1st May 2022

[Lessons must be learned]

I love the phrase ‘lessons need to be learned’. It always makes me laugh when I hear it. Usually intoned with a voice of great seriousness by the leaders of an organisation found to have made disastrous errors. It is right up there with ‘safety is our number one priority.’ About the only group I have yet to hear say this are arms manufacturers. Although I wouldn’t put it past them. Maybe … ‘You could take someone’s eye out with that.’

As I have occasionally remarked about airlines … when they tell us that safety is their number one priority. Well, in that case don’t take off. Everything is perfectly safe when your plane is on the ground. It’s that hurling yourself into the air, dashing about in the skies, then landing, where all the accidents take place.

Getting back to lessons learned. The only lesson I have ever learned, about lessons being learned, is that lessons are never learned. The same disasters occur again, and again, for all the same reasons. The reasons being institutional inertia and the overwhelming desire of those at the top to protect themselves from any criticism.

What I have also learned is that the primary function of any enquiry is to make sure that no-one who actually made those terrible decisions can be blamed for anything. A few scapegoats further down the pecking order will be dragged out and punished. Then all goes quiet again.

‘Mistakes were made.’ This is another one I enjoy. Mistakes were made – but who made them? The use of the passive voice is all you ever need to pay attention to Here. You never hear. ‘I made this mistake. Or, that person made this mistake.’ Even more rarely will you hear ‘I, alone, made this mistake.’

Yes, once the dreaded passive voice comes into play, you know that no-one is going to be singled out, no lessons are going to be learned by anyone. Instead, some vague unidentifiable entity will have to learn from the mistakes that some other vague and unidentifiable entity may, or may not, have made.

Mistakes were certainly made in the COVID19 pandemic, and I have found myself bombarded by the ‘lessons have been learned’ claptrap.

The man in charge of healthcare in the UK, when COVID19 crashed upon the world, was Matt Hancock. This was also the time when patients were being flung out of hospitals into care homes, thousands of whom then went on to die.

He chose to hide behind an excuse. ‘No-one told me, so it wasn’t my fault.’ Is that what the Captain of the Titanic thought to himself as his ship slipped beneath the waves?

Here is one article about what went on during that terrible time. I cannot reference it for everyone, because it came to me through doctors.net, which is for doctors in the UK only. Here it is anyway, although, unless you are a doctor you will have no access. ‘Poor planning behind the illegal pandemic care home discharges’¹. By the way, you are not missing anything. It mirrors many other articles that said exactly the same thing:

Bed shortages led to the illegal discharge policies that led to the deaths of hundreds of patients in care homes, the British Medical Association has alleged.

A court yesterday delivered a ground-breaking ruling that the government acted unlawfully in the advice it issued to the NHS on hospital discharge during the early stages of the pandemic.

The advice stated that there was not a risk from patients who had no symptoms of COVID infection. It led to the virus running amok in the care sector and a judicial review by two bereaved relatives gained the support of the courts yesterday.

I would disagree with the statement that hundreds of deaths occurred. It was in the region of twenty to thirty thousand, maybe more. What was Matt Hancock’s response?

Yesterday he (Matt Hancock) claimed the court ruling had not found him culpable, blaming Public Health England for failing to advise that the asymptomatic patients could transmit the virus.

So, what lesson do we think Matt Hancock has learned? ‘A big boy (public health England) made me do it’, seems an adequate summary. Yes, we know there was a lot going on at the time. A great deal of pressure, and panic, and suchlike.

Using pressure in a rapid changing situation as an excuse, as this Government has repeatedly done … This makes me think of a General explaining that all the mistakes he made during a battle were due to people rushing about firing guns and yelling. No-one can possibly concentrate, and get things right, with all that bloody racket going on.

The reason why you had a position of such power and responsibility, Mr Hancock, is that you needed to be the big grown-up boy. You were required to think quickly, and clearly. If people didn’t tell you things, such as the fact that an airborne virus can spread though asymptomatic people – as they all do, then, quite frankly, you bloody well needed to ask.

Of course, it seems he was told, he just doesn’t want to admit that he was … and someone has told him he can probably get away with that pathetic excuse, of an excuse:

Here is what, I think, he should have said. ‘Whilst the situation was difficult, I should have ensured that I looked at this issue in more detail. I needed to find out more about the impact of discharging elderly people back into care homes. The risk of transmission with asymptomatic patients. The difficulty in isolating elderly and often demented patients in that environment. I did not do any of these things adequately. I was the man in charge, I am deeply sorry … please hand me a gun.’

It is not as if this impending disaster was beyond the understanding of us mere mortals. On the 17^th April 2020 I wrote a blog about it:

‘The government’s disregard of care home residents – old, sick people, acutely vulnerable to COVID19 – has been scandalous. As a GP, I regularly visit care homes. At one I visit, they recently had eight residents who died in a week, probably from coronavirus. But there’s no testing, so who could possibly know …

When COVID struck, many things were not known, and could not have been accurately predicted. The transmission rate, the case fatality rate, the best way to treat those infected

However, it was very clear, very early on, that COVID was killing the elderly in far greater numbers than anyone else. In Italy, the early figures released revealed that the average age of death was seventy-nine. The figures were slightly higher in Germany, and around eighty years old in pretty much every other country.

Equally, it was known that amongst the elderly who were dying, almost all of them had other serious medical conditions. Heart disease, high blood pressure, diabetes, chronic pulmonary disease and suchlike. This is often known in my line of work as “multimorbidity.”

In a world of uncertainty, one thing stood out. Which is that the unwell elderly were the ones who were most likely to die. Equally, they were the ones most likely to end up in hospital, potentially overwhelming the health services. As happened in Italy and Spain.

Ergo, you would think that someone, somewhere in the UK government, would have asked the obvious question. Where do we have the greatest concentrations of elderly, frail, people with multimorbidity? Could it possibly be that they are being looked after in care homes around the country?

Nursing homes, residential homes, care homes. They are all pretty much the same thing nowadays. Nursing homes tend to look after those with greater health needs, and they must have registered nurses looking after patients, but the distinctions have become blurred.

Many care homes are also specialised in looking after the elderly with dementia. In the UK, they are called EMI units [elderly mentally infirm]. These represent a particular problem in that residents tend to wander about from room to room.

So, in care homes we potentially had the perfect storm for the pandemic. They are full of elderly and infirm and highly vulnerable people. Environments where it is often impossible to isolate residents, and staff who have never been adequately trained in isolation measures. Equally, whilst relatives cannot visit hospitals, care homes have been continuing to allow them in.

It is not as if the warning signs were not there, flashing red.

What was the government’s strategy for dealing with nursing homes?  It has been, up until the last couple of days, to make things even worse. The instructions from the Dept of Health have been to send patients diagnosed with COVID out of hospital, and back into care homes, with further instructions to “barrier nurse” them, a term for a set of stringent infection control techniques.  Care homes were informed that they could not refuse to take the residents back …’ ²

It was after this that Dr Kathy Gardner (PhD, not medical doctor) contacted me, as her father had died of COVID19 in a care home. I wrote various lengthy replies to her lawyers about the situation, and my experience thereof. They may, or may not, have used my missives in the court case. The case that she battled so long and hard to get heard. She is quoted in the article:

At the time the Health Secretary Matt Hancock had claimed he was throwing a “protective ring” around care homes.

Yesterday he claimed the court ruling had not found him culpable, blaming Public Health England for failing to advise that the asymptomatic patients could transmit the virus.

One of the claimants, Dr Cathy Gardner, said the “protective ring” had proved to be a “despicable lie.”

Dr Gardner said: “I believed all along that my father and other residents of care homes were neglected and let down by the government. The high court has now vindicated that belief, and our campaign to expose the truth.’

Within the NHS I was also fighting my own lonely battles. Here is an e-mail (identifiers redacted) that I send to my manager in April 2020

‘I had a short chat with A yesterday about nursing homes X and Y.

Although things seem to be getting sorted out at Intermediate Care facility B there do not seem to have been any changes at nursing homes X and Y Both homes have several patients with Covid (proven positive swabs). It seems that the Hub is still sending Covid negative patients into both homes – putting these patients at immense risk. We have had staff to patient transmission at Intermediate Care facility B.

Equally patients are being discharged home without having swabs. So, they are arriving home and potentially infecting any partner living there – usually elderly and vulnerable. Equally, if community staff are going in to visit, they can also get infected – then pass the infection on to other clients in the community. The only patients being swabbed on discharge from nursing home X are those going to other care homes – at that care homes request.

Two out of three swabbed patients in nursing home X have come back positive. Which means we are clearly sending Covid positive patients back home – without a swab. I spoke to H, who said that this was still policy? I am not quite sure who’s policy?

I believe we must stop the hub sending Covid negative patients into our nursing homes. – until they are clear of infection. I also believe we cannot discharge anyone from our nursing homes without a clear swab.

