1/Great to be on @Mitch_Seattle to discuss the difference between the Pfizer, Moderna, and other vaccines💉and why we need high coverage in order to stop the chain of transmission🧵
2/The #Moderna vaccine, just like Pfizer/BioNTech, is a messenger RNA vaccine. #SARSCoV2 is covered w/Spike proteins that it grabs human cells with. The vaccine consists of small genetic material "messenger RNA" that instructs the human cell to make a part of the Spike protein
3/The mRNA is encased in a formulation of fatty material that helps it get inside our cells. There, it's "translated" into a piece of the Spike protein which activates our immune system to make antibodies & T cells so when we're exposed to the live virus, we can clear it.
4/mRNA vaccines do not contain the virus itself—just the Spike portion—& pose no risk of infection. Moderna and Pfizer's early results showed those w/ 2 injections had about 90% fewer cases of symptomatic #COVID19 than those who got the placebo.
5/The #AstraZeneca vaccine is a version of an adenovirus (common cold virus) that delivers instructions to our cells to make the Spike protein of the coronavirus. That way our immune system is "trained" so when it encounters #SARSCoV2, it can mount an efficient response
6/#SARSCoV2 is covered w/Spike proteins that help the virus grab human cells. To make the vaccine, researchers first isolated the gene that is responsible for making the Spike protein. They 'snipped' it from the rest of the genetic material of the coronavirus.
7/They then needed a delivery vehicle to get the Spike gene into our cells. So they took an adenovirus that normally infects chimpanzees, and genetically altered it so it can no longer replicate or cause disease. They then added the Spike gene to the adenovirus vector.
8/When the adenovirus and its Spike gene cargo get inside of our cells, our cellular machinery takes the Spike gene, which is in DNA format, and "transcribes" it into Spike RNA, which is then "translated" into Spike proteins.
9/The Spike protein is just a piece of the full coronavirus so it doesn't cause disease either. It just trains our immune system to quickly recognize that part of the virus. That way when we are infected with #SARSCoV2, we can mount an effective immune response against it.
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📌1/CDC Report on Vietnam's🇻🇳Incredible Tracing/Quarantine Program: after outbreak in major Hanoi Hospital, entire 7,664-persons staff quarantined. Contact tracing in the community resulted in an additional 52,239 people being quarantined. After 3 weeks, outbreak was contained🧵
2/They didn't just quarantine close contacts of infected, but all hospital visitors & their close contacts (F2s) were provided quarantine support: room and board. Contacts of F2s (F3s) & Contacts of F3s (F4s) were even asked to self-isolate: wwwnc.cdc.gov/eid/article/27…
3/Aggressive tracing/quarantine in Vietnam isn't unique to this outbreak. As @findingsen writes, once case is identified, all contacts in prior week are identified and quarantined. Those individuals' contacts are identified and asked to self-isolate. globalasia.org/v15no3/cover/v…:
1/Suspected #SARSCoV2 reinfection in Peru🇵🇪: symptomatic 42yr old tested positive in June, but did not develop pneumonia (Row A👇). She improved, symptoms resolved. Then in October, she presented w/symptoms again, tested positive, this time had lung lesions w/pneumonia (Row B)🧵
2/case highlights there are far more reinfections than confirmed. Bar to establish reinfection is high: requires genetic sequencing of viruses to rule out single continuing infection but only small # of samples are sequenced/stored for future purposes like confirming reinfection.
3/For instance, at the GISAID international database of SARS-CoV-2 genetic sequences, there are only 385 virus🧬sequences from Peru, but the country has reported about 1 Million cases, so only 0.04% of cases have been sequenced.
1/📌SARS-CoV-2 in aerosols: from dispersion in air, to inhalation and disease: (a) while large drops (green) are ballistically and fall, smaller ones (red) can remain buoyant; (b) Droplets evaporate to form aerosols, reducing to just biopolymers and virus particles🧵
2/Larger aerosols deposit in upper throat, nose, & tracheobronchial region of the lung. Medium-sized aerosols mostly deposit in small airways further down. The really small aerosols <1 ÎĽm can penetrate all the way to the alveoli - the basic units for gas exchange.
3/In contrast to other mode of transmission where virus hits nasal cavity and then finds its way into lungs, aerosols can directly reach alveolar region and attack alveolar cells that produce Pulmonary Surfactant. PS is needed to lower surface tension & prevent alveoli collapse
1/📌COVID-19 neurological challenges: while respiratory problems receive most attention, nearly 10-35% survivors suffer disabling, persistent neurological symptoms. Patients w/altered mental health hospitalized 3X times longer; 2/3 unable to manage daily activities at discharge🧵
2/Underlying causes are complex. Low oxygen; metabolic irregularities. Inflammatory response in the brain—activation of microglia & cytotoxic T cells—and other signs of neuropathy have also been observed.
3/Loss of smell/taste: 40-60% of patients develop loss of smell; ~90% have alteration of smell. Many recover sense of smell, others have more severe cases, possibly permanent loss of smell. Virus invades cells in vicinity of olfactory nerve; unclear if it directly invades nerve
1/The #AstraZeneca vaccine is a version of an adenovirus (common cold virus) that delivers instructions to our cells to make the Spike protein of the coronavirus. That way our immune system is "trained" so when it encounters #SARSCoV2, it can mount an efficient response🧵
2/#SARSCoV2 is covered w/Spike proteins that help the virus grab human cells. To make the vaccine, researchers first isolated the gene that is responsible for making the Spike protein. They 'snipped' it from the rest of the genetic material of the coronavirus.
3/They then needed a delivery vehicle to get the Spike gene into our cells. So they took an adenovirus that normally infects chimpanzees, and genetically altered it so it can no longer replicate or cause disease. They then added the Spike gene to the adenovirus vector.
1. CDC: Postponing travel & staying home is the best way to protect yourself and others, especially if those you're visiting are at increased risk of getting very sick from COVID-19, like older adults & those with medical conditions. But there are plenty of other risks too🧵
2. Other factors that make your visit especially high risk are if cases in your community or the ones you're visiting are high. You can check that in CDC’s COVID Data Tracker here: bit.ly/392Dx0A. Many areas also have travel restrictions: bit.ly/3lQsUS1
3. You can also find out if hospitals in your community or your destination are overwhelmed with COVID-19 patients. That could make it a challenge to get the help you or others may need if you get sick. You can get that info by checking state & local public health dep. websites.