Discover and read the best of Twitter Threads about #immunitydebt
Most recents (8)
1/ I was asked by a friend what the current state of #COVID19 is, in practical terms. So I'll add to this thread slowly over time.
First off, every country will get 3 or 4 waves a year. It never was, and won't become any time soon, a seasonal virus.
nature.com/articles/d4158…
First off, every country will get 3 or 4 waves a year. It never was, and won't become any time soon, a seasonal virus.
nature.com/articles/d4158…
2/ People still dying from #COVID19, everywhere at least ten times the usual death-toll from the flu. As-of-the-moment average death-toll from covid is estimated at 140 to 190 a day for the USA; keep in mind that's an under-estimate (b/c under-reporting) cdc.gov/coronavirus/20… twitter.com/i/web/status/1…
3/ Despite covid deaths being at very least 10x what's normal for flu in comparison (way over 10x for the USA just from flu alone), hospitalizations aren't so big at most times. However, one major worry is #LongCovid, in up to 10% (!) of covid-infections.
who.int/europe/news-ro…
who.int/europe/news-ro…
Welkom in China. 😷
wnl.tv/2023/01/09/imm…
wnl.tv/2023/01/09/imm…
“Griep is altijd heftig geweest, alleen werd er nooit zo over gesproken. Als mensen zeggen: Ik heb een griepje, bedoelen ze vaak dat ze verkouden zijn. Echte griep, Influenza, is een heel erg naar virus. Ieder jaar komen er mensen door in het ziekenhuis en overlijden er mensen.”
Aus gegebenem Anlass und weil Dinge durch ständiges Wiederholen nicht wahr werden. Thread
1) Eine "Immunschuld" (#immunitydebt) gibt es in der Immunologie oder der Public Health nicht. Das Immunsystem ist täglich mit vielen Erregern in Kontakt, aus dem Essen, der Luft und von
1) Eine "Immunschuld" (#immunitydebt) gibt es in der Immunologie oder der Public Health nicht. Das Immunsystem ist täglich mit vielen Erregern in Kontakt, aus dem Essen, der Luft und von
Oberflächen. Die Infektionsschutzmaßnahmen haben es also nicht "geschwächt" oder sonstwie geschädigt.
2) Die derzeitigen starken Wellen an ILIs haben mehrere Ursachen:
Speziell Bei Kindern: Hier sind durch die Infektionsschutzmaßnahmen der letzten Jahre die Kinder teilweise von
2) Die derzeitigen starken Wellen an ILIs haben mehrere Ursachen:
Speziell Bei Kindern: Hier sind durch die Infektionsschutzmaßnahmen der letzten Jahre die Kinder teilweise von
Erstinfektionen verschont worden. Diese werden jetzt nachgeholt (Kohorteneffekt). Daneben kann eine Schwächung des Immunsystems DURCH eine durchgemachte Coronainfektion eine Rolle spielen, das wird derzeit diskutiert.
Bei Erwachsenen: Eine starke Welle an Influenza und andere
Bei Erwachsenen: Eine starke Welle an Influenza und andere
On #immunitydebt
1- public health measures have limited exposure to diseases for a century. Yet, the phrase immunity debt just recently popped. When public health measures stopped exposure to waterborne diseases, people just lived longer, no faulty claims of immunity debt.
1- public health measures have limited exposure to diseases for a century. Yet, the phrase immunity debt just recently popped. When public health measures stopped exposure to waterborne diseases, people just lived longer, no faulty claims of immunity debt.
2- The age group most likely to be hospitalized by RSV are 0-6 mths. This age group was born during the "live with COVID" or "return to normal" phase of the pandemic. They didn't experience public health mitigations, therefore no "immunity debt" from it. cdc.gov/rsv/research/r… 
3- and most importantly, your immune system is not a muscle, you dont need to continually exercise it to make sure it works. So public health measures that let us enjoy 2+ years w/out flu and RSV didn't cause your immune system to forget how to work.
