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Tracy Høeg, MD, PhD Profile picture
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17 Jun, 6 tweets, 3 min read
I want to recommend @drjohnm as a good cardiologist to follow giving (what strikes me as) an honest take of post-vax myocarditis in young people.
His most recent podcast for @Medscape's This Week in Cardiology is an informative listen:
medscape.com/viewarticle/95…
1/5
3/5 I am not anti-vax (at all). I know a 37 year old in the ICU right now w/COVID who declined the vaccine & for this person, that was a risky choice (not to get vaccinated) but for healthy kids, we need to acknowledge their relatively very low risk of severe COVID.
2/5 "We have a.. number of definite cases of cardiac injury among previously totally normal kids & yet I'm not observing much concern...in the media..Compare the reaction to this vax-linked event with the extreme angst many experts displayed for myocarditis after COVID" @drjohnm
4/5 What is an otherwise healthy child's risk of developing severe COVID after they have already been infected, are immune (I would estimate essentially 0%) & should we be vaccinating them right now? Is 1 dose sufficient in kids w/no prior immunity? These are important questions.
5/5 Primum non nocere (x1000 in children).

For kids without high COVID risk, I would argue we needn't rush their vaccination until we have more information about the above.
Also, I agree with every word in this wonderful article by @MartinKulldorff and Jay Bhattacharya published today in @thehill "all medical interventions should pass the test of providing more benefits than risks" thehill.com/opinion/health…

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More from @TracyBethHoeg

Tracy Høeg, MD, PhD Profile picture
18 Jun
Data update:
Risk of hospitalization for cardiac issues post vax in 12-17 year olds = 3.89x COVID hosp risk/week in this age grp
Risk of any cardiac issues (myo/pericarditis/elev troponin) post vax 7.84 x covid hosp risk/week for this age. VAERS data
w/ @KrugAlli & @ifihadastic
I will keep tweeting as we get more info to share (troponins, male vs female). Again, we need info on the true numerator here (VAERS typically underreports) and insight as to what % of these kids, if any, develop long-term heart issues. ? @drjohnm
I do not think it would be unreasonable for @CDCgov to pause vaccination of kids without risk factors in this age group as Germany has done. Also, let's not ignore the power of immunity from prior infection. I'll keep saying it: primum non nocere.
Read 4 tweets
Tracy Høeg, MD, PhD Profile picture
18 Jun
There were many self-reports with chest pain lasting days where no medical care was sought, so no diagnosis. What we are finding is a not insignificant risk of myo/pericarditis post vax, even greater in kids than younger people. My understanding is VAERS typically underreports.
We feel this risk should be acknowledged. My rec is to pause at least mandatory vaccines for otherwise healthy kids as Germany has done until we have more info. Also, it seems it would be a mistake to ignore natural immunity esp in kids, given (albeit low) myocarditis risk w/vax.
More info to come, including troponin levels for these cases.
Read 4 tweets
Tracy Høeg, MD, PhD Profile picture
18 Jun
Post-vax hospitalization risk for myo/pericaditis vs. current COVID hospitalization risk in 12-17 and 18-24 age groups. According to VAERS data, vax hosp risk in 12-17 yo = 4.26 weeks of COVID risk. Created with @KrugAlli and @ifihadastick. @CDCgov not meeting today but we did 🙂 Image
Here is the relative risk of *any* cardiac issues post vax (elevated trop/myo/pericarditis) vs. hospitalization due to covid by age group according to VAERS. We are going to separate by sex, include graphs on troponins. Would like to publish w/input of 1 or more cardiologists. Image
There were many self-reports with chest pain lasting days where no medical care was sought, so no diagnosis. What we are finding is a not insignificant risk of myo/pericarditis post vax, even greater in kids than younger people. My understanding is VAERS typically underreports.
Read 7 tweets
Tracy Høeg, MD, PhD Profile picture
5 May
Our @CDCDirector proposes the US should diverge from the rest of the world & @WHO guidelines & have children wear masks outdoors while playing contact sports like soccer.
Available scientific evidence indicates this will not help control the pandemic, but will be harmful. See 🧵
1. Study of >91,000 *youth soccer* players over last summer and only ONE transmission event suspected, lead author says not known if transmission was indoors or outdoors or actually from home. medrxiv.org/content/10.110…
2. Univ of Wis study looking at >30,000 high school athletes w/2390 COVID cases; 5 from school, 1 from sports. Sport mask use *not correlated* w/incidence (of course as only 1 case of covid spread during sports!). medrxiv.org/content/10.110…
Read 10 tweets
Tracy Høeg, MD, PhD Profile picture
12 Mar
This morning, I testified as an expert physician epidemiologist on COVID in schools for a House of Representatives Round Table. It was a fascinating and productive experience. To me, the most important messages were as follows:
1. It is counter-productive to blame school districts/teachers for prolonged school closures when the message we are getting from the CDC is that schools are not safe at X amount of community spread/X amount of distance between students/until strict ventilation standards are met
We scientists know none of the above are based in K-12 school reopening science. We need a unified message from our CDC that is evidence-based which facilitates opening asap with simple, straight-forward, achievable mitigation strategies.
Read 8 tweets

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