I think if anyone were to be made aware that their relatives were being transferring into a Covid positive care home, where they will be at high risk of getting Covid, they would rightly be up in arms. They would rightly be up in arms because it is unsafe, it is putting staff and patients at risk. We already know that nursing homes are becoming the focus of Covid deaths, we should not be making this situation worse in nursing home X and Y.’

I am no genius. I was not the only one who could see that this was a stupid and deadly policy. I wrote about it, and complained about it, at the time. We have now had a court case saying what was done was illegal. But [squeaky voice] ‘no-one knew…’ The care home managers were all up in arms at the time. They bloody knew. But no-one chose to listen to their inconvenient truth.

So now what happens. It it almost impossible to see that anything of any value will occur as a result of this judicial health review. What lessons we be learned? None by the Department of Health and Social Care. Their comment:

‘A spokesperson for the Department of Health and Social Care, said: “We specifically sought to safeguard care home residents based on the best information at the time.’ Yup, safety was their number one priority.

Well, God only knows what would have been the result if they hadn’t decided to ‘specifically safeguard care home residents, based on the best information at the time.’ It is difficult to think of anything they could have done to make things worse.

‘The best information?’ Who gave them this information? The same vague unidentifiable entity who made the mistakes and will now be learning the lessons I suppose. Maybe it was the exact same god-like entity that was spoken of, in hushed tones, during the pandemic …The Science. Yes, The Mighty Science that works in mysterious ways, its wonders to perform.

1: https://news.doctors.net.uk/news/6K3xX7oGioThSkt9LJYz0S?pk_campaign=dnb&pk_kwd=article02_button

2: https://drmalcolmkendrick.org/2020/04/17/care-homes-and-covid19/

10th February 2022

Some observations on the infection fatality rate of COVID19
[Mainly that it does not really exist]

When COVID struck the world two years ago, or thereabouts, the first thing that happened was rather unfortunate. Namely, the instant and widespread distortion, nay destruction, of data. This happened so fast that it became almost impossible to know what on earth was going on. Who to believe … what to believe?

I have never been so naïve as to think that we are not constantly subjected to certain ‘truths’, which may or may not be true. After all, I have been battling against the dreaded ‘cholesterol hypothesis’ for decades. In doing so I have become something of an expert in recognising seriously distorted data when I see it.

I have learned to search for things not said, which are usually far more important than the things that are. I have also learned to treat the words used with great distrust. Words such as ‘fact’ for example. Facts have a disturbing tendency to crumble under pressure … note to the dreaded dementors, sorry fact checkers.

However, I felt I had become pretty expert in navigating the games played. I had learned to sail the stormy waters of scientific truths, or facts, reasonably well. Then came COVID, and the world of fact distortion achieved warp drive. Alleged facts flashed past so fast, and in such great numbers, that it all became a blur.

In this blog I will attempt to remove some of the blur surrounding the issue which became key to ‘The Great COVID Wars’. This is the Infection fatality rate (IFR) of COVID19.

You may not feel this was central to everything that occurred, or remains so, but I hope to convince you that it is the single most important ‘fact’ of them all. The keystone. Also, the one most jealously guarded by the fact checkers. ‘Put your weapon down, place both hands in the air, and step away from your IFR.’

To begin. There was a time when epidemiologists, with regard to infectious diseases, used two different terms. Infection fatality rate (IFR) and case fatality rate (CFR). Although it has to be said that the distinction between the two was never exactly black and white.

After all, how do you decide when someone who is ‘infected ‘with a disease, reaches the point when they become a ‘case?’ Historically this happened when someone became so unwell that they were admitted to hospital. Whereupon the disease itself would be diagnosed with a test of some sort – sometimes. Sometimes clinical signs and symptoms were all that were used.

Which means that ‘cases’ have always been somewhat easier to count and compare. However, no-one has ever really known how many people were infected in the first place. By which I mean those people who were not seen anywhere, by anyone, and so never managed to the reach the status of a ‘case.’

In general, those with a mild infection just lay in bed, for a while feeling a bit sorry for themselves. Indeed, the advice for those with ‘flu’ always used to be to stay at home, drink plenty, and take some medication to control the temp and the aches and pains. This represents the traditional three Ps management technique. ‘Take two paracetamol and piss off.’ [Paracetamol is called acetomenophin in the US – take two As and piss off … nah, doesn’t really work]

Ergo, those with few symptoms, or no symptoms, were never seen or counted. So, the Infection Fatality Rate (IFR), which represent the total number of people who become infected, who then die, has always been subject to a great deal of guesswork.

A whole series of the underlying problems with defining IFR [and also CFR] were highlighted in the paper ‘case fatality risk of influenza A (HIN1pdm09): a systemic review.’ The authors looked at the Swine Flu epidemic of 2009, and also reviewed data on infection and case fatality rates from the past.

I shall paraphrasetheir main findings. ‘We haven’t a clue what the infection fatality rate was for this, or any other flu. In truth, neither does anyone else, because the data are complete rubbish.’

Their actual conclusion, couched in more scientific language:

‘A consensus is needed on how to define and measure the seriousness of infection before the next pandemic.’¹

Did this consensus ever happen? You must be joking.

As you may have noticed, we have begun the move into very blurry waters indeed. You may ask how it is possible to compare the Infection Fatality Rate of COVID19 with previous influenza epidemics, when we have no idea what the IFR rate of previous influenza epidemics may have been.

Despite such great uncertainty, this IFR rapidly become a red line issue for the COVID wars.

On one side were the CDC, Fauci, Neil Ferguson and Imperial College London – and suchlike. The ‘establishment’ – the ‘experts’. They confidently stated, from the very beginning, that the Infection Fatality Rate of COVID19 was around one per cent. Meaning that for every one hundred people infected, one person would die (on average).

Quite how they knew this is beyond any real understanding? They say modelling. I say guesswork. Which, in truth, is pretty much the same thing. A brand new, never seen before disease, and they just knew what the IFR was.

This was also at a time before any accurate testing existed, and we had no idea how many people had actually been infected? Indeed, at this point, they were primarily relying on information from China … Oh well, at least we know that Chinese data are always fully reliable … thank God. Just don’t mention that pesky laboratory in Wuhan, or gain of function research. Or pretty much anything else that emanates from China, in truth.

On the other side were…. Well, there wasn’t really another side so to speak of. A rag tag bunch of researchers and epidemiologists who were fascinated by the data coming in, and what it was saying. It included those such as Professor John Ioannidis and Professor Carl Heneghan at the Centre of Evidence Based Medicine in Oxford, and suchlike.

I just watched with interest, at first. My own bias has always been to be very wary of any expert consensus that springs into life. This is because it will almost always be a slave to the inherent problems with human thinking that ride roughshod over a disinterested pursuit of the truth. Particularly in a crisis.

Problems such as: groupthink, confirmation bias, fast thinking rather than slow thinking, deference to ‘experts’, the desperate need to come up with ‘the answer’ and stick to it, and suchlike. We all know what they are. They all came into play, as expected.

Anyway, a key question here was, how did their one per cent figure compare with more common or garden influenza? This is very hard to say. I have seen figures of 0.67% for the flu epidemic of 1967. I have seen far less. ‘Spanish flu’, the big daddy of them all, was estimated to have had an IFR of around two to three per cent.

But how accurate can these figures be? In the paper I quoted above, the IFR estimates for swine flu (HIN1pdm09) ranged from less than one death, per hundred thousand infections, to more than ten thousand. Yes, from one in a hundred thousand, all the way up to ten per cent. This is what scientists call…. A pretty wide range.  You could call it other things.

Cutting to the chase, the reality is that, at the start of the COVID19 epidemic we had no idea what the IFR of a severe influenza epidemic was, nor did we know the IFR of COVID19. You would think that this would make any comparison somewhat tricky.

However, the mainstream consensus rapidly coalesced around two ‘facts’.

Fact one: a severe seasonal influenza has an IFR of around point one per cent. Or, to put it another way, one death per one thousand infections.

Fact two: COVID19 has an IFR of around one per cent. Which meant that COVID19 was going to be ten times as deadly. This, then, became our starting point.

What would this mean in the real world?

The UK has a population of sixty-seven million people. Which meant that if everyone were infected, we would end up with almost exactly two thirds of a million deaths. Which is one per cent of the entire population. The population of the US is three hundred and thirty million, so there would be three point three million deaths

Hold on a minute. The models also predicted that not everyone would get COVID19. Full herd immunity would kick in once about eighty per cent of the population – or thereabouts – had been infected. This, by the way, was another thing that the experts just knew, right from the very beginning. [But what about mutations, and variants, and re-infections I hear you cry…. ‘Oh, do shut up’].

In effect, the COVID19 epidemic would come to an end when eighty per cent of people had become ill, maybe slightly less. Ergo, the overall death figure would be about five hundred thousand in the UK, and just over two million in the US. Or thereabouts.

This is a lot of deaths. Around the entire world pop: ~7.9 billion. We could see nearly seventy million deaths.

This one per cent figure, then, became the trigger for everything that followed. I think of it as the ‘justification’ figure. It was used to justify lockdowns, and everything else that went along with them. Here, after all, was a disease ten times as deadly as a bad influenza epidemic. Something must be done, or millions will die.

