1. Europe is seeing an upswing in cases of an infection that has been linked to a polio-like phenomenon called #AFM — acute flaccid myelitis — according to a report today in @Eurosurveillanc. Enterovirus D68 is thought to trigger AFM in some kids. eurosurveillance.org/content/10.280…
2. From 2014 on, the US & Europe experienced cases of #AFM that left dozens of children dealing with some lingering paralysis after they had cold-like symptoms. AFM cases peaked every 2 years; but in socially-distance 2020, there was no surge. statnews.com/2021/02/04/doc…
3. Authorities in the US have been watching for #AFM this fall, figuring the loosening of Covid precautions & the return to in-person schooling could result in a spike in cases. So far this year that hasn't happened. Fewer cases than in 2020, even. cdc.gov/acute-flaccid-…
4. In Europe, detections of enterovirus D68 infections largely stopped earlier in the pandemic. But this fall has seen a surge in cases. So far no reports of #AFM, but 5 of the 139 D68 cases had neurological symptoms. Need to be on the lookout for #AFM, the authors warn.
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1. Fridays are #flu update days from @CDCgov. So here goes.
CDC says flu activity remains low but the agency reports a tiny uptick in flu activity in the week ending Oct. 30.
2. To be honest, I don't actually see that. In the week ending Oct. 30, 52 people tested positive for #flu out of nearly 33,000 people tested. There's not a ton of sunlight between the test positivity rates of the first 4 weeks of the 2021-22 flu season.
3. Last week 282 people were admitted to hospital across the country because of #flu infections. It was 288 the week before. This number has been pretty static since late May.
1. Good day. The Advisory Committee on Immunization Practices, #ACIP, is meeting today to review and vote on whether to recommend Pfizer's #Covid vaccine for children 5-11 yo.
The meeting is starting. It's expected to wrap about 5 pm ET today.
I'll be live tweeting.
2. The meeting opens with remarks from @CDCDirector, who called today a momentous day.
She acknowledges #Covid's risk to children is lower than adults, but it is not nil. 745 children under 18 have died; 94 were in the 5-11 age group.
School & childhood has been vastly changed.
3. @CDCDirector tells #ACIP that pediatric vaccination can help put kids' lives back on a normal track.
1. A short #flu interlude: @ECDC_EU released a statement today on flu in Europe warning of a potentially severe season looming for the elderly. It doesn't appear to be based on a ton, though flu activity seems to be higher than normal fo this time of year in Croatia.
2. @ECDC_EU's claim this might be a severe season for the elderly is based on the fact that most of the flu seen in the EU is H3N2, which is hard on seniors. This could be a bad year; no doubt about it. But this feels like not a ton of data on which to predict what's to come.
1. @US_FDA's Peter Marks opens the meeting acknowledging how heated the public debate on authorizing this vaccine for young children is. #VRBPAC members were hit with an organized campaign from anti-vaxers over the weekend. @DrPaulOffit told me he was getting an email a minute.
2. Acting #VRBPAC chair Arnold Monto, who is generally quick to cut off speakers when he wants to move the agenda onward, says lots of time has been allotted for today's meeting.
3. #VRBPAC is taking a short lunch break, till 1 pm ET. Then there's a 60 minute public comment period. Speakers are drawn by lottery, but I'd be very surprised if this isn't a very heated hour of comment.
1. The #ACIP meeting on #Covid boosters is about to begin. Day long meeting. It will be interesting to see if they try to put some guard rails up around a pick-your-own-adventure booster process that @US_FDA seems to have green lit.
I will try to live tweet, but no promises.
3. CDC Director Rochelle Walensky, who overruled #ACIP the last time the committee met on #Covid vaccines, is addressing the committee now. No mention of having overruled ACIP.
1. Gonna sneak in a little #flu info here. New global data from @WHO covering the period to the end of Sept. shows flu activity remains very low around the world. Where flu is detected, influenza B (Victoria) viruses seem to be the dominant viruses spreading.
2. Of nearly 250,000 respiratory specimens tested for flu around the world in the 2 weeks ending Sept. 26, only 2,022 were positive. That's a 0.8% positivity rate. #Flu will return & when it does, we could pay dearly for its hiatus. But not clear when the return will occur.
3. I'll add more to this thread after 11 a.m., when @CDC posts its weekly #flu report, FluView.
Here's a link to the @WHO flu report. who.int/teams/global-i…