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Eric Topol Profile picture
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23 Oct, 6 tweets, 2 min read
A new American pandemic record
83,010 cases reported today
@COVID19Tracking
Hospitalizations on a relentless rise
One week ago, there were concerns that the 3rd surge was manifest with highest cases since August.
Now highest cases in 2020.
Tests have increased but infections markedly override that increase.
And to reinforce this is not related to testing, the cases vs hospitalization plot
None of this should be too surprising.
Since January 2020, this is our national plan.

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More from @EricTopol

Eric Topol Profile picture
23 Oct
😷😷😷
In the next 4 months, 130,000 American lives could be saved by universal mask use, according to the new @IHME_UW forecast which gets us to >510,000 deaths by end February
@NatureMedicine nature.com/articles/s4159…
As compared with the status now:
"Mask use has emerged as a contentious issue in the United States with only 49% of US residents reporting that they ‘always’ wear a mask in public as of 21 September 2020"
Where people wear masks in the United States
covidcast.cmu.edu/?sensor=fb-sur…
Read 4 tweets
Eric Topol Profile picture
18 Oct
Almost the whole country is in the "Uncontrolled Spread" category covidexitstrategy.org 1/
The Upper Midwest and Sturgis, likely America's largest superspreader event
870 infections per million people in ND is an unprecedented peak in the US pandemic and around the world (2nd is SD/Czech Republic, currently 740) 2/
Like the #RoseGarden event, there was no contact tracing so the full extent of both these clusters will never be known
washingtonpost.com/health/2020/10… by @britsham @bylenasun
Deaths have risen sharply in ND, SD, MT 3/
Read 5 tweets
Eric Topol Profile picture
15 Oct
One monstrous wave, 3 phases, onto new heights, with no plan
A @nytgraphics explainer by @LaurenLeatherby
nytimes.com/interactive/20…
Hospitalizations tracking with infections
@COVID19Tracking
Read 5 tweets
Eric Topol Profile picture
14 Oct
What if Lilly's monoclonal antibody trial was stopped due to futility?
1. A pause at 300 patients after 5 days of treatment was pre-specified in the protocol
nytimes.com/2020/10/13/hea… by @KatherineJWu @katie_thomas Image
2. Trials have stopping rules for 3 main reasons:
—futility (further enrollment would not show benefit)
—safety (the intervention appears to have a hazard that precludes further enrollment)
—efficacy (the efficacy evidence is overwhelming and it would not be ethical to proceed)
3. Since the pause was pre-specified and Lilly announced a "potential safety concern," we don't know yet if it was for futility or safety. So far there have not been safety issues disclosed for the monoclonal antibody programs w/ now thousands of patients enrolled (Ab or placebo)
Read 6 tweets
Eric Topol Profile picture
12 Oct
Covid reinfection in a 25 year-old man in Nevada, as confirmed by virus genomic sequencing; 2nd infection more severe @TheLancetInfDis
thelancet.com/journals/lanin…
This is the 1st USA documented reinfection
Conclusion: "All individuals, whether previously diagnosed with COVID-19 or not, should take identical precautions to avoid infection w/ #SARSCoV2."
Several more global cases are in process of peer review now. Appears rare, but possible
This★ insightful commentary by @VirusesImmunity on the new reinfection case and the other 3 previously published pulls it all together, along with the known unknowns (a lot of those)
thelancet.com/journals/lanin… @TheLancetInfDis
Read 5 tweets
Eric Topol Profile picture
9 Oct
My interview with @US_FDA Commissioner @SteveFDA today @Medscape on the #SARSCoV2 vaccines, monoclonal antibodies, and rapid home tests 1/
medscape.com/viewarticle/93…
Recall I had sent an open letter to him August 31 after the convalescent plasma "breakthrough" press conference, w/o any supportive evidence, and the prior EUA on hydroxychloroquine medscape.com/viewarticle/93…
He didn't take either option I suggested. He called me. 2/
We've since spoken several times and now I understand his intentions, what he's been through, the immense pressures that have been placed upon him. For me, the trust in him and the FDA has been restored. 3/
Read 18 tweets

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