Liz Szabo Profile picture
16 Mar, 15 tweets, 8 min read
Live from International Antiviral Society–USA (IAS–USA)

One monoclonal antibody is good, two is better.
Live from International Antiviral Society–USA (IAS–USA)

Dr. Jonathan Li: Mutations occur between the areas where antibodies bind to virus and the spike protein.
Live from International Antiviral Society–USA (IAS–USA) @DrJLi is talking about variants. Vaccines appears to protect against the B.1.1.7 variant (originally found in the UK) as well as the original virus.
Live from International Antiviral Society–USA (IAS–USA) @DrJLi says @modernatx and @pfizer vaccines "should still give you excellent protection, especially against severe disease" from variants.
@DrJLi notes that the FDA-authorized vaccines still have good protection even against hard-to-neutralize variants. Plus, boosters are on the way.
How concerned should we be about home-grown variants in the US? @DrJLi says the California variant has become dominant. The variant in NY makes up 40% of coronavirus infections there.
How do coronavirus variants affect efficacy of monoclonal antibodies? California variant has a resistance gene against a monoclonal antibody. Company limiting distribution of one monoclonal antibody because of this.
@DrJLi says rise of variants suggests people with B-cell cancers may have longer infections that allow variants to form.
@drjli: Variants are scary. But infections are going down in places where variants are circulating. "What this shows is that social distancing and masks work... What worked against the old variants will work against new variants."
I missed the first half of this great webinar from @drjli because I was doing an interview, but I'm hoping there's a replay. "There are tons of variants out there, but not every variants gets a name. You have to be special to get a name."
LIVE: @drjli is headlining an IAS–USA webinar, "Fighting a Moving Target: SARS-CoV-2 Variants and Viral Escape."

He notes some good news about B.1.1.7. It is more infectious, but monoclonal antibody bamlanivimab still works against it.
LIVE: @drjli is taking questions at an IAS–USA webinar on variants.

Every respiratory virus does better in one season or another. Viruses tend to last longer in colder temperatures. Was last summer's drop in infections due to this? Or due to more outdoor activity? Who knows?
LIVE: @drjli is taking questions at an IAS–USA webinar on variants.

Are patients w/ advanced HIV at high risk from covid? The risk seems to be in B-cell diseases (lymphoma), whereas ppl w/ advanced HIV have T-cell problems. Combination drug therapy prevents T-cell issues.
LIVE: @drjli is taking questions at an IAS–USA webinar on variants.

If coronaviruses don't mutate all that often, why so many variants now?

"When you have 100s of millions of people getting infected, you're giving that virus so many rolls of the dice."
LIVE: @drjli is taking questions at an IAS–USA webinar on variants. Why use @astrazeneca vaccine? " In places where they don't have other vaccines, 70% efficacy is better than nothing."

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More from @LizSzabo

17 Mar
@theNAMedicine @PublicHealth LIVE: Speakers at @theNAMedicine webinar on variants include some heavy hitters of science: @CarlosdelRio7, @angie_rasmussen, Dr. David Ho of @Columbia & @MonicaGandhi9 .
@theNAMedicine @PublicHealth @CarlosdelRio7 @angie_rasmussen @Columbia @MonicaGandhi9 Live: @angie_rasmussen: Viruses have smaller genomes but mutate much more than complex cells. Image
@theNAMedicine @PublicHealth @CarlosdelRio7 @angie_rasmussen @Columbia @MonicaGandhi9 Live: @angie_rasmussen: Mutations are scattered randomly through coronavirus genome, although the ones of most concern relate to the spike protein, which helps virus enter our cells. Image
Read 23 tweets
15 Mar
JAMA LIVE. @CarlosdelRio7 notes there will be PTSD caused by the pandemic.
JAMA LIVE: When asked which vaccine she recommends, @PreetiNMalani said to get the first vaccine you can. "They all work beautifully on severe disease."
JAMA LIVE: @CarlosdelRio7 and @PreetiNMalani said the vaccines reduce infectivity, likely protect against infection. "Even if you get infected, you may not make enough virus to be infectious."
Read 4 tweets
5 Mar
LIVE @NC4HR: Dr. Paul G. Auwaerter of @JohnsHopkinsDOM notes that people infected with B.1.1.7 variant are infectious longer -- eight days instead of five days.
LIVE @NC4HR: Dr. Paul G. Auwaerter of @JohnsHopkinsDOM notes effectiveness of mRNA vaccines in Israel as good as in clinical trials.
Good protection in people over 70, who normally don't do as well with vaccines. Image
LIVE @NC4HR: Dr. Paul G. Auwaerter notes Houston has four variants circulating in the city.
Read 18 tweets
3 Mar
This slide includes data that could be used to argue both for/against giving everyone one dose before giving people a second.
Here's another slide contrasting the arguments for/against giving everyone one dose before anyone gets the second. One major point: The one-dose strategy would violate the FDA's emergency use authorization.
CDC advisory panel yesterday also debated whether people who've had covid need 2 shots or 1. Once again, giving only one shot would violate the FDA's emergency authorization.
Read 16 tweets
1 Mar
An advisory committee to the CDC is meeting as we speak. You can watch here: #acip ustream.tv/channel/VWBXKB…
@InfectiousPS said she's gotten 80% of her staff vaccinated, with 10% waiting to see how others do. Dr. Tom Shimabakuru is speaking now about safety monitoring. Here's his presentation. #acip
cdc.gov/vaccines/acip/…
Who serves on the CDC vaccine advisory group? Here's the list: #ACIP cdc.gov/vaccines/acip/…
Read 27 tweets
17 Feb
@WHCOVIDResponse is holding another live briefing. I'll be live tweeting. @KHNews
Live @JeffZients: 13.5 million doses going out this week. On track to have vaccines for 300 million Americans by July. 700 federal personnel to be vaccinators. 1000 members of military will support community vaccination sites.
Live @JeffZients: Covid vaccines will be available at community centers, high school gyms, churches, stadiums, pharmacies.
Read 30 tweets

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