Covid Chronicle N ° 26 – “Decryption of the 4 truths of the infectious disease specialist Anne-Claude Crémieux on Télématin on September 9”

After listening on telematin, during the “Four Truths” of September 9, 2020, Professor Anne-Claude Crémieux, Infectious Diseaseologist at Saint-Louis hospital, Paris, AP-HP, and long advisor in the offices of the Ministry of Health , who spoke on the set of France 2 without a mask and all smiles “Ultra brite”, I can not resist devoting my column to him

Do you remember this ad, unless you are too young to have seen it?

So take a good look, because Anne-Claude Crémieux could have shot it …

Prof. Anne-Claude Crémieux ” So it starts again, for sure, the traffic is increasing, and I think that is a fact. Our objective is not to prevent this circulation, it is to try … »

The journalist presenter Caroline Roux ” Can’t we anyway? »

Prof. Anne-Claude Crémieux ” Absolutely! It’s really to slow it down as much as possible, until you have more effective weapons, and obviously, we are thinking of the vaccine. »

Here, have you seen how she “sells” us the vaccine. As if it was the one and only remedy for all of our ailments related to the covid-19 pandemic. The string is a bit thick. Let’s see if she doesn’t have some conflicts of interest with pharmaceutical companies producing vaccines?

Right in the target. Pasteur, MSD, Sanofi-Aventis

Important note. One of the big drawbacks of the health transparency database is that it is only updated twice a year. We are always at least a semester late. Why not have the data declared over time by the labs made open data? We should be able to work on the data in real time.

In addition, the second shortcoming of this public database, why keep only 5 years of history. Does the Ministry have things to hide? It would have been relevant to scrutinize his interests since the origin of the transparency database, that is to say from data for the year 2012.

Journalist “ Where are we? »

A-CC « So, for the moment indeed, for a few weeks, there have been health consequences to this increase in the circulation of the virus, what does that mean, it means that it does not only diffuse in the young population. He crossed this border, he moved into an older population, around sixty years old, with health consequences which for the moment remain fairly limited. Why, because probably because this population protects itself better [1] ».

[1] 60 is not a very vulnerable age to covid. In my column N ° 6, from the personal death files of the INSEE, I was able to show that during the last 4 epidemics of influenza syndromes (2017, 2018, 2019, 2020) and covid-19 (2020) , above the epidemic thresholds for acute respiratory viral infections, approximately 50% of all-cause deaths were recorded in those over 85 years of age. That between 75 years and 84 years, one found approximately 30% of the deaths. And again, around 5%, among 65 to 74 years old. So, no, 60 is not a very high risk age for developing severe forms, or dying from covid. Review the curves Madam Professor.

Anne-Claude Crémieux continues “ There are cases in intensive care, there are cases in hospitalization, with a fairly significant fluctuation from one day to another, and indeed … »

Journalist “ And how do you explain that? »

A-CC « Because contaminations are not the same every day [2]. »

[2] No, but say it, there really aren’t that many! No, but, it should be remembered, at the epidemic peak on April 7, there were more than 7,059 patients in intensive care. According to the weekly epidemiological bulletin of September 10 published by Public Health France, there were on September 8, 574 covid patients in intensive care in France. Are more than 12 times less! Likewise, on April 14, we had 32,019 hospitalized covid patients, compared to 4,915 on September 8, or 6.5 times less!

Let’s stop, please, panicking the entire population by assertions that are not supported by any precise figures!

Caroline Roux “ The scientific council which meets today, and which will communicate today, will undoubtedly change the rules of the fortnight, we will therefore move to isolation rules of 7 days only. It is when it starts again that the rules are lightened. It’s hard to understand ».

A-CC « So we could have lightened them before. Since it’s still been well over one or two months that we know that the period of contagiousness of the virus, in reality, it is 48 hours before the onset of symptoms, and ten days after the onset of symptoms. Consequently, some countries, like the United States, and even England, have already lightened their protocols, giving a ten-day isolation period. [3]. »

[3] Wait, Anne-Claude Crémieux says 48 before, so it’s 2 days before, to which we add 10 days after, it should be 12 days, not 10 days. The journalist, meanwhile, had spoken of 7 days, which has been announced by Jean Castex. Our infectious disease specialist is not very mathematical.

Following a question from journalist Caroline Roux, about queues in medical analysis laboratories and delays in obtaining results:

A-CC « And so, to try to remove this obstacle, there are two obstacles, the first obstacle is nasopharyngeal sampling, which indeed requires trained personnel, and the second obstacle is the time to recover the results. And so, there are ways to remove these obstacles. The first obstacle can be lifted by saliva tests, which are much easier to take, you can even take it yourself. The second obstacle, we can remove it by rapid tests which allow to have results in half an hour [4]. »

Journalist: What are the antigenic tests that will be evaluated in Île de France this week? The WHO said on April 8 that it was, it did not work. No, the antigen tests, they’re interesting. Why, because, indeed, they are fast. We have a result in half an hour. Their disadvantage is to be what we call less sensitive than the reference test which remains the PCR test? what does it mean ? that means that we will identify between 50 and 80% [5] positive people, not 90-100%. But all the same, it’s very interesting ”

[4] She wouldn’t be us “ sell ” Something ?

I am not sure that manufacturers of diagnostic tests are also subject to the declaration of interests in Transparency Health. If this is not the case, then here is another serious flaw in the current system …

[5] She seems to insist heavily on the value of this type of test. Unless she has interests with the companies that developed them … But all the same, while the sensitivity could be only 50%. Which means that the test would be wrong every other time! What is the point of having such a test? You might as well throw a coin and flip a coin …

Journalist ” Should people with symptoms be prioritized for testing? »

A-CC « So, we can obviously prioritize yes, limit no. Once again, we lost control of the epidemic by limiting testing to people who were symptomatic [7] »

[7] So here is finally something crucial in what she tells us. But what an absurdity not to have tested asymptomatics since the deconfinement! An idea from Olivier Véran, it seems to me. It was no use he had said, I believe at a press conference. Let us not look elsewhere why we have never succeeded in correctly identifying and isolating the “contact cases”.

Journalist ” There are fewer people arriving infected in the sheave services (compared to the “1st wave”), but do we have better treatments? »

A-CC « So, yes, you are right to point out that in intensive care units today the death rates are 10%. There may be several factors, including the fact that we treat better and also, I would say that the resuscitations are less overwhelmed, it is a fact. When resuscitations are overwhelmed, mortality increases [6] ».

[6] What she does not say is that the virulence and lethality of the virus as the pandemic has progressed has dramatically decreases and that if the intensive care units do not accept patients over the age of 60, obviously the mortality is much lower than that observed in those over 65 years old, 75 years old (who have been massively excluded from the intensive care units) or, a fortiori, over 85 years …

Journalist ” Seriously, do you have a message for them (young people)? »

A-CC « We need prevention methods that are adapted to young people. What we have shown is that they wear masks so please as obviously you wear masks just as much as the elderly wear them when you are outside. here [8]. »

Laurent Bignolas, host of Télématin “And you are right to point it out! “

[8] When will we finally ban the wearing of masks to young people and the healthy, when they are among themselves? Will we one day understand that the epidemic will only close on the condition that we have acquired collective immunity? No, the message perhaps to be sent to them would be that they scrupulously respect barrier gestures, hand washing and above all physical distancing of one meter, or even two, with the very old and those at risk. Frankly, if the mask was effective, it would have stopped the epidemic long ago, right?

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