At this year's World Health Assembly, Australian Prime Minister Scott Morrison advocates ending the pandemic. This is in contrast to many officials planning to accept Covid as a permanent part of life.

We applaud P.M. Morrison.

1/

WHO announced greek letter naming for variants.

More attention must be paid to _eliminating_ all variants rather than tolerating them. If we eliminated COVID-19 --- which we CAN -- we wouldn't need to name variants at all. Intentional success is possible in a few months.

2/
Stigma for countries of origin makes no sense... At the rate we're going, every country will have its own dangerous variant soon.
The main issue isn't stigma over their variant -- it's that ALL countries are will suffer due to the continued tolerance of COVID!

3/
Of course, this is only if we continue following WHO's strategy. We could instead switch strategies, and choose to eliminate COVID.

4/
Meanwhile, Vietnam's new variant appears quite rapidly spreading. Authorities shut down flights to major cities, and neighbors like China tighten border security -- while WHO fails to recognize this as a variant of concern.



4/
Thanks to @geekblake for help in putting together today's update

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More from @yaneerbaryam

30 May
Vietnam this month has its largest spike in COVID-19 cases, possibly due to a newly detected variant combining mutations of the variants originally found in the UK and India. This past month has accounted for 50% of cases, and 25% of deaths.

1/
Sequence data is not yet released for the new variant, nor is there extensive analysis of whether the variant is more deadly or more vaccine-evading than previous variants.

2/
Religious events are now banned nationwide, and major cities have closed non-essential business and public parks.

3/
Read 6 tweets
29 May
Elimination as a global exit strategy:

Stable elimination of COVID-19, which allowed economies to fully reopen, was possible without vaccines, as described in this paper and demonstrated by multiple countries.

1/

nature.com/articles/s4200…

1/
The stability of elimination requires restrictions only in regions that had active uncontained outbreaks; uninfected regions can fully open up.

2/
With (partial) immunity from vaccines, elimination becomes that much easier, as the same restrictions are able to achieve a much faster rate of exponential decline in the number of infections.

3/
Read 7 tweets
28 May
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/
Read 13 tweets
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.

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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

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