A further complication

Of course, things are rarely this simple. Even if the one per cent figure were true, it is essential to ask a follow up question. Who exactly is dying?

The average age of death caused by the Spanish flu was estimated at twenty-eight. Yes, twenty-eight.² The average age of death caused by COVID19 is around eighty-one – in the UK.³

I feel that the fact [and unusually this fact is almost certainly true] that COVID19 almost exclusively kills the elderly, and almost always the elderly who have many other comorbidities, had to be taken into consideration. But it wasn’t.

Instead of a disease that can wipe out young healthy people, aged twenty-eight, we had a disease on our hands that primarily kills those close to the end of their lives. Children and young adults, even middle-aged adults, even nearly old adults, have been almost remarkably unaffected by COVID19. This was known very early on.

What are the actual figures here? Turning attention specifically to the UK, we have had, at the time of writing, around one hundred and fifty thousand COVID19 deaths. Defined as… those deaths with COVID19 mentioned on the death certificate [whatever this actually means – another whole can of worms].

On the other hand, the number of people under the age of sixty, who have died from COVID19, with no other disease mentioned on the death certificate, is five hundred and forty-two. That was, by the 1^st of February 2022.⁴

This is slightly under one per day during the epidemic. Or, to frame it another way, the risk of dying, for a healthy (or at least believed to be healthy – who knows for sure if they are or not) person under the age of sixty has been one in 79,131. [UK pop < 60 = 42,869,306].⁵

This risk, however, has been over very nearly two years. So, the yearly risk of death from COVID19 per years is 1:158,263. Or ~ 0.0075% … for this population. Just to give a comparator. The risk of dying from a road traffic accident in the UK, per year, is around eight times higher ⁶.

1in 20,000 per year vs 1 in 160,000

Thus, for more than two thirds of the population, the risk of dying from COVID19 has been 0.0075%. Instead of one per cent… it has been seven thousandths of one per cent.

Some people will say that this doesn’t matter. All deaths are of equal importance, we cannot discriminate on grounds of age, illness etc. In which case, taking the UK population as a whole, we have had 158,000 deaths with COVID19 mentioned on the death certificate. This represents a total risk of death of 1 in 424. Or ~ 0.25%.

Again, this has been over two years, so the total risk of death, per year [which is how risk is normally presented] has been 1 in 848, or ~ 0.125% per year. Which, as you may have noted, is around seven times less than one per cent.

Strangely, with COVID19, we have not stopped counting at the end of one year, and then started again. We have just kept on adding the figures year upon year – and will continue to do so? We have also continued to add in people who have been infected more than once…Double, treble, nay quadruple counting.

If we keep doing this, the IFR of COVID19 will eventually reach one. Not one per cent, but one. As in the entire population of the world will end up dying of COVID19. Although, at 0.125% per year this, as you may have worked out yourself, will take about seven hundred years. You may want to go and lie down and think about this.

Of course, the rough figures I have calculated above do not represent the Infection Fatality Rate. Instead, they represent the population fatality rate (PFR) i.e., forgetting about IFR and CFR, how many people, in total, have actually died. The population fatality has to be significantly lower than the infection fatality rate because not everyone has been infected… or have they?

The terrain is all?

We must now venture into yet another layer of complication. Yes, this onion has many layers. Most of which, you may be glad to know, I am not going to consider, or else this blog becomes a book. But the next layer is critical.

What does being ‘infected’ actually mean, and can we even know that it has happened?

At the risk of terrible oversimplification, historically there are two camps in the infectious disease world.

• Camp one: the microbe is all (The germ theory).
• Camp two: the terrain is all (The terrain theory).

Camp one believes that if you become exposed to an infectious agent you will inevitably become ‘infected’. You will then inevitably suffer (at least some) symptoms from the infection. You will then become unwell – maybe very unwell – and may even die. The germ theory. The severity of the disease is almost entirely dependent on the ‘viral load’ that you encounter.

Camp two states that the ‘terrain’ of the human body is far more important. We are surrounded by, and harbour microorganisms in our bodies. When exposed to pathogens ‘germs’ we become ill if our defences are weakened by deficiencies or toxicities. The germ itself is pretty much unimportant.

This is the ‘terrain’ theory. It means that many/most people, may not become ‘infected’ at all. Or that they may not even notice it – they simply shrug the infection off.

Historically, the two camps were led by Louis ‘the germ’ Pasteur and Claude ‘the terrain’ Bernard. It is said that, on his death bed Pasteur admitted. ‘Bernard was right, the pathogen is nothing, the terrain is everything.’

Well, yes and no. It is difficult to suffer any symptoms from a disease if you are never exposed to the germ. Which means that the pathogen clearly is something, not nothing. But … but we are making a greater mistake if we think that everyone is going to respond the same way to a germ. An assumption upon which our response has been predicated.

You may not think it, but the thinking behind all the actions taken is that COVID19 will inevitably ‘infect’ anyone who comes into contact with it. It will spread from person to person in a predicable manner, it will cause illness in everyone, and suchlike. In effect therefore, we have acted as if the terrain truly is nothing. Therefore, we must do everything possible to reduce contact, in order to reduce morbidity and mortality. In essence, the microbe is all.

The next assumption, following on from this, is that those who have not demonstrated any signs of symptoms have simply not been exposed to it, or not exposed to a sufficient ‘viral load’.

Personally, I find this impossible to believe. My daughter, a junior doctor who caught COVID19 working on a COVID ward in Wales, stayed at our house, suffered anosmia, and was diagnosed with COVID19 – with a PCR test, no less. No-one else got a snuffle.

At one point during the first couple of months of the epidemic, in May 2020 to be precise, I was standing next to two unmasked nurses in a small treatment room (we were not allowed to wear masks at this time) who were both coughing repeatedly in my face. Both were diagnosed with COVID19 the very next day and went off ill.

Every working day for six months, I went into nursing homes and an intermediate care centre. During which time, thirty-six patients died of – probably – COVID19. All of whom I saw and examined at least once. However, I did not become infected, and I never have. I also showed no antibodies – in a test in Autumn 2020.

If anyone tries to tell me that I was not exposed to the virus, or a sufficient viral load to cause infection, I can only laugh. I would reckon myself to be amongst an elite ‘most exposed to SARS-Cov2 virus in the world’ workforce. For at least two months I was working with no PPE – at all. Surrounding by staff and patients – many of whom died of COVID19 [no staff members, only patients].

If I was not infected, and officially I have not been, it raises the question. What, exactly, does infected mean? I speak as someone who also had to have seven Hepatitis B injections before I was able to raise a feeble, and pretty transient, antibody response. A friend and colleague had, if memory serves, over thirty Hep B vaccinations, and never raised a single antibody.

What does this, in turn, mean? That neither of us has any immunity to Hep B? That antibody tests are hopelessly flawed. That ‘immunity’ exists in ways that we have no idea how to measure – my current view.

Looking more specifically at COVID19, what happens if someone is found to be infected, as part of routine testing, yet has no symptoms, and produces no antibodies. Can you state that they were ‘infected’?

You may want to have a look at ‘The Flawed Science of Antibody Testing for SARS-CoV-2 Immunity.’ ⁷

It quotes this FDA statement

‘…results from currently authorized SARS-CoV-2 antibody tests should not be used to evaluate a person’s level of immunity or protection from COVID-19 at any time, and especially after the person received a COVID-19 vaccination.’

So, antibody tests cannot tell us if someone has been infected, or effectively, vaccinated, nor if they are immune to SARS-Cov2. Just run that idea round your head for a while. Then see what answer pops out.

One small study further suggested that if you were diagnosed with [had a positive test for], COVID19, but suffered no symptoms, there was a 92% chance that you would show no measurable immune response post infection. ⁸

These people, with a positive test, yet no symptoms, and no antibodies, were clearly ‘infected’ – they had a positive test after all [another can of worms]. However, these people must represent the most immune population of all. COVID19 hit them but was simply shrugged off. Leaving behind no sign that it was ever there.

Before I spin off down another hundred complications and side-issues – all of which are fascinating in themselves – I will attempt to highlight one immutable fact.

We have no idea how many people have been infected with SARS-Cov2, primarily because we have no idea how many people have been ‘infected’ yet demonstrate no sign of contact with the virus (unless they were coincidentally tested at the time). People such as, to pluck an example from the air … me.

It follows, therefore, that we cannot know what IFR rate might be. All we really have to go on (for all its further myriad flaws) is the Population Fatality Rate. Namely, how many people have actually died of COVID19.

In this end, this is the key figure. The one that counts [even if I have serious doubts about how this figure is created].

Thus far, across the world, over a period of very nearly two years, we have officially had five point seven million deaths from COVID19.

The total population of the world is seven point nine billion. Therefore:

• The total population fatality rate is 0.072%
• The total population fatality rate per year is 0.036%

This is a long, long way from the IFR of one per cent. Indeed, per year, it is around thirteen times less.

