Some thoughts from the update on the President’s condition:
They said illness for 72 hours? Seems to be a different timeline than we heard.
They also said he got antibodies 48 hours ago. That’s Thursday morning.
Also they said not on oxygen NOW. Repeatedly. Which suggests he had been on at some point.
Won’t talk about date of his last negative test. This is a BIG question.
Reports that PPE protocols are the same as for everyone else.
Daily ultrasounds?!?! That seems excessive.
Another oxygen question. It seems pretty clear that he was on oxygen.
NO HYDROXYCHLOROQUINE.
Contact tracing per CDC guidelines. Good.
Thursday afternoon was tested. Pcr confirmation that evening. Same as what we were told.
For remdesivir: on 5 day treatment. May need to stay at Walter Reed for full course. But constantly reconsidered.
Any other risk factors?
‘Not particularly’
He’s male. He’s 74. He’s ‘slightly overweight’.
Other vitals:
HR 70s
BP good
Earlier they said oxygen at 96%
Why was he transferred to Walter Reed?
“Because he’s president of the United States”
Not being proned
He clearly received oxygen. Good lord, just say it.
First Lady doing well!
And an abrupt end!
MY TAKEAWAYS:
The timeline is off. 72 hours since his diagnosis?
He was clearly on oxygen at some point. I mean, come on. This is important.
No answer on steroids (it was asked). That would be very very revealing.
We don't know his last negative test. We need to know.
We're told he has daily ultrasounds. Not clear why that would be the case. Would rather know the results of a CXR or CT scan.
Loads more questions than answers quite frankly.
Still stuck on this point that he was 'diagnosed' 72 hours ago.
We just found out 36 hours ago.
I'm confused. Maybe they misspoke?
So what does this anonymous source statement mean?
Again, we don't know. When I was in the hospital with Ebola, 'sources' told reporters all sorts of mistruths. Maybe this is true. Maybe not. We don't know.
I've spent a lot of the last week speaking to people across government, media, and other actors involved in the Ebola response. Some reflections:
Size of the outbreak: this is massive already. Based on some other signals and conversations, this outbreak is at least 2-3 months old.
Official case numbers are ~1,000. But I suspect the true number is much larger, probably double. This will almost certainly end up being the second largest Ebola outbreak ever, and soon.
There have been 'mysterious' outbreaks close to the current hotspots for some time, and we still don't have a full accounting of all those.
I worked as an epidemiologist during an Ebola outbreak in Guinea in 2015. Tracking this and contract tracing is tough work. It'll take a few more weeks to further understand what communities have already been affected.
Vaccines/Treatments: you've probably heard there are "no treatments of vaccines" for the Bundibugyo species of Ebola.
There's been some movement on moving candidates along—including from Oxford to use the ChAdOx platform for a potential vaccine. Work on that is progressing, but would be many months away.
There's also a rVSVΔG vaccine—using the same platform as the FDA-approved Merck vaccine for Zaire Ebolavirus—that's being discussed, but would also take many months.
We have LOTS of Ervebo, that FDA-approved vaccine for the Zaire species, and there is some discussion about potentially using it here, since it *may* offer some cross-protection. The risk/benefits of that is outside my league...for more, go ask an amazing vaccinologist/immunologist nerd :)
On treatments, there are two monoclonal antibody 'cocktaills' that have promise, and will likely be used here. One by Regeneron and another by Mapp Bio. Doses are limited however, and there will be some logistical hurdles in getting these used quickly.
In today's video announcing the U.S. is withdrawing its previous funding commitment to GAVI, RFK Jr spends more time attacking vaccines than GAVI itself.
And he justifies the death of millions of children because he didn't like GAVI's social media policies on Covid vaccines.
There was almost unanimous rebuke from clinical organizations that should give us all pause.
These are the doctors that take of every American — from obstetricians to pediatricians to family practitioners—that ALL came out today to denounce RFK's move today.