4) The new UK 🇬🇧 and South Africa 🇿🇦 mutations are worrisome though, especially their implications for convalescent plasma and monoclonal antibodies. Detailed discussion why below in this master thread 🧵 👇
5) one mutation creates an amino acid change at 501, which lies within the critical RECEPTOR BINDING DOMAIN (ie the “docking sites” on the spike to human receptor). Look 👀 in 3D where the damn N501Y mutation is—right *inside a docking site*!
Functional mutation? Unclear yet.
6) The N501Y mutation is problematic for other reasons too (see thread 🧵 branches above in #2 and #3 for more). And the 69-70 amino acid deletions also tricky—it’s near the critical N-terminal domain, and near where monoclonal antibodies (think MAB drugs like Regeneron) binds.
7) Meanwhile... look on the bright side... at least you don’t have COVID here...
2) “When patients get really sick with Covid, they’re in the hospital for weeks,” said Dr. Arghavan Salles, a physician who has worked in I.C.U.s in New York and Arizona over the course of the pandemic.
3) “When patients get really sick with Covid, they’re in the hospital for weeks,” said Dr. @arghavan_salles, a physician who has worked in I.C.U.s in New York and Arizona over the course of the pandemic.
2) Outside Greater London, the variant has higher viral loads. Within Greater London, the new variant does not have significantly higher viral loads. But this could be due to demographics, such as a faster variant growth rate in particular age-groups.
3) So is it higher or not? Or is it some London / non-London effect? ➡️ it’s really higher.
➡️In a multivariable model (adjusting mutually), what won was the B.1.1.7 variant’s 501Y mutation as key—**higher viral load**
❌London/other region interaction effect not significant.
📍Huge blow—UK had halted plans to open rapid-turnaround #COVID19 tests across England amid concerns about the accuracy. Huge blow to UK’s £100bn “Operation Moonshot” mass-testing plan, to increase daily tests from 430k to 10mil. Poor 🇬🇧 case surging too. theguardian.com/world/2020/dec…
2) Experts in testing and understand immunology like @michaelmina_lab think the test is good in capturing **INFECTIOUS** virus, which is key.
2) Pastor Todd Dunn had been preaching “Faith over fear!” since the COVID-19 pandemic started. Before Thanksgiving, he posted a message on Facebook dismissing precautionary measures by CDC to keep wearing masks and avoid gatherings w/ family members who don’t live in same house.
2) “Dunn, who is the pastor of 2nd Mile Church in north Fort Worth where his parents were members, admitted that he was surprised by the sudden surge in COVID cases in recent weeks in Tarrant County.”
.. SURPRISED THAT EPIDEMIOLOGISTS ARE RIGHT??? 🤦🏻♂️