It’s been a busy couple of weeks on the healthcare news front. Industrial action continues apace, with junior doctors declaring a further five-day strike in mid-July and hospital consultants voting for strike action shortly thereafter. In the Guardian on Thursday, Professor Philip Banfield of the BMA exults that all English doctors could be taking strike action before the next election. Banfield states this is precisely the BMA’s intention.
That the BMA is inciting politically motivated strikes is no surprise – the union has been run by Left-wing agitators for many years. The main bone of contention is ostensibly financial – the BMA demand a 35% increase in basic pay across the board for all grades of hospital doctor. The cost to the taxpayer of such a demand is hotly debated. Estimates for full settlement of the junior doctors’ pay claim range from between £1 billion per year (BMA) to double that amount (HMG). The cost of the consultant pay demand would be substantially more expensive. Assuming a reasonable mid-point estimate, the BMA is probably demanding an extra £4 billion per year in taxpayer’s money.
Closer inspection suggests all may not quite be what it seems on the barricades. For example, the nursing union failed to secure a mandate for further strikes, and the junior doctors’ action may also be wavering. During the last juniors strike, some hospitals reported 70% of their trainees turned up for work. It is important to remind readers that the term ‘junior doctor’ covers a wide spectrum of medical practitioner – from the newly minted F1 houseman fresh out of medical school in his or her early 20s, to the senior registrar in his or her mid- to early 30s, with 10 or more years of hard work invested in their careers. Many older trainees with family commitments can’t afford to strike, nor have their valuable training time reduced by industrial action.
My understanding of the current situation is that more experienced medical trainees are either reporting for work as normal on strike days or making money by doing extra shifts to cover absences of their younger colleagues – at pay rates of up to £269 per hour.
The strike is still disruptive as a lot of routine work has to be cancelled. On the other hand, it is a manageable situation as the die-hard militants are mostly drawn from the younger group of juniors – the equivalent of medical toddlers. This cohort are easily replaceable by more mature practitioners for short periods of time.
A consultant strike could be a different beast. Consultants are fully trained and accredited specialists – in short, no clinical work can happen without a consultant assigned to supervise it. Yet again, there is more to this action than meets the eye.
The union publicly exhorted members to vote for strike action, even if the individual had no intention of striking, in order to ‘send a message to the Government’. The proposed consultants action involves providing ‘Christmas day’ cover – in other words a full emergency service but no elective work. This is a strike deliberately intended to disrupt efforts to reduce waiting times for patients. It remains to be seen how many consultants will actually turn up for work as usual, despite the strike vote. That said, even if a surgeon arrives for a planned operating list on a strike day, the list still can’t proceed if the anaesthetist is on strike.
I think it helpful at this point to explain just how consultant specialists are paid. There has been a good deal of argument in the deadwood press as to the precise amount consultants earn, with every claim and counterclaim subject to traditional accusations of ‘misinformation’ and subject to contentious ‘fact checks’ by BMA agitators. Having spent 20 years as a consultant, I can shed light on this byzantine system for readers with the stamina to stick with the detail – you certainly won’t read this information anywhere in the mainstream media. The remuneration system goes some way to explaining the productivity conundrum – why NHS productivity continues to fall, and the system continues to underperform despite more money being spent and more doctors recruited.
Consultant time is remunerated per ‘programmed activity’ of four hours – abbreviated to PA. Hence a 40-hour working week constitutes a 10 PA job plan. The basic salary rates quoted by the BMA are on a sliding scale from £88,000 for a newly qualified consultant to £128,000 at the top of the scale. There are several important points to note when interpreting what the BMA says. The first is that not all new consultants start on the lowest salary point – those with post-fellowship qualifications may start several points up the scale. The second point is that this is an upwards-only increment – in other words, progression up the scale is related purely to time in the job. There is no requirement to achieve certain milestones, or hit productivity targets – simply keeping breathing and not getting fired is sufficient to get a pensionable salary increment, before any nationally agreed pay increase is added. Given that it is virtually impossible to be fired as a doctor, pay progression is assured.
The figures quoted do not include various add-on supplements. For example, there is an extra pay award for intensity of on-call, for London weighting and for extra duties such as managerial roles. Consultants can also apply for ‘clinical excellence points’ which accumulate and can make a substantial contribution to take-home pay. Doctors taking on extra work can be awarded extra PAs – in my time working for the NHS it was not unusual for some colleagues to be on 13 PAs, effectively enhancing their base salary by 30%.
