1/Infection-induced (a/k/a 'natural') #COVID19 immunity and vaccine-induced immunity are again in the news.

This is a fascinating area of immunology, with numerous twists and turns.

cdc.gov/coronavirus/20…
2/It can be hard to digest the data and make sense of the various studies. Thankfully, the @CDCgov is out with a new Science Brief that does just that.

I recommend this Brief for anyone looking for an overview of the current scientific evidence.

cdc.gov/coronavirus/20…
3/Here are the key details from the review:

- Fully vaccinated individuals and those previously infected with SARS-CoV-2 each have a low risk of subsequent infection for at least 6 months.
4/ -- Data are presently insufficient to determine an antibody titer threshold that indicates when an individual is protected from infection.

- At this time, there is no FDA-authorized or approved test to reliably determine whether a person is protected from infection.
5/- Though there is a wide range in antibody titers in response to infection with SARS-CoV-2, completion of a primary vaccine series, especially with mRNA vaccines, typically leads to a more consistent and higher-titer initial antibody response.
6/- Substantial immunologic evidence and a growing body of epidemiologic evidence indicate that vaccination after infection significantly enhances protection and further reduces risk of reinfection, which lays the foundation for @CDCgov recommendations.

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More from @nirav_mainecdc

2 Nov
1/Last Friday, the @FDACommissioner authorized @pfizer's #COVID19 #vaccine for children 5-11.

Tomorrow, an advisory committee to the @CDCDirector will discuss possible clinical recommendations for this vaccine.
2/@MEPublicHealth has been preparing for the arrival of this vaccine in #Maine.

One of the most common questions we receive is about the vaccine's safety.

Here is what parents should know today.
3/@pfizer's clinical trial supporting authorization enrolled 4647 children and followed them from an average of 2.4 weeks to over two months.
Read 13 tweets
26 Oct
1/It's good being back on Twitter. Since being back, I've been thinking about how/why misinformation proliferates so widely on social media like Twitter.

To adapt an old canard, Twitter is a medium because it is neither rare nor well done.
2/These qualities are simultaneously features and bugs. Twitter is ubiquitous and open to everyone, which makes it ideal for disseminating information. But Twitter is also ubiquitous and open to everyone, which makes it ideal for spreading misinformation.
3/The misinformation that concerns me is that which is driven by what I will call "gadflies."

These are individuals who do a bit of "research" on YouTube, or perhaps even via a pre-print, and then find a quote that accords with their pre-conceived notion (confirmation bias).
Read 25 tweets
15 Oct
1/It's time to take stock of where we are w/#COVID19 in Maine from an epidemiological perspective.

Let's start with the big picture. The PCR positivity rate is now 5.3%. One incubation period ago, it was at 4.5%.
2/A portion of that increase is attributable to less PCR testing.

Right now, the current daily PCR testing volume stands at 471/100K people. That's 13% lower than one incubation period ago, leading to a higher positivity rate.
3/Hospitalizations are thankfully lower, but still high. Right now, 166 people are in the hospital in #Maine w/#COVID19. 60 of them are in the ICU and 31 are on ventilators.

Two weeks ago, there were 211 people hospitalized, with 67 in the ICU, though 27 on a ventilator.
Read 6 tweets
2 Aug
1/It's important to consider the full picture when interpreting data on things like the % of people fully vaccinated who are hospitalized with #COVID19, or the fact that 74% of the cases in the P-town outbreak were fully vaccinated.
2/I have seen folks express concern upon learning, for example, that 45% of people hospitalized w/COVID19 are vaccinated.

"But I thought the vaccine keeps you out of the hospital? Is this evidence that vaccines aren't working?" No, it is not.

I'll walk through why here.
3/First, some basic assumptions. There are two Worlds, each with 1M people. And we'll consider the same infectious disease affecting each World, with the parameters below.

There is also a vaccine, with the effectiveness parameters noted below. These could all be changed.
Read 17 tweets
24 Nov 20
1/Good afternoon, Maine. Today is a somber day. @MEPublicHealth is reporting the deaths of 12 individuals w/#COVID19.

Their deaths brings the total number of individuals who have passed away w/COVID in Maine to 189.
2/In addition, #Maine logged 255 new cases of #COVID19, for a total of 10,799 individuals.

Right now, 105 people are in the hospital w/COVID. 43 of them are in the ICU and 9 are on a ventilator.
3/Our 7-day test positivity rate stands at 2.62%.

Roughly 1 month ago (10/24), it was 0.55%. #COVID19 #Maine
Read 6 tweets
24 Nov 20
1/I've previously referenced a study from Kansas' @KDHE looking at the impact of face coverings on reducing #COVID19 on a population level.

@CDCMMWR recently published the full analysis. cdc.gov/mmwr/volumes/6…
2/"After the governor’s executive order, COVID-19 incidence decreased (mean decrease of 0.08 cases per 100,000 per day; net decrease of 6%) among counties with a mask mandate but continued to increase (mean increase of 0.11 cases per 100,000 per day; net increase of 100%)..."
3/"...among counties without a mask mandate (nonmandated counties)."
Read 4 tweets

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