Discover and read the best of Twitter Threads about #Flu

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NZ Emergency Doctor Describes Crisis Caused By Lifting COVID Public Health Measures

scoop.co.nz/stories/HL2206…
The World Socialist Web Site recently spoke with Gary Payinda, an emergency doctor in Whangarei in Northland, one of the poorest areas of New Zealand, about the out-of-control spread of COVID-19 and the crisis in public hospitals.
In recent months, hospitals have been overwhelmed by COVID-19, influenza, and other respiratory illnesses.
Read 62 tweets
😷Australian National #Flu data up to 19JUN22.
🦠lab-confirmed total cases⬆️ but slowing
Graphs from: www1.health.gov.au/internet/main/…
😷Yes, there is undoubtedly more testing capacity in Aus after labs beefed up PCR testing for the pandemic.
😷One way to check this is a real rise in #flu cases, not just over-testing is to positivity rate, deaths, hospital beds & ICU occupied beds with flu-confirmed patients.
🛏️year to date (YTD from April 2022), 54 lab-confirmed influenza deaths (+27 since last fortnight)🛏️YTD, 989 sentinel hospital admissions (+256; slowing)
🥽YTD, 60 (6.1%) of those admitted to ICU (+15; slowing)
Read 7 tweets
And in news just in...#Flu says "haha, just kidding, still going", to Queensland.
#Flu in #Queensland to 19JUN2022
😷current data point(s) often changes in the subsequent week as outstanding results are finalised and reported
😷The biggest per population infection impact is in the under 20-year-olds.
😷Percent positive with a moving average. This also shows the rebound in the 20+ group.
Read 7 tweets
1. Short #flu 🧵
Looks like flu activity in the US is finally declining pretty much nationwide. @CDCgov says it is moving to the shortened FluView format next week, the one it uses in the off-season. Typically is does that from May-Sept, but this year has been different.
2. A child died from #flu last week, the 29th of the 2021-22 flu season. That's a low number compared to pre-Covid years, but as this chart shows, flu has been making a return after its early Covid hiatus. That's bad news for kids and their families.
3. Even though @CDCgov says #flu activity is decreasing, +2000 people were hospitalized for flu last week. In mid-June,
Read 4 tweets
#Flu and #SARSCoV2 in New South Wales (NSW), Australia to week ending 11JUN2022.
😷 #SARSCoV2 positives go slowly down, as #flu positives still go up.
No denominator here so no percentage positivity.
😷That comes from these graphs.
For #SARSCoV2 that rate is ~100/100,000 population for all age groups and steady while for #flu, it varies by age, up to ~80/100,00 for those aged 0-9 years, and rising
In terms of emergency department presentations, #flu is also still rising (watch that hook next week) while #COVID19 presentations are slowly decreasing (at about #flu levels now).
Read 9 tweets
#Flu in #Queensland to 12JUN2022
😷three weeks showing a slowing.
🤧The current data point often changes in the subsequent week as outstanding results are finalised and reported-but this looks to be a trend.
😷The biggest per population infection impact is in the under 20-year-olds.
😷A new graph (👏). Percent positive with a moving average. This also shows a decline.
🤧Northern Queensland #flu numbers are slowing down.
Read 9 tweets
1/🧵 Long COVID Brain Science: 🧠

For ~100M suffering 🌎, let’s use data to combat myths & #Misinformation

COVID is biologically dangerous long after virus is gone

#LongCOVID affects our….

📍Olfactory & Limbic Systems
📍 Interferon Autoimmunity
📍PET scans
📍Astrocytes

How?
2/ First, Epidemiological comparisons…

FLU vs. COVID

Survivors of viral infxns like #Flu don’t complain of 200 long-term symptoms & ~90% ongoing mood disorders.

#LongCOVID pts do.

Flu kills 0.5M/year vs COVID has killed 10X that (5M) in just 2 years.

bit.ly/3mJTBK4
3/ Consider this:

A study of 150k COVID survivors, hospitalized & not.

COVID survivors had 10-15X ‼️higher risk of considering #suicide at 1 year than 11M control patients.

This is horrifying, yet people still deny #LongCOVID’s importance.