The definition of a programmed activity is open to negotiation in the yearly job planning process. About 25% of a doctor’s time is allotted to ‘supporting activities’ – teaching, audit, participation in mandatory training and various other administrative tasks. Even PAs for direct clinical care of patients can be modified to include time taken on writing letters, travelling between hospital sites and a multitude of other tasks not involving patient contact time.
Annual leave allowances are generous. The BMA states that consultants are entitled to six weeks paid annual leave per year. Again, in fact the allowance is more than stated. Once bank holidays and various other entitlements are considered, most hospital consultants get between seven and eight paid weeks of holiday per year. In addition there are 10 days per year of paid study leave or professional leave to attend courses and conferences. Doctors involved in national bodies such as the many Royal Colleges, professional associations or in academic practice can negotiate much more paid leave than this. It is not uncommon for some NHS consultants to be absent on paid leave for nine or 10 weeks of the year.
Contrast this system with remuneration in private practice. In the private sector a doctor is only paid for directly relevant clinical services. Doctors are not paid for all the necessary administrative tasks involved in running a practice. There is no paid leave of any kind – no holiday pay, no sick pay and no study leave. Nor are there any pension entitlements. Financial incentives in private practice are aligned to encourage direct clinical contact. In the NHS it is the other way around.
NHS consultants can also be remunerated (in addition to their base salaries) by taking on extracurricular activities for NHS England or other national bodies. Consulting work for the pharmaceutical industry or medical device companies is commonplace. Some consultants earn significant extra money by writing medical reports for the legal system.
And then there is private practice. It is important to state that a minority of NHS consultants do a large amount of private work. Nevertheless, the nature of job planning usually leaves at least a whole day a week free for private practice, plus evenings and weekends. A moderately industrious doctor in a reasonably affluent part of the country should be able to clear £80,000-£100,000 per year net of expenses from private practice without too much extra effort.
The NHS itself also provides opportunities for additional income by laying on extra clinical sessions outside agreed job plans to reduce waiting lists – simply put, if patients cannot be treated during normal paid working hours, the NHS will pay consultants extra to treat them in the evenings and at weekends to meet political targets. Several enterprising companies have started highly lucrative ‘insourcing’ ventures – where NHS staff use NHS facilities outside normal working hours to treat NHS long waiters. NHS managers look kindly on these companies, because the ‘optics’ are preferable to passing over large numbers of long waiting patients to private hospitals for treatment – if patients are being treated in NHS facilities, it looks like the NHS is managing the process by itself, even if a private company is actually involved.
And then there is the pension. It is certainly the case that NHS pension entitlements reduced when the 1995 final salary scheme was changed to the 2015 career average scheme, but benefits are far better than anything available in the private sector. For example, higher earning consultants pay 13.5% of their pay into a pension (with tax relief), but the employer pays in an additional 20.5%. This is the reason why there was such squealing about the pension lifetime allowance and reduction in tax relief on contributions. But pensions are just a mechanism for deferred payment and need to be considered when assessing overall remuneration levels.
Many consultants approaching retirement have substantial benefits in the 1995 scheme – inflation linked to final salary with a normal pension age of 60. Such schemes are no longer available in private industry, for a very good reason – they are too expensive to run. But, if one’s employer is the British taxpayer, no scheme is too expensive for the BMA.
Finally, consider this. A high proportion of NHS consultants are married to other NHS consultants or to GPs. I can’t find any statistics on this point, but in my own social network I estimate that over 50% of my peers are married to other medical professionals. That’s two sets of taxpayer funded salaries and pensions per household. I’m not claiming such couples don’t deserve their financial compensation – medicine is a highly demanding and stressful occupation which carries a significant personal cost for many practitioners and doctors work hard for their money. Even allowing for my obvious bias, I doubt many people would push back too strongly on that point. However, a demand for a 35% increase in salary by the BMA is surely unjustifiable when taxes are already at a 70-year high and many working people are struggling to make ends meet. I entirely agree with Banfield that many senior doctors are highly stressed and angry. My perception, however, is that discontent about pay is secondary to dissatisfaction with the coercive NHS system, intimidatory professional regulation and intense organisational friction. I may examine those points in more detail in future.
