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
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.”
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.
4) “The current R-value provincewide is one of the highest we've seen throughout the pandemic…. the rate of viral spread is really as fast as we've seen at any other point during the pandemic," said Craig Jenne, an immunologist at University of Calgary.
5) let this sink in—there is no place in the world that doesn’t ask a #COVID19 positive person to isolate—other than Alberta 🇨🇦. @CMOH_Alberta is that dangerous & irresponsible. When the first child dies from this, we will ask for your resignation. History will remember too. 👀
6) Dear concerned citizens of amazing Alberta 🇨🇦— we see and hear your grief today. The world has not forgotten you - and history will hold @CMOH_Alberta and @jkenney responsible and remember their heinously irresponsible acts during the pandemic in infamy.
7) Actually - I was wrong, there is another place equally crazy as Alberta — Saskatchewan 🇨🇦 also doesn’t require isolation for positive COVID people. Maybe @SKGov is the Texas of Canada?
⚠️’CANARY IN COALMINE’ mega outbreak. Many large public events in Massachusetts town in early July led to 469 #COVID19 cases➡️ 74% in **fully vaccinated**; 90% sampled #DeltaVariant. *Viral loads similar* in fully vaccinated vs unvaccinated. CDC worried.🧵 cdc.gov/mmwr/volumes/7…
2) What are the implications for public health practice?
➡️ “expanded prevention strategies, including **universal masking** in indoor public settings, particularly for large public gatherings with travelers from many areas with differing levels of #SARSCoV2 transmission.”
3) People were jam packed on Cape Cod— “Persons with COVID-19 reported attending densely packed indoor and outdoor events at venues that included bars, restaurants, guest houses, and rental homes.” ➡️ 14 days later… local cases went from *zero* to 177 per 100,000 !! ⚠️
💡Problem with #DeltaVariant—while vaccine is good—“it is not a bulletproof vest against you (vaxxed) carrying the virus and you spreading it to others.” ➡️When did I warn folks? Filmed July 2, 2021. When did CDC internal memo leak? July 29th, 2021. 😞
2) Continuing on @60Mins— “Although they [Israel] are 60% fully vaccinated, guess what—the rest of the 40% that are not fully vaccinated are still spreading the virus… and it’s leaking through part of the vaccinated to those people as well.” ~July 2, 2021
3) here is the latest @CDCgov report… what a mess. So much drama and so many cases and so much suffering could have been prevented has we acted faster. And why the hell did it take a leaked CDC internal memo to warn the world?!?!
2) “The war has changed” is very similar to the ‘Pandemic 2.0’ language that I have been warning for months and months now with #DeltaVariant. This is not your old slow Wuhan 1.0 strain anymore.
3) CDC internal report also reveals the results of an “CANARY IN A COAL MINE* unpublished Massachusetts contact tracing study revealing an outbreak of vaccinated to vaccinated transmission that was genomic sequencing confirmed. ➡️ why the hell is this not published yet?!?!?!
📍1 in 5–Breakthrough & “Persistent Symptoms”: in fully vaccinated health care workers, lower neutralizing antibody titers ➡️ breakthrough #SARSCoV2 infections. Most were mild, but persistent symptoms occurred in ~1 in 5 (19%) breakthroughs for >6 weeks. nejm.org/doi/full/10.10…
2) And this wasn’t even #DeltaVariant — this was the older winter #B117#alphaVariant from the UK 🇬🇧— so we expect #DeltaVariant to be maybe worse given the viral load. Also viral load only slightly higher in the breakthroughs.
3) Dr Hyde is right that it could be an overestimate since they probably missed a lot of asymptomatic cases. But still, even among symptomatic breakthroughs- that’s a lot.
🐘Smuggling elephant trophies & nonprofit corruption—LaPierres’ called for the elephants’ four front feet to be turned into “stools,” an “umbrella stand,” and a “trash can.” They deleted their names, shipped to a taxidermist, who trophied it for “free”. 🧵 newyorker.com/news/news-desk…
2) “Susan wrote back with a request: the shipment should have no clear links to the LaPierres. She told the shipping company to use the name of a taxidermist as “the consignee” for the items, and further requested that the company “not use our names anywhere if at all possible.”
3) “Susan noted that the couple also expected to receive, along with the elephant trophies, an assortment of skulls and skins from warthogs, impalas, a zebra, and a hyena.
📍”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… ⬇️