“Public Health 101 failure”—CDC’s surprise mask-dropping guidance for fully vaccinated may have killed any effort to require blanket use in workplaces—a bitter disappointment to unions & safety advocates pushing Biden admin to tighten rules.🧵#COVID19
politico.com/news/2021/05/1…
2) “It’s a Public Health 101 failure,” said @drdavidmichaels, an epidemiologist who led Obama’s @OSHA_DOL. “By… ignoring the fact that many or most people in many settings will not be vaccinated, the CDC is causing confusion and setting back our efforts to stop this pandemic.”
3) Worker safety advocates now fear the Biden administration is abandoning its promise to issue stringent workplace safety rules employers must follow to protect their workers from the coronavirus, and experts in the field are bewildered.
4) “Who the hell knows what's gonna happen?” @jbarab, second in command at OSHA during the Obama administration, now retired, said of the pending emergency rules. “At this point, it's hard to see, you know, how OSHA actually releases this thing or what it's going to have in it.”

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More from @DrEricDing

21 May
📍Scientists have discovered a new canine coronavirus in a child who was hospitalized with pneumonia in 2018. If confirmed to be a human pathogen, it’d only be the world’s 8th coronavirus, and the first canine coronavirus, known to cause disease in humans.
nytimes.com/2021/05/20/hea… Image
2) It is not yet clear whether this specific virus poses a serious threat to humans, the researchers stress. The study does not prove that the pneumonia was caused by the virus, which may not be capable of spreading between people.
3) But the finding, which was published on Thursday in the journal Clinical Infectious Diseases, highlights the need to more proactively search for viruses that could jump from animals into humans, the scientists said.
Read 14 tweets
21 May
There is a #B16172 variant-driven surge in parts of 🇬🇧—Bolton (near Manchester), where cases are rising fast in children & young adults. Some say this is a fewer vaccination effect in kids, some say it’s a testing surge, but it’s not clear if just testing. Need vigilance & masks. Image
2) some argue it’s surge testing because positivity is flat. But I’m not sure. See, if positivity % is flat, but cases rising—that means the new excess cases is real. Only if positivity dropping would it be testing driven.

Positivity flat + more cases = real increase.
3) Nerding a little: So surge testing increases volume of tests, which finds more cases, yes—but if Positivity is flat, it’s then sampling same underlying case fraction—ergo actual incidence is (likely) growing. If P% dropping, then it’s oversampling and incidence likely not up.
Read 6 tweets
20 May
After 15 million doses of J&J vaccines earlier ruined by Emergent’s factory, it’s further revealed >100 mil doses are on hold as FDA checks for possible contamination. Emergent has long troubling record—but Trump WH awarded big contract anyway.🧵#COVID19
nytimes.com/2021/05/19/us/…
2) In more than three hours of testimony before a House subcommittee, the chief executive, Robert G. Kramer, calmly acknowledged unsanitary conditions, including mold and peeling paint, at the Baltimore plant.
3) He conceded that Johnson & Johnson — not Emergent — had discovered contaminated doses, and he fended off aggressive questions about his stock sales and hundreds of thousands of dollars in bonuses for top company executives.
Read 20 tweets
20 May
BREAKING—Oklahoma State Department of Health announced that it identified a cluster of 17 cases of the #B16172 variant, including 3 that were in fully vaccinated people. 2 others were partially vaccinated. Travel didn’t play a role.
oklahoman.com/story/news/202…
2) “Dr. Dale Bratzler, the chief COVID officer for the University of Oklahoma, said data indicates B.1.617.2 variant — also called an India variant for where it was first detected — is about 6 times [lower neutralization] than other variants to antibodies generated by vaccines.”
3) That said, “Department of Health officials said last week that vaccines are still thought to provide some protection against the India variant, and contact tracing efforts were underway to learn more about the infections.”
Read 9 tweets
20 May
TRAGIC—A key doctor & 12 of his family was killed in a Gaza air strike. Dr Abu al-Ouf was head of internal medicine at the Palestinian territory's main hospital, & oversaw al-Shifa's hospital response to #COVID19. The 12 dead included 2 of 3 of his kids.
bbc.com/news/world-mid… Image
2) As well as being in charge of internal medicine at al-Shifa hospital in Gaza City, Dr Abu al-Ouf oversaw its response to COVID.
He supervised the treatment of an entire ward of people with severe Covid-19 in a place where there are few specialists in respiratory illnesses.
3) He also trained students from two local medical schools. "To get someone as qualified as Ayman, you need at least 10 to 15 years of training," said Dr Zaanin, who named his own daughter Tala after his friend's.
Read 12 tweets
20 May
A top Japanese medical organization now calls to cancel the Tokyo Olympics saying hospitals are already overwhelmed as the country battles a spike in #COVID19 infections less than three months from the start of the Games. 🧵 Image
2) The Tokyo Medical Practitioners Association representing about 6,000 primary care doctors said hospitals in the Games host city "have their hands full and have almost no spare capacity" amid a surge in infections.
reut.rs/3tWE2jA
3) "We strongly request that the authorities convince the IOC (International Olympic Committee) that holding the Olympics is difficult and obtain its decision to cancel the Games," the association said in a May 14 open letter to Prime Minister Yoshihide Suga
Read 5 tweets

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