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Eric Feigl-Ding Profile picture
@DrEricDing
Mar 3, 2021 • 17 tweets • 9 min read • Read on X
⚠️BRAZIL COVID EMERGENCY—Entire 🇧🇷 is now “Manaus”. 1700+ deaths in 24 hours, ICUs critical.

📌#P1 🇧🇷 variant is ~2x-2.5x more transmissible, says @obscovid19br

📌17 state capitals ICUs >80% full

📌”Exponential #COVID19 growth unlike any other that we have seen” @bollemdb 🧵 Image
2) Brazil is becoming an enormous Manaus" - @MiguelNicolelis
3) One group puts #P1 at an astoundingly high 2x more transmissibility.

Experiences from Manaus - the Amazonian city hit hard by the P.1 variant - suggest it could be up to twice as transmissible as earlier Covid there, the first detailed study suggests.
bbc.com/news/amp/healt…
4) They also put the chance of #COVID19 reinfection via #P1 at between 25% and 60%

github.com/CADDE-CENTRE/N…
5) Another group, @obscovid19br, is premiering results soon showing 2.5x: “In our model, which uses data on hospitalizations from Manaus, #P1 is **2.5x more transmissible** than the wild-type B lineage,” says @bollemdb.
6) How epically bad is #P1’s 2-2.5x transmissibility?

➡️ “It’s huge.” ~@bollemdb
7) Dr @bollemdb and I call for world leaders to help Brazil 🇧🇷 urgently now.

This will be the “worse humanitarian crisis the world has seen in this pandemic” if we don’t act now!
8) I’ve been trying to warn the world about Brazil 🇧🇷 for months. Manaus epidemic was a canary in coal mine. But we didn’t listen to their cries.
9) Folks—I am **not** exaggerating how serious it is in Brazil. Those of us in the English-speaking world have a bias towards English speaking country news. But news from 🇧🇷 is extremely sobering. @agencia_fiocruz is very reputable: their @fiocruz warning.
agencia.fiocruz.br/covid-19-nota-…
10) “In a special edition, the Bulletin of the Covid-19 Fiocruz Observatory publishes a technical note with a warning that, for the first time since the beginning of the pandemic, there is simultaneous worsening of several indicators throughout the country...”
11) “such as the increase in the number of cases and deaths, the maintenance of high levels of incidence of #SARSCov2, the high positivity of tests and the burden of hospitals. At the moment, 19 units of 🇧🇷 have icu bed occupancy rates above 80% – in the previous Bulletin, 12.”
12) “The alarming scenario, according to the analysis, represents only the tip of the iceberg of a level of intense transmission in the country. Therefore, the researchers believe that it is necessary to adopt more stringent non-pharmacological measures.”
13) “In view of this situation, the researchers at Covid-19 Fiocruz Observatory highlight the need to adopt stricter measures to restrict circulation and non-essential activities, according to the epidemiological situation and care capacity of each region” @fiocruz @fiocruz_en
14) In the US, there are 10 reported #P1 variant cases so far.

Where are half of all P1 in US? ➡️ Florida.

Where is also #B117 surging fastest? ➡️ Florida. Image
15) Let us learn from Manaus. Let’s not chase natural infection herd. Let’s not repeat it. bmj.com/content/372/bm… Image
16) Brazil crisis is accelerating it all parts of the country — even the wealthiest... look at this hospitalization and mortality curve!!$
17) It is cataclysmically bad in Brazil right now...

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More from @DrEricDing

Eric Feigl-Ding Profile picture
Apr 10
It’s a trap: CATCH 22—if you register, ICE will deport you. If you don’t register, you’ve now committed a crime for the first time, and ICE will deport you. Trump doesn’t care if you’ve paid all taxes and followed all laws—ICE will deport you.

apnews.com/article/illega…Image
2) The Department of Homeland Security announced that it was mandating that all people in the United States illegally register with the federal government, and said those who didn’t self-report could face fines or prosecution. ***Failure to register is considered a crime***
3) Registration will be mandatory for everyone 14 and older without legal status. People registering have to provide their fingerprints and address, and parents and guardians of anyone under age 14 must ensure they registered. The registration process also applies to Canadians who are in the U.S. for more than 30 days, such as so-called snowbirds who spend winter months in places like Florida.
Read 4 tweets
Eric Feigl-Ding Profile picture
Apr 3
Now economists know how scientists felt back when he pushed “hydroxychloroquine”
2) HCQ preventing COVID deaths has been debunked— and it’s now been linked with deaths.

