📍The #B1351 🇿🇦 variant’s sudden outbreak in south London continues, now 44 cases. London starting “largest surge testing operation to date”, people who live, work or travel through area getting PCR & biweekly rapid tests. All positive PCR to be sequenced.
theguardian.com/world/2021/apr…
2) Why a concern? “The strain, named B1351, has been classed a “variant of concern” as it appears to be more resistant to existing vaccines. It carries a mutation, E484K, which helps the virus evade the immunity conferred by past infection or vaccination.
3) “South Africa suspended its use of the Oxford/AstraZeneca vaccine in February after the results from a small trial in young people suggested the jab prevented only 10% of mild or moderate disease caused by the variant.
4) The UK, which is administering the vaccines by AstraZeneca, Pfizer and Moderna, has primarily relied on the Oxford-made AstraZeneca jab in its rollout. But that is the one that does poorly against the B1351 for mild illness.

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More from @DrEricDing

15 Apr
MIXING SUBSTITUTE VACCINE—Germany 🇩🇪 has just approved a new move to give people aged <60 who have been given a first dose of the Oxford-AstraZeneca #COVID19 vaccine a different jab for their 2nd dose— approving Pfizer & Moderna for 2nd dose as substitute.
france24.com/en/europe/2021…
2) Germany announced on March 30 that it would no longer offer the two-dose AstraZeneca vaccine to people aged under 60 due to concerns over a possible link to rare cases of blood clots.
3) DPA news agency said ministers agreed at a meeting that people in the younger age group who received a first AstraZeneca dose before the March 30 announcement will be offered either the BioNTech-Pfizer jab for their second dose, or the Moderna vaccine.
Read 4 tweets
15 Apr
PAY ATTENTION TO BC🇨🇦—BC now reports “the highest age-specific incidence” in many ages. Teenage age 15-19 cases ⬆️84% in last 3 weeks; 20-29 ⬆️76%; Age 30-39 ⬆️83%. Positivity in ages 10-19 ⬆️~50%. Young adults also carry the most #B117 & #P1 & #B1351. 🧵
bccdc.ca/Health-Info-Si… Image
2) Isn’t this a pretty chart? Tell us almost nothing. From out of 10 pages of charts and tables, **zero** figures or tables on the 3 major variants.

Wait til we dig into those number. #bcpoli Image
3) In the abstract, barely any mention of the 3 key variants of concern... except for this blurb with ZERO context whatsoever...

...until the VERY last paragraph of the 10 page report. #bcpoli Image
Read 14 tweets
14 Apr
Whoa—🇧🇷 #P1 is now also surging in UK, despite #B117 (already 40-60% faster than old strain) being the 95-99% dominant variant. Newest data shows #P1 is now the *fastest* surging variant in UK—and making strong headway into UK against headwinds of #B117.🧵
assets.publishing.service.gov.uk/government/upl… Image
2) #P1 growth rate is the fastest in the UK according to latest variant technical report. Image
3) #P1 is also competing strongly and faster than #B117 in the Netherlands against #b117 headwind too.
Read 4 tweets
14 Apr
OUTCOMPETING the faster #B117—despite the contagious 🇬🇧 #B117 variant being >90% of all #COVID19 cases, #P1 🇧🇷 is still surging in underbelly—increasing faster than #B117 in 🇳🇱, displacing wildtype quickly. Same bad signal in BC🇨🇦 too. Need fast action! 🧵
rivm.nl/coronavirus-co… Image
2) In BC 🇨🇦, in just 4 days #P1 variant from Brazil 🇧🇷 has surged 57%, while #B117 only up 17%. Even on an absolute scale, #P1 is also outpacing B117.

Both signals worrisome. #P1 is speculated to be 2-2.5x faster transmission, while #B117 estimated to be 40-60% faster than wild.
3) One Brazil group estimates 2.5x faster transmission (150% increase) for #P1.
Read 5 tweets
14 Apr
VERY WORRIED—Runaway train #P1 variant still uncontrolled in British Columbia 🇨🇦—surging 57% in just 4 days! In contrast, other contagious 🇬🇧variant #B117 only up 17%. #P1 from🇧🇷 is outcompeting #B117 by absolute increase too! BC must act! #bcpoli #COVID19
ctvnews.ca/health/coronav… Image
2) #P1 clearly a crisis in BC. But notice it’s relatively new uptick in Ontario and Alberta too. This is a bad sign. Image
3) it is incumbent on BC Canada 🇨🇦 health leaders (@DrBonnieHenry @adriandix @jjhorgan) to contain #P1 immediately. Or else it endangers not only rest of Canada but also North America and maybe even rest of the world. #P1 is ~2-2.5x more transmissible—the fastest variant to date.
Read 12 tweets
14 Apr
We still don’t know if the 6 CVST clots out of 6.8 million J&J vaccinations in the US are really related. One thing we are more certain? FDA says “no cases of CVST with thrombocytopenia with the Pfizer/BioNTech and Moderna vaccines”. #COVID19 #CovidVaccine
boston.com/news/coronavir…
3) Also why did they pause? Here is the rationale. Digest it from the “shark gate” lens if it was found out later and we didn’t do anything before when it was suspicious.
Read 4 tweets

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