Whoa—Scientists have raised possibility that the increase in transmission is maybe due to kids. A new detail on UK 🇬🇧 mutated variant B.1.1.7–
➡️New strain may make children “as equally susceptible as adults,” said virologist at Imperial College London.🧵 nytimes.com/2020/12/21/hea…
2) “Is it more contagious than other viruses?
➡️It appears so. In preliminary work, researchers in the U.K. have found that the virus is spreading quickly in parts of southern England, displacing a crowded field of other variants that have been circulating for months.
3) “epidemiological evidence gathered so far from 🏴 does seem to suggest that this variant is very good at spreading. Neil Ferguson, epidemiologist at Imperial College London, estimates the variant has an increased transmission rate of 50-70% compared to other variants in UK”
4) “To confirm that the variant truly is more contagious, researchers are now running laboratory experiments on it.
Researchers have already investigated a mutant that arose earlier in pandemic, called 614G. That variant proved to be more transmissible than its predecessors. “
5) “Does it cause more severe disease?
There is no strong evidence that it does, at least not yet. But there is reason to take the possibility seriously. In South Africa, another lineage of the coronavirus has gained one particular mutation that is also found in B.1.1.7...
6) ...”This variant is spreading quickly in coastal 🇿🇦. And in prelim studies, doctors there have found that people infected with this variant carry a heightened viral load — a higher concentration of the virus. In many viral diseases, this is associated w/ more severe symptoms.”
7) “sometimes the virus infects people with weak immune systems. In their bodies, the virus can thrive for months. Case studies on immunocompromised people have shown the virus can accumulate a large number of mutations as it replicates in their bodies for a long period of time.
8) “Over time, natural selection can favor mutant viruses that can evade the immune system. And the evolution of the variant might have been additionally driven by medicine given to such patients. Some mutants might be able to withstand drugs such as monoclonal antibodies.
9) “Other scientists have suggested that the virus could have gained new mutations by spreading through an animal population, like minks, before re-entering humans. Such “animal reservoirs” have become a focus of intense interest as more animal infections have been detected.”
10) here is earlier study on human to mink to human transmission, which also experienced a mutation in minks (diff mutation). This is why we need to eradicate the virus completely not just keep it simmering on a low grade burn. The pursuit of complete eradication is key.
Not yet, as far as anyone knows. But that does not mean it hasn’t already reached the United States. British scientists have established a much stronger system to monitor coronaviruses for new mutations.”
More 🧬 sequencing pls.
12) Although the new UK mutant strain was discovered first in Sept, it could have emerged much earlier. It’s just that very few countries run as many genetic sequencing (not just basic testing) as UK scientists do to help discover it. This is a major credit to 🇬🇧 researchers...
13) UK sequences sometimes over 100x as much as other countries. Just like “no testing, no cases”... “no genetic sequencing, no mutations.” (HT to @K_G_Andersen on the phrase).
Which begs—why not more sequencing in 🇺🇸 and other developed EU countries??? Could be here already!!
14) Catch yourselves up with the latest in the specific mutations... and why convalescent plasma and monoclonal antibody drugs could be very tricky due to just where the mutations are.
BREAKING—FDA suddenly cancels meeting to update next season’s flu vaccines, with zero explanations. Any delays will jeopardize next year’s vaccine supply chain.
2) Folks who follow me know that I’m no bullshitter. I criticized past pandemic response right and left, and have called balls and strikes without bias. And I often say things that doctors & epidemiologists are whispering among themselves but don’t say publicly. (Cough cough) ⬇️
3) While I don’t recommend hoarding… I think stocking up on flu antivirals, which you can obtain prophylactically (preventively) from doctors if you ask nicely why you’re high risk, can be a good idea. I know many doctors, epidemiologists and virologists who do for their family.
Doctors are debunking RFK Jr’s claim that 20 hospitalized measles cases in Texas are there for mainly quarantine. Doctors on the ground say the 20 kids hospitalized are having trouble breathing. Oh and they are all unvaccinated against measles, which RFK Jr neglects to mention.
2) RFK Jr told Trump today there’s now 2 measles deaths.
Woke or biology? There are actually more than the basic “male” XY & “female” XX sexes. Why? Because biology also creates people with single X chromosomes, or extra chromosomes like XXX, XXY, XYY, or XXX+, plus many 🧬genes. 👉All I’m asking is— please be kind to others. Thanks🙏
2) “The most frequent SCAs include Turner syndrome (45,X), Klinefelter syndrome (47,XXY), Trisomy X syndrome (47,XXX), and Double Y syndrome (47,XYY).”
3) “The phenotype seen in SCAs is highly variable and may not merely be due to the direct genomic imbalance from altered sex chromosome gene dosage but also due to additive alterations in gene networks and regulatory pathways across the genome as well as individual genetic modifiers.”
I'm shocked a lot of doctors don't know about this newer flu antiviral drug called Baloxavir (XOFLUZA)... that shortens your flu illness by 33%, and reduces your viral load by day 2, versus what a placebo takes 5-6 days to achieve. Baloxavir also seems superior to TAMIFLU (oseltamivir) for smashing your viral load on 2 day, achieving what takes Tamiflu 3-4 days. CDC even lists Baloxavir on their website as one of the top 4 drugs that it tracks whether it works against new flu strains (it works)
2) "Baloxavir was associated with significantly more rapid declines in infectious viral load than placebo or oseltamivir (Figure 3A and 3B)." nejm.org/doi/full/10.10…
3) Adverse events for baloxavir were no different than placebo. in fact theres even hints that it could be lower than Tamiflu.
"Adverse events that were considered to be related to the trial regimen were more common in oseltamivir recipients (8.4%) than in baloxavir recipients (4.4%, P=0.009)"
⚠️WORST FLU SEASON ever since 2002-2003 when we began to track flu (red, first graph). Worst hit this year are children ages 0-4 and 5-17. ▶️We also have significantly LOWER flu vaccine uptake this year, one of the lowest flu vaccine coverages (red 3rd graph). Indisputable facts.
2) I don't need to tell you that certain US states have vastly lower vaccination rates than others. See map (lighter green, less flu vaccination coverage), and which have higher (darker green)...
If you want to see details and demographics on which state has the LOWEST flu vaccine coverage rates... the data is here. cdc.gov/fluvaxview/das…
3) It’s not just the flu that is going around… Gaines County, TX, where the epicenter of the measles outbreak is, has one of the lowest measles vaccination rates too.