@JoshuaPCohen1
forbes.com/sites/joshuaco…Image
@JoshuaPCohen1 3) JPMorgan on Trump Tariffs: “The largest tax increase since 1968” Image
Read 6 tweets
Eric Feigl-Ding Profile picture
Mar 28
My god—Earthquake (a Richter ~7.7) causes a skyscraper to collapse in Bangkok. Hope all the construction workers made it out.
2) this skyscraper collapse was captured from a distant car’s dashcam while on a highway

3) another view of the collapse. For those who lived through 9/11, this collapse is a bit triggering.
Read 5 tweets
Eric Feigl-Ding Profile picture
Mar 27
Welp—kiss public health & medical research infrastructure in America goodbye for the next 4 years. RFK Jr plans to cut 10,000 jobs from Trump HHS. Image
2) this will not make America healthy again… not by a long shot. So dangerous and irresponsible.
3) “Kennedy is set to announce Thursday the planned changes, which include axing 10,000 full-time employees spread across departments tasked with responding to disease outbreaks, approving new drugs, providing insurance for the poorest Americans and more”.
Read 5 tweets
Eric Feigl-Ding Profile picture
Mar 15
SICKENING—Trump’s DHS just deported a surgeon from Brown University Medical School—who is here legally on an H1B visa that doesn’t expire until 2027, and has committed no crimes. Trained in the U.S. at Ohio State, University of Washington, and Yale as a **transplant surgeon** (one of the most difficult surgical fields in all of medicine!!!), she is a highly trained doctor on kidney transplants, which cannot be easily replaced. Her phone was seized at the border. A federal judge handed down an injunction against her deportation—but she was already deported on a plane en route to Paris. Brown’s kidney transplant clinic is now strained by her deportation.Image
Image
2) Full text:

PROVIDENCE — A Rhode Island doctor who had traveled to Lebanon to see her parents was prevented from re-entering the United States at Boston’s Logan International Airport on Thursday evening, her lawyer and a colleague said.

Dr. Rasha Alawieh, 34, who lives in Providence, has been working at Brown Medicine’s Division of Kidney Disease & Hypertension since last July, and she [has] been part of the transplant service at Rhode Island Hospital, according to Dr. George Bayliss, the organ transplant division’s medical director. She has been studying and working in the United States for about six years, he said Friday.

The US consulate in Lebanon had issued her an H-1B visa, which is given to people in specialty occupations requiring expertise. The visa was valid through mid-2027, said Thomas S. Brown, an attorney representing her and Brown Medicine.

Alawieh was detained when she returned to Logan airport, and family members are afraid that she is about to be deported to Lebanon, he said.

“We are at a loss as to why this happened,” Brown said. “I don’t know if it’s a byproduct of the Trump crackdown on immigration. I don’t know if it’s a travel ban or some other issue.”

He said her phone has been seized and he has not been able to contact Alawieh.

Bayliss said a lawyer filed a petition with the US District Court in Massachusetts, and Judge Leo T. Sorokin issued an order saying Alawieh should not be moved outside of Massachusetts without 48 hours notice. But he said that message apparently did not reach immigration officials in time, and a plane carrying Alawieh left for Paris.

“This is outrageous,” Bayliss said in an interview. “This is a person who is legally entitled to be in the U.S., who is stopped from re-entering the country for reasons no one knows. It’s depriving her patients of a good physician.”

A US Customs and Border Patrol spokesperson, Ryan Brissette, was not able to immediately answer questions about Alawieh on Friday evening.

Bayliss said Alawieh graduated from the American University of Beirut medical school and came to the United States for a nephrology fellowship at Ohio State University. She then landed a transplant fellowship at University of Washington and had a residency in the Yale hospital system before starting at Brown Medicine last July, he said.

“She’s really a very humble and able person,” Bayliss said. “She takes care of her patients. She is talented and thoughtful and a great addition to our division.”

Bayliss said Alawieh went to Lebanon to visit parents and planned to be gone for two weeks. He said she texted a colleague at 6:30 p.m. Thursday saying she was back in Boston, but then her family heard from immigration officials.

Dr. Paul Morrissey, surgical director of the organ transplant division at Brown University Health, said Alawieh works on getting people in Rhode Island on the list for a kidney transplants, and that’s a crucial job at a time when there has been a lot of focus on the need for kidneys and their equitable distribution.

He said Alawieh should not have had any problem traveling out of the country with an H-1B visa.

“It’s an unfortunate set of circumstances,” Morrissey said. “It’s putting a strain on our office. Her work has been exceptional.”

bostonglobe.com/2025/03/14/met…Image
3) There is a new Trump ban against many countries, including tourist visa bans against all countries in the red and orange lists. This list is still tentative. And it shouldn’t have affected people with existing visas, such and the Brown kidney transplant surgeon Image
Read 8 tweets
Eric Feigl-Ding Profile picture
Mar 14
I’ve said it before, and I’ll say it again… once upon a time, liberals did have our own “Leftist Joe Rogan”… his name was Joe Rogan…

Here he is advocating for socialized medicine, healthcare for all, and supporting labor unions to protect workers.
2) Recall, Rogan was once pro Obama and pro Bernie Sanders, and pro Yang Gang, and anti Trump. It’s sad he has since failed to the dark side. But like Vader… maybe he can be redeemed someday and come back to the light.
3) *Fallen, not failed (above).

Joe Rogan was also pro gay rights and pro DACA and pro helping inner city communities that suffer economic and social injustices. It’s sad what he has become. I feel we should try to pull & welcome him back someday. Everyone can be redeemed.
Read 4 tweets

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