The dynamics are stunning. (1) There were 1.8 million new HIV cases in 2017. We detect more SARS CoV 2 cases every week, and surveillance is poor by now. (2) Hundreds of millions will slip out of the window in which ART should start, if this were HIV (within one year after EDS).*
(3) System dynamics: We CAN continue the current policy of organized denial and reinfections. The latency of this virus will allow it. - On the sunny side, we need NO new data for fast and strong action. It's called "precautionary policy", a mysterious ancient* art. * = Pre-2019
(3) It's not HIV-1, of course, but evolution perfected sarbecoviruses for latency, viral reservoirs are found in autopsies and in SARS, and the SARS CoV 2 spike contains HIV's gp120 protein. The current malpractice needs to stop. (🙏 @dbdugger for details)
@dbdugger (4) It is strange for me as an IR/public policy scholar to be interpreting such literature for the public. We cannot perform the media or governments' duties. I should be building solar PV systems or doing climate activism? Yet as @mylesbyrne kindlys says,
@dbdugger @mylesbyrne (5) Climate dynamics accelerated beyond the scope of climate politics, so far no powerful & salient policy field. While #COP27 will demand media and government attention, I propose that public health can be part of climate statecraft in a constructive way.
@dbdugger @mylesbyrne (6) What to do NOW? (a) The governance question is beyond the remit of MDs or medicine, it's for (heads of?) states. (b) Pandemic Playbooks & international treaties exist. There are NO plans to implement them. Such plans need to advance fast. ht @gorissenn