WHY?

bit.ly/3HnHZpB
Read 27 tweets
😷Australian National #Flu data up to 05JUN22.
🦠lab-confirmed total cases
www1.health.gov.au/internet/main/…
😷To clarify again this fortnight.
Yes, there is undoubtedly more testing capacity in Aus after labs beefed up PCR testing for the pandemic.
😷One way to check this is a real rise in #flu cases, not just over-testing is to look at deaths, hospital beds, ICU beds with flu-confirmed patients.
🛏️year to date (YTD from April 2022), 27 lab-confirmed influenza deaths (+24 since last fortnight)
Read 10 tweets
1. A short #flu thread, being that it's Friday. So weird to be tweeting about flu in June.
@CDCgov says flu activity is increasing in some parts of the country, but on average, this sort of late season surge seems to be slowing. Finally.
2. Nevada, New Mexico (since early April!), Florida & DC seem to have quite a bit of #flu. But other places are really quieting down, notably in the NE.
3. Three more children have died from #flu, with the deaths occurring in mid-to-late May. The pediatric death toll for the season stands at 28.
Read 4 tweets
#Flu in #Queensland to 05May2022
😷Quite the incline.
WIll have to 👀 if that is a real peak
😷As those who have followed me for a while will know, the current data point often changes in the subsequent week as outstanding results are finalised and reported.
But a very clear sign of #flu impact here in the hospitalisation numbers.
😷And while there is no context, compare a low flu area to a high flu area to see that the number of #flu infections per 100,000 population is well above "normal" (which would normally be very low)
Read 5 tweets
Free flu vaccine for:

• Pregnant women (any trimester)

• People aged 65 years and older

• Māori and Pacific peoples aged 55 to 64 years

• People aged under 65 years with certain medical conditions
• Children aged 4 years or under who have been hospitalised for respiratory illness or have a history of significant respiratory illness

...
Australia is getting hit rather hard by flu, now's the time for NZ to prepare.

The last thing anyone needs is flu and a repeat case of Covid.

If you've not been #boosted against #Covid, remember that repeated infections are
*to be expected* with Covid.
Read 4 tweets
#SARSCoV2 positives go slowly down, as #flu positives go rapidly up in New Southe Wales, Australia.
No denominator here so no percentage positivity.
That comes from these graphs.
For #SARSCoV2 that rate is ~100/100,000 population for all age groups and very slowly decreasing while for #flu, it varies by age, up to ~40/100,00 for those aged 0-9 years, and rising
In terms of emergency department presentations, #flu is also still rising while #COVID19 presentations are slowly decreasing (but as for rates and cases, still above #flu levels so far).
Read 8 tweets
1. The wonkiness that is this year's #influenza season continues. @CDCgov says activity is increasing in parts of the country. Not common for this to be happening at the end of May. (This report is for the week ending May 28.)
cdc.gov/flu/weekly/
2. #Flu appeared to peak this past winter around New Year's. By late February (map on left) it was looking like flu was done. But that was a pivot point, with activity starting to increase again in parts of the country from March until now. Very weird to see deep red so late.
3. Intriguingly, there were more people hospitalized for #flu in the US in the last week of May than there were in the week ending Jan. 1, when it looked like flu peaked. But maybe the issue is who is getting sick now. Seniors' flu vax protection has probably waned,
Read 4 tweets
😷Australia National #Flu graph just out, up to 22MAY22.
🦠Early
🦠Steep
🦠Lots
🦠All over Image
To clarify again this fortnight.
Yes, there is undoubtedly more testing capacity in Aus after labs beefed up for the pandemic.
So how do we know this rise is real, & not just boffins getting bored with testing for SC2 & switching to flu virus testing? (LOL)
One approach to check this is a real rise in flu cases, not just over-testing is look at deaths, hospital beds, ICU beds with flu-confirmed patients.
🛏️there have been 3 lab-confirmed influenza deaths (+3 since last fortnight)
🛏️386 hospital admissions (+233)
🥽28 in ICU (+21)
Read 7 tweets
😷Latest excellent weekly report on respiratory virus detections from the Australian State of NSW from @NSWHealth, up to last Saturday (21st).
🤒Look at this for the *trends* not as a perfect capture of every case.
health.nsw.gov.au/Infectious/cov…
😷Of course, SARS-CoV-2 is a respiratory virus so I'm including it here.
🤒Its numbers dwarf all other viruses in this report sitting relatively stably, at 10,000 reported per day, with a steady majority being RATs, the rest PCRs. 86 deaths were reported. Image
😷#Flu lab detections have risen impressively fast. Of those typed, most are Flu A/H3N2 (red) viruses with some A/H1N1 (orange) viruses.
🤒No obvious visible sign of B/Yamagata or B/Victoria lineage viruses or their variants. Image
Read 8 tweets
#Flu in Australia to 08MAY2022
😷Quite the 5-year exponential rise in lab-confirmed cases (record rate?).
🤧7,173 notifications in past fortnight; 67Z% of the 10,599 for all of 2022
www1.health.gov.au/internet/main/…
😷Massive rise in #flu detections Australia-wide, especially in most recent reporting week
😷It's a FluA season across Aus, mostly A/H3N2 but still a good chunk of A/H1N1. A teensy bit of FluB in several States and Territories. WiIl FluB expand as we role towards winter?
Read 7 tweets
Can't yet find any #Flu genotyping data for Aus (reporting only starts during "flu season").
So this is what our local southern hemisphere vaccine is composed of. Hopefully, it includes what's circulating.
From: tga.gov.au/media-release/…
Good old @nextstrain (I must be rusty) shows that the most recent FluA/H3N2s (Flu's slipperiest "big bad") - reported from Australia - fall within the A/H3N2 3C.2a1b.2a.2 clade (yellow arrow)
Couple of things to note:
🦠both (egg-grown and cell-grown) A/H3N2 vaccines use strains within the same clade, a little older, but look like a good vaccine "match"
🦠very little A/H1N1 strain, B/Victoria or B/Yamagata lineage activity in Aus atm
Read 4 tweets
Data form @NSWHealth showing #Flu (a bit early for that trajectory) taking a steep upwards turn now. Adenoviruses (normal but steep), MPV (way early) and RSV (a bit late) doing the same. Plenty of picornavirus (RVs and EVs) activity as well.
health.nsw.gov.au/Infectious/cov…
I wonder if, after this flu season, the "normal" respiratory virus seasonality patterns will return. Would be nice to see a similarly drawn SARS-CoV-2 graph here now @NSWHealth . I do wonder how it's contributing to virus:virus interaction at a community level
Up in Queensland (still east coast of Australia), FluA, RSV and AdVs, RVs declining. SARS-CoV-2 % holding. Data from one of our latest private pathology labs (Sullivan Nicolaides Pathology)
snp.com.au/clinicians/rep…
Read 4 tweets
1. A short #flu thread.
@CDCgov's latest flu report, for the week ending April 16, shows flu chugging along pretty much at levels seen over the past number of weeks. A bit surprising it isn't dropping off by now, but flu in the time of Covid is even more unpredictable than usual.
2. Three more pediatric #flu deaths were reported to @CDCgov last week. They occurred in late Jan., late Feb., and mid-March. (There's often a reporting delay.) This season 22 children have died from flu in the US.
3. The Covid pandemic has really disrupted #flu transmission; there was almost no flu in the winter of 2020-21 and very low rates this year.
In the US, virtually the only type of flu to have made it through the Covid bottleneck was H3N2.
Read 4 tweets
1. It's Friday & @CDCgov has issued its latest FluView report, for the week ending April 9. A short thread.
There've been 3 more pediatric #flu deaths reported to CDC, bringing the season's total so far to 16. Far fewer than most years but still.... Image
2. #Flu activity increased nationally last week, as it has in several of the last recent weeks. Let's put that in perspective, though.
It's true there is more #influenza-like illness now (left) than in mid-February. (right) ImageImage
3. But there was more #flu-like illness in the last week of 2021. As it stands, the peak of flu activity in this very mild flu season was in the week between Christmas and New Years. Image
Read 4 tweets
How would you know if you have the #flu or #COVID19? Should you take both flu vaccine and the COVID-19 vaccine if these are available to you?

