Amy Maxmen Profile picture
25 Oct, 10 tweets, 6 min read
Psst: It is your civic duty to watch "Totally Under Control." We must hold leaders accountable.

I've interviewed some of the scientists in the film & dozens more this year. Here are my thoughts after viewing @undercontrolmov from @alexgibneyfilm. 🧵

Spot-on portrayal of how the CDC & FDA stood in the way of testing in Feb @undercontrolmov, including @RickABright asking Azar for 10 billion to ramp up testing & drug/vaccine R&D around Jan 20. He’s later told that was an offensive ask.

But...
But the big question remains unanswered: Who at the CDC/FDA/HHS said DON'T push hard on testing?

Tho @RickABright says Kadlec told him there was “no reason for concern” in Jan & @scottjbecker @APHL admits it was hubris to not use the German test vetted & distributed by WHO.
Fab reporting on S Korea @undercontrolmov, where testing ramped up after the 1st case on Jan 20. Meanwhile, former & current science officials in the US start an email chain called “Red Dawn” where they become increasingly frantic about the US' fumbled response. “Late Late Late!”
The film says CDCs Messioner breaks the silence publicly in Feb. But it wasn’t a surprise & didn't require Woodward. @WHO sounded its highest alarm on Jan 30, saying corona was spreading between people in countries outside of China & was high risk.
(I wish @undercontrolmov had included the PHEIC declaration - a key moment that is clearly overlooked by many, including US emergency operations, apparently.) scientificamerican.com/article/who-de…
Shout at the TV while watching a 20-something volunteer on Jared Kushners team try to procure protective gear for the US. Scream loudly inside your heart as the feds drive up the price of PPE & testing supplies for states. Cry when the CDC changes PPE guidelines due to shortages.
Then top admin officials demand to “flood the streets” of NY & NJ with #HydroxyChloroquine. This email leads @RichABright to speak out, be demoted & trashed by Trump/Azar. I wish @undercontrolmov had included studies showing that HCL is ineffective at best & possibly dangerous.
The movie is a truthful thriller. But many won’t believe it. A new survey @BMJ finds that people don't blame leaders for COVID. Maybe they see it as a matter of individual responsibility or an inevitable result of nature. Nothing is further from the truth. gh.bmj.com/content/5/10/e…
Clarification: @scottjbecker was speculating that the CDC refused to use the German/WHO test in this most critical period due to hubris. @APHL doesn't guide decisions @CDCgov, so it wasn't his to make.

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More from @amymaxmen

26 Oct
✈️NEW flight report on corona transmission on flights:

13 people appear to have been infected on a 7-hr flight to Ireland this summer, leading to 59 cases as passengers visited friends & family. The plane was at 17% capacity & required masks.

eurosurveillance.org/content/10.280… ImageImage
Why do researchers think infection occured in ✈️?
-5 show symptoms w/in 4 days of flight & have no other exposure; 8 could have gotten it during layover but seat map suggests in-flight
-Sequencing finds that the virus is 99% similar despite travelers coming from diff continents.
Impressive contact tracing made this possible. European CDC has a guidance to alert all flight passengers when there is a positive case on board. Perhaps @CDCgov might consider such a thing given that people will be traveling during the holidays, and staying with loved ones.
Read 4 tweets
25 Aug
💥My latest investigation: Where is #COVID data?

With 5.7 million cases in the US, we should have a good sense of how often people are infected in grocery stores, on planes, at protests, on construction sites.

Some countries post such data. Why don't we?nature.com/articles/d4158…
Data on #Covid transmission is critical as people socialize & schools & businesses open.

eg in #NewZealand, the country's daily dashboard suggests people get tested if they went to locations linked w/current outbreaks. health.govt.nz/our-work/disea… Screenshot from today
The daily dashboard from the @KoreaCDC reveals that 50 people from a 915-person #COVID outbreak at Sarang Jeil Church in Seoul have left for other districts; that 22 venues, listed, have since had transmission that traces back to that outbreak & MUCH MORE
Read 7 tweets
4 Aug
🚨Biosecurity experts ran dozens of pandemic war-games to prep for this crisis.

My NEW feature w/@jefftollef asks what went wrong.

They depicted #coronavirus, leaky travel bans, PPE shortages, vaccine scrambles, battles btwn leaders. But not Trump. nature.com/articles/d4158…
We spoke with researchers who ran simulations like Dark Winter, Atlantic Storm, Crimson Contagion, Clade X, Event 201. They foresaw a lot of problems happening now. But most thought we were better than anywhere else because of technological capacity, medical & science excellence.
As a long-time government researcher told me: "You need gas in the engine and the brakes to work, but if the driver doesn't want to use the car, you're not going anywhere." nature.com/articles/d4158…
Read 6 tweets
21 Jul
I spent months in SierraLeone during the biggest #Ebola outbreak in history & I've just caught up with doctors I met who are now fighting #coronavirus. Lots of interesting comparisons to that outbreak -- and to the USA -- in my latest piece @NatureNews. nature.com/articles/d4158…
Some African researchers I talked w/were surprised that the CDC—so helpful during #Ebola—seems sorta powerless in the US. “I was shocked to see the US struggling to understand what contact tracing is, to organize a response, to put in place risk communication,” said @NyenswahG.
Another twist is that because many cases are mild or asymptomatic due to the young population in Liberia, SierraLeone & Guinea (3% of people >65), a lot of people might be taking this less seriously than public health authorities wish. (Btw this photo is worth 1000 words.)
Read 5 tweets
15 Jun
New CDC report on #COVID19 in the US January-May 30:
-5% of people who tested positive died
-14% hospitalized
-Deaths 12x higher in people w/diabetes or other underlying conditions
-Median age 48
-Incidence HIGHER among 40-60 yr olds than 60-80 but highest >80
(1/2)
Incomplete data on symptoms and race/ethnicity:
-Only 4% were asymptomatic. BUT testing has mainly been for people with symptoms and this data is incomplete
-33% of cases Latinx, 22% Black BUT almost half of reports don’t include race/ethnicity.
Report will be online soon but for now:
Read 4 tweets
14 Apr
Trump just announced he is suspending funding to @WHO while a review is conducted *THIS IS DESPICABLE* Let me lay out how WHO has responded to #COVID19 since Jan 5 & why not funding them now spells disaster to many low and middle-income countries. THREAD.
First, a timeline of their activities, backed up by their #coronavirus situation reports. Jan 5 on the outbreak in Wuhan, China: "The occurrence of 44 cases of pneumonia requiring hospitalization clustered in space and time should be handled prudently."
2nd week of Jan: First sequences of #coronavirus revealed from China w/guidance from WHO & a recommendation on how to diagnose the disease. Late Jan they recommend PCR-based test. Classify this as a risk for the world.
Read 6 tweets

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