If we do not get this virus under control now, we are in for a perfect and terrible storm
We are not taking the expected seasonality of this SEASONAL virus seriously!
Instead, we've assumed our efforts are responsible for decreased cases this summer...
1/x
I worry very much that people are confusing the fact that this virus has transmitted in the summer for it not being very seasonal.
This is a grave mistake and misinterpretation...
2/x
The 'force of infection' of this virus is massive! Think of it like the momentum that the virus has to transmit
The huge number of susceptible people is what is allowing the virus to maintain transmission through the summer months - when other coronaviruses go to near zero.
3/x
Mistaking ongoing transmission in the summer for a "less seasonal virus" is not smart. All evidence points in the other direction
Instead, continued transmission reflects force of infection 'going uphill'... which means that as winter sets in, we may see massive increases.
4/x
This virus got out of control because of a handful of imports.
We now have literally 10,000's of cases in the US daily... all potentially ready to explode into massive outbreaks once the weather / other natural or social biology becomes optimal for spread.
5/x
Meanwhile we're not acting now to stop it. We're barely acting to improve any semblance of surveillance. At same time we're saying - we must open back up.
Yes! But, one must come before the other - ideally it would be control first, open fully second, once we're ready.
6/x
We could have been much more ready now. But instead we are just giving the virus a major headstart at the very time when it has its guard down. that we are not taking advantage of it is going to be reflected in many more infections and deaths moving forward I fear.
End
7/7
Here is a review of what’s known about seasonality of coronaviruses.
People say we don’t have evidence of seasonality for this virus - and suggest seasonality may not even be a thing for a pandemic virus. That’s just wrong.
True we don’t have a lot of evidence for THIS virus - but we do it’s closest neighbors. That gets us far...
15/x
But while we don’t have evidence of seasonality in the northern hemisphere - of course... it’s not been a year yet - we can look to the southern...
16/x
In the South Hemisphere - not on equator - most nations with a lot of cases were in the clear until ~June. And then cases started. Some July. The dynamics and timing is quite different than North. Almost no outbreaks requiring shutdowns when North did - were all months later.
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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
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
Here we go again with this asinine cautious approach to testing for H5N1
CDC is NOT recommending that people with no symptoms - but who have had contact w infected animals - be tested at all… and certainly are not recommending a swab w any frequency.
Though we should have learned it in 2020, Here’s why this doesnt make sense:
1/
Firstly, tests are our eyes for viruses. It’s literally how we see where viruses are
If we wait until people are getting sick, we may have missed a major opportunity to find viruses jumping into humans before they learn to become so efficient in us that they cause disease
2/
So waiting until we actually have highly pathogenic strains harming humans - when we have a pretty discreet population at the moment to survey - is short sighted
3/
A particularly deadly consequence of measles is its erasure of previously acquired immune memory - setting kids and adults up for infections that they shouldn’t be at risk from!
We found for example that measles can eliminate as much as 80% of someone’s previously acquired immunity to other pathogens! science.org/doi/full/10.11…