PLEASE don’t forget the pandemic—it’s easy to be distracted by Trump drama in DC, but we cannot let up on the other global & national crisis. #COVID19 hit 2 consecutive 4000+ death days in a row in US & well on its way to 5000+ soon. 🧵 on key priorities:
axios.com/america-corona…
2) First, given how many don’t wear masks, we can’t rely on cloth mask guidance everywhere alone. In high risk groups and higher risk settings like crowded stores & public bathrooms, we need premium masks (KN95, KF94, FFP2, etc)—minimum surgical. We need DPA production for them.
3) We need HEPA filters for all schools 🏫 & potentially “upper air” germicidal UV for schools & public buildings that can afford it. Upper air UV is only UV for ceiling, which fans circulate air upwards to disinfect—yielding high 15-17x/hr air exchange, says Dr. @ShellyMBoulder.
4) Ventilation is still king — in environmental health, the classic saying goes “the solution to pollution is dilution”.

Japan assumed it was airborne from the very beginning. Hence all subways/busses all have windows open at all times. #COVID19
5) VENTILATION is key. Both ventilation and masks needed to reduce risk indoors. But most buildings not ventilated well enough.

6) Vaccines in syringes alone don’t save lives—vaccine rollout programs and uptake is what saves lives. Rollout is too low—US vaccinated just 500k in one day... we need at minimum 1 mil a day, and optimally 2 million a day to stay ahead of the B117 if it comes to dominate US.
7) One Disneyland or a few stadiums alone isn’t enough, we need massive wartime mobilization of Army field hospitals 24/7 to get the vaccines into people as fast as humanly possible. We are in a Hurricane Katrina level disaster every single day—but vaccinating like it’s drizzle.
8) Really great thread by @syramadad on overcoming vaccine hesitancy.
9) Also good reminder from former CDC director @DrTomFrieden why we still need to wear masks even if vaccinated or previously infected. See thread 🧵 below.
10) 100 million vaccines in 100 days!!! LFG!!
11) ⚠️Need N95/PPF3 masks for all hospital staff

➡️ICU staff have 1/2 the #COVID19 infection risk as staff outside of ICUs. Why?

📌ICU staff mandated to use higher grade FFP3/N95 masks.

📌Non-ICU staff in 🇬🇧 often use surgical masks— leakier filtration.

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More from @DrEricDing

16 Jan
Los Angeles situation here is dire. Ambulances circle for hours, unable to find ERs that can accept patients. Hospitals running out of O2. ICU capacity at zero. Patients lie in hallways & tents. National Guard has arrived to manage the flood of bodies. 😢
statnews.com/2021/01/15/los…
3) EMS also issued harsh edicts for ambulances 🚑
Read 6 tweets
16 Jan
TROUBLESOME—The new variants that each have the tricky antibody-evading E484k mutation are what worries me.

➡️This Science piece summarizes what I’ve been warning last 2 weeks w/ the new South Africa 🇿🇦 B1135 variant & new Brazil 🇧🇷 P1 variant. #COVID19
sciencemag.org/news/2021/01/n…
2) indeed, @jbloom_lab showed that E484K also reduced the potency of convalescent sera from some donors 10-fold—although he is quick to add this does not necessarily mean the mutation would cause people’s immunity to the new strain to drop 10-fold. Image
3) To be clear, 🇿🇦 and 🇧🇷 variants evolved independently. But P.1 adds to the concerns because it appears to have hit on a similar constellation of mutations and has emerged in a place with a high level of immunity.
Read 7 tweets
16 Jan
Pretty much complete FUBAR on the vaccine delivery and rollout by Trump WH.

Promising to release reserve vaccines that don’t even exist is even worse.

All this after they turned down 100 mil extra doses from Pfizer earlier as well.

#COVID19 is winning. We are not.
2) To be clear, we did have a reserve, but that was depleted by Dec. but Alex Azar promised to send more vaccines from reserve this week... except there was none anymore. Nobody knows how they could just make up a falsehood on such a reserve if there was none anymore!
3) Pfizer released a funny statement..

“Operation Warp Speed has asked us to start shipping second doses only **recently**. As a result, we have on hand all the 2nd doses of previous shipments to US.”

How “recent” is recent? reuters.com/article/us-hea…
Read 4 tweets
15 Jan
📍Operation Warp Speed leaders waited more than two months to approve a plan to distribute and administer Covid-19 vaccines proposed by U.S. health officials leaving states with little time to implement a mass-vaccination campaign amid #COVID19 surge.

wsj.com/articles/covid…
2) “State and local officials had been clamoring for months for help preparing for the largest vaccination program in U.S. history when the Centers for Disease Control and Prevention published a playbook in September to guide them.
3) “CDC had wanted to start helping states plan in June how to get people vaccinated. But OWS rebuffed plan for distributing vaccines. They adopted similar plan in August only after exploring other options—then held release of CDC’s playbook for 2 weeks for additional clearance
Read 4 tweets
15 Jan
BREAKING—The window-breacher of the Capitol siege has been arrested—a Proudboy member named Dominic ‘Spazzo’ Pezzola. He has been sought by FBI for a long time—FBI say his group had stated that they “would have killed Mike Pence if given the chance”.
2) Pezzola also encouraged rioters after smashing the glass protecting the west side of the building.

thedailybeast.com/feds-track-dow…
3) Yesterday, they also caught “the caveman” who used a flag to beat a DC police officer unconscious
Read 7 tweets
15 Jan
BREAKING—We are out of vaccine reserves! Trump HHS Sec Azar announced this week that the govt would begin releasing #COVID19 vaccine doses held in reserve for 2nd shots—but no such reserve existed!! Trump HHS had already shipped out reserves end of Dec!
washingtonpost.com/health/2021/01… Image
2) “Now, state and local officials across the country are realizing their limited vaccine supply will not immediately increase, dashing hopes of dramatically expanding access for millions of people.”
3) “Health officials in some cities and states were informed in recent days about the reality of the situation, while others are still in the dark.
Read 13 tweets

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