The British Medical Association would do the nation a service if it focused its effort on enhancing NHS productivity. Unfortunately, the union prefers politically-motivated industrial action intended to facilitate the election of a malleable socialist Government. Prepare for more boondoggles masquerading as patient care in our wonderful NHS, which remains of course, the envy of the world.
The author, the Daily Sceptic’s in-house doctor, is a former NHS consultant now in private practice.
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Fat people get more Covid.
Ban fat people!
Old people get iller from Covid and take up hospital beds.
Ban old people!
Black people are less likely to obey the Gauleiters.
Ban black people!
Outrageous?
Yes. So ban the unvaxxed, the one minority it’s ok to persecute.
“Yes. So ban the unvaxxed, the one minority it’s ok to persecute.2
Massive Worldwide BACKLASH Against Forced Vaccinations!!!
https://www.youtube.com/watch?v=prPUvKSGKC0
This why we need to get join in with Worldwide BACKLASH as much as possible before it’s too late
Next events:
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Outside Tesco Superstore
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Warfield,
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Loddon Bridge, (Winnersh Garden Centre/Showcase Cinema)
Reading Rd, Winnersh,
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Stand in the Park – Bracknell – Telegram Group
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India death rate with covid 314 per million, UK 1940; I am confused by this article, this is an example of why.
Its what you eat more than how much. Plus they had SARS1 and don’t use the same ACE-inhibitors as the west. This was known in march 2020, this article adds nothing.
COVID does seem to be a lipid in the lungs disorder (still not certain it’s viral caused or auto-immune over-reaction), so it’s reasonable to assume the probability those with disordered lipids (probably from chronic dietary fructose) will be worse hit.
Lipid pneumonia, caused by the ‘wrong’ sort of fat getting in the lungs. Its what you eat.
The symptoms are identical to later stage ‘covid’. Who the hell can the difference! Maybe a viral infection, actually any reasonably agressive viral infection can set this off in old people and people with high ‘bad’ cholesterol.
So you go looking for a particular virus with a defective PCR test and hey presto you define pnuemonia deaths as ‘covid’.
Why are we still having this conversation, its been known since March 2020?
Exactly we’re basically testing for “dihydrogen monoxide”.
Looking at the graphs does seem to lead one to the conclusion… There doesn’t seem to be any correlations with anything.
They used ivermectin in India. State Uttar Pradesh in India – 47 deaths per million(pop. 230 million, 828 persons per km², UK 287 per km²) – early ivermectin treatment
There are several possibilities. The usual one is that Asians where masks more often. Okay, except mask wearing differences in Europe/North America show between a 0-10% reduction in infections, and cannot be the cause of these differences.
the two more likely causes are: higher interactions with Covid-related viruses over past two decades or that the ethnic genome of Asians has enough differences (and we see this in a number of diseases) that the risk of death is just lower by nature. It might be higher for the next virus that begins in the Americas or Africa. This may explain why the Chinese vaccines, tested only on Chinese genome trial participants, was so ineffective the further away from that population you went (South America and South Africa seeing the highest fail rates from it). Diseases are difficult, and viruses are evolutionary developed and the want to transmit. Killing hosts is not in their evolutionary interest. Viruses developing in Asia would be more likely to be less deadly for those nearer so that they can spread further. We may find out in the next decade. Or…the scientist and politicians will credit lockdowns and masks and move on quickly before we learn their errors.
“the two more likely causes are: higher interactions with Covid-related viruses over past two decades or that the ethnic genome of Asians has enough differences (and we see this in a number of diseases) that the risk of death is just lower by nature. “
almost certainly this is what it is
just to add – sars cov 1 seemed to rise in Asia and disappear – maybe a low consequence variant arose and vaccinated everyone in that area and that makes them less prone to sars cov 2
Can we please please please stop with this myth of mask wearing Asians.
IT IS COMPLETE AND UTTER BULLSHIT
i have lived most of my adult life in Asia, have travelled frequently all over, and the only place one would see masks occasionally was in large Chinese cities when the pollution was horrendous. And even then it was a TINY number of people.
Asians. Never. Wore. Masks.
Stop propagating this very inaccurate and very harmful myth.
Indeed – I worked in China for a while and no one wore masks.
Well said!
I see it as an attempt to normalize the practice.
The authorities saying: “Oh, but in Asia people always wear masks”
lying, not saying.
