THREAD: For your weekend enjoyment. I’ve been rewatching #epidemic #pandemic movies this week. Here’s what some of them get right and wrong. #nCoV2019 #coronavirus #coronavirusoutbreak
Let’s start with “World War Z.” justwatch.com/us/movie/world… There are lots of zombie/vampire movies/shows out there, many based on the premise that people become zombies/vampires when infected with a virus. #nCoV2019 #coronavirus #coronavirusoutbreak
Here’s what “World War Z” gets right: People panic. They get in their cars and run. They loot grocery stores. There are shortages of food, fuel, and medicines. #nCoV2019 #coronavirus #coronavirusoutbreak
And most importantly, “World War Z” gets this right: Walls won’t keep out viruses (or zombies). #nCoV2019 #coronavirus #coronavirusoutbreak
Here’s what “World War Z” gets wrong: No virus has a 12 second incubation period. It takes at least a minute for your blood to travel around the body, and it takes longer for your immune system to induce an immune response. #nCoV2019 #coronavirus #coronavirusoutbreak
And most importantly, “World War Z” gets this wrong: You can’t shoot your way out of a viral outbreak. #nCoV2019 #coronavirus #coronavirusoutbreak
Next: “Outbreak.” justwatch.com/us/movie/outbr… This one is based on the #Ebola virus. #nCoV2019 #coronavirus #coronavirusoutbreak
Here’s what “Outbreak” gets right: The Motaba virus (based on #Ebola) was awakened by men cutting down trees in the African forest. #nCoV2019 #coronavirus #coronavirusoutbreak
Deforestation (& climate change, overpopulation, etc) will lead us to come into contact with more zoonotic (i.e. animal) viruses. We’ll see more and more infectious disease outbreaks if these trends continue. #nCoV2019 #coronavirus #coronavirusoutbreak
Here’s what “Outbreak” gets wrong: We don’t bomb villages or towns to contain an outbreak. #Ebola doesn’t liquefy the organs of patients. #nCoV2019 #coronavirus #coronavirusoutbreak
The bleeding/bruising makeup is beyond fake. The fixation on tracking down the infected monkey makes no sense. They’d already isolated the virus. They could just have injected the virus into other animals to make antiserum. #nCoV2019 #coronavirus #coronavirusoutbreak
It would have taken months to make that much antiserum. Also, one monkey could not possibly have provided enough antiserum to save everyone. #nCoV2019 #coronavirus #coronavirusoutbreak
We’ve developed monoclonal antibody treatments of Ebola, but they’re no slam dunk, and none would have cured Renee Russo that quickly. ncbi.nlm.nih.gov/pubmed/31774950 #nCoV2019 #coronavirus #coronavirusoutbreak
Finally, we don’t have a biological/germ warfare program. Richard Nixon shut it down in 1969: ndupress.ndu.edu/Portals/68/Doc… #nCoV2019 #coronavirus #coronavirusoutbreak
And finally, my favorite of this bunch: “Contagion.” justwatch.com/us/movie/conta… It’s no surprise it’s the most accurate. Dr. Ian Lipkin at @Columbia and @Laurie_Garrett consulted on the film. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett Here’s what “Contagion” gets right: Virus genes can recombine. Bird and pig #influenza can recombine & infect humans. It’s how where new pandemic strains of #influenza come from. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett "Contagion" describes how different kinds of vaccines are made: inactivated/killed vaccines, live attenuated vaccines, and recombinant vaccines. The movie also accurately illustrates how contact tracing works. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett Pandemics can lead to societal and government breakdown. Shortages of food and other essential supplies. Runs on banks. And the like. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett Most importantly, “Contagion” gets this right: Parallel to infectious disease outbreaks emerge parallel outbreaks of fear, mistrust, and disinformation. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett In the film, Alan Krumwiede (played by Jude Law) runs the blog TruthSerumNow. (Note how many of the peddlers of misinformation about the #nCoV2019 #coronavirus #coronavirusoutbreak have Twitter handles with “truth” in their name. buzzfeednews.com/article/janely…
@Columbia @Laurie_Garrett Krumwiede fakes being sick. He takes homeopathic forsythia on camera. And then fakes recovering from an infection he never had. He then tries to make a fortune selling forsythia. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett Krumwiede also criticizes scientists hard at work to develop a vaccine. (Sound like anyone one Twitter?) #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett And in a show of pseudo-objectivity, cable news puts Krumwiede opposite the head of the @cdc, as if they were equivalent experts who should be given equal weight. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett @cdc What did “Contagion” get wrong? The film focused too much on the U.S. Pandemics play out on a world stage, not in one country. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett @cdc We could never develop a vaccine that quickly (144 days in the movie). In reality, it takes a MINIMUM of a year, and that’s if you’re lucky and already have a head start with related candidate vaccines. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett @cdc You wouldn’t test a new #vaccine by injecting yourself and then declaring it safe and effective if you survived. And vaccines don’t take effect immediately. It takes time for the immune system to respond to #immunization. #nCoV2019 #coronavirus #coronavirusoutbreak
@Columbia @Laurie_Garrett @cdc I’ve left out some other critiques that are a bit more in the weeds. These are the big ones. Key takehome message: Hollywood gets a lot of the science wrong. But it gets human behavior (fear, panic, rumormongering, opportunism) right. #nCoV2019 #coronavirus #coronavirusoutbreak

