Hospitals in Osaka, Japan buckling under a huge wave of #COVID19, running out of beds, ventilators, and even intubation medicine—as exhausted doctors warn of a "system collapse", and advise against holding the Olympics. Even only ~half of HCW vaccinated. 🧵reuters.com/world/asia-pac…
2) The speed at which Osaka's healthcare system was overwhelmed underscores the challenges of hosting a major global sports event in two months' time, particularly as only about half of Japan's medical staff have completed inoculations.
3) "Simply put, this is a collapse of the medical system," said Yuji Tohda, the director of Kindai University Hospital in Osaka.
4) "The highly infectious British variant and slipping alertness have led to this explosive growth in the number of patients."
Osaka prefecture had 3,849 new positive tests in 1 week.
That represents a more than 5-fold jump over the corresponding period three months ago.
5) By Thursday, 96% of the 348 hospital beds Osaka reserves for serious virus cases were in use.

The variant can make even young people very sick quickly, and once seriously ill, patients find it tough to make a recovery, said Toshiaki Minami, director of an Osaka hospital
6) conditions were dire as well for public health nurses…
"Some of them are racking up 100, 150, 200 hours of overtime for a year now...when on duty, they sometimes go home at one or two in the morning, and go to bed only to be awakened by a phone call at three or four."
7) Medical professionals with firsthand experience of Osaka's struggle with the pandemic take a negative view on holding the Tokyo Games, set to run from July 23 to August 8.
8) "The Olympics should be stopped, because we already have failed to stop the flow of new variants from England, and next might be an inflow of Indian variants," said Akira Takasu, the head of emergency medicine at OMPUH.
9) "In the Olympics, 70,000 or 80,000 athletes and the people will come to this country from around the world. This may be a trigger for another disaster in the summer."
10) Minami said a supplier recently told him that stocks of propofol, a key drug used to sedate intubated patients, are running very low, while Tohda's hospital is running short of the ventilators vital for severely ill COVID-19 patients.
11) Caring for critically ill patients in the face of infection risk has taken a serious toll on staff, said Satsuki Nakayama, the head of the nursing department at OMPUH.
"I've got some intensive care unit (ICU) staff saying they have reached a breaking point”
12) Osaka is seeing a surge with mostly #B117 from the UK. But want to know what is even faster and more dangerous than B117? #B16172 from India that is now dominating and replacing even the UK variant in UK. See thread 🧵
13) The pressure to keep the Olympics going is strong. Yet Japan is only 4.4% fully vaccinated. And Olympians will only be 80% vaccinated they estimate. Hmmm… it’s risky but I feel for both sides. I just worry…. forbes.com/sites/joshuaco…

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More from @DrEricDing

26 May
Tide is turning on the Olympics—Japan's Asahi Shimbun newspaper, an official Tokyo #Olympics sponsor, calls for the Games to be cancelled, describing the event as "a threat to health".

Organisers insist however that the Games are on.
sports.yahoo.com/japan-newspape… Image
2) The call comes with public opinion in Japan firmly against holding the Games this summer, and after prominent business leaders voiced their concern in recent weeks.
3) The Asahi daily's editorial urged Prime Minister Suga to "make a calm, objective assessment of the situation and make the decision to cancel this summer's Olympics".
The paper said it "cannot accept the gamble" of holding the event, despite organisers' assurances.
Read 6 tweets
26 May
⚠️UPDATED WARNING issued on #B16172 variant’s risks by UK’s @IndependentSage expert group—

“PHE reports paint a far more concerning outlook for the roadmap and require an urgent public health response… before the situation worsens further.” 🧵 #COVID19
independentsage.org/response-to-th… Image
2) First the report notes that #B16172 “its growth has outpaced all other tracked variants” (including faster than the already fast #b117 UK ‘Kent’ variant)
3) “methods estimate that as of 15 May, B.1.617.2 represented approximately half of all identified cases in England. Regionally, it was dominant in the North West (about 70% of cases), likely dominant in London, the South East and South West”
Read 16 tweets
26 May
French counterintelligence authorities are investigating whether the Russian government was behind an attempt to pay high-profile health and science bloggers (up to $2500/video) to sow public doubts about the safety of the Pfizer-BioNTech #COVID19 vaccine.
wsj.com/articles/franc…
2) previous study:

“Whereas bots that spread malware and unsolicited content disseminated antivaccine messages, Russian trolls promoted discord. Accounts masquerading as legitimate users create false equivalency, eroding public consensus on vaccination.
ncbi.nlm.nih.gov/pmc/articles/P…
3) “Public Health Implications. Directly confronting vaccine skeptics enables bots to legitimize the vaccine debate. More research is needed to determine how best to combat bot-driven content.”
Read 15 tweets
25 May
“The Queen has spoken” - the TV anchors when @Simone_Biles landed the Yurchenko Double Pike!

(This is the one so difficult that the Olympics refuses to award extra difficulty points for)
Image
2) NYT: Simone Biles executed a vault considered so dangerous that no other woman has attempted it in competition. For now, gymnastics limits the scoring rewards for trying it.

When the Olympian was asked why she does it, she answered, “Because I can.”
nytimes.com/2021/05/24/spo…
3) Biles is known for moves so difficult that several have been named after her. Her latest signature skill is called a Yurchenko double pike. She executed it with such speed that even "gravity seems to have been taken by surprise," writes @JulietMacur.  nyti.ms/3yBYcmg
Read 4 tweets
24 May
Residents in the epicenter of UK’s #B16172 variant outbreak, in Bolton 🇬🇧, told not leave the city unless it is essential, under new guidelines  published. Hospitalization soaring along with cases. 90% of all #COVID19 in Bolton is the worrisome #B16172. 🧵
theboltonnews.co.uk/news/19325835.…
2) look how much cases in Bolton has increased… 113% in one week. But many other places too. Bolton just the largest so far.
3) this is part of the bigger nationwide surge in the UK driven mostly by #B16172. See detailed thread 🧵 for more details of the outbreaks… ⬇️
Read 4 tweets
23 May
⚠️PAY ATTENTION to rising #B16172 crisis in UK—crucial because India variant affects us all. It is now ~50% of all cases in England, surging fast, especially in kids. Hospital #COVID19 ward in Bolton🇬🇧 filling up. “It’s too late to contain” @chrischirp 🧵
assets.publishing.service.gov.uk/government/upl… ImageImage
2) And key worry is that the surge in #B16172 is domestic community transmission. Not related to international travel. Image
3) And look at the growth rate! #B16172 variant is by leaps and bounds growing faster than any other variant. The previously fast #B117 is growing much much slower—5x slower than B16172.

There can be 2 reasons—higher transmissibility, or more reinfection / vaccine breakthroughs. Image
Read 24 tweets

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