Australia has been enjoying pre-pandemic life for many months except for few day "snap lockdowns."

Victoria, the 2nd most populous state, is now locking down for a week over ‘highly infectious’ variant outbreak (37 total cases)

1/

globalnews.ca/news/7897419/a…
The B1.617.1 variant first found in India, which is now in Victoria, is thought not to be as rapidly transmitting as the B1.617.2 variant that is now dominating in UK.

However, evidence from Australia suggests B1.617.1 is also a much greater challenge to control.

2/
There are two ways the variant seems different.

The first is a shorter time between being infected and infecting someone else.

"Our contact tracers are identifying and locking down first ring, second ring and third ring contacts within 24 hours.

premier.vic.gov.au/statement-acti…

3/
"That’s faster than ever. And yet this variant is still moving faster.

"The time between catching the virus and passing it on is tighter than ever.

4/
"The ‘serial interval’ – how long it takes between the onset of symptoms in the first and secondary case – is in many cases just over a day.

"And in just 24 hours, the number of cases has doubled.

Note: This is really fast and very disturbing.

5/
"We’ve seen other countries come up against these variants and lose. Badly. Places like Taiwan that have gone from no or very low cases to skyrocketing numbers in the space of just days and weeks – and now are struggling to get it under control.

6/
There is a second way this variant may be different, though it is far to early to tell. The initial case started from a traveler infected by the strain first found in India.

The problem is that they tested positive at least 20 days after entering quarantine.

7/
There has always been a long tail of infectious periods that leads to a small number of cases arising after quarantines. It is possible that new variants may significantly extend that period leading to a need to change quarantine policy and making it much harder to control.

8/
Here is the text:

"Officials have traced the latest cluster, the first in the state in more than three months, back to an overseas traveler infected with a variant first found in India, although the virus transmission path is still unclear.

9/
"The unnamed Victoria man tested negative after finishing his quarantine in neighboring South Australia and flew to Melbourne this month but tested positive six days after he arrived.

globalnews.ca/news/7897419/a…

10/
All countries should take note of the successful Australian / New Zealand strategy of few day "snap" lockdowns that are shorter than an incubation period but enable contact tracing to map transmission chains and gain control.

Fast and strong action wins.

11/
I stand corrected about the long incubation period, here is a news item that confirms he was infected while in the quarantine facility.

Thanks to @EyeWtaf

12/

7news.com.au/lifestyle/heal…
I don't know if this is being done or not. I would recommend putting ~$100 HEPA air purifiers in each room and along the hallways.

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More from @yaneerbaryam

27 May
Argentina imposed new lockdowns with mobility restrictions in most provinces May 22 to control the high surge in COVID-19 cases. Only essential activities are continuing. Social, economic, educational, religious and sports activities are suspended.

1/
xinhuanet.com/english/2021-0…
Turkey has acheived significant decline in cases using a 17-day lockdown. The biggest drops were seen in Erzincan, Istanbul, Karabük, Ağrı, and Karaman.

Relaxing restrictions should be done by region and not by sector. Vaccination helps but keep cases going down.

2/
Greece's decline is not nearly as significant. Time to take stronger action.
Read 4 tweets
26 May
Do Vaccines prevent severe disease and death? Yes and No

An exit strategy using vaccines and social action.

1/
The power of the vaccines has been a dramatic success in humanity’s fight against COVID. There has, however, crept into our conversations a misunderstanding about their effectiveness against severe disease that should be addressed.

2/
Originally, the studies of vaccines tested their action against severe disease and found 90-95% efficacy of the Pfizer and Moderna vaccines. The high efficacy translates into a 10 to 20 fold reduction in severe disease.

3/
Read 21 tweets
23 May
The US new cases continue to decrease in the US and are down to 30,000, deaths are now at 570 per day.

1/
BioNTech announces that it expects the vaccine it developed with Pfizer to be 70-75% effective against the Indian variant.

The continued effectiveness is good news but the reduction indicates the vaccine cannot by itself stop the pandemic.

2/
The pandemic can be stopped by a combination of vaccination and other measures. The key is still to make a decision to achieve elimination.

3/
Read 5 tweets
21 May
Terrible consequence of the new mask CDC guidance is that people cannot protect themselves from infection.

A person who is sick (even if they don't know it) should be wearing a mask to protect others. It is not just wearing a mask that protects a person from being infected.

1/
The new CDC mask guidelines do not follow the science. They are inconsiderate and cruel:

People who need/want to protect themselves cannot.

2/
It should be clear that prevention requires societal responsibility not individual responsibility.

3/
Read 5 tweets
20 May
Rapid short lockdown is a model for pandemic response

Liberty Times, Taiwan

1/

talk.ltn.com.tw/article/paper/…
Taiwan has been highly effective in pandemic control, so that there has been almost no community transmission since the beginning. The star of the show has been its quarantine system.

2/
The current rapidly growing outbreak of community transmission starting from a quarantine breach requires a different approach. There is benefit to learning from the experience of other countries.

3/
Read 20 tweets
20 May
While the UK's cases are about level overall, cases of the Indian variant are rising rapidly, nearly doubling in the last week:

bbc.com/news/uk-571461…
The UK plan to exit lockdown soon, may change in a few days depending on data about the Indian variant, which could keep the lockdown in place for longer.

Boris Johnson vowed to take strong action against any new variants entering the country.

2/
telegraph.co.uk/global-health/…
India reports over 267,000 new cases yesterday. While daily cases have decreased (from over 400,000), deaths continue to rise. With 4529 new reported deaths, India has seen the biggest one-day increase in deaths on record for any country.

3/
Read 6 tweets

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