Sorry, I agree but I felt it necessary to address what all the media would inevitably credit this to. I’ve never lived in Asia but my fiends here in Oxford from Asia tell me that their families have never worn masks, and these are people from across the Pacific Rim. But you know that masks (and NPIs) always get the credit.
Japanese?
I disagree with you there.
I live in Thailand and it has always been common to see people wearing masks to provide some protection against the air pollution.
We don’t have any MOT’s on the vehicles here and the amount of smoke they produce is phenominal.
where do you get this shit from? They show nothing of the sort as a piece of cotton is not going to stop a virus. There’s been countless studies and they don’t even show a difference at stopping larger bacteria in a surgical setting.
Probably thinking of the Danmask study which did show a 10% reduction in those who wore masks diligently over non mask wearers. Not statistically significant, so not to be taken very seriously (the slacker mask wearers did even better) and there could have been behavioural confounders because the study was, obviously, not blinded to participants or the people around them.
I’m just repeating the studies. I don’t believe they do a darned thing either. But even the most pro-mask study can only project a 10% reduction in infections, and those among the most mobile, aka the least likely to get sick.
I lived for a time in the mountains of America and saw how snow passes right through chain link fences. I’ve used a screenshot of that to explain to people how pourous barriers can’t stop far tinier objects. Sure some sticks to the fence, but the pic I use show a snowball behind.
I’m anti mask to the max and even exempted my kid last March when they went back. But even the most pro-mask person can’t give any evidence for more than a trifle (10%) difference, and yes, those studies are flawed.
Even the paper’s authors didn’t try to claim there was anything to infer in 48 vs 53 infections other than random noise. One only needs to look at last year’s data before/after mandates to see there’s no signal there.
Or the Chinese faked their studies, of course, and lied about their figures in China.
Oh no, impossible….
A different age profile? A more racially homogeneous population with more people living in the climate and terrain for which their bodies have evolved? (no doubt that would be considered a ‘racist’ statement, but the evolution of physical characteristics to deal with the challenges of climate and terrain is what ‘race’ is). Inherent immunity to closely related viruses? Fitter bodies from walking, cycling and agricultural work? A diet with less sugar and dairy produce? (nearly half the Chinese are lactose intolerant).
What it isn’t is the masks that they wear in cities against pollution!
It is precisely the lack of lockdowns and associated measures – such as the removal of vulnerable people from hospital – which explain the lower mortality in East Asia.
Lockdowns -and associated measures – do this by perturbibg the normal social and economic functioning.
Japan, South Korea and Taiwan had no or few lockdowns until recently. There was a distinct lack of panic.
Lockdowns in China were for an average of about two weeks per city and were very different from the West with officials organizing food deliveries for residents for example.
All across the world (see Peru) excess mortality is correlated with the severity of lockdowns and associated measures.
“Experience has shown that communities faced with epidemics or other adverse events respond best and with the least anxiety when the normal social functioning of the community is least disrupted. Strong political and public health leadership to provide reassurance and to ensure that needed medical care services are provided are critical elements. If either is seen to be less than optimal, a manageable epidemic could move toward catastrophe.”
Dr. Donald Henderson (who led the effort to eradicate smallpox)
See also the work of Dr Denis Rancourt in this area:
https://denisrancourt.ca/entries.php?id=9&name=2020_06_02_all_cause_mortality_during_covid_19_no_plague_and_a_likely_signature_of_mass_homicide_by_government_response
https://denisrancourt.ca/entries.php?id=104&name=2021_08_06_analysis_of_all_cause_mortality_by_week_in_canada_2010_2021_by_province_age_and_sex_there_was_no_covid_19_pandemic_and_there_is_strong_evidence_of_response_caused_deaths_in_the_most_elderly_and_in_young_males
Terrific comment and links. Thank you.
Some interesting Denis Rancourt interviews mainly talking about C19 death distribution, how deaths were concentrated in certain areas and hospitals, not following the typical path of a pandemic, suggestive of foul play on the wards and in the care homes
Interview With Canadian physicist and interdisciplinary scientist, Denis Rancourt
https://www.bitchute.com/video/aS6mVyGt0xEq/
Prof Denis Rancourt : Doctors for Covid Ethics Symposium – Day 1
https://www.bitchute.com/video/gbbG9pgWInee/
It’s likely to be genetic. It is known for instance that East Asian people are more susceptible to influenza than Caucasian people, this is due to a genetic predisposition. Maybe their immune systems are more able to target corona viruses.
