In 1995, Congolese Ebola discoverer @MTamfum treated Ebola patients with blood from survivors, despite being told not to by the CDC & WHO. 7 of 8 survived. nature.com/articles/d4158…
The NIH failed to replicate his findings in monkeys, but @MTamfum, "Professor Muyembe", didn't give up. “There should be a truth in here,” Muyembe told me.
He hired one of the survivors in his lab & convinced him to fly to the NIH in 2006, along with his sister & a grad student.
At the NIH, the student & other researchers isolated the survivors' antibodies. These antibodies became the basis for an experimental drug, mAB114, that @MTamfum pushed to test in the 2019 outbreak. It was HARD to conduct this trial. nature.com/articles/d4158…
Muyembe's drug beat Gilead's Remdesivir & the NIH's ZMapp. nature.com/articles/d4158…. And the final PALM trial results find that of 174 patients who received Ebanga, 35.1% died after 28 days, compared to 49.4% of the 168 patients who received a control.
There are now 2 approved drugs for #Ebola, @Regeneron's Inmazeb & Ebanga, which now belongs to Ridgeback Biotherapeutics.
It will be a massive injustice if DRC isn't granted these drugs, developed & tested thanks to the sweat & blood of their people, in future Ebola outbreaks.
In contrast to the US, many low income countries were scaling up tests, building isolation centers, & enforcing quarantines BEFORE THEY EVEN HAD A HANDFUL OF CASES.
They don't have the luxury of relying on hospitals to care for floods of patients. nature.com/articles/d4158…
☹️One of the most upsetting CDC reports yet: Wedding leads to 177 Covid cases & 7 deaths among people who weren’t even there.
Aug 7. Wedding w/55 guests in a Maine town with no corona.
A guest goes to a school meeting. Others go to jobs at a nursing home & jail, with symptoms.
Wedding screened for fever but guests don’t wear masks indoors. Wedding hosts don’t give health dept a list of phone # of guests. So contact tracing isn’t fast enough to stop spread.
After 23 days health dept determines that 30 of 55 guests were positive. By then it’s too late.
Because of the wedding:
-120 staff & residents of a care facility & correctional facility were infected & scared & may have long term health issues.
Lesson 1: Epidemics depend on context. “The outbreak of Ebola is a symptom; the root cause is political instability,” said @Tedros.
Many places are unstable. DRC is very. Since 2017, in Kivu provinces alone, 3860 people have been killed & 5274 abducted. kivusecurity.org
Many governments, including DRC, ignore or fuel conflict & poverty in east DRC. When the president barred eastern cities from voting “due to Ebola” the link between politics& the virus hardened. Next came attacks.
Does politicization of a virus in an election yr sound familiar?
✈️NEW flight report on corona transmission on flights:
13 people appear to have been infected on a 7-hr flight to Ireland this summer, leading to 59 cases as passengers visited friends & family. The plane was at 17% capacity & required masks.
Why do researchers think infection occured in ✈️?
-5 show symptoms w/in 4 days of flight & have no other exposure; 8 could have gotten it during layover but seat map suggests in-flight
-Sequencing finds that the virus is 99% similar despite travelers coming from diff continents.
Impressive contact tracing made this possible. European CDC has a guidance to alert all flight passengers when there is a positive case on board. Perhaps @CDCgov might consider such a thing given that people will be traveling during the holidays, and staying with loved ones.
Psst: It is your civic duty to watch "Totally Under Control." We must hold leaders accountable.
I've interviewed some of the scientists in the film & dozens more this year. Here are my thoughts after viewing @undercontrolmov from @alexgibneyfilm. 🧵
Spot-on portrayal of how the CDC & FDA stood in the way of testing in Feb @undercontrolmov, including @RickABright asking Azar for 10 billion to ramp up testing & drug/vaccine R&D around Jan 20. He’s later told that was an offensive ask.
But...
But the big question remains unanswered: Who at the CDC/FDA/HHS said DON'T push hard on testing?
Tho @RickABright says Kadlec told him there was “no reason for concern” in Jan & @scottjbecker@APHL admits it was hubris to not use the German test vetted & distributed by WHO.
With 5.7 million cases in the US, we should have a good sense of how often people are infected in grocery stores, on planes, at protests, on construction sites.
Data on #Covid transmission is critical as people socialize & schools & businesses open.
eg in #NewZealand, the country's daily dashboard suggests people get tested if they went to locations linked w/current outbreaks. health.govt.nz/our-work/disea… Screenshot from today
The daily dashboard from the @KoreaCDC reveals that 50 people from a 915-person #COVID outbreak at Sarang Jeil Church in Seoul have left for other districts; that 22 venues, listed, have since had transmission that traces back to that outbreak & MUCH MORE