Christopher A. Longhurst, MD Profile picture
Sep 1, 2021 6 tweets 4 min read Read on X
💥 NEW DATA💥

1/ "Resurgence of SARS-CoV-2 Infection in a Highly Vaccinated Health System Workforce" published today in @NEJM details ↓ in vaccine effectiveness against INFECTION among @UCSDHealth employees - from 95%+ in the spring to 65% in July

👉🏽 nejm.org/doi/full/10.10…
2/ Our contact tracing team (led by @DrLucyEHorton) found virutally all known exposures were in the household or community. Few @UCSDHealth employees (mediage age 39) required hospitalization, but each is out 10+ days, creating staffing challenges, as well as additional exposures
3/ Unpublished analysis of cases through 8/26 shows continued ↓ in vaccine effectiveness, with Pfizer at just 49% - one of the reasons that @UCSanDiego has an indoor masking mandate 😷
4/ Analysis by month of vaccination also shows lower effectiveness for those who were fully vaccinated earlier compared to those vaccinated more recently (51% vs. 67%) suggesting waning of immunity and potential benefit of boosters
5/ Based on this data, our team believes that healthcare workers should be offered boosters as soon as possible, particularly as we experience continued record high patient volumes

6/ Many thanks to the entire @UCSDHealth team who helped make this happen, as well as @UofCAHealth @CAPublicHealth @CDCgov colleagues who reviewed data prior to publication

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More from @CALonghurst

Sep 24, 2023
Dr. Joseph Simone first published a set of maxims for understanding academic medical centers in 1999. They are so fundamental we often don’t know when we are stealing Joe’s lines.

Learn more about these famous aphorisms 🧵 (1/16) Image
Joe first published "Understanding Academic Medical Centers: Simone’s Maxims" as a Clinical Cancer Research editorial in September 1999 🧵 (2/16)

👉🏼 aacrjournals.org/clincancerres/…
Image
Highlights of Simone's Maxims - a 🧵(3/16)

Institutions Don’t Love You Back.

"One must keep in mind that institutional relationships are really with persons, who can and sometimes do love you back."

👉🏼 aacrjournals.org/clincancerres/…
Image
Read 16 tweets
Jan 7, 2022
1/ COVID (San Diego) Chronicles - Jan 7, 2022

A possible sign of good news this morning? Our 7-day rolling average @UCSDHealth dropped for the first time to 14.1%. Patient, employee, and student rates are all down, tracking with @NMartinUCSD models

2/ Staffing continues to be a huge challenge with 730
@UCSDHealth health employees newly diagnosed with COVID in the last 7 days; we are managing day-to-day thanks to heroic team members stepping up to help
3/ With 1,414 @UCSanDiego students and 473 campus employees testing positive in the last 7 days, university leadership made the decision to extend virtual learning until late January 👏 sandiegouniontribune.com/news/education…
Read 4 tweets
Jan 6, 2022
1/ COVID (San Diego) Chronicles - Jan 5, 2022

As we exceed 800 patients hospitalized with COVID across @SanDiegoCounty and 8000+ new cases just yesterday (!) how high will we go, and what's next?

A 🧵...
2/ According to @NMartinUCSD, who gave me permission to share her latest model, we will hit peak cases soon, but could see 1500-2500 hospitalizations across San Diego. My guess is that we will not exceed the 1800 of last winter, but time will tell 🏥🔮
3/ Yesterday @UCSDHealth set records for both the highest absolute total tests (almost 8k) and positive results (1,012) of the entire pandemic. On the bright side, the 12% positivity rate will actually drop the 7-day rolling average...
Read 5 tweets
Jan 3, 2022
COVID Chronicles - Jan 2, 2022

@SanDiegoCounty has over 600 individuals hospitalized with COVID - 2nd highest in the state (see fox5sandiego.com/news/coronavir…). We are on a steep trajectory and will soon surpass the peak of last summer's hospitalizations. Why?🧵
2/ First, South Africa and the UK saw fewer hospitalizations with their omicron surge, but ~25% of local cases are still delta according to data from @K_G_Andersen, so we are experiencing a twindemic of sorts.
👉searchcovid.info/dashboards/omi…
3/ Second, most inpatients have not had 2 doses of vaccine, and almost none have received 3 doses. We will be changing the logic of the @UCSDHealth dashboard this week to show booster doses since this is more effective for severe disease
Read 6 tweets
Dec 31, 2021
1/ COVID (@UCSanDiego) Chronicles - Dec 31, 2021

Remember 2 weeks ago when the wastewater signal predicted an "unprecedented" COVID surge? This is what it looks like @UCSDHealth today 📈

Unroll for NYE predictions for January (bad) and 2022 (good) 🔮

2/ Based on the steep rise and fall of the omicron surge in South Africa, many are predicting the same here. I am less optimistic because the @SanDiegoCounty surge is still ~25% delta, which will drive a longer duration with more hospitalizations 🏥

👉 searchcovid.info/dashboards/omi…
3/ The San Diego COVID surge is still ↑ with @UCSDHealth positivity rates at unprecedented levels, and @SDCountyHHSA reporting almost 6,000 (!) new cases yesterday. And we know this undercounts home testing...
👉 sandiegocounty.gov/content/sdc/hh…
Read 9 tweets
Dec 29, 2021
COVID (@UCSanDiego) Chronicles - Dec 29, 2021

1/ Y-axis changed just in time for a record high 638 positive tests (16% positivity rate) and a record high >10% 7-day rolling average @UCSDHealth
2/ We are beginning to see a spike in #COVID19 hospitalizations @UCSDHealth, which reflects infections from early or mid-December

👉🏻 cbs8.com/article/news/h…
3/ Virtually all hospitalizations @UCSDHealth for #COVID19 are still for delta variant; SEARCH Alliance data show that 30-35% of @SanDiegoCounty infections continue to be delta.
searchcovid.info/dashboards/omi…
Read 5 tweets

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