WORRISOME MATH—#B117 variant is so crazy: what happens if there are just 10 cases now, & new 🇬🇧 #B117 has 50%⬆️ transmissibility?

📌1000+ daily cases on Mar23

📌2000+ daily cases on Mar31

This doesn’t include schools reopening or vaccines.

(HT @GosiaGasperoPhD) #COVID19
2) Notably, the virus is such a beast—suppose we have 1000 cases/day now... with an R=0.86 we could reduce it to 500/day in 2 weeks.

➡️But w/ added contagiousness of B117 variant that has ~60% higher R, in 2 weeks, we’d have 3000 new cases/day—3x! 6x vs old

HT @GosiaGasperoPhD
3) Denmark 🇩🇰 CDC has modeled this as well... and it’s horrendous. Denmark sequences EVERY SINGLE CASE EACH WEEK for mutations and they know it’s increasing 70% per week!!! Earlier modeling:
4) Basically, Denmark 🇩🇰’s CDC (@SSI_dk) is so pessimistic that it believes the B117 will inevitably dominate the country and likely the world by Feb/March. And with its higher R of contagiousness, we either stop it now or we are completely screwed by spring time.
5) here is the other problem... what used to work before for old common #sarscov2, will not work anymore to keep the R<1 for this new #B117. ?
6) Problem is, we know we aren’t starting at 10 cases of #B117 in the US. We already identified 315 with minimal genetic mutation sequencing of cases. Likely thousands in the Us! We are much further along the curve. cdc.gov/coronavirus/20…
7) And to add to that, wealthy Switzerland is now seeing an increase surpassing Denmark’s 70% weekly increase pace. This is gonna be so bad considering Europe has much better controls than US.

Also UK #B117 went from current Denmark 🇩🇰/ Swiss 🇨🇭 levels to 🇬🇧 75% in 1 month!
8) What about the US? Here is the CDC model with and R of 1.1 and R or 0.9 currently and how the new #b117 variant (light purple) quickly taking over US assuming 1 million vaccinations per day. That also assumes we can keep R under 1.1, which is very very hard.
9) CDC thinks the new #B117 will pretty much sure take over Us and be dominant by March. URGENT mitigation is necessary to keep the R under 1. cdc.gov/mmwr/volumes/7…
10) Look at how #B117 is growing as fraction of total **despite** a lockdown.
11) Denmark also discovered the #B1351 variant from South Africa 🇿🇦. How? Because Denmark 🇩🇰 is the only country to SEQUENCE EVERY CASE EVERY WEEK. You can’t beat that diligence.

US barely has any sequencing comparatively
12) What if we want to eliminate it? How much harder is #B117 to get rid of? What used to take old strain 45 days would not take 190 days if R=0.864. That’s assuming we can even achieve that without huge vaccine rollout or lockdowns. Oy.
13) we all want schools to reopen. But this is harder than we think. Here is the reality.

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More from @DrEricDing

30 Jan
If you’re a hedge fund manager—don’t worry about losing $5 billion shorting GameStop... I’m sure all the Redditor profits will trickle down to you. Just work hard & be patient.

#GameStop
2) Meanwhile... love this kid.
3) Great move by Labor Dept today to support workers.
Read 4 tweets
30 Jan
📍NOTA BENE—Don’t be deceived if you see nobody in a room. CO2 levels can still be high if room is poorly ventilated. Remember #SARSCoV2 aerosols can stay airborne from 20 min-16 hours in stagnant air. CO2 is the easiest metric to tell you it’s stagnant. #COVIDisAirborne #COVID19
2) This is especially also important in public bathrooms. You may think you’re alone but toilet 🚽 plumes are real. And toilet flushing are well known powerful aerosolization devices. And in th US, most public bathrooms don’t have toilet lids (aka toilet mask).
3) How is aerosol different from large droplets? aerosol study indicates that coronavirus is persistent and stable up to 16 hours in stagnant air. Typical air exchange every 20 min to 4 hrs, depending on ventilation. #COVID19
Read 7 tweets
30 Jan
GREAT NEWS—Biden’s Labor Department issued guidance that would allow sick employees to stay at home without fear of losing their jobs.

This means you cannot get fired for wanting to stay home because of #COVID19. This is huge. 🧵
reuters.com/article/us-usa…
2) Biden’s previous signed a EO for federally guaranteed right to decline employment that would jeopardize their health & still qualify for unemployment insurance if they do so.
3) The guidance issued by Occupational Safety and Health Administration (OSHA) outlines key measures for limiting the coronavirus' spread, including ensuring infected or potentially infected people are not in the workplace, implementing and physical distancing & masks.
Read 4 tweets
30 Jan
Let this sink in—

Qanon adhering conspiracy Congresswoman MT Green thinks the Parkland school massacre that killed 17 students and teachers was fake.

But now she sits on the House Education committee.

Dystopian world. @ReallyAmerican1 #ExpelMarjorie
2) Parkland parent: “MTG, the shooting where my son was murdered protecting his students was not a ‘false flag”. Do not trivialize my son Scott’s sacrifice to save his students for your own political gain.” - Linda Beigel Schulman. (HT @MomsDemand) nymag.com/intelligencer/…
Read 4 tweets
29 Jan
BREAKING—“NO CHOICE BUT TO ACT”—The EU 🇪🇺 has confirmed it is introducing export controls on #COVID19 vaccines made in the bloc. No exemptions for 🇬🇧—exemptions from export control include: COVAX, Switzerland, w. Balkans, Norway & North Africa. But not UK!
bbc.com/news/world-eur… Image
2) Under the new rule, vaccine firms will have to seek permission before supplying doses beyond the EU. The EU member states will be able to vet those export applications.
3) Vaccines produced by Pfizer in Belgium are currently being exported to the UK, and the EU insists that some of the AstraZeneca vaccine produced in England is destined under contract for EU citizens.
Read 5 tweets
29 Jan
Funeral costs—FEMA will reimburse up to $2 billion for #COVID19 funerals, said @AOC, who pushed for the funding as part of COVID-19 relief package. ”We finally got it done. People will soon be able to get COVID funeral costs reimbursed." FEMA details soon. businessinsider.com/aoc-fema-final…
2) I’m also glad Labor Dept is once again stepping up for worker safety meantime!
3) Even more amazing would be the potential $250/300 per month *per child* to support childcare! Let’s get it done!
Read 4 tweets

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