Is this because only one thirteenth of the world’s population have been infected? This is extraordinarily unlikely. The recent REACT study in the UK, found that 65% of those infected with the Omicron variant in January 2022 had previously been diagnosed with COVID-19.⁹

Seven per cent more had symptoms strongly suggestive of previous infection but had not had a confirmatory test at the time. Ergo, very nearly three quarters of those getting COVID19 in January 2022 had been infected before.

The authors are now attempting to backtrack from this finding. Why? Because, if it is correct that the vast majority of people infected represent re-infections, it means that the infection rate must be extremely high, much higher than anyone admits.

It also follows that exposure and transmission is extremely high. This, in turn, means that the IFR is significantly lower than anyone admits – or indeed can admit.

It is no surprise then to find that those running the REACT study are based in Imperial College London. Which is where all the original IFR estimates came from. The lair of Neil Ferguson et all. The originator of the ‘justification’ figure. Those who are now doing all they can to suggest that the number of people who have been infected with COVID19 remains low.

Even more telling, although this is less easy to confirm, we have cases of people with three, or even four, infections. How can anyone get infected four times, when people around them have not been infected once? Are they dancing naked around a flagpole, breathing in deeply from an inverted loudhailer in a COVID19 ward?

No, they are not. The explanation is that those getting re-infected are those who are unable to simply shrug of COVID19, for whatever reasons. Their terrain was different. Which means that they will likely keep on getting infected as new variants appear. Hopefully in milder and milder versions.

On the other hand, if we look at those individuals who show no evidence of infection – those who have never suffered symptoms and developed no antibodies – it is not that they have never been exposed, or ‘infected’. It is that they have more robust defences. As Claude Bernard argued, the most important thing here is not the germ, it is the terrain. It always was, and always will be.

As you may have gathered, I am convinced that we have all been exposed to and ‘infected’ with COVID19, probably all within the first year [even if I don’t know how you determine being infected]. Which means, in turn, that the PFR and the IFR – after two years of the virus spreading around – will have will be very much the same.

Can I prove this. No. If a large number of people develop no symptoms, and there is no test used that can accurately determine infection/exposure, I cannot possibly prove this. Equally, no-one can prove anything in the opposite direction.

A bit of a standout clue, however, is that three quarters of those found to be infected had been infected before. This could only have happened if people have been repeatedly exposed to a sufficient ‘viral load’ to get COVID19. And if they have, so has everyone else.

Of course, if we cannot accurately define what we mean by ‘infected’ no prediction can have been right. In turn, this means that we bet the house on an outcome measure so deeply flawed as to be virtually meaningless.

A strong clue that has been more widely recognised to be meaningless, is that it no longer exists. How so, I hear you cry? Well, it was decreed fairly early on that any positive COVID19 test represents a ‘case’ of COVID19. Something that kind of slipped through, without anyone noticing.

It was a worldwide thing, but the text below is taken from an NHS press briefing conference, using data from coronavirus.data.gov.uk. The bit in bold is most important.

Once this happened, any historical comparison of IFRs, or CFRs, became impossible. If everyone who is infected is also a ‘case’ then everyone is an I/C, (infected/case). There is no longer an IFR. Nor can there be a CFR. There is a combination I/CFR.

This, in turn, means that the IFR rate has been artificially boosted. Case fatality rates will always higher than IFRs [people who become very ill from a disease are always more likely to die from the disease, than those who suffer no symptoms].

Add them together and the IFR jumps up. Or at least it does if no-one notices that you are flipping between, and combining IFR and CFR, at speed, and continue talking about the IFR as if it remains the same thing. Oh, the tricks that are played to inflate the IFR and ‘prove’ that the experts were right all along.

Despite the fact that it is now devoid of any meaning, the one per cent IFR for COVID19 remains the most fiercely guarded figure of all. Dare to state the IFR is significantly lower than the one per cent ‘justification’ figure and the dreaded dementors, sorry fact-checkers, descend from on high.

They will attack you, your personal habits, your professionalism, your motivations, your clear ‘anti-vaxx’ stance, your lack of being an expert – and anything else they can think of to personally denigrate and humiliate.

They will countenance no arguments, no discussion. It will be determined that you are simply wrong, certainly stupid, and unable to understand The Science and probably in the pay of someone evil cabal, or other. It is somewhat irritating. I want to discuss science, if not ‘THE SCIENCE’. They want me crushed and silenced.

End thoughts

We understand far less about infections than we like to think. We are simply scratching at the surface at present. It is all extremely complex. If you are up for it, you may wish to read this paper. ‘Pathogenesis of COVID-19 described through the lens of an undersulfated and degraded epithelial and endothelial glycocalyx.’¹¹

This paper represents a monstrously complex discussion of ‘the terrain.’ Namely, why do some people shrug off COVID19, whereas others may become so seriously ill that they may die?

According to this paper, it has nothing whatsoever to do with the things that we think of as part of the classic ‘immune response.’ T-cells, B-cells, cytokines, antibodies and suchlike. It is almost entirely to do with the ability of cells in our body to prevent viral entry.

Keeping things as simple as possible. If COVID19 (or other viruses) cannot get into an endothelial cell – or find it very difficult to do so – because the glycocalyx is healthy and robust, then SARS-Cov2 simply bounces off, and you will not become seriously ‘infected’. Yes, you will ‘shrug’ the virus off. It may enter your bloodstream, but that is about as far as it is going to get.

I mean, I have always been aware of the importance of cell entry in viral diseases. Both HIV and the Ebola virus enter a cell by hijacking a protein called CCR5 attached to cell membranes. There are a few people who have a thing called the CCR5delta32 mutation. If you have this mutation, it means that HIV and Ebola cannot attach themselves to the protein. Neither virus can then get into the cell and ‘infection’ cannot occur. The terrain is all.

Have any of those on SAGE, or Fauci, or Ferguson, or the CDC paid any heed to such things? I would be very surprised if any of them had even heard of the glycocalyx. A perfect example of the Dunning-Kruger* effect, I feel.

Yet, despite their stunning ignorance about such things, certain individuals and organisations grabbed the reins of influence in order to convince those in power that they had the answer.

The most important ‘answer’ being that COVID19 has an IFR of one per cent, which is at least ten times that of a serious influenza epidemic. Then, as the ‘germ’ is obviously everything, the only way to prevent hundreds of thousands, nay millions, of deaths was through lockdown, mask wearing, societal control, and suchlike.

We must stop spread, the ‘the germ is everything brigade’ cried. Although, with a 75% re-infection rate it is hard to argue that we have managed anything of the sort.

If this IFR figure was grossly inflated, which certainly seems to be the case, then all that we did was to create untold damage – for no good reason. I shall leave you with a post that I put up in a WhatsApp group recently. It followed a study from John Hopkins which estimated that COVID19 lockdowns only reduced deaths by 0.2%. [A study that will be attacked remorselessly, no doubt].¹²

‘Did lockdown work? No, the difference it made was marginal, at best. Were the models that we relied on accurate? No, they were bloody useless. Are the vaccines safe and effective? – Jury is out. Is there anything that was done justifiable by the evidence, in so much as it can be relied upon. I do not believe so.  What we certainly did was to explode the economy, pile vast debt on UK Plc. create a massive backlog of work for the NHS. Fail to diagnose and treat hundreds of thousands of cases of cancer, and suchlike and create a tsunami of mental health problems. We also ran roughshod over incredibly important human rights, that have taken centuries to take hold and grow. In my opinion, almost everything that was done has caused more harm than good. What is the counter-argument? If we hadn’t done all these things, it would have been far worse. The evidence to support this position is sadly lacking.’

*Dunning-Kruger effect is, in psychology, a cognitive bias whereby people with limited knowledge or competence in a given intellectual or social domain greatly overestimate their own knowledge or competence in that domain relative to objective criteria or to the performance of their peers or of people in general.

1: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809029/

2: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3734171/

3: https://www.ons.gov.uk/aboutus/transparencyandgovernance/freedomofinformationfoi/averageageofthosewhohaddiedwithCOVID19

4: https://www.ons.gov.uk/aboutus/transparencyandgovernance/freedomofinformationfoi/deathsofthoseunder60fromCOVID19withnocomorbiditiesandmortalityratesin2020

5: https://www.statista.com/statistics/281208/population-of-the-england-by-age-group/

6: http://www.bandolier.org.uk/booth/Risk/trasnsportpop.html#:~:text=While%20the%20risk%20of%20dying,risk%20is%201%20in%20240.

7: https://jamanetwork.com/journals/jama/fullarticle/2785530

8: https://www.ox.ac.uk/news/2021-06-18-latest-data-immune-response-COVID-19-reinforces-need-vaccination-says-oxford-led

9: https://www.beckershospitalreview.com/public-health/two-thirds-of-omicron-cases-are-reinfections-uk-study-suggests.html

10: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1041270/2021-12-15_COVID-19_Press_Conference_Slides_PUBLICATION.pptx.pdf

11: https://doi.org/10.1096/fj.202101100RR

12: https://www.sciencemediacentre.org/expert-reaction-to-a-preprint-looking-at-the-impact-of-lockdowns-as-posted-on-the-john-hopkins-krieger-school-of-arts-and-sciences-website/

14th January 2022

A few months ago, I resolved not to write anything more about COVID19. I was having zero apparent effect on anything, or anybody, and I was just getting increasingly despondent at the destruction of science, debate, logic, humanity, personal freedoms … life.

