A compilation on current data on seasonality of SARS-CoV-2 as well as historic data on other virus, such as common cold HCoV's and influenza
Leading virus immunity expert Prof Iwasaki on seasonality of virus: highlights the importance of the environmental factors: temperature and humidity as well as vitamin D status, in modulating immune responses to viral infections in the respiratory tract. annualreviews.org/doi/10.1146/an…
Temperature, Humidity, and Latitude Analysis to Estimate Potential Spread and Seasonality of Coronavirus Disease 2019 (COVID-19).
jamanetwork.com/journals/jaman…
In the above cohort study of 50 cities with and without COVID-19 had distribution roughly along the 30° N to 50° N latitude corridor with consistently similar weather patterns, consisting of mean temperatures of 5 to 11 °C combined with low specific and absolute humidity.
Seasonality of SARS-CoV-2: Will COVID-19 go away on its own in warmer weather? For the novel coronavirus SARS-CoV-2, we have reason to expect that like other betacoronaviruses, it may transmit somewhat more efficiently in winter than summer
ccdd.hsph.harvard.edu/will-covid-19-…
....The size of the change is expected to be modest, and not enough to stop transmission on its own. Based on the analogy of pandemic flu, we expect that SARS-CoV-2, as a virus new to humans, will face less immunity and thus transmit more readily even outside of the winter season
@michaelmina_lab: Epidemiologist, Immunologist, Physician, Harvard Public Health/Medical School

"Mistaking ongoing transmission in the summer for a "less seasonal virus" is not smart. All evidence points in the other direction"

Study that provides an overview of the global seasonality of sCoVs. Findings offer clues to the possible postpandemic circulating season of SARS-CoV-2 and add to the knowledge pool necessary for postpandemic preparedness for SARS-CoV-2. academic.oup.com/jid/article/22…
Early detection of seasonality and second-wave prediction in the COVID-19 pandemic
medrxiv.org/content/10.110… ImageImage
Temperature, humidity and latitude analysis to predict potential spread and seasonality
Bottom Line
The transmission of COVID-19 is associated with the 30 to 50 degree N’ longitude corridor and weather patterns and low specific and absolute humidity.
cebm.net/study/covid-19…
The seasonal differences between the Southern and Northern hemispheres might have played a role in the spread of SARS-CoV-2.
frontiersin.org/articles/10.33…
What happens to COVID19 when winter returns to the Northern Hemisphere is still uncertain, but here are some things we know:
-people will spend more time indoors
-indoor air will be drier and less ventilated
-endemic CoVs have pronounced seasonality.
Factors Influencing the Seasonal Patterns of Infectious Diseases
Factors discussed: human activity, seasonal variability in human immune system function, seasonal variations in vitamin D levels, seasonality of melatonin, and pathogen infectivity.
ncbi.nlm.nih.gov/pmc/articles/P…
On the epidemiology of influenza
virologyj.biomedcentral.com/articles/10.11… ImageImage
Vitamin D Status and Seasonal Variation among Danish Children and Adults: A Descriptive Study
mdpi.com/2072-6643/10/1… Image
Regarding Vitamin D:
Positive RCT data: Of 50 patients treated with calcifediol (25-hydroxy-vitamin D), one required admission to the ICU (2%), while of 26 untreated patients, 13 required admission (50%) p < 0.001 sciencedirect.com/science/articl… Image
Walkthrough by
@tomaspueyo
on data, including the link to bradykinin, discovered by a supercomputer in Oak Ridge in a large collaboration elifesciences.org/articles/59177 Image
Preprint from a collaboration between NIH, King's College London, University of Purdue, Oxford, Auckland, Concepcion, Virginia, and Lübeck:
Cohort study of 489 who had a vitD level measured in the year before COVID-19 testing, the relative risk of testing pos for COVID-19 was 1.77 x greater for patients deficient vitD status compared with sufficient vitD status, statistically significant. jamanetwork.com/journals/jaman…
The link between vitamin D deficiency and Covid-19 in a large population medrxiv.org/content/10.110… ImageImage
A thread on how our model takes into account the seasonality of COVID-19. We anticipate a large increase in daily COVID-19 deaths in the US in late November and December......but the increase we’re projecting is driven most importantly by seasonality.
Side note
list of other more precise predictive models: covid19-projections.com/about/#histori…
New danish model: covid19danmark.dk/model.html
Closed environments facilitate secondary transmission of coronavirus disease 2019 (COVID-19)
The odds that a primary case transmitted COVID-19 in a closed environment was 18.7 times greater compared to an open-air environment
medrxiv.org/content/10.110…
medrxiv.org/content/10.110…
Evidence of Protective Role of Ultraviolet-B (UVB) Radiation in Reducing COVID-19 Deaths papers.ssrn.com/sol3/papers.cf… Image
We find that UV light, in particular, is associated with decreased disease growth rate relative to other factors. Based on these associations with weather, we predict that C19 will decrease temporarily during summer rebound by autumn, and peak next winter
pnas.org/content/early/…
Seasonal effect of humidity, lower viral dose due to UVB exposure, and vitamin D mentioned as factors Image
Again higher indoor transmission fits well with this study: SARS-CoV-2 viral load predicts COVID-19 mortality

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More from @MartinJuhl2

13 Oct
Of the 225 530 excess deaths, 150 541 (67%) were attributed to COVID-19. US mortality rates for heart disease and Alzheimer disease/dementia increased Mar-Apr. AD deaths also up in June-July, coinciding with the summer surge in sunbelt states.
jamanetwork.com/journals/jama/…
Deaths from non–COVID-19 causes (eg, Alzheimer disease, diabetes, heart disease) increased sharply in 5 states with the most COVID-19 deaths

Excess deaths most likely Covid-19 deaths
The reason for worse prognosis in ppl w diabetes is likely to be multifactorial. Age, sex, ethnicity, comorbidities hypertension and cardiovascular disease, obesity, and a pro-inflammatory and pro-coagulative state all probably contribute to the risk. thelancet.com/journals/landi…
Read 5 tweets
12 Oct
Six Potential Treatments for COVID19 Identified using AI

cytokine storm🚫
- antifibrinolytic agent aprotinin
- ang II blocker irbesartan

blood clotting and inflammation🚫
- caplacizumab
- ezetimibe/atorvastatin

MoA not specified
- lycopene
- vitamin D
medscape.com/viewarticle/93…
Website with many links and other potential drug repurposing candidates, such as hydrocortisone and doxycycline biovista.com/solutions/proj…
Aprotinin
A bit of a strange finding, used to reduce bleeding during complex surgery (heart/liver). Its main effect is the slowing down of fibrinolysis, the process that leads to the breakdown of blood clots
…-publications.onlinelibrary.wiley.com/doi/pdf/10.111…
academic.oup.com/bja/article/11…
pubmed.ncbi.nlm.nih.gov/7543841/
Read 15 tweets
12 Oct
Interesting new report from Norway:

Link between lower CV disease and fewer influenza infections mentioned on page 11

Paper on the subject:
Cardiovascular Hospitalizations, Influenza Activity, and COVID-19 Measures
pubmed.ncbi.nlm.nih.gov/32757861/

fhi.no/contentassets/…
1/5 ImageImage
Translated: The comparison showed that hospital admissions for cardiovascular disease were halved during the shutdown when the pandemic hit Norway, and remained lower than normal in the first weeks after the gradual easing of measures.
2/5
In parallel with the shutdown, there was an increase in admissions for covid-19 and a as the authorities gradually eased the restrictions, there was an increase in admissions for cardiovascular disease, but to a lower level than before the onset of the epidemic in Norway.
3/5
Read 5 tweets

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