Sobering words: “It is increasingly clear that the next few months will be painful... variants are spreading, carrying mutations that make #COVID19 both more contagious & in some cases more deadly.”

Great honest writing by @apoorva_nyc. Stay safe friends.
nytimes.com/2021/04/03/hea…
2) “Even as vaccines were authorized late last year, illuminating a path to the pandemic’s end, variants were trouncing Britain, South Africa and Brazil. New variants have continued to pop up — in California one week, in New York and Oregon the next.”
3) “As they take root, these new versions of the coronavirus threaten to postpone an end to the pandemic.
4) “At the moment, most vaccines appear to be effective against the variants. But public health officials are deeply worried that future iterations of the virus may be more resistant to the immune response, requiring booster shots or even new vaccines.”

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More from @DrEricDing

6 Apr
⚠️1 in 4 people infected or 1.1 million people now suffer #LongCovid in the U.K. 🇬🇧

📌REPEAT: ~25% who got #COVID19 now suffer long term persistent symptoms.

📌29% of all #LongCovid are under age <35

📌Top 2 occupations: healthcare workers & teachers.🧵
statista.com/chart/24561/uk… Image
2) Healthcare workers in 🇬🇧 NHS - 122k of them — are really struggling with #LongCovid.

Teachers are too.
3) Now there is the issue of #LongCovidKids too... the American Academy of Pediatrics now recommends all kids to be examined for post #COVID19 assessment before any physical activity.
Read 4 tweets
6 Apr
Whoa—New study found active #SARSCoV2 in the intestines of children for up to 36 days—70% of infected children carried the active virus without showing any symptoms, giving worry to “invisible transmitters”. Of 22 cases, 20 were children under age of 6. 🧵
std.stheadline.com/realtime/artic… Image
2) Stool samples from a two-year-old who returned from overseas still tested positive after 36 days.

CUHK collected 17.5k stool samples and successfully detected 22 confirmed cases, of which 20 were children under the age of 6.
3) “After the child recovers, even if he has antibodies & the respiratory tract samples are negative, the intestinal tract can continue to carry the active virus for a long time, and the stool is positive for the virus, which may pose a risk of transmission.”
Read 14 tweets
6 Apr
WOW—first bilateral pandemic BUBBLE between 2 countries!

New Zealand 🇳🇿 & Australia 🇦🇺 can form a quarantine-free bubble because they both adopted a #ZeroCovid strategy.

Don’t say “but but—islands”. Vietnam 🇻🇳 is not an island, yet has zero #COVID19 too. Leadership matters! 🧵
3) If you elect competent leaders who doesn’t try to rip a country apart (cough, Brexit, cough), but instead led with compassion... you can rock zero Covid too.
Read 4 tweets
6 Apr
Variants exploding across Canada 🇨🇦 in just 5 days—let these sink in:

#P1 has doubled to 737 between March 30 to April 5th in BC.

#P1 has tripled in Alberta.

#B117 has ~doubled in Saskatchewan.

#B117 has soared 73% in Alberta.

🇨🇦’s hockey is now in pandemic danger. #COVID19 ImageImage
2) More than half the Vancouver @Canucks have been infected. Many bedridden. Reports some on IV fluids. These are HEALTHY YOUNG PROFESSIONAL ATHLETES! #P1 is just that serious.
3) Keep in mind that an NHL team like the @Canucks have strict safety protocols and almost unlimited PPE and testing budget. And yet a major outbreak still occurred.
Read 10 tweets
5 Apr
📍AIRBORNE RESTAURANT TRANSMISSION—3 families—“No close contact or fomite contact identified, aside from back-to-back sitting—Airflow dynamics indicates the infection distribution is consistent with a spread of **long-range transmission of exhaled virus-laden aerosols**”. 🧵
2) It was clearly aerosol airborne transmission— “No sharing of items (e.g., a kettle) was observed between the three tables and no conversations occurred between the three families.”

sciencedirect.com/science/articl… Image
3) here was the air pattern—“The infection risk was also higher for patrons at zone-ABC tables (red) than those at non-ABC zone tables (χ2 = 25.78, P < 0.001). None of the patrons seated in the non-ABC zone were infected.” Image
Read 13 tweets
5 Apr
Gosh—Over 122,000 🇬🇧 NHS personnel have #LongCovid, out of 1.1 million people in the UK were affected by the condition. What’s the #2 occupational group? 114,000 teachers. Many are unable to work full time because of Long #COVID19 illness & brain fog. 🧵
theguardian.com/society/2021/a… Image
2) “Patient care is being hit because many of those struggling with long Covid are only able to work part-time, are too unwell to perform their usual duties, or often need time off because they are in pain, exhausted or have “brain fog”.
3) “Ongoing illness can have a devastating impact on individual doctors, both physically and by leaving them unable to work—it puts a huge strain on the health service, which was already vastly understaffed before the pandemic,” said Dr Helena McKeown of British Med Assoc
Read 9 tweets

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