However, my New Years resolution was to not have any more resolutions. Which lead to an almost inescapable logic loop from which I have only just managed to extricate myself.

In truth, I believe that I still have a few things left to say about COVID19 that may be useful in stopping some of the most egregious nonsense being repeated. [Fat chance, says the little man on my shoulder].

What I am about to write, I have written about before, in various different guises. However, I think it is worth going back over some old ground again. Hopefully in a more effective manner.

In this blog what I want to do is to look at how we think about a few things, primarily in medicine, and medical science. To try and highlight how some repeated flaws in thought have influenced the reaction to COVID19.

I hope that by doing this, it may help to prevent some us travelling down the terribly well-worn ‘paths of pointlessness’ again. Or, at least, to get people to stop and question how they are thinking, before throwing themselves into the fray.

To begin.

What I saw happening with COVID19 is a pattern that repeats in medicine over and over again:

• We have a serious illness – panic
• Something must be done – grab the pitchforks, run about screaming
• An influential person, or organisation, grabs the initiative – ‘‘experts’ move in.’
• I/We know what to do, you must follow me/us – simple idea + soothing paternalism
• Frightened people latch onto their ideas – two legs good, four legs bad
• A path is chosen – along the side of a cliff
• Momentum builds – the unstoppable charge of the light brigade
• Those who object to the path taken are crushed – 1984

Fast forward a few decades… ‘Oh, it seems that the thing we always do as standard medical practice… Turns out it does more harm than good.’ See under: removal of toxic colon, the radical mastectomy, strict bed rest following a heart attack, cutting teeth, use of radium water, plombage, mercury for syphilis, pre-frontal lobotomy etc.

Of course, this pattern is not true of every medical intervention, not by any manner of means. Sometimes the influential person, or organisation, promotes the best course of action. This has been known to happen from time to time… believe it or not. In addition, medical practice does eventually auto-correct – and ends up doing the right thing. Almost always. We no longer remove toxic colons to cure female neurosis.

But what never, ever, seems to happen is OODA. Defined as ‘a practical concept designed to function as the foundation of rational thinking in confusing or chaotic situation’.

OODA stands for. ‘Observe, Orient, Decide Act.’

It was developed by the Air Force Colonel, John Boyd.

What John Boyd taught was simple. If you don’t know what is going on, do not make immediate decisions. First, work out what is happening, then orientate yourself – before you decide what to do. That way you avoid most, if not all, stupid mistakes. For many years, without knowing anything of OODA my own medical strategy has tended towards ‘don’t just do something, stand there.’

Unfortunately, the medical profession has always battled ferociously against doing nothing. It has always greatly favoured the ‘You must do something, anything, I don’t care what it is so long as it sounds like a good idea. Chaaarge!’ Strategy.

This, the ‘do something strategy’, has always proven far more seductive, and almost always wins. It is easier to attract followers to do something, than to than to do nothing. Why not whack a hole in the skull and split the brain apart to cure various mental diseases? Why not… indeed. Ah yes, the good old pre-frontal lobotomy.

A.N. Other doctor: ‘If you do nothing people will surely die. You cannot just stand there doing nothing.’

Me:                             ‘But what if those things we do end up causing more damage, or killing more people?’

Many years ago, my father said to me. ‘You will always be blamed for failures of omission, rath than commission.’ At the time I was young,  I knew everything, and thought he was talking rubbish. In truth I didn’t really understand his point. Now that I know that… I know nothing, I fully understand how profound his comment was. I wish I had listened to him more.

Yes, doing something will always be looked on in a positive light. Effort has been made, decisions have been taken, activity carried out. In medicine this is reflected in a comment that I have had directed at me, from time to time. ‘At least you tried, doctor.’ Well, seeing as they are now dead, my efforts achieved very little. But thanks anyway.

In addition, if you do nothing, you can be accused of laziness, of being uncaring. You just stood there and watched them suffer, even die. You cruel swine. I see this overwhelming urge to do something, anything, in the person who cannot swim, jumping into a river to try and save their dog from drowning.

What exactly did they think they were going to achieve? Oh well, at least they tried, you may say. No… they were stupid. They drowned along with their dog. But who can stand on the riverbank watching their dog die?

Well, me, actually.

This also moves into the area of survival guilt. How am I still alive when others have died? Better to die trying than to have done nothing? It all further wraps round into it the almost irresistible urge to be seen to be doing something. I think it is hard-wired into our psyche. We must fight to protect those in our tribe and be seen to be doing it. Chop, chop, busy, busy, work, work, bang, bang ¹.  

I am, however, reminded of the philosophy behind recruitment to the German army in the good old days – as recounted to me. Men were divided in to four categories:

• Intelligent and lazy
• Intelligent and hardworking
• Stupid and lazy
• Stupid and hardworking

At which point

• Intelligent and lazy men were taken for officer training
• Intelligent and hardworking men were turned into NCOs (non-commissioned officers)
• Stupid and lazy men became privates – squaddies, to use the UK vernacular
• Those who were both stupid, and hardworking, were taken out and shot, before they could do too much damage

Doing things, doing things, doing things. We place great value on it. Too much.

As Kurt Vonnegut Jnr noted in Cat’s Cradle:

“We do, doodley do, doodley do, doodely do,
What we must, muddily must, muddily must, muddily must;
Muddily do, muddily do, muddily do, muddily do,
Until we bust, bodily bust, bodily bust, bodily bust.”

Of course, if there are things to be done, they should be done. But that does not mean we should rush around doing stuff, just because it seems better than doing nothing. Here is what Vinay Prasad has to say in his blog ‘Will science do better post COVID19?’

‘When faced with a pandemic, we re-treated to all the old delusions. Bioplausibilty was sacrosanct— that’s why #maskswork! We can’t run RCTs— these are parachutes. Doing something is always better than doing nothing! More is better than less! Keep boosting, young man!! Newer is better than older. Disease bad; treatments good. Bad people (John Ioannidis) are always wrong (never mind, that a year ago we all thought he was brilliant).’ ²

The additional problem with doing things is that, once you have started doing them, it becomes damned difficult to stop again. After you have decided to blow four hundred billion pounds on lockdown, or thereabouts, then you are pretty much stuck with it. Or else, you are going to look pretty stupid. ‘Sorry, ahem, I seem to have wasted a teensy bit of money. Sorry, my mistake.’

If everyone is ordered to wear a mask, on pain of death, you are stuck with that too. Back pedalling from instant decisions is very, very, difficult. For the scientists and politicians involved you cannot be seen to have been wrong. Reputations must be protected.

At which point, vast amounts of time and effort are expended in trying to batter down anyone who dares to suggest that we rushed into doing things that were completely pointless, even damaging. Science then becomes twisted and bent to justify the errors made. Those in power must retain power. The narrative must be supported:

• COVID19 is really, really deadly
• Lockdowns really, really, work
• Masks really, really, work

If you question these narratives, people will demand an answer to this rhetorical question. Do you want people to die! (That’s always an effective weapon). The correct answer to this question by the way, is usually no – although I am willing to make exceptions.

The other terrible flaw in thinking here, especially in medicine, was also mentioned by Vinay Prasad. It is Bioplausibility. Often closely associated with fast thinking a.k.a. jumping to conclusions, because they just seem right.

Masks, indeed, must surely work. Because? Because they prevent the virus from spreading. In fact, masks represent an almost perfect example of bioplausibility a.k.a. sheer common sense. No-one can argue against using them. If you do, your arguments must be pure sophistry, or simply nonsense. ’You do not understand science.’ That’s a good one, I get that a lot.

‘I think you will find it is not I that fails to understand science.’ I think to myself. But I don’t say it, because it makes you sound like a prat.

Let me remind you of a time when, after a heart attack you had to rest in bed doing nothing for six weeks. The heart has been damaged and must be given a chance to rest. Yes, perfect Bioplausibility, believed by virtually everyone. To question it was to be cast into the outer darkness.

It is now known that the worst thing you can possibly do is to enforce strict bed rest post heart attack. This advice, in place from 1912 to about 1960(ish), killed tens of millions. Maybe hundreds of millions.

As for masks – the sort of masks worn by almost everyone.

