It is increasingly clear that Chinese government officials- locally in Wuhan and nationally in Beijing- sought to hide information and downplay the seriousness of the coronavirus outbreak in the critical first weeks of the pandemic.
nytimes.com/2020/08/19/wor…
Wuhan officials hid information from national authorities. A recent U.S. intelligence community assessment concluded "Officials in Beijing were kept in the dark for weeks about the potential devastation of the virus by local officials in central China."
At the same time "senior officials in Beijing, even as they were scrambling to pry data from officials in central China, played a role in obscuring the outbreak by withholding information from the World Health Organization."
In addition, a combination of the weak standing of China's CDC, a poorly implemented national hospital surveillance system, and local officials "intent on hiding bad news" meant Wuhan officials did an "end-run" around public health authorities.
wsj.com/articles/china…
In sum, while the technological, public health, and scientific advances in China have been considerable since the days of the original SARS, the political system and skewed incentives of officials remain serious challenges to rapid action on emerging infectious diseases.

• • •

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

Keep Current with Josh Michaud

Josh Michaud 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 @joshmich

19 Jan
30% of Israel's population has received at least 1 dose of Covid-19 vaccine, but no indications yet that case numbers are coming down there (chart).

A few reasons why this might be:

1) Cases reported now were infected 7+ days ago, when vaccinations were lower Image
2) Less than 500,000 (out of ~2.7 M vaccinated) have so far received a 2nd dose. A single dose is "less effective than we hoped" in providing protection, according to Israeli health leaders.
theguardian.com/world/2021/jan…
3) Israel has vaccinated by age, starting with older persons, vaccinating to date:
80% of 70+
68% of 60-69
50% of 50-59
28% 40-49

Older ages are protected from severe disease, but younger ages typically contribute most to transmission
timesofisrael.com/israelis-aged-…
Read 6 tweets
9 Jan
Beyond the scientific and epidemiological reasons to doubt the lab escape theory of pandemic origin, let’s not forget that no US or allied intelligence has emerged with even a whiff of evidence that a lab was the origin by accident or intention.
To believe the lab escape theory you also have to believe the Chinese have mounted a successful, extended campaign to eliminate incriminating evidence and muzzle officials and scientists who knew or might have suspected it came from a lab.
It’s a pretty big secret to hold on to, especially for a sizeable group of people that includes an international network of scientists, other workers, and families -- many of whom are not exactly in the secrecy business.
Read 17 tweets
1 Jan
That the US might adopt a 1 dose regimen or significantly delayed 2nd dose for vaccines already authorized seems more fanciful thought experiment than tractable policy. Pretty much all institutions and incentives are lined up against such a change and not without reason.
Current vaccines are authorized via EUAs from FDA, which both clearly state terms of use including a two-dose regimen. Moderna’s EUA says the vaccine is “administered as a series of two doses 1 month apart…”
“…Individuals who have received one dose of Moderna COVID-19 Vaccine should receive a second dose of Moderna COVID-19 Vaccine to complete the vaccination series.”
modernatx.com/covid19vaccine…
Read 20 tweets
31 Dec 20
CDC now provides more data on vaccine distribution and administration by state, agency, etc. Worth a look and a bookmark.

A few things that jumped out to me, in a short thread.

covid.cdc.gov/covid-data-tra…
2.17 million doses distributed through the federal pharmacy partnership prgm for long-term care, but only 167,149, or 7.8%, administered. This is the phase 1a component that needs to make up the most ground.

If this program were a state, it would easily be the worst performer.
States/jurisdictions' overall progress in administering the vaccines they have received continues to vary widely.

DC has administered over 50% of its vaccines on hand, while Kansas has administered just over 10%.
Read 6 tweets
30 Dec 20
Worth noting that Kathleen Hicks, President-elect Biden's pick for the number 2 spot at the Pentagon, would be that unusual senior defense official with some background in global health, as it relates to national security.
She's co-authored reports on the Department of Defense and global health, such as this one from 2009
csis-website-prod.s3.amazonaws.com/s3fs-public/le…
From that report: If "virulent diseases can destabilize economies and entire political systems, then it is in the national security interest of the US to address the causes of diseases and develop effective systems to detect and contain them."
Read 6 tweets
22 Dec 20
You may have seen CDC reporting 4.6 million doses of #COVID19 vaccine have been distributed & 614,117 administered. Why the huge gap between doses distributed vs administered numbers? (short thread)
Some of the gap is from reporting lag: it can take up to 3 days for providers distributing the vaccine to report to state/local health officials, and additional time for officials to report to CDC
covid.cdc.gov/covid-data-tra…
Also, doses distributed to states have been held for use in long-term care facilities via the federal pharmacy partnership, which is only now starting to ramp up. Its goal is to reach 4.5 million residents and staff at 55,000 nursing homes nationwide
foxnews.com/health/nursing…
Read 8 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

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

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!