1/ Colin Powell warned that HIV/AIDS posed “a clear and present danger to the world," that it was a global security issue.

Today the White House, Pentagon & intelligence agencies warn that climate change is a global security threat.

washingtonpost.com/national-secur…
2/
- China & others could take advantage of rising seas & melting glaciers
- drought & other extreme weather can spark conflicts and forced displacement—countries like China & Russia are poised to take advantage
3/ 11 countries in that category of acute risk: Afghanistan, Colombia*, Guatemala*, Haiti*, Honduras*, India, Iraq, Myanmar, North Korea, Nicaragua* & Pakistan.

* half in our backyard
4/ Meanwhile, climate change is set to become the “defining narrative of human health.”
thelancet.com/countdown-heal…

War, famine, drought, natural disasters, disease outbreaks to dwarf SARS-CoV-2:
washingtonpost.com/climate-enviro…
5/
- higher rates of heat illness➡️farmworkers to collapse in fields & elderly people to die in their apartments
- insects carrying tropical diseases have multiplied and spread
- more plant pollen in the air➡️asthma
- extreme flooding➡️cholera & other waterborne diseases
6/
- wildfire smoke spreading from CA to TX, OH, NY
- droughts intensify➡️crops fail➡️famine
- record-high temperatures in Pacific NW➡️69x higher patients in ER in 2021 than 2019
7/
- worsening El Niño weather patterns➡️millions of kids will go hungry
- air pollution➡️10s of 1000s of early deaths among Americans per year
- Amazon warming/deforestation➡️~11 million exposed to lethal heat by the end of 21st century
8/
- drought in Madagascar➡️more than 1 million people starving
- flash floods in Niger➡️exacerbating cholera epidemic
9/
- people sick from mold in their homes after hurricane/flood
- fungal illnesses on the rise, including antimicrobial-resistant Candida auris, Cryptococcus gattii, Coccidioides
10/
- mosquitoes, and with them, infectious diseases are spreading: Zika, chikungunya, malaria, dengue
- diarrheal diseases on the rise
11/
“Those who are being the most affected by the problem are those contributing least to the phenomenon of climate change,” he said. “That’s the thing we should all be staying awake at night thinking about.”
- Lachlan McIver, Doctors Without Borders
12/ Two decades ago, Colin Powell warned that HIV/AIDS posed “a clear and present danger to the world."

Today that threat is climate change.

Will we take action? Or will we prioritize short-term economic interests over long-term consequences?

I fear the latter.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Céline Gounder, MD, ScM, FIDSA

Céline Gounder, MD, ScM, FIDSA Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @celinegounder

22 Oct
1/ Important reporting by @snolen for @nytimes today:
nytimes.com/interactive/20…

We keep being told: "Yes, we know. It's not right. It's a really hard problem. We're doing everything we can."

No, that's not Facebook on disinformation (well, that too).

That's the USG & Moderna.
2/ It makes no sense when you want to maintain control over the technology.

You could TRAIN people how to make mRNA vaccines. Image
3/ Thanks to @DrTomFrieden, @Public_Citizen, @PrEP4AllNow, & @MSF_USA for beating the drum on this: Image
Read 25 tweets
22 Oct
1/ On mixing & matching COVID shots, by @KatherineJWu in @TheAtlantic:
theatlantic.com/health/archive…

If you're eligible for an additional dose of COVID vaccine, you can get whichever you want (Pfizer, Moderna, or J&J). Image
2/ There were only ~50 people in each 9-arm of the NIH mix & match study for a total of less than 500.

Moderna was given full-dose (100 mcg) in the NIH mix & match study, not half-dose (50 mcg) as approved for boosters.
Higher dose➡️more side-effects

Image
Read 5 tweets
21 Oct
1/ Some interesting slides from today's @CDCgov ACIP meeting:
cdc.gov/vaccines/acip/…

Waning immunity?
Or the Delta factor (more infectious, somewhat more immune-evading)?

Some of both.
But in 65+, it's the Delta factor.
2/ Also, those 65+ have a weaker immune response up front.

I'd expect to see the same among immunocompromised persons.

Immunosenescence is a form of immunocompromise.
3/ Why is there ⬇️VE vs hospitalization over time among those among 18-44 yo with 1+ non-immunocompromising chronic conditions?

Confounding by behavior?

If real, this would justify different eligibility criteria by race based on "weathering" argument:
washingtonpost.com/opinions/black…
Read 9 tweets
21 Oct
1/ @TheAtlantic's @KatherineJWu expands on B-cell immunology & antibodies:
theatlantic.com/science/archiv…

I've been trying, but I'm not sure it's getting through:
theatlantic.com/ideas/archive/…
newyorker.com/news/q-and-a/w…
2/
3/
Read 7 tweets
20 Oct
1/ This is what it's like to be a public health official in 2021.

Not only do you have to cope with the stress that the pandemic has created for everyone, you have to deal with this 👇🏾👇🏾👇🏾

naccho.org/uploads/downlo…
2/
3/
Read 9 tweets
19 Oct
1/ High-profile and fully vaccinated but immunocompromised:

Colin Powell’s death wrongly seized upon to undermine utility of coronavirus vaccines

washingtonpost.com/politics/powel…

Powell was 84 and had multiple myeloma, prostate cancer, and Parkinson's disease.
2/ 45% of people with active multiple myeloma developed an adequate response to the Pfizer or Moderna COVID vaccines in this study:
nature.com/articles/s4137…

That means that more than half of people with multiple myeloma who were vaccinated did not respond to vaccination.
3/ To protect people who are too young to be vaccinated, elderly & immunocompromised, it is essential that everyone around them ALSO be vaccinated & take reasonable precautions (masking, testing, etc).

People in civilized societies look out for one another.

w/@MSNBC's @nbcaaron
Read 5 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(