‘The use of cloth facemasks in community settings has become an accepted public policy response to decrease disease transmission during the COVID-19 pandemic. Yet evidence of facemask efficacy is based primarily on observational studies that are subject to confounding and on mechanistic studies that rely on surrogate endpoints (such as droplet dispersion) as proxies for disease transmission. The available clinical evidence of facemask efficacy is of low quality and the best available clinical evidence has mostly failed to show efficacy, with fourteen of sixteen identified randomized controlled trials comparing face masks to no mask controls failing to find statistically significant benefit in the intent‐​to‐​treat populations. Of sixteen quantitative meta‐​analyses, eight were equivocal or critical as to whether evidence supports a public recommendation of masks, and the remaining eight supported a public mask intervention on limited evidence primarily on the basis of the precautionary principle. Although weak evidence should not preclude precautionary actions in the face of unprecedented events such as the COVID-19 pandemic, ethical principles require that the strength of the evidence and best estimates of amount of benefit be truthfully communicated to the public.’³

How can masks possibly fail to work?

Well, unfortunately, our brains work one way, and the world often works in quite another way. As does, therefore, science. For centuries people thought that heavier than air flight would only be possible if you flapped things that looked very like wings. Why, because birds and bats were the only flying things people had ever seen flying [apart from lemmings] and they mostly flapped about like mad – using wings.

Except that, if you looked closely, they didn’t – not really. If you thought flapping was the key to flight, you were not really looking. An albatross can stay aloft for hours, gliding above the waves, using the wind and updrafts, and barely moving its wings at all.

Yet, and yet, no-one was able to see this. When I say ‘see’ this I mean – look beyond the obvious, in your face, flappy stuff. Observe properly, deeply, to really understand what you are looking at – in this case aerodynamics. Eventually, of course, some people did. Et voila, the Wright Brothers.

With masks… Yes, it is both true, and self-evident, that a mask stops droplets being catapulted across a room after a cough or sneeze, or suchlike. So, they must stop spread…mustn’t they? I mean, you can even see it working in slow motion videos. A man coughs in London, virus ends up in New York – or something. Ah, the dreaded Bioplausibility… that can also be visualised. Double bubble.

But a mask can also turn droplets into an aerosol by breaking the droplet down into far smaller particles. Particles will float in the air for longer, and thus be inhaled for longer. Possibly, probably⁴. You didn’t think of that, did you?

A mask can also become damp and keep viral particles viable for longer. Once discarded – as many masks are – they represent receptacles for viruses and can spread disease when picked up. What happens when masks are used and used, and re-used? As they often are. Superspreading here we come. Blowing viral particles out of a wet mask.

As a wise man also said. Using cloth masks to prevent viral spread it like trying to pick up sand with a tennis racket. Virus particle size ‘x’. Holes in mask size 1000x.

A mask can also mean that people stand closer to each other than they otherwise would. A mask may, simply, never had had a chance to work at all. After all, we breathe in and breathe out the same amount of air whilst wearing a mask than not.

If there is virus in floating in the air, we are still going to breathe it in, and out. Masks do not stop us breathing, and the air has to come from somewhere. Unless masks act as a type of black hole, trapping, then transporting viral particles from here into another universe… I’m not putting much money on that hypothesis.

Some months ago, I wrote about the last people to be infected with smallpox. In one hospital, in Germany, a patient with smallpox was being treated on the ground floor. The patient in the room above, and then the room above that, become infected. Which means that viral particles must have got out the window, drifted upwards and infected those above.

Which just gives you some idea of how few viral particles were needed to spread a disease that was, up to that time, not even believed to spread through the air. No droplets required.

Early on, with COVID19 it was noted that ferrets could be infected with the virus. So, researchers put one ferret in a cage, with another ferret above with a solid barrier between them. The one below was infected with COVD19.

The only route for COVID19 to travel from one ferret to the other was through a tube that bent through ninety degrees, bent again to go upwards through the barrier, then across, and back round through ninety degrees

In essence, this tube was specifically designed to ensure that droplet spread was impossible. As droplets cannot go round corners, travel upwards, turn another ninety degrees… and suchlike.

Despite this, all of the uninfected ferrets became, very rapidly, infected. Conclusion – COVID19 can travel and infect through aerosol spread. Secondary conclusion – masks cannot stop this. At least not the sort of masks that virtually everyone wears, and then re-uses.

Of course, there are masks that you can use to prevent the spread of viral particles. But they have to be airtight, they have to have filters. They are uncomfortable to wear for any length of time, and they need to be changed regularly. They also prevent a great deal of communication, as people hard of hearing will tell you. Oh yes, there are serious downsides to mask wearing.

I only focus on masks here to make the point that masks appear totally ‘Bioplausible’. If, that is, you don’t think about all the issues too deeply. Also, getting everyone to wear masks represents doing ‘something.’ Doing something, especially something visible, is always better than doing nothing.

Yes… doing something, anything, and Bioplausibility. Two bear traps in human thought. Traps that seem impossible to eradicate.

There is another, major trap, which is the urge to draw ourselves into tribes. Then attack and attempt destroy anyone who does not agree with us. Humiliate and silence. Turn the ‘other’ into someone with evil intent. I am not getting into this in any depth here. We have all seen too much of it. The terrible seductive pleasure of righteous anger. Which so easily flips into hatred.

As also mentioned by Vinay Prasad. Bad people (John Ioannidis) are always wrong (never mind, that a year ago we all thought he was brilliant).’

As we all know, it is not just Ioannidis who is attacked. Dare to breathe one word of caution about vaccines and you become ‘dirty anti-vaxxer scum. You deserve to lose your job. Ha!’

This is no way for humans to act towards each other. Crush debate, silence those who dare to think differently. Bring in the Spanish Inquisition a.k.a. fact checkers. All bought and paid for by those who have vested interests in obliterating the opposition, of course.

Question:     When is a fact checker not a fact checker?

Answer:        When they are called a fact checker. [Especially if they work for a company that used to begin with Face and ended in Book. Or Witterpedia]

Also Meta…as in, I meta  ‘n’ idiot – who think it’s okay to silence anyone they disagree with, and claim this is science. Spare me.

Anyway, what do we do next time? How do we do better? How do we think better? Well, I suppose that first of all you have to get those in power to accept that they made mistakes…. Ho hum.

Frankly, that ain’t going to happen. Therefore, we need new people in power. People who can understand that things are complicated. That the immediate Bioplausible and simplistic ‘answer’ is as likely to be wrong, as it is right. More likely in truth.

We really need people to think better:

‘We have a crisis in medicine when it comes to understanding and appraising science. We do not teach this explicitly in medical schools, and it gets short shrift to mechanistic science. Our overemphasis on molecular mechanisms fuels the cognitive distortion that a reductionistic view is superior to empiricism*’ ²

*empiricism is the view that all concepts originate in experience, that all concepts are about or applicable to things that can be experienced, or that all rationally acceptable beliefs or propositions are justifiable or knowable only through experience.

Were there any examples of doing things better from which we could learn? In Sweden they did things differently – at least from most of the rest of Europe. Anders Tegnell, the state epidemiologist (yes they have such a post) was the man who led the Swedish response. It was to bring in very few restrictions and make almost everything voluntary. Lockdown ‘lite’ if you like.

He was ruthlessly attacked from all directions, but remained superficially calm. Although I imagine he felt most terribly bruised and battered inside. TIME magazine ran a story about the Swedish response entitled ‘The Swedish COVID-19 Response Is a Disaster. It Shouldn’t Be a Model for the Rest of the World.’⁵

You don’t really need to read the article. The title makes it entirely clear what tone was adopted, and also what the conclusion was going to be. Sweden = death and mayhem, run for the hills. Frankly, I am amazed that the Swedish Government held firm in supporting him.

At one point even the Swedish King, Carl XVI Gustaf ‘Gustaf –  the eminent epidemiologist’ as I believe he is also known – had a pop at poor old Anders. But the Government did support Tegnell’s light touch strategy – mostly. They held their nerve.

What was Anders thinking, the mad mass murdering fool? As he calmly stated in the British Medical Journal, after COVID19 deaths in Sweden had settled into the lower half of European figures. Not as good as some, better than most:

… there is still disagreement among scientists about which measures are effective against the spread of infection. “This is what we are still struggling to understand: some measures work in some places, but it is difficult to see patterns.”

“Countries that went through lockdowns are not doing that much better,”⁶

Yes, he is describing his OODA journey. Anders is still observing and attempting to orientate, but he cannot see what to do. He still believes that the evidence for severe lockdowns, and mask wearing, simply does not exist. To put it another way, he cannot yet decide what should be done. So, he isn’t doing it.

Good man. We need far more like Anders Tegnell, and less of those like the members of SAGE in the UK. Screaming blue bloody murder with threats of hundreds of thousands dying if WE DO NOT ACT NOW! The sky is falling, the sky is falling. OMCIRON will kill us all… all I tell ee’. Beware the black spot Cap’n.

We also need more people to be sceptical. To look at the science and the evidence. We need, quite frankly, to learn to think… and grow up. Also, importantly, learn the incredibly difficult trick of doing nothing at all.