No, because otherwise a lower mortality would be noticed amongst East Asians in the West.
it would be interesting to split into
1 – east asians that have been in the west for decades
2 – east asians in the west but who were in the east for sars cov 1
You assume no gaining of immunity from past infections when younger that provide protection against viruses they are genomically weaker to. History plus genetics are important.
Interesting article.
Apart from possible genetic reasons, nutrition: seaweed and fish oils perhaps giving high zinc levels and strong immunity.
Higher levels in India despite less obesity maybe due to poor nutrient status of large numbers of people.
Possibility of some crossover immunity built up by local waves of prior infections of similar pathogen.
Possibility that obesity plus lack of activity (but not active people who are also obese) could explain it?
Possibly….
Possibly….
Possibly…
So basically, not interesting at all because it’s speculation based on…. nothing.
The underlying fact is simply that obesity diminishes well-being. Doh!
………eeeeerrrrr – previously acquired herd immunity?
Everywhere SARS got to has hugely low SARS-COV-2 mortality………(until they started jabbing at least).
………eeeeerrrrr – previously acquired herd immunity?
Everywhere SARS got to has hugely low SARS-COV-2 mortality………(until they started jabbing at least).
Mortality
Macau = 0
Samoa = 0
Laos = 14
New Zealand = 26
Singapore = 55
HK = 212
Fiji = 489
Taiwan = 835
Australia = 1,006
Cambodia = 1,903
S. Korea = 2,285
Thailand = 11,589
Japan = 15,994
Malaysia = 16,382
Philippines = 33,448 (figures are sketchy – but lockdown poverty has certainly killed more).
I love the way COVID statistics get thrown around as if they meant something.
Firstly. the underlying data is garbage. No one has a clue how many of the actual deaths counted in the COVID death basket are from the SarsCOV2 virus.
Apart from already well documented misattribution of deaths to COVID, SarsCOV2 is the only virus that is systematically tested for. I wonder how many other potentially deadly respiratory disease viruses like influenza would be found in the dying if they tested for them as obsessively as they do for this new one.
Secondly, there are so many factors which may or may not have contributed to people’s health over the last 18 months that trying to draw general conclusions is literally nothing more than guess work. There are simply too many variables.
Lastly, we just don’t know whether the vaccines make things better or worse. We all know what is being claimed, but only today Bloomberg is pointing out that our health overlords are at a complete loss regarding the efficacy of the vaccines and goes as far as to question whether they could result in more rather than less severe disease.
Searching for answers to why people die of coronavirus is a distraction from (a) the reality that it’s not particularly deadly regardless of how often and how rabidly is claimed otherwise (b) everything governments have done has made matter worse, not better (c) thanks to the persistent denial of those two realities our rights and freedoms continue to be trampled on mercilessly.
“I love the way COVID statistics get thrown around as if they meant something.”
This !!!
Excellent comment, totally agree.
+1 Absolutely agree.
If an amateur chump like me can work out that previously acquired immunity is the key – or at least merits investigation – then how come all those ‘professional’ public health officials can’t?
Is it because they are;
a) utterly ignorant charlatans?
b) so managerially incompetent that the simplest solution just doesn’t occur?
c) egotistically committed to proving their ‘scientific point’?
d) playing out a political strategy to socialise society and the economy permanently?
e) fundamentally corrupt – in the pay of Gates and Big Pharma?
f) just wicked?
g) all of the above?
I vote for “g) all of the above”.
Chasing single variables (with innumerable confounding possibilities) like this is a massively pointless exercise – especially given that the base data is entirely raddled.
… apart from, in this case, feeding the current fad for health fascism.
P.S. I note that Noah’s scepticism, and recognition of the unreliability of data and the nature of confounding variables suddenly comes into play when contemplating a study of the efficacy of Ivermectin in Africa (see Roundup).
by now analysis like this is totally pointless. It diverts resources and attention from what’s really going on. Of course lack of obesity makes a differencebut it has nothing to do with COVID. It’s called being healthy and that generally makes one better capable of handling diseases/viruses.
Please check that East Asians subscribe to traditional herbal medicine antiviral herbs and early treatment protocols. The key to winning with COVID is a strong and organized early treatment response.
