يوم من حياة طبيب من مدينة نيويورك حارب وباء إيبولا والآن هو في الخطوط الأمامية لمواجهة كورونا (كوفيد-19).
Dr. Craig Spencer kämpfte und überlebte Ebola. Als Arzt in NYC kämpft er jetzt gegen # COVID19. Hier ist sein Alltag (mit deutschen Untertiteln von @NeidhardtAndrea):
And in Portuguese:
Chegamos a mais de 1.7 milhões mortos pela covid-19 no mundo. Ainda que o governo brasileiro deboche da doença, os profissionais de saúde estão lutando para evitar que tudo seja ainda pior.
“Um dia na emergência combatendo a covid-19”
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I've spent a lot of the last week speaking to people across government, media, and other actors involved in the Ebola response. Some reflections:
Size of the outbreak: this is massive already. Based on some other signals and conversations, this outbreak is at least 2-3 months old.
Official case numbers are ~1,000. But I suspect the true number is much larger, probably double. This will almost certainly end up being the second largest Ebola outbreak ever, and soon.
There have been 'mysterious' outbreaks close to the current hotspots for some time, and we still don't have a full accounting of all those.
I worked as an epidemiologist during an Ebola outbreak in Guinea in 2015. Tracking this and contract tracing is tough work. It'll take a few more weeks to further understand what communities have already been affected.
Vaccines/Treatments: you've probably heard there are "no treatments of vaccines" for the Bundibugyo species of Ebola.
There's been some movement on moving candidates along—including from Oxford to use the ChAdOx platform for a potential vaccine. Work on that is progressing, but would be many months away.
There's also a rVSVΔG vaccine—using the same platform as the FDA-approved Merck vaccine for Zaire Ebolavirus—that's being discussed, but would also take many months.
We have LOTS of Ervebo, that FDA-approved vaccine for the Zaire species, and there is some discussion about potentially using it here, since it *may* offer some cross-protection. The risk/benefits of that is outside my league...for more, go ask an amazing vaccinologist/immunologist nerd :)
On treatments, there are two monoclonal antibody 'cocktaills' that have promise, and will likely be used here. One by Regeneron and another by Mapp Bio. Doses are limited however, and there will be some logistical hurdles in getting these used quickly.
In today's video announcing the U.S. is withdrawing its previous funding commitment to GAVI, RFK Jr spends more time attacking vaccines than GAVI itself.
And he justifies the death of millions of children because he didn't like GAVI's social media policies on Covid vaccines.
There was almost unanimous rebuke from clinical organizations that should give us all pause.
These are the doctors that take of every American — from obstetricians to pediatricians to family practitioners—that ALL came out today to denounce RFK's move today.