Outbreak of 69 #COVID19 cases in 2 schools, plus 20 at daycare centers in one Danish city—all #B117. “Something going on with the infection of [🇬🇧 variant] #B117 among children that we have not seen with the old coronavirus” says an epidemiologist. 🧵
cphpost.dk/?p=122479
2) Two schools and eight daycare institutions in the central Jutland city of Kolding will remain closed until Friday following coronavirus outbreaks that experts claim underline the devastating potential of the British variant of COVID-19.
3) Speaking to DR, Viggo Andreasen, an professor at Roskilde University who is swiftly becoming favorite 🇩🇰 epidemiologist, questions whether there is “something going on with the infection of #B117 among children that we have not seen with the old coronavirus”.
4) “If we see more examples, then we must ask ourselves whether it is too risky to open schools to the little ones. This means there is a good risk that infection chains will run for quite some time before we discover them. probably also some parents who have become infected.”
5) Indeed, something did happen recently in Austria and Italy and Israel as well in children.
6) This divergence in children also seen in the UK, despite general lockdown. After winter break, positivity in 5-9 year olds higher vs adults after primary partially schools reopening. This wasn’t seen last year at all.
7) Similar #B117 outbreak in an Italian village. 60% of cases in young kids.
8) Update—the city council of the Danish city of Kolding (site of the school outbreaks above) is now considering shutting down all schools says @TazorNissen.
9) UK 🇬🇧 positivity trends in kids are due to school reopenings says @dgurdasani1
10) Also—Israel is seeing sharp rise in the number of children and teens getting #COVID19, where #B117 rising.

>50,000 children have been diagnosed with #COVID19 since start of Jan, many more than Israel saw in any month during the first or second waves. m.jpost.com/health-science…
11) “We got a letter from the Israeli Association of Pediatrics that says they are very worried about the rate of disease in younger students,” Health Minister Edelstein said. “This is something we did not witness in previous waves of corona.”

—sound familiar to above?
12) Instead of around 29% of new cases coming from children and teens, as in the second wave, now they are around 40% of cases, Public Health Services head Sharon Alroy-Preis said in the Knesset on Monday. The greatest spike was in children between ages of **6 and 9** (familiar?)
13) “according to Cyrille Cohen, head of Bar-Ilan University’s immunotherapy laboratory, the (pediatric case) numbers seem to be rising. one hypothesis is that it is tied to the British 🇬🇧 mutation #B117, which has spread rapidly across Israel.”
14) I’ve alluded to this trend in kids 0-9 before over a month ago in the #B117 data... while kids overall lower risk than adults, #B117 has yielded greater increase in attack rate in kids 0-9 than in those over age 10, compared to the older common strain.

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More from @DrEricDing

20 Feb
Madness—NCAA will bring fans back to the stadiums for the men’s and women’s NCAA basketball 🏀 tournament—albeit at lower capacity. But having thousands of fans arrive from all over the country creates #COVID19 super-spreader risks—as well as bars/hotels.
nytimes.com/2021/02/19/spo… Image
2) The 68-team men’s tournament, which begins on March 18, will be played in Indianapolis before crowds of up to 25 percent capacity at sites ranging from the quaint 9,100-seat Hinkle Fieldhouse to Lucas Oil Fieldhouse, which holds up to 70,000 fans.
3) The 64-team women’s tournament, which begins on March 21, will allow up to 17 percent capacity from the regional semifinals through the championship final in San Antonio. Those games will be played at the Alamodome, which has a 31,900-seat capacity for basketball.
Read 5 tweets
20 Feb
I’m worried about Texas COVID—

“We could all huddle in one house” was Heidi Cruz’s first suggestion to stay warm with her neighbors when power went out. I know shared heat is nice & neighborly, but I think it will likely trigger more #COVID19 outbreaks.
businessinsider.com/heidi-cruz-tex… Image
2) I tried not to say this quiet thought aloud but I’m seeing and hearing other people worry too. Yes there is a humanitarian crisis and yes hypothermia kills, but we can still be worried about COVID too.
3) I have no pity for Heidi Cruz. But this isn’t about just her. This is about public health.
Read 5 tweets
19 Feb
📍Pardon my vent about insufficient ventilation / air exchange & school policy. Air exchange (via fresh air or disinfection) is really important for reducing #COVID19 transmission—we should aim for 5-6 air exchanges per hour. Achieving 5-6 is harder, but should we give up? No!🧵 Image
2) President Kennedy once said, we choose to goto the moon 🌙 not because it is easy, but because they are hard—and important. Some think asking for sufficient school ventilation is like asking schools to goto the moon. No, not true! It’s possible. We can do it.
3) First there are ways to ventilate without HEPA filters or full windows. You can even with 1 door. 2 doors better. Here is how to ventilate your school classrooms if unable to open window. #COVID19
Read 28 tweets
19 Feb
I’ve been very worried about Austria 🇦🇹 #B1351 outbreak — the largest pocket of B1351 outside of South Africa 🇿🇦.

If you can read German, my interview with @DiePressecom maybe of interest. #COVID19 #COVID19at
diepresse.com/5940011/der-fo…
2) Earlier this week... outbreak of an unknown strain in Lower Austria.
3) Earlier last week, Austria’s #B1351 outbreak cluster thread 🧵...
Read 5 tweets
19 Feb
BREAKING—new #COVID19 vaccine efficacy study from Israel concludes that Pfizer/BioNTech's jab is up to 85% effective after the first dose after 15 days to day 28—and even 75% including asymptomatic cases—meaning it stops infections by 75%! Huge. 🧵
news.sky.com/story/covid-19…
2) The research, conducted by the Sheba Medical Centre, the country's largest hospital, has been published in the Lancet medical journal.

The hospital assessed the effectiveness of the first dose of the Pfizer/BioNTech vaccine among 7,000 of its healthcare employees.
3) Professor Eyal Leshem, an infectious disease expert and director of Sheba's Institute for Travel and Tropical Medicine, told Sky News: "This is first real-world evidence of effectiveness that shows up after the first dose of the vaccine.” 👀
Read 14 tweets
19 Feb
Sudden Kindergarten outbreak—a once small #COVID19 outbreak in an Austrian🇦🇹 kindergarten exploded from 10 cases Monday to suddenly *32 cases* by Wed—20 cases in kids, 12 adults & caregivers.

(Article in German—translation below). HT @hiems_mollis.
noen.at/melk/coronavir…
2) “some caregivers complained of symptoms on Saturday. They were then tested positive for SARS-CoV-2 on Saturday, despite negative rapid tests on Friday. Already on Sunday, the parents of the 75 kindergarten children were informed via the kindergarten app "KidsFox".
3) “Since then, all children and caregivers have been quarantined, the kindergarten and, for safety reasons, the afternoon care KiLo, are closed until further notice.”
Read 13 tweets

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