Excess mortality data is open to manipulation too isn’t it? I mean if more/less people are actually dying than the data says, how would we even know?
The term ‘excess’ mortality is essentially a con. It presupposes a ‘correct’ level of mortality – which is actually a modelling variable based on the past. And we know about modelling, don’t we?
The jab that didn’t bark in the night.
There seems to be no sign that jabbing, lockdowns or mask scare-sharing did ANYTHING at all in this data either.
Might as well call it a set of red and blue herring graphs.
Maybe there IS no correlation between sars2 and death rates.
Can bullshitting predict the size of the bubble in academia?
https://medicalxpress.com/news/2021-08-high-vaccination-powerful-college-campus.html
“the model showed that if 90% coverage can be attained with a vaccine that is 85% protective against infection and 25% protective against asymptomatic transmission”
there’s your problem. the vaccine doesn’t reduce transmission but increases asymptomatic transmission (by suppressing symptoms)
Actually, it’s probably not ‘asymptomatic’ transmission, but transmission by the mildly symptomatic.
Yes. I know of a case of transmission by a secondary age pupil to parents, where the only symptom was loss of taste and smell.
They masked inside rigorously, but it didn’t stop transmission of course.
OK so that’s what the model suggests. Meanwhile on a real campus:
Duke University: 98% full vaccinated, masks mandated indoors, weekly testing required. Yet, 364 people tested positive this week (all but 8, fully vax).
Response? Mask Harder! Masks are now required outdoors & classes are going online for two weeks.
https://www.newsobserver.com/news/local/education/article253851373.html
from @Humble_Analysis on Twitter
Fully vaccinated?
Surely, they’ve only had two doses ?
odd story
https://www.bbc.co.uk/news/uk-wales-58386905
17 year old has jab, contracts covid and has clot on lung. apparently CT scans show the clot was from covid and not the jab. not sure how a CT scan will show that. has it got a little flag on it?
Quote from the article:
That would be logical given the timing then ..
How reliable are pcr tests immediately or soon after jabbing? Surely they may pick up spike fragments?
Surely Gates/Wellcome has funded a study on this important point?
Oh, sorry – I forgot.
“Former member of the Welsh Youth Parliament,”
Is the most informational thing in the “article” for me, youth political types will tell any lie. Very untrustworthy IME.
How abour early treatment with antivirals? https://exoscientist.blogspot.com/2021/04/asian-countries-routinely-give-anti.html
Covid is a respiratory disease.
Peru has the highest average elevation of any country.
Air is thinner, contains less oxygen at altitude.
Could this be a partial explanation for Peru’s higher death rate?
Nasal irrigation? https://bestlifeonline.com/nasal-irrigation-covid-19/
‘Baxter also adds that the total deaths in Southeast Asian countries like Thailand, Laos, and Vietnam are particularly low. “Yes, they wear masks, and yes, they bow and don’t shake hands, but the biggest difference between them and places like South Korea or Japan is that nasal irrigation is practiced by 80 percent of people,” she says.’
Thailand 166 deaths/million
Vietnam 112
Laos 2
Japan 127
S. Korea 45
If anyone can find a ‘difference’ then they are delusional.
Another bloody irrelevant story.
This is nothing to do with a virus.
Ivor Cummins has covered this in
detail a long while back and sourced new studies to back up – and as commented by a few already – 1. Much higher T cell memory due to many more corona viruses over many years 2. Diet tends to be much more vitamin D rich especially in Japan 3. Different attitude to old people – not so many care homes but cared for at home – and therefore much healthier older population (diet) and yes not anywhere near as much obesity. Another point well missed here is that Australia and NZ are Oceania /Asia region and also experience many corona viruses – and are likely to have high T cell immunity – the crazy dickheads who run the place seem to have forgotten where they are in the world. Anyway all flus and many viruses hit sick and fat people for obvious reasons – the politics is the thing not a relatively benign virus
It’s almost as though all these numbers aren’t making sense. ‘Vaccine’, ‘Vaccinated’, ‘Vaccination’ NO. NO. NO. – anyone who tries to jab me, my family and my loved ones with that *monkey gunk* will learn the ultimate lesson. This is the hill I die on: FIGHT. BACK. BETTER. – Updated information, resources and useful links: https://www.LCAHub.org/
Obesity is a negative health condition.