Eric Feigl-Ding Profile picture
Health & economic warnings. Health policy, epidemiology & finance info. Fmr @Harvard @JohnsHopkins. ✏️https://t.co/I6xZVmz79l

Jul 23, 2022, 25 tweets

⚠️BREAKING: at last—@WHO has finally declared the #monkeypox global outbreak a PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN. The WHO leadership has overruled the committee that had voted 6-8. Thank you @DrTedros!

2) Sources inside the WHO say that YES votes for a PHEIC were mostly by those with expertise in #monkeypox, LGBT health, while those voting NO were by non-monkeypox-expert members of the committee. Thank god someone overruled that nonsense.🤦🏻‍♂️

3) My @TheWHN team has been advocating for an emergency declaration for #monkeypox for weeks. We were especially infuriated when WHO didn’t declare it last month. Our oped in the Washington Post…

4) “We have an outbreak that has spread around the world rapidly through new modes of transmission, about which we understand too little, and which meets the criteria” for a public health emergency, Dr. Tedros told reporters.

nytimes.com/2022/07/23/hea…

5) “The committee’s inability to come a consensus also highlights the need for a better process to decide which events represent public health emergencies. It is apparently the first time that the director general has overruled his advisers to declare a public health emergency.”

6) No longer contained to a single continent or found only among travelers, #monkeypox is undergoing community transmission in dozens of countries worldwide and spreading unchecked at an alarming rate.

Our oped 2 weeks ago:
@kavitapmd @yaneerbaryam
washingtonpost.com/opinions/2022/…

7) Nota bene— @CDCgov warns: “Young children (<8 years of age), individuals who are pregnant or immunocompromised, and individuals with history of atopic dermatitis or eczema may be at especially increased risk for severe outcomes from #monkeypox disease.” cdc.gov/poxvirus/monke…

8) Community & household transmission —just yesterday, CDC reports 2 kids now have #monkeypox. CDC notes again that kids <8 years old are at "especially increased risk" for severe disease. axios.com/2022/07/22/mon…

9) One month ago, my team at @TheWHN declared #monkeypox a *pandemic* emergency. While the @WHO has now agreed it’s an emergency, the WHO has not said it’s a pandemic yet. They still need to. In 2020, WHO only declared COVID a pandemic when it was too late in March 2020.

10) a month ago, many attacked @TheWHN for “fear mongering”. The lesson is that the arc of the moral universe is long—but precautionary is good.

Here is the full speech by @DrTedros outlining the reasons and next steps after #monkeypox PHEIC declaration

who.int/director-gener…

11) Everything is NOT fine with the #monkeypox global emergency. It’s going to get worse soon.
ourworldindata.org/monkeypox

12) A new study also suggests that the virus might be mutating 12 times faster than expected, and could lead to 60,000 new cases per day in the U.K. alone by the end of 2022.

13) How do you spot a #monkeypox rash? Here is how. See YouTube video explainer by Drs. @KashPrime and @lisa_iannattone

14) Even more worrisome is that the steepness of the #monkeypox epidemic curve is now worse for the US than many other countries of the world.

15) If our models (HT @JPWeiland) are right, we can easily see 100,000 cases by end of August and perhaps even higher soon in Sept. we have to slow #monkeypox ASAP!

16) Given #monkeypox cases rising faster in the US than most of the rest of the world, we need urgent US emergency declaration from Biden WH too. bloomberg.com/news/articles/…

17) We can either act fast and prevent enormous suffering, or we can let history repeat… let’s not please 🙏

18) there are those who can see a train wreck incoming… and those who cannot. Don’t be the latter. And demand better leaders - who have the courage to warn and to do the right thing for the greater good even when it’s unpopular. #monkeypox

19) A new @WHO reports finds that **72 children** have now gotten #monkeypox, despite limited testing.

Rash and fever are the most common symptoms. worldhealthorg.shinyapps.io/mpx_global/

20) Where did #monkeypox come from? How was it discovered? It all dates back to 1958… fascinating historical thread 🧵.

21) are there non-MSM #monkeypox cases? Yes, some — but more in actuality due to surveillance bias in many countries that did not prioritize testing non-MSM folks until recently. But among that @WHO has tabulated… interesting. Note many unknown. Need more widespread testing.

22) America is winning!!! Not… #monkeypox

23) several weeks ago, I tried to warn everywhere I could that #monkeypox was coming — yet our complacent global leadership allowed this emergency to happen.

24) I have no words that can capture my fuming anger at this shit… new single day all time record high!!! #monkeypox

25) This is the ugly state of #monkeypox right now. And it’s only going to get worse until it gets better (with fast action). A US public health emergency declaration can do a lot to unlock and move resources.

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