Isaac Bogoch Profile picture
Sep 19, 2020 4 tweets 3 min read Read on X
1/

More data demonstrating the low (but not 0%) risk of acquiring #COVID19 on flights.

2 business class passengers likely transmitted virus to 2 flight attendants on this 15 hour flight in early March, 2020.

No mention of masks.

bit.ly/3iKYMGf
2/

2nd example: On a 10 hour flight, 1 person (also reported in business class) likely transmitted to 16 others, out of 217 passenger & crew. Proximity a risk.

Once again: "Face masks were neither recommended nor widely used on airplanes in early March"

bit.ly/2ZTwT7c
3/

Could there be something about business class that facilitates transmission (e.g. seating arrangement/air flow, lax mask use)? Is this a real issue vs reporting bias? Not sure.

Other examples of rather limited #COVID19 transmission on planes here 👇

4/
And good reading about the risks & myths of acquiring illness on a plane.

wapo.st/3hJdfB1

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More from @BogochIsaac

Jan 19, 2023
1/I've been reflecting on this thread for a bit.

I have zero intention to be unkind to David here, rather it is an opportunity to touch base on the current state of social media/pubic discourse & our current trajectory (extending well beyond COVID).

Summary: Vey iz mir

🧵
2/ Just to appreciate where I'm coming from here:

I work at the intersection of clinical infectious diseases, epidemiology, public health & policy

I know this realm well & can spot bullshit 20 miles out

I aim to be data-focused & apolitical

I still screw up from time to time
3/ In this instance, I am speaking with @carolynglobal & @jmacspeaks about masks (I enjoy our weekly chats).

Have a peek.

It's a pro-mask message that delves into individual & community level protection. There is as much nuance as time permits.

bit.ly/3XnlsRb
Read 11 tweets
Aug 29, 2022
Based on existing data to date:

1. Current covid vaccines continue to excel at preventing severe infection.

2. Vaccination provides decent protection VS infection (& transmission) but wanes considerably at ~2 months...not to 0%, there is still some protection. 🧵
3. The current (ancestral) vaccine provided strong protection VS infection/transmission to the ancestral virus (& Alpha, & to some extent Delta). Unfortunately Omicron is a bit different.

4. While we obviously don't want people to get infected, hybrid immunity is real & helpful.
5. Updated Omicron vaccines (BA.1 & BA.4/5) will be a useful addition. We just can't yet quantify the degree/duration of protection VS infection.

6. Other vaccines in the pipeline (eg. intranasal; pan-coronavirus vaccines) show tremendous promise but are not rolling out in 2022.
Read 4 tweets
Jul 27, 2022
1/ Several important points on the monkeypox outbreak by Dr. Ghebreyesus:

"This is an outbreak that can be stopped, if countries, communities & individuals inform themselves, take the risks seriously & take the steps needed to stop transmission & protect vulnerable groups."
2/ "The focus for all countries must be engaging & empowering communities of men who have sex with men to reduce the risk of infection and onward transmission, to provide care for those infected, and to safeguard human rights and dignity."

🙂
3/ "WHO urges countries with smallpox vaccines to share them with countries that don’t. We must ensure equitable access..."

High income countries: 🦗🦗🦗

(COVID vaccine, redux)
Read 4 tweets
May 2, 2022
1/ There are many people & communities who would benefit from a 3rd COVID vaccine dose but have not received one (doses 1, 2, & 4 too).

There is also more emerging data demonstrating how 2 vaccine doses PLUS infection is as good as 3 doses in preventing severe COVID infection.
2/ "Two-dose effectiveness against hospitalization among previously-infected individuals did not wane across 11 months and did not significantly differ from three-dose effectiveness despite longer follow-up..."

bit.ly/3OUP44j preprint by Dr. S. Carazo et al.
3/ This is not to suggest people should be infected, but we can acknowledge that a significant proportion of our pop had a recent infection PLUS we have very high uptake for doses 1+2, & pretty impressive uptake for dose 3 among those at greater risk (still room for improvement).
Read 5 tweets
Jan 29, 2022
1/ Long COVID is real & can be debilitating.

But in some positive news, chronic symptoms of COVID in those under 18 is less common than initially thought (0.8%) & most have symptom resolution in 5 months.

This is a big study (>32K) including a control group.

Very helpful. Image
2/

Link to study: bit.ly/3Gf9vn4

Authors: Luise Borch, Mette Holm, Maria Knudsen, Svend Ellermann-Eriksen & Soeren Hagstroem
3/ There is no “perfect” study. Every study will have limitations including this one, but this still helps shed light on the issue of long COVID in kids.
Read 4 tweets
Jan 6, 2022
George Carlin listed "7 words you can't say on TV".

Similarly, there are covid-related words/phrases you can't discuss on Twitter without triggering an outpouring of polarized responses.

Just FYI, back on planet earth, we discuss these concepts frequently.

🧵👇
Several words/phrases are "weaponized" to overplay or underplay the significance of covid in various scenarios...it's an obvious problem.

Still, these are important terms/concepts that warrant objective study & discussion without value judgment.

A few examples 👇
"MILD"

Multiple lab/epi/modelling studies demonstrate Omicron is less virulent than Delta & on average causes a "milder" syndrome.

But of course Omicron can still cause severe illness & when so many are infected at once, healthcare systems are stretched & people die.
Read 11 tweets

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