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Dr Noor Bari Profile picture
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20 Jul, 3 tweets, 1 min read
#TargetingZero🦠

The coronaviruses have a massive capacity to mutate. We must cut down transmission if we are to have any hope of preserving vaccine efficacy.

Meet AY3. Seems to be settling in and *dominating over* delta.
It’s possible that those were two seperate outbreaks in a community, where the AY3 group were partying and the Delta group took vows of being home bound…. but that does not seem likely. 🤔
The tug of war continues in Missouri… we will see which prevails. Delta or AY3.

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More from @NjbBari3

Dr Noor Bari Profile picture
19 Jul
Both @NSWCHO and @VictorianCHO have made me feel *VERY* reassured about some things today.
I was so pleased to hear Prof Sutton reveal the difficulties UK is facing with “opening up”. He has reassured us that this must be defeated, if we can. That this is a difficulty that we don’t want to accept lightly.

Dr Chant has said vaccines for kids are being planned for.
These are wonderful public health officials working under difficult circumstances.

I am also deeply grateful to all in the community playing their part with testing, getting vaccinated and reducing movement.

Make no mistake. You are saving lives.
Read 4 tweets
Dr Noor Bari Profile picture
19 Jul
@VictorianCHO just said they have seen transmission between strangers, sitting outside the *whole time*, at a sports event.

#COVIDisAirborne
#Delta
The cases were not seated near each other. Suspecting pinch point at the gates.
Suspected outdoor transmission at MCG and AMI stadiums. No known shared indoor time in more than one case.

I hope to see this written up when time allows.

#COVIDisAirborne
#Delta
Read 4 tweets
Dr Noor Bari Profile picture
18 Jul
When thinking about myocarditis, vaccines in children, and COVID-19 in children, it’s important to recognise that myocarditis is a recognised complication of COVID-19 and it is under-estimated in young fit people. Investigations should be done into the same for kids. ->
-> This study was done on young athletes. Symptom based diagnosis was less sensitive than investigations. We may be missing this in kids with COVID-19, although mild myocarditis changes often resolve spontaneously.

jamanetwork.com/journals/jamac…
The point being… the very rare myocarditis in kids from vaccine should be compared to the risk of myocarditis with COVID19 natural infection, and the myriad of other complications of COVID-19.
Read 4 tweets
Dr Noor Bari Profile picture
17 Jul
I have worrying news from Australia, which you may already know if you have been following.

TTI alone used to work to shut down clusters. Now a moderately tight lockdown and TTI together does not work to stop the outbreak. Has lead to a plateau of sorts instead.

#DeltaVariant
If we make a vaccine resistant strain that is as fast as delta and even less responsive to vaccines… it may become very difficult to stop outbreaks even with mitigations in place. Countries that can’t “lockdown” very strictly may be very hard hit.
For some countries “lockdown” means crops fail and famine…

It is VITALLY important that we urgently reduce transmission… NOW!
Read 6 tweets
Dr Noor Bari Profile picture
12 Jul
Dear colleagues.

Airborne disease control requires the professional advice of engineers.

It’s an actual thing.

Engineering.

Exams. Bits of paper saying you know what you are doing. Post graduate qualifications. Research. Regulations.

We shouldn’t make stuff up.->
It’s fine to ask questions, and cross pollinate knowledge… but at some point we have to also be humble and willing to learn.

If you have a building where airborne disease is spreading… the building needs fixing. Ask the building experts.
Indoor air quality and aerosol/particle control is something that engineers and scientists have been working on long before we started trying to apply it to COVID-19.

Disease control in buildings has been thoroughly researched by engineers and applied in hospitals too.
Read 4 tweets
Dr Noor Bari Profile picture
12 Jul
I need a hug. I have spent more than an hour on the phone to a loved one in the UK. The descriptions of everyday life there are terrible. From the mental health and moral injuries in essential workers and others, to the graphic description of how people’s health has changed.
On the TV screens joy… but in homes a sense of nervousness. Despite being vaccinated, people don’t really know what to expect as the third wave rolls in… and memories of trauma are as fresh as can be…
Particularly touching… watching a healthy taxi driver, that used to be chatty and energetic, shuffling to his car in the morning, to breathless for banter. 🥺
Read 8 tweets

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