Watch #ScienceIn5 to find out ⬇️
Are you a health worker 👨‍⚕️🧑🏾‍⚕️👩🏻‍⚕️👨🏿‍⚕️?

During the #COVID19 pandemic, it is more important than ever to protect yourself against flu.

Getting the #flu vaccine will ↘️ your risk for flu.

More information:
👉 bit.ly/3iUxr60 Image
Are you 60 or older?

During the #COVID19 pandemic, it is more important than ever to protect yourself against flu.

Ask your healthcare provider whether a #flu vaccine is right for you.

More information:
👉 bit.ly/3iUxr60 Image
Read 7 tweets
1. A short #flu 🧵
@CDCgov reports flu activity is still ongoing and has picked up a bit in the NE and NW regions.
But let's put this in perspective. This increase is relative to earlier in this season, which was an incredibly mild season.
2. #Flu-like activity — which includes flu & a bunch of other respiratory bugs, but not #Covid — is still below baseline. In any other year we'd be talking about this season being effectively over.
3. The 2021-22 #flu season peaked in the last week of 2021 (left). The map on the right shows #influenza-like activity for the week ending March 26. There is some ILI activity, but not a ton.
Read 4 tweets
High levels of an #infection in #Massachusetts is causing both gastrointestinal (#diarrhoea, #vomiting) & respiratory (#cough, #sinus, #headache) symptoms WITHOUT typical fever or runny nose - School children & parents/guardians across #boston suburbs affected for last 3 weeks.
Note the CDC data suggests very little SARS-CoV-2 (Omicron) or influenza (flu) at this time in Massachusetts or Connecticut or New Hampshire. So diagnostic tests being used are not catching this circulating pathogen, or a seasonal coronavirus/norovirus/adenovirus is the culprit
According to the data on SARS-CoV-2-positive PCR tests there is very low levels of COVID-19 over last 3 weeks in Massachusetts, CT, NH, RI & VT. Yet there are several #school #children, #teachers and #parents with gastrointestinal & respiratory #infection symptoms in these states Image
Read 12 tweets

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