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. 🧵
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.”
4) fecal aerosol transmission recognized? Yes.

➡️9 infections in 3 families due to vertically shared toilet drainage pipes + aerosols from pipes.

To prove it, tracer gas was released into drainage system & shown to come out of other apt.

➡️Fecal airborne is real. #COVID19
5) It seems this septic gas system pipe issue is many unique problem to many condominiums.
6) We need to ensure U-traps of floor drains are not dried out. Dried out U traps allow virus aerosols to enter from another apt.
7) 18 years ago, the same thing with pipe issue led to a large outbreak of the old SARS in Hong Kong.
8) Any more fecal aerosol studies? Oh PLENTY. Here is another study that showed a U trap that dried out led to transmission of fecal aerosols via sewer pipes.
9) And to be clear, are fecal aerosols viable for infection? Yes, they are infectious.

10) Here is how fecal aerosols transmission between apartments in a high rise building works. It’s quite simple actually. It’s airborne thru the pipes - and ends up going thru any apartment with an empty U-trap drain.
11) Whether fecal or oral - the key thing is that the coronavirus is airborne! 6 feet not enough indoors.
12) Fecal sewage surveillance of the coronavirus is also become widely used. Here Ottawa 🇨🇦 used it to monitor their sewage for the virus levels.
13) Fecal transmission via a sewage pipe leak maybe also led to transmission in another outbreak analysis.
14) Finally, there was also evidence that the #SARSCoV2 was first detected in November 2019 in 🇮🇹—corroborated by both a case in a child & separately also wastewater positive samples in Italy during that same time.

Fecal virus surveillance & aerosol transmission are both key.

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More from @DrEricDing

8 Apr
Let this sink in—over **half of all intubated young adults** on ventilators now dies from #COVID19 in Brazil 🇧🇷. What’s odds last spring 2020? 1 in 3.

That is likely an effect of #P1 variant—not just ICU capacity because March 2021 wasn’t included yet. 🧵

(HT @terrence_mccoy) Image
2) What about overall chance of dying if intubated in Brazil 🇧🇷 hospital recently? 72.8%. Last spring—60%. Image
3) Brazil’s crisis is almost unimaginable. Brazil’s 4000+ deaths a day is significant - even though Us is 50% larger in population, Brazil 🇧🇷 is much much younger in age distribution compared to a much more elderly US pop. Thus it’s not just equal to 6k US—Brazil likely worse.
Read 10 tweets
8 Apr
🏒New—25 hockey players and staff of NHL Vancouver @Canucks team are now confirmed positive for #COVID19. All cases traced to a single source, which is an variant awaiting formal confirmation which type (previously #P1 mentioned by multiple reporters). 🧵 nhl.com/canucks/news/c… Image
2) “An ongoing investigation by Vancouver Coastal Health and club contact tracing staff attributes the source infection to a single individual obtained in a community setting, which has since been identified by public health as a public exposure location.
3) “The Canucks are grateful for the continued support of local public health officials, the NHL and NHLPA and encourage everyone to help prevent the spread of COVID-19 by following health orders. COVID-19 infections are rising in BC.
Read 12 tweets
7 Apr
Disgusting—While Brazil 🇧🇷 had 4000+ #COVID19 deaths yesterday, Bolsonaro today decided to bash LGBT on HIV, claims there’s no vaccine for all the world, none in Africa (false—many vaccine trials done in 🇿🇦), & continues to push unproven drug therapies.

#Sosbrazil #Sosbrasil
2) There is a reason why I said “Brazil is like a Fukushima, it can put the whole world at risk”. theintercept.com/2021/04/05/ent…
3) I agree with @MiguelNicolelis — Brazil’s COVID crisis is like a Fukushima disaster that is going out of control.
Read 4 tweets
7 Apr
Michigan confirmed new hospitalizations for #COVID19 has soared an alarming +43% in just one week!

It’s now more than double the national US per 100 bed rate (12 vs 5).

Nursing home staff cases also up +8% in one week. Positivity up 4% points in one week. Not good. Image
2) Moreover, hospital admissions among 18-39 year olds are also up substantial % in the last 2 weeks (see dark orange below).

healthdata.gov/Community/COVI… Image
3) Here is Michigan cases now versus one month ago... huge surge. #COVID19 Image
Read 4 tweets
7 Apr
📍HUGE STUDY—One in 3 #COVID19 survivors received a neurological diagnosis within 6 months of infection—1 in 8 with first ever diagnosis, says study of 230,000 patient records. Also COVID patients had higher risk of dementia, anxiety, Parkinson’s vs flu.🧵
thelancet.com/action/showPdf… Image
2) Across all patients, #COVID19 infected (vs other respiratory infections) yielded higher risk for these diagnoses:

📌brain hemorrhage
📌ischemic stroke
📌Myoneural/muscle disease
📌Substance use
📌Parkinson’s (vs RTI) Image
3) Moreover, the higher risks are not just for hospitalized patients. Even in **non-hospitalized #COVID19**, higher risks of these outcomes were still found:

Any brain hemorrhage
Ischemic stroke
Parkinson’s (vs flu)
Nerve disorders
Substance use
Insomnia Image
Read 5 tweets
7 Apr
💡Proposal—what if the Biden @StateDept authorized all US Embassies and Consulate abroad to share US #COVID19 vaccines? It could technically skirting the Trump WH contractual bans against donating & using them outside of “US Territories”. I hope @SecBlinken @ABlinken considers.
2) And not just US citizens would be eligible. But maybe there can be a section of US embassies / consulates that can offer it to non-Americans too theoretically if they came to the Embassy. There is no “citizens only” clause, just a “US territory” clause.
3) In addition, US military bases abroad. And maybe US entry Pre-clearance zones in which are considered as having “entered the US”.

I know embassies and military bases are still consider foreign soil, but they are under official US sovereign control. It’s grey area for sure.
Read 4 tweets

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