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More from @celinegounder

May 27
1/ Very concerning news from HHS today:
CDC is no longer recommending the COVID vaccine for healthy children & healthy pregnant women.

Why does this have me worried?
2/ Healthy infants may not die from COVID, but they’re at higher risk for ER visits and hospitalizations… both scary & costly.
3/ Pregnant women ARE at higher risk for severe COVID (& influenza).

Pregnancy is a period of immunosuppression (so that the woman’s immune system doesn’t reject the fetus as a foreign body) & stress on the lungs & heart.
Read 9 tweets
May 23
1/ What’s fueling the surge in childhood chronic illness in the US?

The MAHA Commission blames ultra-processed foods (UPFs)—& their assessment offers a sweeping critique of America’s food system.
2/ Nearly 70% of American children's calories now come from UPFs—foods high in added sugars, refined grains & industrial fats, but low in nutrients.

The MAHA report links this to obesity, diabetes, even behavioral health.
3/ UPFs are designed to override satiety signals (i.e. feeling full).

Kids eat more & gain weight faster.

Plus, many UPFs contain additives that may affect metabolism, mood & gut health.

Think: emulsifiers, artificial colors & sweeteners.
Read 15 tweets
May 11
1/ A new study from South Korea suggests the shingles vaccine may do more than just prevent shingles—it might also protect your heart 🫀.
on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson
2/ Researchers followed over 2 million adults for a decade.

Those who got Zostavax—the older, live shingles vaccine—had a 23% lower risk of heart disease, including heart attacks, strokes & heart failure.
3/ That cardiovascular protection wasn’t short-lived.

It lasted for up to 8 years after vaccination.
Read 14 tweets
Apr 9
1/ My colleague @DrLaPook's interview with @HHSGov @SecKennedy raised critical questions about public health, vaccines & government responsibility.

on @CBSMornings
2/ RFK Jr, a longtime vaccine skeptic, now recommends the measles vaccine during an outbreak.

This is a significant shift, but his statements on vaccine safety testing need clarification.
3/ Vaccines undergo rigorous testing in Phase 3 & 4 clinical trials, often lasting years to decades.

Claims that vaccines are tested for only "3-4 days" without placebos are misleading.
Read 16 tweets
Mar 21
1/ Billions of dollars in @NIH medical research at risk amid Trump cuts
with @jdickerson on @CBSEveningNews
cbsnews.com/video/billions…Image
2/ The total @NIH budget is $48.6B.

It's hard to say how much will be cut in total as the cuts are still in progress, but BILLIONS of dollars will be cut.
3/ This is in addition to NIH dollars that have been held up by delays in approval processes.

If universities can't make payroll, they can't hire & have to let people go.
Read 32 tweets
Mar 7
1/ A lesser-known fact about measles is how the virus can damage the immune system, leaving someone at greater risk of other infections even after a person has recovered.
with @nateburleson @GayleKing @AdrianaDiaz on @CBSMornings

It's called MEASLES IMMUNE AMNESIA.
pmc.ncbi.nlm.nih.gov/articles/PMC85…
2/ Let’s say you have 2 babies.

As they grow, their immune systems mature & they both gain immunity to different infections – as represented by the different colored marbles. Image
3/ One baby gets vaccinated against measles at age 1 & later at age 4.

It's recommended that babies get their 1st dose at 12-15 months (when antibodies from mom fade away) & 2nd dose at 4-6 years (when kids start school). Image
Read 12 tweets

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