COVID-19: Immune antibodies vs T cells in protection

A very interesting study looked at which parts of the immune system are most important for clearing infections from the body ( science.org/doi/10.1126/sc… ). 🧵1/
The immune system has innate and adaptive immune responses ( ncbi.nlm.nih.gov/books/NBK26846/ ). The adaptive immune system remembers previous encounters with specific pathogens and destroys them when exposed again but is slow to develop on a first/primary exposure to a new pathogen. 2/
Specific clones of B and T cells have to become activated and could take a week or more before the immune responses are effective (this is why you are considered fully vaccinated 14 days after you get your dose). 3/
Since a full blown infection from some pathogens can occur in a single day, the first critical hours and days of protection from exposure to a new pathogen are provided by our innate immune system. 4/
The innate system does not respond to a specific pathogen but depends on a group of proteins and cells that recognize conserved features of pathogens and become quickly activated to help destroy invaders. 5/
T cells in the adaptive immune system destroy infected cells from inside, while B cells produce antibodies that clean up any virus found outside of cells ( news.yale.edu/2021/09/02/imm… ). 6/
Previously it was unknown the relative contribution of T cells and B cells during and after a COVID-19 infection. This study conducted a series of experiments on mice to determine which immune system responses played the most important role at different stages of COVID-19. 7/
@VirusesImmunity does a great job summarizing her paper here ( ). 8/

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More from @jeffgilchrist

8 Sep
COVID-19: UK decision not to universally vaccinate children 12-15

The UK's Joint Committee on Vaccination Immunisation (JCVI) recently announced they did not support universal vaccination of 12-15 year olds at this time ( gov.uk/government/new… ). 🧵1/
How did they come to a different conclusion than all the other countries who are already offering vaccines to those 12+ despite actually admitting that the benefits from the vaccine for 12-15 are "marginally greater than the potential known harms"? 2/
As usual, you need to look at the fine print and context they were using. First, they seemed to be using ICU treatment as their baseline and noted that only 2 healthy children per million need ICU care which was too small of a benefit ( washingtontimes.com/news/2021/sep/… ). 3/
Read 34 tweets
21 Aug
COVID-19: Understanding efficacy when majority of hospitalized are vaccinated

I keep seeing more and more people confused about the raw # of reported COVID-19 cases or hospitalizations of vaccinated people. 🧵1/
The conclusion that some people are drawing is that this must mean the vaccines don't work. Except that they do, and work very well. The problem is with understanding the math, context, and something called Simpson's paradox which I will explain below. 2/
How can the efficacy of the vaccine vs. severe disease be strong when 60% of hospitalized in Israel are vaccinated for example? Jeffrey Morris put together an excellent article explaining all of this, which I will summarize ( covid-datascience.com/post/israeli-d… ). 3/
Read 28 tweets
20 Aug
COVID-19: Ventilation and filtration in Ontario schools

The Ontario government previously announced that they would be adding HEPA filters to classrooms that did not have mechanical ventilation. They released memo B14 ( efis.fma.csc.gov.on.ca/faab/Memos/B20… ) to explain:
🧵1/
- Updated ventilation best practice guidance
- Details of the investment in and approach to allocating standalone HEPA filter units
- Introduction of a standardized school ventilation report.
2/
School boards are required to ensure ventilation systems in all schools are inspected and in good working order prior to the start of the school year, and continue inspection and maintenance throughout the year. 3/
Read 18 tweets
19 Aug
COVID-19: Pediatric Hospital Admissions

I'm really hoping that anyone who doesn’t believe COVID-19 can be dangerous to children has seen what is going on in the USA now that schools have reopened with many jurisdictions are no longer requiring masks. 🧵1/
The USA continues to see spiking COVID-19 pediatric admissions to hospitals, now at 300 new children being admitted to hospitals each day and over 48,000 child admissions in the last year ( covid.cdc.gov/covid-data-tra… ). 2/ Image
Mississippi had almost 6,000 students test positive for COVID-19 in the last 2 weeks and 4500 cases at 803 schools in the last week alone which resulted in more than 20,000 students being quarantined last week ( mississippifreepress.org/14927/mississi… ). 3/
Read 20 tweets

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