Eric Feigl-Ding Profile picture
Mar 27, 2021 13 tweets 9 min read Read on X
Let this sink in—

The more contagious #P1 variant from Brazil has now invaded N America—British Columbia🇨🇦 has a sudden cluster of 215+ new #P1 cases sequenced by one Vancouver lab.

#P1 is more contagious, has reinfection risk and possibly more severe.🧵
2) 215 identified by one lab in Vancouver — and not all even included in public reports by BC health Dept yet (they are much slower reporting than CTV news)

BC 🇨🇦 has added 20-30 daily #P1 cases per day for the last 4 days (again not including all the #P1 above)
3) And are these new #P1 cases due to international travel or were they local transmission?

The BC health Dept report few days ago said the initial 84 cases were all community transmission!! Zero international travel. This is a bad sign — so many at once and no travel. Image
4) One Brazil @obscovid19br study puts #P1 transmission at 2.5x faster than old common strain. This 150% increase is much faster than even #B117 if it holds up.
5) Meanwhile, another UK group at MRC Imperial puts #P1 at 2x (100% increase) more transmissible than older common strains— but with even larger reinfection potential.

Keep in mind #b117 from UK is only 40-60% faster than old common. Both studies imply #P1 is faster than B117.
6) And is there early data suggesting #P1 is more severe?

“an increase in CFR for almost all age groups observed. All groups above 20 years of age showed significant increases in CFR (Case Fatality Ratio)”

when comparing February 2021 vs January 2021...
medrxiv.org/content/10.110…
7) Notably:

📌Patients aged 20-29 years experienced a tripling of their CFR

📌aged 30-39, 40-49, 50-59 experienced ~CFR doubling

➡️”Individuals between 20-29 years of age in February 2021 had an over 3-fold higher risk of death compared to January 2021.” Image
8) “findings suggest significant increases in CFR in young and middle-aged adults after identification of a novel SARS-CoV-2 strain circulating in Brazil, and this should raise public health alarms” ⚠️
9) British Columbia’s recent #P1 spike isn’t the first outside Brazil 🇧🇷. As alluded to in the video (top post), there are surges also in neighboring Paraguay and Uruguay— where ICU hospital beds are now maxed out. see thread 🧵 below.
10) We need to all prevent #P1 from causing more clusters and hotspots around the world. Because we cannot repeat the crisis in Brazil 🇧🇷 right now. See detailed #P1 thread below.
11) Head scratching frustrating — I don’t know why BC health chief keeps dismissing the variants of concern (B117 P1 and B1351) as not different than older strains. That is clearly false (see above) and well known for months. @CDCofBC 🇨🇦 needs to wake up.
12) UPDATE—after some weekend pressure, BC 🇨🇦 health chief Bonnie Henry finally admits there is a serious issue with #P1 variant - now announced discovery of 270 cases in BC! And she finally admits P1 is a problem. BC now on short circuit breaker.
13) Bad update— another 100 new cases of #P1 variant logged in BC 🇨🇦 today. This is exponential.

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More from @DrEricDing

Apr 24
Testing conducted by the FDA on pasteurized commercially purchased milk has found genetic evidence of the H5N1 bird flu virus. ➡️But the testing, done by PCR cannot distinguish between live virus or fragments of viruses that could have been killed by the pasteurization process.

The FDA said it has been trying to see if it could grow virus from milk found to contain evidence of H5N1, which is the gold standard test to see if there is viable virus in a product. 📌The FDA *does NOT explicitly say FDA laboratories were unable to find live virus in the milk samples, but nevertheless it does state that its belief that commercial, pasteurized milk is safe to consume has not been altered by these findings.

