Oklahoma, this is bad.

Case positivity - 81.98%
Standing far above another other US state. 1/4 Image
Oklahoma - leading the nation in searches for ivermectin. Image
Case positivity has reached this high even with a rise in testing. Image
Cases may not be as high as in other states and vaccination (43% fully) is not as low as the gulf states, but this is the type of denial that lets COVID multiply. Image
(and of course the true number of cases is much higher than reported given the high case positivity)
Moreover, the case positivity is just getting worse and worse, nothing like this has been seen in over a year. Image
Absolute cases positive and case positivity. Image
Here is Mayo's data on case positivity, a more reasonable 35%. Case positivity is easily an artifiact of data collection and reporting. Image
Becker's use the same source (JHU), showing how low test reporting is in this dataset from Oklahoma, Iowa and other nearby states
beckershospitalreview.com/public-health/… Image
And here is another much more normal (but still too high) rate
covidactnow.org/us/oklahoma-ok… Image
Brandnew public health lab ribbon cutting in January stwnewspress.com/news/governor-…

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More from @InfectiousDz

2 Sep
Which countries are rolling out 3rd vaccine shots?
Israel offering 3rd doses currently to all vaccinated 12+
reuters.com/world/middle-e…
Starting in September, Germany will offer another dose of Pfizer or Moderna to older people, residents of care homes, and people with compromised immune systems — and also to anyone who was already fully vaccinated with the 2-dose AZ or single-dose J&J
nytimes.com/2021/08/02/wor…
Read 24 tweets
1 Sep
HIV made the news because yet another vaccine failed. The real story is the impact of COVID on HIV and in turn on COVID. Roll out of a new med worldwide, dolutegravir, delayed. Many missed appointments, refills, doses. Others weren't diagnosed.
This impacts not just HIV but COVID
The cascade of HIV care - learning diagnosis, starting treatment, returning for appointments and viral load testing, adherence, HIV viral suppression - has had interruptions over the past 1.5 years worldwide.
Worldwide we have seen drop offs in service delivery along this cascade of care.
theglobalfight.org/covid-aids-tb-…
This means people are missing their diagnosis, their meds, their control of the virus, and the chance to be healthy and also non-infectious
Read 13 tweets
26 Aug
There are always minor anomalies created by how data is collected and reported.

and then there's whatever happened on August 23rd in Uganda's case count reporting by JHU, FT, and Our World in Data
This did not reflect what Uganda's MOH reported on the 23rd, but there can always be a backlog of cases being identified and reported.
This is important, not just for Uganda, which was hit early by Delta, but also in best preparing for Delta in nearby countries, as the variant has been more recently forming surges elsewhere in East Africa.
Read 4 tweets
25 Aug
Here's the start of a list of tweets announcing new vaccine mandates.
France - digital pass, vaccine or test for cafes, restaurants, museums etc foreignpolicy.com/2021/07/27/fra…
New York City - digital pass vaccine (any WHO approved) or test in last week for restaurants, bars, museums, theaters, gyms vox.com/recode/2021/8/…
Read 51 tweets
23 Aug
Cote d'Ivoire has never been part a human Ebola epidemic. August 2021 has suddenly put Cote d'Ivoire in the middle of multiple contact tracing investigations. 1/n
In August 2021, a case was found in a traveler to Abidjan from Guinea, leading to investigation of contacts along route and in city. A new case is suspected in Burkina Faso and linked to an area as far as possible from Abidjan on northern Mali border Image
Hopefully the case in Burkina Faso is simply a suspected case which tests negative. This is quite possible. There are not enough characters to list here all the diagnoses that can look like Ebola - yellow fever, malaria, Lassa etc
Read 12 tweets
1 Jun
Vaccine equity is not just about ensuring more doses. It's about more doses into more arms

Vaccines don't inject themselves. Funding for distribution and vaccination crucial

Vaccines that arrive free just before expiration will be feared to be a dump of what others do not want
Some areas where vaccination rates are the lowest are also those where substandard excess have been dumped as donations in the past. The protective response has long been jettisoning anything close to the expiration date.
Malawi has already incinerated 20K doses of thee vaccine that arrived less than 3 wks before expiry. WHO and AU had encouraged keeping doses as considered fine until July
Read 10 tweets

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