SHORTAGES—vaccine supply gaps prompts many to suspend appointments for first-time vaccine seekers & a NY healthcare system to cancel slew of existing ones. “as eligibility increases, you just increase demand, but we’re not able to increase supply” #COVID19
reuters.com/article/us-hea…
2) In Oregon, Governor Kate Brown said vaccinations for seniors and educators would be delayed, while Vermont Governor Phil Scott said the state would focus exclusively on its over-75 population because of “unpredictable” federal supplies.
3) Besides New York, signs of vaccine supply strains appeared in Vermont, Michigan, South Carolina, New Jersey and Oregon.
4) NY’s Mount Sinai Hospital said that it canceled vaccination appointments thru Tuesday because of “sudden changes in vaccine supply.” NYU Langone Health said it has indefinitely suspended new appointments because it had received no confirmation that it would get more vaccine.
5) “New York City Mayor Bill de Blasio said on Friday that while the city was ramping up its vaccination capacity, supplies were still coming in at “a very paltry” 100,000 doses a week, which put it on course to run dry in the coming week.

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More from @DrEricDing

19 Jan
BREAKING UPDATE—Trump travel rules to be reversed by Biden!! Spokesperson @jrpsaki says Biden “does not intend to lift these restrictions on 1/26. In fact, we plan to strengthen public health measures around international travel in order to further mitigate spread of #COVID19.” Image
2) Earlier, Trump issued a proclamation lifting COVID-19 travel restrictions barring entry to the US of foreign nationals from the UK, Ireland, much of Europe, and Brazil effective January 26 at 12:01 am. Image
3) Trump, who once bragged about his “great” travel bans to stop #COVID19, now lifts his restrictions on foreign nationals from UK 🇬🇧 Ireland 🇮🇪, much of EU, and Brazil (origins of all the #B117 and #P1 variants, where they are rampant). No lifting on China🇨🇳 travel restrictions.
Read 4 tweets
18 Jan
WORRISOME ON *E484* MUTATION—New study from blood of 44 people infected in 1st wave in S Africa🇿🇦 was tested against new #SARSCoV2 variant #B1135 (501Y.V2)—found antibodies from **21 of 44 did not recognize** the new B1125 variant—Almost half! #COVID19 🧵
Image
2) This new E484K study is by @nicd_sa - respected research group. That said, antibody immunity is not all of immunity. T cells also offer spike protein recognizing immunity too (not measured).

Meanwhile—other studies on E484K immune escape—it’s in both 🇿🇦 & Brazil 🇧🇷 variants.
3) Why are we so worried about E484K? In another recent study by @jbloom_lab, E484 mutation (inside the #SARSCoV2’s spike’s critical receptor binding domain) seemed to escape neutralizing antibodies in 9 of 11 patients, some with 10x reductions in neutralizing ability! Image
Read 5 tweets
18 Jan
BREAKING—new #B117 variant & vaccine data from 🇬🇧 research lab shows mutations in B117’s spike protein yields a ~3.8x reduction in efficacy of vaccine-generated neutralization antibodies compared to wildtype (WT) #SARSCoV2 strain. 10 of 15 people had >3x lower neutralization. 🧵 Image
2) Notably, @GuptaR_lab studied 15 people who had Pfizer mRNA vaccine against pseudo virus bearing Spike protein w/ mutations in B117 variant (del69/70, del 144/145, N501Y, A570D, P681H, T716I, S982A, D1118H). They found a modest reduction in efficacy.
3) paper pending—among 15 individuals with neutralisation activity 3 weeks after the Pfizer mRNA vaccine (immunity has already kicked in), 10 showed >3-fold reduction in efficacy of antibodies against B.1.1.7 mutant.

➡️The highest was *6x* reduction in neutralization. #COVID19 Image
Read 8 tweets
18 Jan
LET THIS SINK IN: So many people have died in Los Angeles that officials have suspended air-quality rules that limit cremations because current 2x deaths is “leading to hospitals, funeral homes & crematoriums exceeding capacity” unable to clear backlog of dead bodies. #COVID19 Image
2) And the LA County order says there's another surge of deaths that's approaching, fueled by the gatherings that took place over the New Year's holiday.

The emergency order will be in effect for 10 days and can be extended, the agency said.

google.com/amp/s/amp.cnn.…
3) Same time, LA County has historically had bad air pollution which damages the lungs. But lung is also one thing COVID damages the most... thread 🧵 below...
Read 5 tweets
18 Jan
LONG COVID—30% of hospital recovered #COVID19 patients end up back in hospital in <5 months; up to 12% die of complications. “we really need to prepare for #LongCovid. It’s a mammoth task to follow up w/ these patients, but monitoring needs to be arranged”
telegraph.co.uk/news/2021/01/1… Image
2) “Researchers at the UK’s Leicester University and the Office for National Statistics found that out of 47,780 people discharged from the hospital, 29.4 percent were readmitted within 140 days, the Telegraph reported.
Of the total, 12.3 percent succumbed to the illness.
3) “Many people who suffer long-lasting effects of the coronavirus develop heart problems, diabetes and chronic liver and kidney conditions.
Read 7 tweets
18 Jan
BREAKING—At 10:20am, Capitol Hill staffers received message:

“All buildings within the Capitol Complex: External security threat, no entry or exit is permitted, stay away from exterior windows, doors. If outside, seem cover. USCP”

➡️ Inauguration rehearsal also evacuated.
2) There is a fire, unclear if accident or something worse.
3) there is a fire a few blocks away.
Read 7 tweets

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