(Sound familiar? Just like blanket assuming a virus “isn’t airborne”, “cannot transmit without symptoms”, “no human to human transmission” errors during COVID). That said, I will am hopeful that no live virus will be found in confirmation. But let’s be precautious.
statnews.com/2024/04/23/h5n…Image
2) PPE and safety googles or face shield recommended for dairy farmers and anyone handling raw milk 🥛. Also they warn about poor fitting respirators for children (who may work near dairy— like I used to help on a dairy farm as a kid in rural Pa). Image
3) people working with cattle 🐄 should also “avoid eating drinking smoking chewing gum in contaminated areas or touching eyes.” And people exposed should wear PPE should be monitored for symptoms for 10 days. Image
Read 10 tweets
Apr 13
📈Measles epidemic trajectory is worsening in the U.S.—it has NOT flattened as some claimed. The surge continues—comparison of newest versus recent outbreak graph. Majority are unvaccinated, but there’s enough unvaccinated in many clusters for outbreaks.
cnn.com/health/measles…

Image
Image
2) here is another way to visualize the measles epidemic. Another annoying thing is that although 95% not double vaccinated, 5% of the previous 113 cases were vaccinated— which means that there is waning immunity or vaccine breakthrough with sufficiently big outbreak possible.
3) I specifically wanted about this issue that pockets of unvaccinated could still trigger outbreaks, and vaccine breakthroughs possible due to vaccine waning & if surrounded by pockets of low vaccinations. See my warning oped below. 👇
Read 6 tweets
Apr 10
🐄—"Experts fear that H5N1 avian flu… may have been transmitted through a type of cattle feed called “poultry litter”—mix of poultry poop, spilled feed, feathers, and other waste scraped from the floors of industrial chicken and turkey production plants."
telegraph.co.uk/global-health/…
Europe does not allow cattle to be fed poultry feed. US does. This helps explain why US is seeing a cow outbreak of avian flu.
3) CDC warns against chicken and bird exposures and direct contact with poop. Yet why the hell are we feeding cattle poultry litter??? Corporate farms are so stupid and greedy.
Read 12 tweets
Apr 9
Global CO2 levels and temperatures. But but but we scientists are merely “fear mongering” according to deniers. How about just facing reality? How about precautionary warnings to protect human lives?

@ed_hawkins @MrMatthewTodd #climatecrisis Image
Oh this seems totally fine.
Image
I think we are screwed at this point on limiting temperature rise by 1.5 C. It’ll still take a miracle to avoid 2 C.
Read 5 tweets
Apr 8
📍BIRD HUNTING AVIAN FLU DEATH—WHO reports that a 21 year old young man with no underlying conditions suddenly died of #avianflu in Vietnam. He started with a cough/fever, but died 12 days later with severe pneumonia and ARDS. ➡️He had only gone bird hunting recently. BE CAREFUL.
Image
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2) "From 2003 to 25 March 2024, a total of 888 worldwide human cases of influenza A(H5N1), 463 deaths (52% CFR), reported to WHO from 23 countries. Almost all cases of human infection with avian influenza A(H5N1) linked to close contact with infected live or dead birds, or contaminated environments."
who.int/emergencies/di…
3) It is interesting that WHO had to point out he had no contact with any sick or dead birds. Only hunting. And he had gone bird hunting the prior month in Feb 2024. And no other contact with people since. The latency period seems rather long.
Read 8 tweets
Apr 6
⚠️SPIKE IN MEASLES—113 cases of US measles in Q1 of 2024, double the total for all of 2023. 📍95% of the cases were in those without 2 full doses of MMR💉vaccine (83% cases without any confirmed shots). Across 18 states—top 2 states are Illinois & Florida. 58% of all cases got hospitalized🏥—66% of infected kids <5 years old hospitalized. 61% of adults 20+ hospitalized. Please take measles seriously. Don’t listen to RFK Jr.
cdc.gov/measles/cases-…Image
Image
Image
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2) Moreover, many of the nationwide cases had come from Florida— “Measles cases that turned up in at least three states this year were linked to visits to Florida, federal and state investigators concluded”. FL also doesn’t count non-residents as cases.🤦🏻‍♂️

cbsnews.com/amp/news/measl…
3) I wrote a long WARNING last month about measles surging in the U.S. — we are not addressing the crisis. Florida measles crisis is just a bell weather. And now here we are.

Please take a moment to read— 👇

With @kavitapmd @yaneerbaryam

ca.news.yahoo.com/florida-measle…
Read 6 tweets

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