As they used to say in a UK advert. ‘Nothing acts faster than Anadin (a painkiller)’

Solution… take nothing

Nothing acts faster than a damn good lockdown

Solution…do nothing

Or, to quote the famous physician William Osler. ‘One of the first duties of the physician is to educate the masses not to take medicine.’ I shall now leave you with two things to consider. The first is an open letter, written by Professor Ehud Qimron, head of the Department of Microbiology and Immunology at Tel Aviv University and one of the leading Israeli immunologists:

I suppose I should say that the opinions of Professor Udi Qimron are not necessarily those of the senior management of this blog. I, in exactly the same way as Google and Facebook (Sorry, Alphabet and Meta. ‘As I was going to St Ives I meta man with seven wives’… how many idiots were going to St Ives), and suchlike, am merely the repository for information, and articles. A warehouse if you like. I have no editorial control over content, so you cannot sue me for anything written.

Unfortunately, I am not rich enough to employ Fact Checkers and unleash them upon anyone who disagrees with me. Yet. You have been warned.

The second thing, that I shall leave you with, is the fact that doing nothing can be very rewarding, and sometimes pretty hard work. As outlined by this article in The International Journal of Doing Very little:

‘We’re busy doin’ nothin’
Workin’ the whole day through
Tryin’ to find lots of things not to do
We’re busy goin’ nowhere
Isn’t it just a crime
We’d like to be unhappy, but
We never do have the time,’

‘I have to watch the river
To see that it doesn’t stop
And stick around the rosebuds
So they’ll know when to pop
And keep the crickets cheerful
They’re really a solemn bunch
Hustle, bustle
And only an hour for lunch.’

La-la-la-la-la-la
La-la-la-la-la-la-la-la-la-la
La-la-la-la-la-la
La-la-la-la-la-la-la-la-la-la

‘We’re busy doin’ nothin’
Workin’ the whole day through
Tryin’ to find lots of things not to do
We’re busy goin’ nowhere
Isn’t it just a crime
We’d like to be unhappy, but
We never do have the time.’

‘I have to wake the Sun up
He’s liable to sleep all day
And then inspect the rainbows
So they’ll be bright and gay
I must rehearse the songbirds
To see that they sing in key
Hustle, bustle
And never a moment free.’

‘We’re busy doin’ nothin’
Workin’ the whole day through
Tryin’ to find lots of things not to do
We’re busy going nowhere
Isn’t it just a crime
We’d like to be unhappy, but
We never do have the time.’

‘I have to meet a turtle
I’m teachin’ him how to swim
Then I have to shine the dewdrops
You know they’re looking rather dim
I told my friend, the robin
I’d buy him a brand-new vest

Hustle, bustle
We never do have
We never do have
We never do, never do
Never do, never do, never do have the time
Never do have the time.’⁸

And if that don’t cheer you up, nothing will. And follow my motto. ‘Don’t just do something stand there….’ Whilst observing and orientating of course. Think first, act later.

1: https://www.youtube.com/watch?v=2bnWLTI-QmE

2: https://vinayprasadmdmph.substack.com/p/will-science-do-a-better-post-covid19

3: https://www.cato.org/working-paper/evidence-community-cloth-face-masking-limit-spread-sars-cov-2-critical-review

4: https://www.nature.com/articles/s41598-020-72798-7

5: https://time.com/5899432/sweden-coronovirus-disaster/

6: https://www.bmj.com/content/375/bmj.n3081

7: It’s an open letter you can go and find it yourself

8: https://www.youtube.com/watch?v=1QxvPXK3Gv4

3rd September 2021

Thank you to the many people who have e-mailed me recently and asked if I have been silenced. I have not. I have had letters from Public Health England and the General Medical Council, informing me that I was under investigation for daring to question anything about COVID19, particularly vaccines.

The good news is the investigations ended up nowhere, and were closed down. I have also had irate phone calls from doctors, telling me that I must not question vaccination and suchlike. This has been somewhat wearing and has caused me to remain silent for a while and think about things.

However, I do know how to play the medical regulations game. Don’t make a statement you cannot reference from a peer-reviewed journal. Don’t give direct advice to people over the internet. Provide facts, and do not make statements such as ‘vaccines are killing thousands of people.’ Or suchlike.

Not that I ever would. My self-appointed role within the COVID19 mayhem, was to search for the truth – as far as it could be found – and to attempt to provide useful information for those who wish to read my blog.

The main reason for prolonged silence, and introspection, is that I am not sure I can find the truth. I do not know if it can be found anymore. Today I am unsure what represents a fact, and what has simply been made up. A sad and scary state of affairs.

This is not just true of the mainstream and the mainstream media, which has simply decided to parrot all Government and WHO statements without any critical engagement…or thought. For example, the BBC intones that ‘In the last day, fifty people died within twenty-eight days of a positive COVID19 test…’ Or a hundred, or six. What the hell is this supposed to mean? It means nothing, it is the very definition of scientific meaninglessness.

Especially when it seems that very nearly a half of those admitted to hospital with COVID19 were not admitted to hospital with COVID19. They were admitted with something else entirely, then had a positive test whilst in hospital. In short, they were not admitted to hospital with COVID19, and almost certainly did not die of COVID19. They died with a positive COVID19 test. With, not of.

But the misinformation is equally a problem for those on the other side. Claims are made for the benefits of Ivermectin and hydroxychloroquine that simply do not stand up to scrutiny. Yes, I believe both drugs may provide some benefit, but not the claimed 90% reduction in deaths that I have seen trumpeted.

So, I have given up on COVID19. It is a complete mess, and I feel that, without being certain of the ground under my feet, I have nothing to contribute. I too am in danger of starting to make statements that are not true.

However, before leaving the area entirely, I would like to make clear some of the things I currently believe to be true, and what I do not believe to be true. If this is of any assistance to anyone. Very little is referenced, because I can very easily find a contradictory reference to any reference I provide. For each fact, there is an equal and opposite fact.

1: SARS-CoV2 exists

Many people have stated, probably correctly, that the SARS-CoV2 virus has never been fully isolated. Whatever exactly that means. Have Koch’s postulates been met? [see a bit later on] I think for viruses, Koch’s postulates are very rarely, if ever, met. Does it matter, not really.

Despite this gap I believe that SARS-CoV2 truly is a ‘new’ virus that did not exist before. So, it must have mutated somewhere, or been mutated somewhere, from another coronavirus… probably. Although it seems that SARS-CoV2 does not mutate. Instead, it creates variants which, somehow or other, is a completely different process to a mutation! I have found that language in this area means little, and words are simply twisted to suit a particular narrative.

I feel it is most likely this mutation occurred within a laboratory in Wuhan during gain of function research. But I don’t suppose we will ever know. It seems unlikely to be something that the Chinese authorities are ever going to admit… ever. As a general rule, the more fervently, and angrily, the Chinese state denies something – the more likely it is to be true.

This is a special case of a general rule that I modestly call the ‘Kendrick reverse meaning law.’ Which developed from P.G. Wodehouse’s observation that ‘When an Englishman says ‘trust me’ it is time to start counting the spoons.’

This reverse meaning was seen clearly when Matt Hancock (UK Health Secretary at the time) stated that ‘Right from the start we’ve tried to throw a ring of steel around our care homes.’ Which actually meant that ‘Right from the start we threw care homes under a bus.’ Unless, what he actually meant was that the ring of steel was put up to stop care home residents escaping. ‘Halt, who goes there….’ Sound of heavy machine gun fire, whistles screeching, attack dogs baying at the leash. ‘Go for the Zimmer frames, that should bring them down.’

2: SARS-CoV2 is generally more deadly than influenza

Of course, SARS-CoV2 is most certainly not deadlier than the influenza epidemic of 1918-19. Which is estimated to have wiped out 2% of the entire world’s population. It is probably not more deadly than the 1957 epidemic, or the 1967 influenza epidemic. But it seems more deadly than anything in the last forty years, or so. So, a bit more deadly than most influenzas that sweep through humanity every year, or so. Give or take.

Currently, SARS-CoV2 is reckoned to have killed four and half million people across the Globe. Which is 0.07% of the world’s population. However, there is an immediate problem here. With influenza, we count for one year, then start again the next year. With COVID19 we have just kept on counting, adding this year figures to last years, and so on!

Eventually, therefore, assuming COVID19 comes and goes like the flu, and we just keep on counting without end, it will end up killing a hundred million. Making it the deadliest virus ever. Far worse than any influenza? At the current rate this will take another thirty years, or so. Within one thousand six hundred and sixty-six years it will have killed everyone. Of course, there will have been a few billion replacement humans created during that time.

What is far more important is to know the infection fatality rate (IFR)? That is, what percentage of those infected with SARS-CoV2 will die? This, I am afraid, we are never going to know, as the definition of what the word ‘infected’ means has flipped this way and that and can never be pinned down.

Does it mean a positive test? Does it mean a positive test plus symptoms? [Which used to be called a ‘case’] Does it mean something else. What does infected actually mean…

Here, I defer to the Master – Lewis Carroll:

‘When I use a word,” Humpty Dumpty said in rather a scornful tone, “it means just what I choose it to mean — neither more nor less.”

“The question is,” said Alice, “whether you can make words mean so many different things.”

“The question is,” said Humpty Dumpty, “which is to be master – – that’s all.”

