What is the fastest growing variant in the US currently? Not #B117 anymore (now #2)—it’s actually the #P1 variant from Brazil 🇧🇷.

So @NYCHealthCommr Dr @davechokshi is indeed correct when he rightfully pointed out #P1 is “growing” in New York City. #COVID19

(Figure from @trvrb)
2) In these states, #P1 variant is rising as fast or faster than even #B117. Look at Illinois especially, #P1 is now over 30% of all cases suddenly.

Most of these places as well vaccinated as NYC. Yet #P1 still growing.
3) Why so I worry about the #P1 variant so much? Because this is the estimated approximate efficacy against transmission by the major vaccines, according to @AliHMokdad of the renowned @IHME_UW epidemiology institute.

Zoom in—right column.
4) I also deeply worry about #P1 because I’ve seen what happened with #P1 in British Columbia 🇨🇦 last month after they ignored it. It was a complete cluster.
5) Yes #P1 started incredibly slow at the beginning. Didn’t look that alarming… yet we know how it ended.
6) Here is a better table of estimated vaccine efficacy from @IHME_UW’s @AliHMokdad — the colored boxes are estimated.

source: healthdata.org/node/8584
7) Here is the modeled growth of the #P1 (green) variant from Brazil 🇧🇷 in Belgium 🇧🇪.

Very similar to many other places.
8) Here is also Washington state (bordering the #P1 hotspot of BC Canada 🇨🇦)… #P1 is also growing. P1 is now 9.7% of all sequenced samples.

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More from @DrEricDing

2 May
India PM Narendra Modi's #COVID19 task force didn’t meet for months. His health minister @drharshvardhan assured the public that 🇮🇳 pandemic had reached the “endgame.”

Now, a 2nd wave has made India the worst-hit country in the world. Shortages abound. 🧵
nytimes.com/2021/05/01/wor… Image
2) Overconfidence and missteps contributed to the country’s devastating second wave, his critics say, tarnishing the prime minister’s aura of political invulnerability.
3) @narendramodi boasted to global leaders that his nation had triumphed over the coronavirus. India “saved humanity from a big disaster by containing corona effectively,” Mr. Modi told a virtual gathering at the @wef in late January.
Read 5 tweets
1 May
Overlooked—India’s overworked and underpaid crematorium workers, who often face caste-based discrimination as Dalits, are the invisible warriors of India’s #COVID19 crisis. The poorly paid & underappreciated undertakers in the overflowing crematoriums.🧵
vice.com/en/article/y3d… Image
2) The Dalit community is considered the lowest in the Hindu caste system, which is over 3,000 years old and divides Hindus into rigid hierarchical groups dictating their standing in Indian society.
3) They work 12-hour shifts, earning only Rs 10,000 ($134) a month, and can easily be spotted in crematoriums: unlike the families of the deceased, they rarely wear personal protective gear (PPE).
Read 19 tweets
1 May
Boosters for variants—UK 🇬🇧 has now ordered 60 million more doses to support a COVID-19 booster vaccination programme starting in the autumn, with Health Minister Hancock adding that the biggest risk to 🇬🇧 rollout so far was a new variant. #COVID19
reuters.com/world/uk/brita…
2) "We're working on our plans for booster shots," Hancock said.

"These further 60 million doses will be used, alongside others, as part of our booster programme from later this year, so we can protect the progress that we've all made."
3) “Earlier on Wednesday, Public Health England said the details of any booster programme were still being worked out, and it would be designed primarily with new variants in mind.
Read 5 tweets
1 May
Liquid oxygen—we know a major user of liquid oxygen is actually the space industry. Has anyone asked why can’t major rocket companies & space programs pause their rocket 🚀 launches that use liquid oxygen & divert them to India🇮🇳? Curious.

Asking for 1.3 billion people. #COVID19
2) I’m hearing comments about “medical grade oxygen”, but is that true? And can it not be purified somehow? I’m honestly wondering.
3) if it’s just oxygen tanks and the logistical transport, then surely equipment can be sent to India. But some articles say it’s the supply issue too.

google.com/amp/s/theprint…
Read 5 tweets
1 May
India 🇮🇳 recorded over 400,000 cases for the first time. Just 3 weeks ago, India only logged 100k a day. Quadrupling in 3 weeks is a log, even if it’s a dramatic undercount. The 3523 single day deaths is also a substantial undercount. #COVID19 #CovidIndia
ndtv.com/india-news/cor…
2) It’s time— to waive the vaccine patents. Time is of the essence. Life is of the essence.
3) Children are being orphaned by this humanitarian crisis in India. We cannot sit around. Waive the damn patents.
Read 5 tweets
1 May
📍Israel 🇮🇱 Health Ministry has identified 41 new cases of Indian #COVID19 variant, which experts say may be more contagious, including 4 who were vaccinated. 24 from abroad, but other 17 contracted via community transmission, including 5 schoolchildren.🧵
haaretz.com/israel-news/do…
2) Health Ministry statement said that new restrictions which would forbid Israelis from traveling to countries with high infection rates (save for exceptional cases) are awaiting approval from the relevant ministries before it can be sent to government approval.
3) Israelis returning from these countries would also need to quarantine, even if they have been vaccinated against or recovered from COVID-19. Foreign nationals from these countries would also not be allowed to enter Israel
Read 5 tweets

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