One can understand why much of the public is confused. Over the past few days in the media and social media, some Dr’s & commentators have rebuffed the idea of #immunitydebt. Said on this forum: ‘idiocy’, ‘nonsense’, anti-science’, ‘not a thing’. Here’s the thing…1/
In The Lancet: ‘a weekly peer-reviewed general medical journal. It is the world's highest-impact general medical journal, and one of the oldest…founded in England in 1823’. Now I’m not a physician but this journal seems pretty reliable. From Sept. 2022 thelancet.com/journals/lanin… 2/
Entitled: ‘Quantifying the RSV immunity debt following Covid -19’ — ‘Out-of-season RSV resurgences are explained by decreased population immunity following a prolonged period of minimal RSV exposure, also referred to as RSV immunity debt…’ 3/
Routine 💉ON kids before age 2
to prevent illness:
Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenza type b, Pneumoccal, Rotavirus, Measles, Mumps, Rubella, Varicella
to prevent illness:
Diphtheria, Tetanus, Pertussis, Polio, Haemophilus influenza type b, Pneumoccal, Rotavirus, Measles, Mumps, Rubella, Varicella
#C19 💉=safer acute phase
#LongCovidKids, some protection
Best protection #LongCovidKids ?
No infection
Says so right here
canada.ca/en/public-heal…
#LongCovidKids, some protection
Best protection #LongCovidKids ?
No infection
Says so right here
canada.ca/en/public-heal…
If you are talking immunity debt, at this stage,
that tells me
you are either not reading on #LongCovid,
10,000+ studies (H/T @elisaperego78 )
or covering your own a***
#RG3HumanPathogen
canada.ca/en/public-heal…
that tells me
you are either not reading on #LongCovid,
10,000+ studies (H/T @elisaperego78 )
or covering your own a***
#RG3HumanPathogen
canada.ca/en/public-heal…
This is a very succinct way to describe why I think the "immunity debt" excuse for our overflowing children's hospitals is...inane. But there are significant other flaws in the #ImmunityDebt theory, and alt hypotheses grounded in logic & data that make more sense. A 🧵 1/
1. Immunity debt assumes kids have been out of communal activities for the past 2.5 years. That's not true. Most ppl didn't have the luxury. We were extremely careful & extremely lucky to have been able to keep our kids out of congregate care, despite 2 working parents 2/
Grandpa *retired* to watch the kids all day. We took them out of school and therapies when I knew waves were coming (after Christmas, e.g.). At this point, MM has been back at school for 2 years. LO back in therapy FT for 6 mos. Most people didn't have that flexibility. 3/
#FeversInChildren
Since schools opened he’s constantly unwell
Is it normal for kids to get fevers every week?
There must be something you can give to boost her immunity?
He always has this cold,the cough hasn’t left him
We’re swimming high tides of cough, cold and fevers
1/n
Since schools opened he’s constantly unwell
Is it normal for kids to get fevers every week?
There must be something you can give to boost her immunity?
He always has this cold,the cough hasn’t left him
We’re swimming high tides of cough, cold and fevers
1/n
#KidsSickTooOften
Paediatricians across the country are running busiest of OPDs, juggling bed availability in wards and PICUs and even falling sick themselves more than ever before
Parents are at their wits end
Classrooms are half empty on some days 2/n
Paediatricians across the country are running busiest of OPDs, juggling bed availability in wards and PICUs and even falling sick themselves more than ever before
Parents are at their wits end
Classrooms are half empty on some days 2/n
#RespiratoryViruses like #RSV, rhino, #influenza, parainfluenza,
human metapneumo, boca,coronavirus,adeno, enterovirus and #bacteria like strep pneumoniae, pertussis, haemophilus, mycoplasma etc were in constant low level circulation or saw seasonal outbreaks but now.. 3/n
human metapneumo, boca,coronavirus,adeno, enterovirus and #bacteria like strep pneumoniae, pertussis, haemophilus, mycoplasma etc were in constant low level circulation or saw seasonal outbreaks but now.. 3/n
