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Harlan Krumholz

👤 Person
313 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

Yeah, it's pretty much more of the same this week with the Office for National Statistics data comes out.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

But remember, that's about going back about 10 days ago.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

So it comes out on Tuesday and looks back in time.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

But when we say we're looking at the peak, I think there's a multitude of bits of data that allow us now to say we're well past the peak.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

If you look at the hospital data on deaths,

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

The peak of the death there was the 8th of April.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

We can also look at the admission data which we've got access to and that peaked on about the 2nd of April.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

All the other measures show that they're now trending down and particularly the admission data is really helpful.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

because we've now come down from a peak, as I said, on the 2nd of April, they've come down by about 70%, and we've been low 1,000 admissions a day.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

All of that information is reassuring, and that's going to help us when we come out of lockdown.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

Well, look, I think there's something really interesting.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

I want to go slightly left field because I've heard this term precautionary principle raised an awful lot so far.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

And I'm not sure if people are using it in the right manner.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

Because what precautionary principles state is when an activity raises the threat of harm to human health or the environment, precautionary measures should be taken even if some cause and effect relationships are not fully established scientifically.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

So this is about things that are toxic in the environment.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

You think might cause cancer, might cause a problem.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

The question is you raise the bar for research and you raise the bar for the cause and effect and you say, well, we should remove them from the environment.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

But we seem to be then applying that to this precautionary principle to non-pharmaceutical interventions, if you like, and saying, well, we should just do this as a caution.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

Now, I'm raising the question is I don't see that as the right way to use the precautionary principle.

Talk Evidence
Talk evidence covid-19 update - natural history of covid, include patients in guidelines

It's about generally removing things.

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