If I may cheat on the T cell for a moment and tell you about memory B cells and how excellent they are, I would appreciate it if no one told my T cells. Memory B cells also form part of the adaptive immune system; they develop after an infection, go and hide out in your "germinal
centers" (like your lymph nodes) and then they quietly sit there and also quietly circulate for a very long time but are able to be stimulated to produce active antibodies if they see that infection again. One of my favorite papers ever took a cohort of 32 nature.com/articles/natur…
people born before 1915 who had been exposed to 1918 flu. Nearly 90 years later (this paper published in 2008), they found circulating B cells that could generate potent neutralizing antibodies to the 1918 strain of flu (by the way, the influenza virus mutates WAY faster than
coronavirus. As we said before, coronaviruses actually don't mutate very fast compared to that "leaky" influenza polymerase. So, these antibodies generated in these individuals 90 years (!) after they got 1918 flu could neutralize virus in test tube and protected mice when
injected into mice who were then given the infection. So, humans can sustain memory B cells to viruses for many many decades after exposure. Okay, put on top of that this amazing paper that actually biopsied the lymph nodes of 12 people who got the researchsquare.com/article/rs-310…
Pfizer vaccine 3, 4, 5 and 7 weeks after the first shot. Lymph nodes in armpit were biopsied and then they essentially stained them with fluorescently labeled spike protein probes to find spike protein binding B cells in these germinal centers. They found high levels
of B cells in these lymph nodes that were generated against the spike protein of #covid19 just after the first shot even. So, okay, if memory B cells can last decades and we already know we form memory B cells after the 1st shot of vaccine, AND we got reassured about variants
today with our T cell responses being intact against them, I am not sure we need to worry this much about yearly boosters. So, let's get vaccinated, believe in the immune system, understand that nothing but immunity to a new pathogen can free humankind from a pandemic, & watch
@threadreader unroll

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Monica Gandhi MD, MPH

Monica Gandhi MD, MPH Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @MonicaGandhi9

2 Apr
Michigan - let's look closely at their data here. Look at hospitalizations by age. Currently, COVID hospitalizations are less than the 2018-2019 Flu Season, especially telling in the 65+ Age Bracket
gis.cdc.gov/grasp/COVIDNet…
COVID-Net -- MMWR Week 11 -week of 3/20/21
Overall -- 8.0 per 100k
18-49 -- 4.3 per 100k
50-64 -- 11.0 per 100k
65+ -- 22.8 per 100k
2018-2019 Flu Season- MMWR Week 11 -week of 3/16/19
Overall -- 8.3 per 100k
18-49 -- 2.6 per 100k
50-64 -- 14.7 per 100k
65+ -- 23.5 per 100k
Michigan hospitalizations from COVID-19 now mimicking those from flu two years ago represents "defanging of the virus" with vaccines among older. Would recommend faster vax:
Here were the cumulative vax rates as of March 27, 2021 from the WaPo Vax County Tracking Map:
Read 6 tweets
2 Apr
Want to tweet more good news about hospitalizations in US and effect of vaccines. Data source here. I am sad today. Every time you are given some good news (vaccines stop transmission; T cells work against variants), someone tries to frighten you again.
healthdata.gov/Health/COVID-1…
Okay so remember I told you that there was an "inflection point" in Israel at which cases started coming down with a certain rate of vaccination? And of course hospitalizations were not occurring in those vaccinated. So, let's look at U.S. and compare
3/31/21 vs. 2/24/21:
In the last 7 Day Cases reduced by -4%
Last 7 Day Hospital Admissions reduced by -24%
U.S. Total Inpatient Hospital Beds reduced by -39%
U.S. Total ICU Hospital Beds reduced by -43%
(All data broken down, below by age- it's crazy how well the vaccines work)
Read 10 tweets
1 Apr
Wanted to put all real-world effectiveness data for you on the vaccines together in a thread with slides so you can see where we are in the world- have come long way from our clinical trial data table with all of this real-world date. Image
Data from Israel Ministry of Health released by Pfizer press release on March 11, 2021 Image
Data from Israel and the UK Image
Read 7 tweets
31 Mar
More details on 12-15 trial here: Although the Pfizer mRNA vaccine has been authorized down to the age of 16 by the FDA, was not previously studied in those younger than 16. Now we have data from participants 12-15 years old.
pfizer.com/news/press-rel…
This Phase 3 trial enrolled 1131 participants who got the vaccine and 1129 participants who got a placebo shot. Showed 1) the Pfizer-BioNTech COVID-19 vaccine demonstrated 100% efficacy against symptomatic COVID-19 (e.g. there were 18 COVID-19 cases, all among placebo recipients
and none in those who got vaccine; 2) the vaccine induced robust antibody responses, exceeding 16-25 in prior trials but didn't mention if the trial measured our beloved T cells. Super effective, safe, good immune responses & should be ready soon.
Read 4 tweets
30 Mar
A city turning against itself over schools: "Critics of San Francisco’s brand of liberal politics have long pointed to a disconnect between elected officials’ lofty rhetoric about social justice, and the reality of a city where fabulous wealth lives
nytimes.com/2021/03/29/us/…
side-by-side with extreme poverty & despair, exemplified by the homelessness, drug abuse & mental illness on the city’s streets...Amid the chaos 1 thing has remained clear: A large share of the city’s public school students are unlikely to see the inside of classrooms this year"
On the other hand and a piece of bright news, Oakland students (youngest) did return for in-person learning yesterday. "As a kindergartner, he “doesn't remember what it’s like to be in a classroom,”"
sfchronicle.com/local/article/….
Read 4 tweets
30 Mar
Cases continue to be weighted at a greater "threat" level than hospitalizations or positivity rate. Since metrics don't align, state can be testing in a Dark Green Zone, have a Light Green/Yellow Positivity Rate, but have a Dark Red Threat Level on Cases per 100K. Let's look at
NY, NJ, PA, MI, OH (19% of the U.S. population), where NPIs are still being maintained:
Last 7 day cases -- 160,406 (Dark Red Zone) of the 422,980 or 38% of the cases
Last 7 day tests -- 2,072,485 (Light Green Zone) of the 8,032,744 tests or 26% of the tests
Positivity Rate -- 7.7% (Yellow Zone)
Last 7 day hospitalization admissions -- 10,751 (Light Green Zone) of the 33,714 hosp. admissions or 32%.
So, good to see positivity rate, hospitalizations, tests all yellow-light green. Would be helpful to take those metrics into account.
Read 6 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!