Demographics of the South African study into Oxford vaccine
Criteria for mild or moderate cases
Neutralization data - immune responses "similar if not better"
Efficacy, pre November.
South African scientists explicitly say that immune pressure, due to high levels of immunity, caused it to favour escape mutations.
42 cases in analysis
Significant drop in antibodies.
And here are the results at last: 19 cases in the vaccine group, 23 in placebo.

Raw data: 22 per cent efficacy, but not significant.
Note: this is with two doses.
Two thirds mild illness, one third moderate. None serious.
Past infection *does not protect* against variant.
"Data fairly compelling will not protect against mild covid. But will be of some use against severe covid"
"We believe that t cell responses will remain intact...."
"These results are a reality check. We've been somewhat euphoric about efficacy. It is time for us to recalibrate our expectations"

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More from @whippletom

5 Feb
Sage has released its reasonable worst case scenarios for winter resurgence, as envisaged in July. Looks like we are teetering towards the unreasonable worst case scenarios...
They were especially worried about: schools and universities, importation from holidays abroad
One key recommendation for mitigating it: better support for those isolating
Read 5 tweets
25 Mar 20
Of all the pieces I've written on coronavirus, this is perhaps the most surprising. Vaccine researchers are *still* wasting time writing grant applications rather than getting on with work. 1/x thetimes.co.uk/article/vaccin…
CEPI, who fund eight candidate vaccines, run out of money in a couple of weeks.
It is entirely possible we will get a working vaccine, but because of a lack of funds to research scaling up production, we won't be able to make it.
Read 5 tweets
20 Mar 20
The UK government has just published its scientific evidence and it's....amazing gov.uk/government/gro…
Risk of public disorder. "agreed that large scale rioting is unlikely. It is rarely seen in these circumstances. Acts
of altruism will predominate, and HMG could readily promote and guide these." assets.publishing.service.gov.uk/government/upl…
A modern keep calm and carry on:

"Promote a sense of collectivism: All messaging should reinforce a sense of community, that
“we are all in this together.” This will avoid increasing tensions between different groups "
Read 18 tweets
16 Mar 20
Best guess 35-50k people infected.
(currently infected)
"Closing schools would have some effect at reducing transmission. Closing schools on its own will have a significant effect on healthcare capacity.

If I was to guess, it is quite likely to happen"
Read 16 tweets
16 Mar 20
The team whose modelling estimates advised Cobra are presenting their modelling. They modelled controlled spread and realised 250,000 would die. Now advise stronger intervention to suppress - but no idea how long it will need to be in place. #coronavirusuk
Updates came after seeing Italy - and proportion of patients in ICU
"We will be in quite different world for year or more"

Neil Ferguson - Imperial.

There is no end to major measures until we get vaccine.
Read 15 tweets
13 Mar 20
I've spent past day chatting to virologists and epidemiologists about the UK policy on #Covid_19

I think it's important to get across both the plurality of views and the uncertainty.

If you're about to post a strong opinion, bear in mind few of them express such clarity 1/x
A range of quotes:

"It's a calculated gamble"
"It's very, very difficult"
"It's not just governments divided, we are too."
On the "might be good to do more front", there are those looking to China.
Read 7 tweets

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