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

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Céline Gounder, MD, ScM, FIDSA 🇺🇦

Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @celinegounder

Apr 29
1/ H5N1 bird flu candidate vaccine viruses have been identified:
(jump to 1:33)
🔹2 are "well-matched" to H5N1 infecting dairy cattle
🔹but how "well-matched" are they really? this conclusion is based on ferret dataastho.org/education/hpai…Image
2/
🔹Candidate vaccine viruses are used to make antigen (i.e. the target you want the immune system to see) for vaccines.
🔹Adjuvant has also been stockpiled.
🔹Adjuvants help strengthen the immune response to antigen in vaccines. Image
3/
🔹100s of thousands of doses of candidate antigen + adjuvant have been manufactured for use in clinical studies.
🔹2 safety/immunogenicity studies are being conducted.
🔹@ASPRgov is working with @US_FDA & industry to figure out a regulatory pathway for the use of these doses.
Read 4 tweets
Apr 29
1/ There are still lots of unanswered questions re: H5N1 bird flu

🔹How quickly is the virus mutating and evolving?

A PB2 E627K mutation was found in the human case in Texas, but not seen in birds or cows.
(1:04:50)astho.org/education/hpai…
2/ The PB2 E627K mutation has been seen in other human cases of H5N1.

It is one step towards mammalian (but NOT human) adaptation in experimental studies. (h/t @RickABright)
3/ The PB2 E627K mutation may have developed in the human Texas case.

It has not been seen in Texas dairy cattle or birds, nor in wild birds or poultry.
Read 8 tweets
Apr 25
1/ Stemming the spread of H5N1 bird flu
🔹The federal government is ramping up testing of dairy cows
🔹Cows will now have to be tested before being transferred to another state
🔹H5N1 viral fragments detected in grocery store milk
🔹The risk to humans remains low at this time
2/ Remember PCR tests from COVID?

They can be positive even after you’ve recovered because they’re picking up dead virus.

Some PCR tests on pasteurized milk from grocery stores have come back positive for bird flu... but that could just be dead virus.
3/ Pasteurization has worked for over a hundred years to protect consumers from bacteria and viruses.

There’s no reason to think pasteurization won’t also work to kill the bird flu virus, but scientists are confirming that with testing anyway.
Read 16 tweets
Apr 23
1/ H5N1 bird flu has been detected in the milk supply




We currently believe the milk supply to be safe.

Some other key points:washingtonpost.com/health/2024/04…
nytimes.com/2024/04/23/hea…
fda.gov/food/alerts-ad…
2/ The levels of virus fragments being found in milk by PCR are high.

Milk from different cows is combined into big vats.

You wouldn't see such high levels of virus if only a couple cows were infected... it would be diluted down.

This implies many cows have been infected.
3/ I suspect there's been a ton of asymptomatic transmission among cows.

They've only been testing symptomatic cows.
Read 8 tweets
Apr 2
1/ The 2nd human case of H5N1 bird flu was reported in the US yesterday.

This case was in Texas & likely involved transmission from an infected cow🐄 to this individual.

The 1st case was reported in Colorado in 2022.

with @tonydokoupil @GayleKing @nateburleson
2/ The person in Texas became ill with H5N1 bird flu after direct contact with infected dairy cattle🐄.

The patient's primary symptom was conjunctivitis (i.e. pink eye).

The patient is isolating & is being treated with an antiviral for flu... as are their close contacts.
3/ The risk to the general public is believed to be low at this time.

Risk factors for H5N1 bird flu:
🔹Close contact with animals suspected of having H5N1 bird flu
🔹Close contact with someone infected with H5N1 bird fluImage
Read 23 tweets
Mar 18
1/ Health workers fear it's profits before protection as CDC revisits airborne transmission by @KFFHealthNews' @amymaxmen

So incredibly brave of Dr. @sonyastoked to speak out:
nbcnews.com/health/health-…
Image
2/ Image
3/ Image
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(