First 20 min of this delusional evaluation of the Trump Admin's response to Covid is all about blaming China, with some vitriol for WHO. "If a novel virus like this emerged in a Democratic nation, this epidemic would have never happened," says Azar.
As Covid spread in March, Azar says the government acted swiftly to control spread (they definitely did not). He says the key driver of the pandemic -- ready for it -- was thousands of Chinese workers flying to Italy.
Azar says it's a myth to say that if we had a better testing and surveillance system we could have curbed the virus in February.
(Why is this session even called 'lessons learned'?)
Now Azar is bragging about the speed with which FDA worked with the private sector to ramp up testing in February and March. (Remember that very few people could get tested back then.)
With a straight face, he says, "China continues with an Orwellian view of events."
He concludes by saying that due to the tremendous efforts by this administration in January & February 2020, we have hope that we will defeat the virus this year.
(DOES NOT SAY AMERICA HAS MORE CASES & DEATHS THAN THE REST OF THE WORLD, WITH 385,500 AMERICAN LIVES LOST.)
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Azar just released a delusional, alternative history of Covid testing in the US. I’m mad because our testing failures allowed this outbreak to blow-up. We can’t fix our system if we ignore where it is broken. I suspect @PublicHealth agrees.
“It is indisputable that the United States has built the most extensive testing system and strategy of any major country,” says Azar.
False. Several countries have had percent positivity ~1% whereas US has never been below 5% and is >10% today. Refs KCDC & USA @JohnsHopkins
"The federal government got out of the way of test development in safe and sensible ways,” says Azar.
False. In Feb, CDC & FDA blocked labs from testing as the disease spread exponentially. I broke this story👇🏼& wrote more like it as the year wore on. nature.com/articles/d4158…
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…
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…
☹️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.