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Carl Hennigan

👤 Person
978 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And that's incredibly important.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

So like yesterday's went right back to 23rd of the March.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

We can't quite understand what's happening there.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

But actually, they're finding about deaths now that could have occurred a month ago.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

But when you do that, one of the things is if you look at the shape of the data now, the peak deaths occurred on the 8th of April.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And it started to generally slow down.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

The only caveat to that is the concerning picture that's happening in nursing homes.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Because if you think about it, if a third of all nursing homes potentially have the infection,

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

the mortality in that age group is incredibly high.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

It could be 15%.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And that's where you can get a sort of second spike in deaths because we have likely failed to shield nursing homes and that vulnerable population.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

So first thing is, I slightly have a problem with science, and I would say that because I'm all about the evidence, and I have been for 25 years now.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Science is about discourse, disagreement, about projections, whereas evidence is about trying to understand what we know based on the data at hand.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And there was an incredibly important point that was made is that you only give interventions to people for whom they will derive benefit.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

Therefore, if you're referring a person into hospital who is elderly in a nursing home, has disability, the primary reason is, are they going to benefit?

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

If they're not going to benefit, then they're going to benefit from staying put.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

It's the same as the ITU.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And I think what's happened here is we've panicked.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And many of the models said we're going to be overwhelmed eightfold.

Talk Evidence
Talk Evidence covid-19 update - covid ethics, waste and a minimum RCT size

And actually, first to say is in the early days, it looked like that, but we haven't been overwhelmed.