Accepting that no-one will define what COVID19 infection actually means, I believe the infection fatality rate is, (using previous used definitions) settling at around 0.15%. At least it was last time I looked. This was never enough to justify the panicked actions that have taken place around the globe. Never.

3: The figures make no sense – and never will

One of the central problems here, form which all other problems flow, is that the PCR (polymerase chain reaction) test is the test against which the PCR test itself is tested. We have nothing better. So, we are completely reliant on it being accurate. However, we cannot know how accurate it truly is, because there is no test against which to compare it.

I mentioned Koch’s postulates earlier. These are the tests which can prove if a ‘micro-organism’ is actually causing the disease. The ultimate gold standard:

• The microorganism must be found in abundance in all organisms suffering from the disease, but should not be found in healthy organisms.
• The microorganism must be isolated from a diseased organism and grown in pure culture.
• The cultured microorganism should cause disease when introduced into a healthy organism.
• The microorganism must be re-isolated from the inoculated, diseased experimental host and identified as being identical to the original specific causative agent.

And good luck with all of that. The truth is that these postulates can work for bacteria, but not really for viruses. Because it is very difficult to meet them. I am not sure if they have ever been truly met for any virus.

On the matter of finding out if the virus is truly present, in anyone diagnosed with COVID19, here is a letter that was published in the BMJ in October last year

‘We are told that the virus is everywhere – in the air, in our breath, on fomites, trapped in masks – yet public health authorities seem not to be in possession of any cultivable clinical samples of the offending pathogen.

In March 2020, the World Health Organisation instructed authorities not to look for a virus but to rely instead on a genome test, the RT-PCR, which is not specific for SARS-CoV-2 (1) (2).

A Freedom of Information request to Public Health England about cultivable clinical samples or direct evidence of viral isolation has no information and refers to the proxy RT-PCR test, quoting Eurosurveillance (3).

Eurosurveillance states: “Virus detection by reverse transcription-PCR (RT-PCR) from respiratory samples is widely used to diagnose and monitor SARS-CoV-2 infection and, increasingly, to infer infectivity of an individual. However, RT-PCR does not distinguish between infectious and non-infectious virus. Propagating virus from clinical samples confirms the presence of infectious virus but is not widely available (and) requires biosafety level 3 facilities” (4).

The CDC admits that, “no quantified virus isolates of the 2019-nCoV are currently available”, and used a genetically modified human lung alveolar adenocarcinoma cell culture to, “mimic clinical specimen”(5).

It appears, therefore, that we have public health bodies without clinical samples, a test which is non-specific and does not distinguish between infectivity and non-infectivity, a requirement for biosafety level 3 facilities to even look for a virus, yet we are led to believe that it is up all our noses.

So, where is the virus?’

(1) https://www.who.int/publications/i/item/10665-331501

(2) https://www.bmj.com/content/369/bmj.m2420/rr-5

(3) https://www.whatdotheyknow.com/request/679566/response/1625332/attach/ht&#8230;

(4) https://www.eurosurveillance.org/content/10.2807/1560-7917.ES.2020.25.32&#8230;

(5) https://www.fda.gov/media/134922/download ¹

After reading this, do I still think SARS-CoV2 exists? Yes, I do. I firmly believe that I watched people dying of it, from it. They died in a way I have never seen people do so before, and I have seen a lot of people die. They seemed quite well, then suddenly their oxygen sats dropped like a stone – they still seemed okay otherwise – then they died. The end.

Very strange, and rather disturbing. I started slipping an oxygen saturation monitor onto my finger from time to time. Just in case. 99% is my average reading, if you are interested. It never dropped.

However, getting back to the testing. If you truly want to confirm the presence of a virus in a sample, you need to send it to biosafety level 3 facilities to isolate it, grow it (not really the correct word for a virus), and suchlike. This is never done in the clinical setting.

You could argue that if you wait for antibodies to develop, you can ‘prove’ that someone was infected, or not, and thus work out how accurate the PCR test has been retrospectively. Perhaps…

I speak as someone who needed seven Hepatitis B vaccinations before I produced any detectable antibodies. Did I have immunity after the first six, or not? Am I someone who simply does not make many antibodies, but still have immunity through other mechanisms?  Do others simply not produce antibodies, or their level drops so fast, that they effectively disappear?

Yes, serological testing (looking for antibodies), has its own very significant problems.

‘Serological tests for SARS-CoV-2 have accuracy issues that warrant attention. They measure specific antibody responses which may take some weeks to develop after disease onset reducing the sensitivity of the assay. If blood samples were collected during the early stage of the infection, they may produce false negative results. They do not directly detect the presence of the virus. Further, antibodies may be present when SARS-CoV-2 is no longer present giving false positive case diagnosis.’ ²

In reality, we are relying on a PCR test to diagnose SARS-CoV2 infection, the accuracy of which is entirely dependent on believing that the test is accurate. Yes, that is the route to madness.

At present, in the UK, we are doing about one million tests a day ³.

We are getting about thirty thousand ‘positive’ results. Or, about 3% positive. How many of these are truly positive? Well, you can take a wild guess on that one. At one point, the CDC stated that 30% of the PCR tests were false positives. A ‘false positive’ means that test says you have the disease, when you do not. [A false negative informs you that you do not have the disease, when you do] ⁴.

The thirty per cent cannot be the case currently, because that would mean if you did one million tests, you would get more than three hundred thousand false positives. Instead we are getting thirty thousand, which means that it is impossible for the false positive rate to be higher than three per cent.

So, what is the true rate? Well, if is three percent, then virtually every single positive test is a false positive test. [Three per cent of one million is thirty thousand] Which would mean that no-one in the UK currently has COVID19, and everything we are doing is completely pointless. It also means that people admitted to hospital with COVID19 do not have the disease, they are suffering from, and dying from, something else with a false positive COVID19 false test stamped on their forehead.

Is it possible that no-one actually is infected with SARS-CoV2? Well, it is certainly not impossible. Here is a graph of overall mortality (risk of dying of anything) from England. These figures, unlike most others, are pretty much fully reliable. Someone is either dead, or they are not. It is a difficult thing to get wrong, or manipulate. There can be some delay in registering a death, but this is not normally a major issue.

The graph starts in last quarter 2017. As you can see, a spike in overall mortality in Spring 2020, A spike in Winter 2020/21. Currently, no excess mortality at all. So, if COVID19 is infecting hundreds of thousands of people each week, it is not showing up as any excess deaths… at all ⁵.

Does this mean that COVID19 has gone, and we are rushing around panicking about false positive tests? Or is it still here? Still here I think… but who knows… who knows.

This is the main reason I have given up. I just don’t know what to believe – apart from overall mortality figures. The figures are spun and massage, twisted and mangled.

Another reason why I have given up trying to make any sense of COVID19 is the enormous differences in overall mortality seen in countries that are virtually identical in life expectancy, healthcare systems, actions taken against COVID19 etc. etc.

Afters studying the figures from England, I looked at the figures from Northern Ireland.

Both countries [yes, Northern Ireland is not actually a separate country, it is part of the UK] did almost exactly the same things when it came to COVID19. They both have the National Health Service, they are as close to each other as can be – in terms of COVID19, and most other things. Here is the graph of overall morality for Northern Ireland.

Which means that something very dramatic happened in England, with regard to COVID19? Yet nothing happened in Northern Ireland. This, to me, is fascinating, although I cannot explain it. However, I know that if you were able explain why these two graphs are so weirdly different, you will be unearthing some critical truths with regard to COVID19.

Of course, no-one is remotely interested in such anomalies. Instead, they point to a country like Norway and say – ‘Look how well they did with their rapid lockdown, and preventing people crossing the border’. No-one points to Northern Ireland and says, ‘look how well they did with all their….’ All their what? All their doing exactly the same as England.

Yes, Northern Ireland does not fit with the approved narrative, so it is ignored. Anything that does not fit with the mask wearing, social isolating, vaccination will save the world narrative is simply ignored.

Or it is shouted down or censored by the self-appointed Fact-checkers. Those mighty intellects who can determine what is true, and what is not. It was thoughtful of them to descend from Mount Olympus to mingle amongst feeble minded humanity and tell us what we should, and should not, be thinking. We must all be eternally grateful that the ‘Truth Gods’ now live amongst us, to firmly inform us all what, and how, we should be thinking. And shut us down if we veer from the official narrative.

Anyway, faced with a situation where there are almost no facts that can be relied upon, from anywhere, I have officially removed myself from all discussions on the matter of COVID19.

Instead, I shall return to other areas where, whilst the truth is constantly battered and bruised, and lying in a bruised heap the corner, it is still breathing … just about alive. Sometimes it is capable of weakly raising its head and whispering quietly into my ear. I shall let you know what it says.

1: https://www.bmj.com/content/370/bmj.m3379/rr-2

2: https://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-021-01689-3

3: https://coronavirus.data.gov.uk/?_ga=2.38943459.111756282.1590603430-1775824629.1590603430

4: https://www.bmj.com/content/373/bmj.n1411/rr

5: https://www.euromomo.eu/graphs-and-maps/