyed [by Israeli bombardment], leaving open pits of human waste in crowded tent camps.” Families there must “sometimes use wastewater to drink or clean clothes and dishes."
"Russian attacks on medical facilities in Ukraine made 2022 the most violent year in a decade for hospitals and health workers" in conflict zones.
Combined with attacks by the Myanmar junta, they made up more than half of the 1,989 global attacks.
Sanctions were designed to pressure Assad to stop killing Syrian civilians but UN humanitarian aid provided a lifeline as the government diverted huge percentages to fund its military. The same Western gov'ts behind the sanctions funded this subterfuge.
Since April 2023, violence in Sudan has driven more than 6 million people from their homes:
—1.3 million refugees (to Chad, Egypt, Ethiopia, South Sudan & CAR)
—4.9 million internally displaced
This is 13% of Sudan’s population (equivalent to 44 million in the US)
We must not forget the ongoing crisis in
#Sudan
, which now has one of the largest numbers of internally displaced persons in the world.
Millions of people need our help.
We call on the parties to implement the peace commitments they made in May this year.
The Israeli army pulverizes much of Gaza’s heathcare system, leaving Palestinian civilians to their fate, but when polio breaks out (a predictable consequence), Israel moves to vaccinate its soldiers, not Palestinians.
Why were UNRWA's health centers attacked? Is this really about fighting Hamas, or is it the Israeli military trying to deprive Palestinian civilians of healthcare and render northern Gaza unlivable?
In north📍
#GazaStrip
, the scale of destruction and loss is staggering.
This footage shows one of our
@UNRWA
health centres. There is nothing left.
This is an unprecedented level of destruction and forced displacement, taking place in front of our eyes.
This underground Syrian hospital is a reminder that Syrian and Russian bombers have deliberately targeted medical facilities in opposition-held areas. That's a blatant war crime for which the commanders giving these orders should be brought to justice.
When the truth hurts too much, censor: The Syrian government expels two BBC journalists shortly after the BBC published a report on “direct links” between the trade in Captagon, an amphetamine, and President Assad's family as well as the Syrian military.
Israeli forces on Friday "massed at the entrance to" Kamal Adwan Hospital in Beit Lahiaa, "a major hospital" in northern Gaza, "trapping more than a dozen medical personnel inside and all but putting one of the last functioning hospitals out of operation."
Pregnant women in Gaza are giving birth in classrooms, shelters, and other unsafe places all while living under the constant threat of Israeli bombardment.
Al Jazeera spoke with three mothers caring for their newborns in dire conditions ⤵️
Li Wenliang is the Chinese doctor who warned his colleagues about the threat posed by the coronavirus. He was silenced, reprimanded, and ultimately died from the virus, all so Beijing could cover up human-to-human transmission. He is a hero.
Viruses mutate. Uncontrolled viruses mutate faster.
Because British authorities did such a poor job of containing the coronavirus, they created the conditions for the virus to mutate to become more contagious.