Michael Mina Profile picture
Feb 15, 2020 5 tweets 2 min read Read on X
New information. >8000 close contacts of reported cases tested for #COVIDー19. Most interesting/concerning/comforting result is 34% of close contacts were + for COVID. This is very large fraction of contacts infected- suggests much wider spread. But 1/n.

medrxiv.org/content/10.110…
There is a silver lining. The large numbers of contacts found to be positive were largely without symptoms, or at least not requiring medical attention themselves at enrollment.... 2/3
So, despite a potentially larger fraction of close contacts than we might have currently known of (though the rate is not too surprising), the data reinforces that most will NOT have severe diseases and many will be very mild. Very nice work by the authors! 3/3
In addition - they looked at coinfections. The Most Important part for me in this regard was the lack of any evidence for crossprotective immunity between #COVID19 and other coronaviruses. 3% COVID+ had other Coronas vs only 1% of COVID negs had other Coronas....
The data here points towards trend of excess coinfections with other Coronas among COVID (no causal argument being made here).

Alternatively, this could point to a methodological issue- false pos for seasonal Coronas because of presence of #COVID19 ? Cannot rule out here.

• • •

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

Keep Current with Michael Mina

Michael Mina 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 @michaelmina_lab

Feb 26
This is horrible & exactly what we are afraid of - measles kills ppl

In ~100 infections in TX, someone has already died

For those w/out vacc- it is not the benign virus you’ve been told

1:5 hospitalized
1:100-1000 die

This will spread further.

1/

apnews.com/article/measle…
The measles vaccine is exceedingly safe

It stops infections & spread extremely well!!

Measles on the other hand

1) kills 1:100-1000
2) hospitalizes 1:5
3) Kills immune cells & deletes protection against other infections
4) causes early immune suppression / coinfections

2/
I am extremely concerned that the communities of vaccine hesitancy have grown enough that they are now “bleeding into each other”

Which means infection in one may well ignite outbreaks of many thousands

That will come w more disease and death

Vaccination will prevent this

3/
Read 4 tweets
Feb 19
Measles cases may likely grow into the 1000’s

The TX measles outbreak continues

With “bubbles” of undervaccination getting bigger, we can expect outbreaks in one to catch on to the next

Igniting transmission that may catch and spread across the U.S.

cnn.com/2025/02/18/hea…
One of the most common tropes is that measles is fine & doesn’t cause damage…

This is highly inaccurate

Measles literally grows by infecting and killing memory immune cells. It causes loss to existing immunity creating vulnerabilities & acute damage that is often severe

2/
To discover the massive-stealth-impact measles has on immune protection against infections not associated w measles, we looked at what happened in populations after measles outbreaks swept through, decade after decade across nations…

What we found was astonishing…

3/
Read 19 tweets
Dec 27, 2024
Important wake up call:

#H5N1 BirdFlu just sequenced by @CDCgov from severe Louisiana patient

Most important, the H5 virus mutated inside the single patient to gain an ability to bind human receptors in the upper respiratory tract

It takes just one…

cdc.gov/bird-flu/spotl…Image
This is exactly the type of thing we worry about.

The mutations developed anew in this patient have been linked to severe cases elsewhere

Thank goodness the patient didnt (as far as we know) spread to any people or wildlife but this is the real concern…

We must do better

2/
And what should we do… there are many things we (USGov) should be doing yet barely have:
Read 6 tweets
Oct 3, 2024
🧵 On Seasonality:
SARS-CoV-2 has "seasonality" as a contributor to transmission dynamics

People often refute it - So I made graphs and this thread

NOTE: Seasonality does NOT = "just a cold"
Many of worst viruses have seasonality

Transmission Dynamics ≠ Pathogenicity

1/Image
Image
Image
The first figure is Wastewater SARS-CoV-2 RNA levels averaged across the whole United States

See the REMARKABLE stability in the winter peak

The peak happens in the exact same week each year

Additionally, the start up the upswing to the peak (triangles) is also consistent

2/Image
A common misconception is that "Seasonality" means "no transmission out of season"

That is NOT TRUE

Seasonal forces are those that drive predictable behavior - like a winter peak in the first week of each year

3/
Read 14 tweets
Aug 18, 2024
Huge News for access to STI tests in the U.S. to help curb the growing syphilis epidemic

The @US_FDA just authorized the first fully at home OTC test for syphilis

A finger prick blood test for antibodies against the bug that causes it (T. Pallidum)

1/

nbcnews.com/health/sexual-…
For a number of decades, syphilis has been trending up in the U.S.

The cause isn’t singularly but likely is associated with relaxations of prevention of STIs in the context of more effective prophylaxis for HIV (PrEP). Plus general lack of awareness



2/publichealth.jhu.edu/2024/why-is-sy…
When left untreated, Syphilis can have devastating consequences on human health

Luckily there is very simple treatment for it (a form of Penicillin) but it only works if you take it - and you only take it if you know you have syphilis

Hence the importance of an OTC test!

3/
Read 7 tweets
May 3, 2024
Such a bad interpretation that stands to harm patient care

Let's not throw the baby out w the bathwater for COVID-19 (and flu etc)!

Suggesting to only run PCR & not rapid means most (50%-80%) of patients get WORSE care & at higher costs

Here's why:

A 🧵

1/
When I see publications & docs say “don’t use a rapid test, only use a PCR”

it assumes this is an OR only situation

Ridiculous!

A rapid test is… RAPID… and highly affordable

You lose ~nothing by it and give your patient the opportunity to GAIN tremendously

2/
If the test is positive, then for that 80%+ of culture positive ppl … your job is done immediately

You’ve spent $5 and 5 minutes and they can get on treatment right away

If you didn’t do it, it will be be 1-2 days and ~$150 before they can get started on treatment

3/
Read 10 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!

:(