Vaccine trials for kids 5-11 expanded—possibly delayed. F.D.A. has asked the companies to include 3,000 children in the 5-to-11-year-old group, roughly double the original number of study participants. Unclear if EUA approval will be delayed or not. 🧵
nytimes.com/2021/07/26/us/…
2) Pfizer is on a faster timetable than Moderna, and may be able to meet F.D.A.’s expectations on a bigger trial size and still file a request to expand emergency authorization by the end of September. Reviewing all the safety and efficacy data will likely take FDA a few weeks.
3) Pfizer has previously said it expects to have results for the 5-to-11-year-old group in September, with results for children aged 2 to 5 shortly after that. A spokeswoman said Monday that the company had no updates on its timetable.
4) Many public health experts argue that, with so much attention focused on hospitalizations and deaths among older Americans infected with the coronavirus, the risk for children has been overlooked.
5) More than four million American children and adolescents have tested positive for the virus since the onset of the pandemic, the American Academy of Pediatrics reported last week. Of those, at least 346 have died.

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More from @DrEricDing

29 Jul
I now crown Alberta as the new ‘Florida of Canada 🇨🇦’ … get a positive #COVID19 test? ➡️ No need to isolate says new horrible rules by heinously irresponsible @CMOH_Alberta. ⚠️Meanwhile, COVID now spreading faster (RT=1.48) in Alberta than during peak of 3rd wave. #COVID19AB Image
2) “Health and infectious disease experts say the rate at which COVID-19 cases are growing in Alberta is alarming, as it spreads faster than during the height of the pandemic's third wave.”

google.com/amp/s/www.cbc.…
3) “The R-value, which represents the number of people infected by each infected person, was 1.48 (with a confidence interval of 1.38-1.59) in Alberta as of Sunday.
That number — which has doubled in recent weeks — means 100 people with the virus will spread it to 148 others.
Read 7 tweets
28 Jul
📍”It’s clear all the signals are that there are groups that need booster shots in a couple of months” says @Bob_Wachter. I agree. The groups most likely are: immunocompromised, have major risk factors, the elderly, and those who had gotten shots earliest.
2) “it’s up in the air… what is clear is that if you got J&J as your first and only shot, you shouldn’t get another J&J, you should get either Pfizer or Moderna” says UCSF chair of medicine, @Bob_Wachter, on need for booster for J&J.
3) Why boosters? Couple reasons: #DeltaVariant is more evasive, vaccinations wane after 6 months, and elderly need more protection. See detailed thread 🧵 on these issues… ⬇️
Read 4 tweets
27 Jul
📈NEW RULES—@CDCDirector Walensky announces new mask guidance, regardless of #COVID19 vaccination, due to surging #DeltaVariant:

📌Wear masks indoors, in public areas with ‘high transmission’ (why not all?)

📌All K-12 schools wear a mask indoors. More—🧵
2) “some vaccinated people infected with the #DeltaVariant after vaccination may be contagious and spread the virus to others.”

We have known this for MONTHS. A little late but better than never.
3) @CDCDirector: “the big concern is that the next variant that might emerge, just a few mutations potentially away, could eventually evade our vaccine… for hospitalization & death.”

note: breakthrough mild infections allows transmission too. #Maskup
Read 10 tweets
27 Jul
📍75% of hospital #COVID19 admissions were unvaccinated, 9% were fully vaccinated without immune deficiencies, 5% were vaccinated with immune deficiencies, 11% `unknown', for all #DeltaVariant-surge hospitalizations last week, says Dutch govt report. 🧵 nos.nl/artikel/239113… Image
2) No differences were detected among vaccines for breakthroughs in terms of the risk of being hospitalized while fully vaccinated. Netherlands 🇳🇱 uses 4: AstraZeneca, Pfizer, J&J, and Moderna -. ➡️ We need CDC to report this for the US now!
3) we are seeing #DeltaVariant penetrating vaccines a lot, even Pfizer, among one of the best vaccines out there. It’s still good for #DeltaVariant hospitalizations— 88% efficacy, but this is lower than 93% last month and 98% in May. Must stay vigilant.
Read 5 tweets
27 Jul
BREAKING—CDC reverses course—CDC is expected to recommend on Tuesday that people vaccinated for the coronavirus resume wearing masks indoors. The change follows reports of rising breakthrough infections with the #Deltavariant. ➡️ ABOUT DAMN TIME! #COVID19 nytimes.com/2021/07/27/hea…
2) the new guidance would mark a sharp turnabout from the agency’s position since May that vaccinated people do not need to wear masks in most indoor spaces.
3) As recently as last week, an agency spokesman said that C.D.C. had no plans to change its guidance, unless there were a significant change in the science. Federal officials met on Sunday night to review new evidence that may have prompted the reversal. cnn.com/2021/07/27/pol…
Read 11 tweets
27 Jul
Damnit - there are again ZERO ICU beds available in the state of Arkansas (one of the lowest vaccinated states in the US). This means many others beside #COVID19 patients in the hospital awaiting beds may die. #vaccinate please for the love of god.

2) Anyone else see a vicious cycles happening if we know Covid infection and hospitalization also leads to IQ drop?
3) what’s worse is when we no longer have hospitals beds for kids. Pediatric hospitalizations soaring in multiple countries with #DeltaVariant
Read 11 tweets

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