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Eric Feigl-Ding Profile picture
@DrEricDing
Sep 26, 2021 • 15 tweets • 7 min read • Read on X
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MISCALCULATION BY GOP—As an epidemiologist, I think Republicans might be killing off their voter base faster than they think. The #COVID19 death rate since June 30 in counties where Trump got >90% of the vote are 9.5x higher than where he got <10%—pretty strong. HT @charles_gaba Image
2) To be clear, as an epidemiologist, I present this because I am worried for all public health. There are plenty of people of both political parties dying. But clearly there is a strong geographic political skew. People need to vaccinate and mask, or else it will hurt us all. Image
3) This mass death trend in areas voting for authoritarians like Trump is also true in parts of Brazil 🇧🇷 that voted more of Bolsonaro. Not a coincidence conservatives in both US and Brazil are more often anti mask and anti vax.

poseidon01.ssrn.com/delivery.php?I… Image
4) vaccine rates heavily differ by red vs blue states. This is a main driver for sure. But also anti mask sentiments.
5) I’m seeing schadenfreude comments. Folks - we shouldn’t make them. In the end, who are anti vaxxers harming the most? The vulnerable children…
6) While kids die at a rate of over 1 in 10,000 infected cases… that is quite high! Plus, it is 6-8 fold higher CFR recently during the #DeltaVariant wave than last 18 months before Delta! (Notice RED vs BLUE).

Thus, please no schadenfreude on conservative areas dying more. Image
7) this is the disaster looming. From not just deaths and hospitalizations, but also #LongCovidKids
8) let’s reframe kids deaths this way—pediatric cancers are the leading cause of death in the US past infancy. #COVID19 deaths in kids is now on par with annual kids cancer death rates! Let that sink in. We don’t want kids sick or them to “learn to live with the virus”.
9) Some asked about top 10% vs bottom 10% by Trump vote… The #COVID19 death rate in the top 10% decile of the country voting Trump has been 5.3x higher than in the least-Trump voting 10%. — still huge. Every bar is ~10% of the US population. Huge death gap.

HT @charles_gaba Image
10) If seat belt mandate laws were introduced today, we might see the same resistance (just as we saw decades ago), and possibly huge differences in automobile deaths too.
11) HUGE drop in life expectancy in the US— it’s actually more than a year— it’s actually 2 full years of loss!
12) the gap in #COVID19 deaths between Trump districts and Biden districts is growing over time as vaccines are rolled out. Image
13) there are also certain right wing pundits who are worried about the unvaccinated GOP trend… they are expressing some concern too about their voting base. This concern is an epidemiological reality.

nytimes.com/2021/09/27/bri… Image
14) “Holy shit” is the right response. This is gonna hit red district hard once the fog clears of just how many people have died in rural areas. Not good.
15) The disinfo and misinfo in Trump voting district is becoming a “red slaughter” & “massacre”. I agree.

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More from @DrEricDing

Eric Feigl-Ding Profile picture
Feb 26
BREAKING—FDA suddenly cancels meeting to update next season’s flu vaccines, with zero explanations. Any delays will jeopardize next year’s vaccine supply chain. Image
2) Folks who follow me know that I’m no bullshitter. I criticized past pandemic response right and left, and have called balls and strikes without bias. And I often say things that doctors & epidemiologists are whispering among themselves but don’t say publicly. (Cough cough) ⬇️
3) While I don’t recommend hoarding… I think stocking up on flu antivirals, which you can obtain prophylactically (preventively) from doctors if you ask nicely why you’re high risk, can be a good idea. I know many doctors, epidemiologists and virologists who do for their family.
Read 6 tweets
Eric Feigl-Ding Profile picture
Feb 26
Doctors are debunking RFK Jr’s claim that 20 hospitalized measles cases in Texas are there for mainly quarantine. Doctors on the ground say the 20 kids hospitalized are having trouble breathing. Oh and they are all unvaccinated against measles, which RFK Jr neglects to mention. Image
2) RFK Jr told Trump today there’s now 2 measles deaths.
3) RFK Jr is a tear with his FDA today. A dark Darwinian future lies ahead for America.
Read 4 tweets
Eric Feigl-Ding Profile picture
Feb 26
BREAKING—Reports coming in about potentially *2 measles deaths* in Texas, not just one, according to an HHS briefing to the White House today.
2) Earlier today, one measles death in an unvaccinated child was reported in Texas. Image
3) It seems to be RFK Jr who said it in an official Trump WH cabinet meeting today. Not saying he doesn’t lie, but he is now HHS Secretary
Read 6 tweets
Eric Feigl-Ding Profile picture
Feb 21
Woke or biology? There are actually more than the basic “male” XY & “female” XX sexes. Why? Because biology also creates people with single X chromosomes, or extra chromosomes like XXX, XXY, XYY, or XXX+, plus many 🧬genes. 👉All I’m asking is— please be kind to others. Thanks🙏 Image
Image
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2) “The most frequent SCAs include Turner syndrome (45,X), Klinefelter syndrome (47,XXY), Trisomy X syndrome (47,XXX), and Double Y syndrome (47,XYY).”

pmc.ncbi.nlm.nih.gov/articles/PMC10…
3) “The phenotype seen in SCAs is highly variable and may not merely be due to the direct genomic imbalance from altered sex chromosome gene dosage but also due to additive alterations in gene networks and regulatory pathways across the genome as well as individual genetic modifiers.”
Read 5 tweets
Eric Feigl-Ding Profile picture
Feb 16
I'm shocked a lot of doctors don't know about this newer flu antiviral drug called Baloxavir (XOFLUZA)... that shortens your flu illness by 33%, and reduces your viral load by day 2, versus what a placebo takes 5-6 days to achieve. Baloxavir also seems superior to TAMIFLU (oseltamivir) for smashing your viral load on 2 day, achieving what takes Tamiflu 3-4 days. CDC even lists Baloxavir on their website as one of the top 4 drugs that it tracks whether it works against new flu strains (it works)Image
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2) "Baloxavir was associated with significantly more rapid declines in infectious viral load than placebo or oseltamivir (Figure 3A and 3B)."
nejm.org/doi/full/10.10…
3) Adverse events for baloxavir were no different than placebo. in fact theres even hints that it could be lower than Tamiflu.

"Adverse events that were considered to be related to the trial regimen were more common in oseltamivir recipients (8.4%) than in baloxavir recipients (4.4%, P=0.009)"Image
Read 13 tweets
Eric Feigl-Ding Profile picture
Feb 14
⚠️WORST FLU SEASON ever since 2002-2003 when we began to track flu (red, first graph). Worst hit this year are children ages 0-4 and 5-17. ▶️We also have significantly LOWER flu vaccine uptake this year, one of the lowest flu vaccine coverages (red 3rd graph). Indisputable facts. Image
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2) I don't need to tell you that certain US states have vastly lower vaccination rates than others. See map (lighter green, less flu vaccination coverage), and which have higher (darker green)...

If you want to see details and demographics on which state has the LOWEST flu vaccine coverage rates... the data is here.
cdc.gov/fluvaxview/das…Image
3) It’s not just the flu that is going around… Gaines County, TX, where the epicenter of the measles outbreak is, has one of the lowest measles vaccination rates too.
Read 7 tweets

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