Good vaccine news continues:
@moderna_tx just announced its vaccine has shown 94,5% efficacy.
In the study of more than 30,000 participants, 95 #covid19 cases were observed (starting two weeks after second dose):
90 in placebo group
5 in vaccine group

buff.ly/3puVGK6
@moderna_tx Like Pfizer/Biontech last week, this is an interim analysis of an ongoing study and this is a press release not a peer-reviewed article.
But this is one more indication that the first generation of #covid19 vaccines will work and work better than most had hoped for.
@moderna_tx Particularly interesting that Moderna also looked at severe cases of #covid19:
For this interim analysis there were 11 severe cases, all of them in the placebo group.
This does not mean that the vaccine prevents severe cases, but at least it is consistent with that.
@moderna_tx Safety also looks good for now:
"The interim analysis included a concurrent review of the available Phase 3 COVE study safety data by the DSMB, which did not report any significant safety concerns."
@moderna_tx To give an idea, here are severe events they reported with frequency of 2% or more after second dose:
fatigue (9.7%)
myalgia (8.9%)
arthralgia (5.2%)
headache (4.5%)
pain (4.1%)
erythema/redness at the injection site (2.0%)
@moderna_tx All the usual caveats apply, of course:
We don’t know how long immunity lasts
We don’t know whether vaccine prevents transmission
Rare serious adverse events can still be found
Manufacturing vaccine takes time
Distribution will be a challenge
...
@moderna_tx But all the indications here point to this:
Vaccines against #covid19 are coming.
They are coming at an unprecedented pace.
They are likely to be highly efficacious at least at preventing disease.
It is up to us to hold the line this winter against this virus

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More from @kakape

12 Nov
Was so busy the last few days that I did not even have a chance to look at @WHO’s sitrep on #covid19 until today. As you can imagine it does not make for pleasant reading. But here goes:
@WHO Last week @WHO reported almost 3,7 million new cases of #covid19.
That’s a new record, of course.
It is more than 6 new cases every second!

WHO also reported 54,835 deaths from #covid19.
That’s roughly one person dying every 11 seconds.
@WHO Look at this graph:
We are climbing a mountain of death.

If things go well and effective vaccines really are rolled out in a few months to protect at-risk groups (maybe even curb spread of the virus), all these preventable deaths will seem even more senseless and cruel.
Read 5 tweets
12 Nov
Yesterday, I pretended to be a normal infectious disease reporter for a day and wrote about an interesting new preprint: the first report of leprosy in wild chimpanzees.
Quick thread on why this is important before I get back to covering #covid19

sciencemag.org/news/2020/11/l…
Leprosy is a facinating disease: It is ancient and everyone has an image of it (hence the terrible stigma), but at the same time we know shockingly little about it, like when and where it emerged or how exactly it spreads.
One thing people were sure of: Leprosy afflicts only humans. That has turned out to not be quite true, however. Researchers have found leprosy in squirrels in UK and in armadillos in the Americas. In both cases it’s the same genotype (3I) that apparently came from humans.
Read 10 tweets
10 Nov
This is important news too: Eli Lilly‘s monoclonal antibody bamlanivimab (that‘s the treatment Chris Christie received) has received an emergency use authorization in the US. Crucially this is not for hospitalized patients but for „mild-to-moderate #covid19“.
The data here is still thin. Decision is based on interim results from a phase 2 trial in which three different doses were tested against placebo. In all three bamlanivimab groups hospitalizations and ER visits were less likely than in placebo group.
And the cavets are important: This is an expensive drug given IV and giving it early in the disease course means giving it to a lot of people only some of whom really need it. Producing the drug would also be a bottleneck.
Read 5 tweets
9 Nov
This is big news: Pfizer says early phase 3 data of its #covid19 vaccine developed with German company BioNTech shows it to be about 90% effective in preventing disease with no serious safety concerns. Remember this is preliminary, but reason to be hopeful nytimes.com/2020/11/09/hea…
This is based on a review of data after 94 people in the trial developed #Covid19. Final analysis is planned for when there have been 164 #covid19 cases in participants in the trial.
As usual, the caveats are as important as the results: We don’t know if these numbers will hold up. We don’t know how long immunity will last. Billions of doses will take time to produce. etc. But we are in a better place today than we were yesterday.
Read 17 tweets
7 Nov
Unsurprisingly, there is a sense of relief today across the political spectrum in Germany and I thought I’d give you a flavor of sentiments here:
“We want the West to play as a team again. Only as a team will we effectively assert our shared values worldwide and have the necessary clout.” Foreign Minister @HeikoMaas
“Joe Biden’s declaration as President-elect has sparked enormous relief, hope & joy in the US, in Germany & around the globe! ... Congrats America!”
@peteraltmaier, Minister for Economic Affairs and Energy.

Read 9 tweets
6 Nov
The #covid19 pandemic has set back immunization efforts around the world leaving children "more vulnerable to killer diseases like polio, measles and pneumonia”, says @drtedros at @WHO presser. “Now we’re starting to see outbreaks of these diseases."
@DrTedros @WHO WHO and @UNICEF are launching an emergency appeal to rapidly boost measles and polio vaccination, says @drtedros. "This is a global call to action for all donors to stay the course and not to turn their backs on the poorest and most marginalized children in their hour of need."
@DrTedros @WHO @UNICEF An estimated $655 million are needed to address immunization gaps in countries not eligible for @gavi funds, says @drtedros. "We need to turn the tide quickly and ensure no child is left behind."
Read 11 tweets

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