1. @GuHaogao & colleagues report on an apparent case of #Omicron transmission in a Hong Kong quarantine hotel. Traveler from South Africa tests positive 2 days after arrival; traveler from Canada who is located directly across the hall tests positive 4 days later.
2. Canadian traveler was 7 days into quarantine when he tested positive. Viral sequences were compared; almost identical.
Both travelers were twice vaxed with Pfizer in the spring.
Surveillance footage showed neither left their room, only opening doors for food, testing.
3. "Airborne transmission across the corridor is the most probable mode of transmission," the University of Hong Kong researchers (including @bencowling88) report in @CDC_EIDjournal. wwwnc.cdc.gov/eid/article/28…
4. This report reminds me of a similar event from Sept 2020 when transmission occurred in a quarantine hotel in New Zealand. Similarly collection of food from the hallway seems to have allowed airborne virus to move from one room to the other. wwwnc.cdc.gov/eid/article/27…

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More from @HelenBranswell

4 Dec
1. Short #flu thread.
@CDCgov's FluView came out today; data for the week ending Nov 27.
US Flu activity is ticking up. It's still not near most non-pandemic years, but flu is returning. 1.5% of clinical flu tests were positive, compared to .02% in 2020.
cdc.gov/flu/weekly/ind…
2. The data behind this chart give you a sense of the steady rise in flu positivity. In a pre-Covid year, you might expect to see a positivity rate of 4%, 8% or higher at this time of the #flu season, depending on whether the season was getting off to an early start or not.
3. So looking at the influenza-like illness curves, you can see that ILI rates (they include illnesses that are not #influenza) appear to be approaching the point where they cross the threshold into ILI season. But how much of that is flu?
Read 5 tweets
24 Nov
1. Short flu 🧵.
Global flu surveillance data for Oct 25 to Nov 7 was issued today by @WHO. It shows a small uptick of flu activity globally, with 100 national labs reporting 3130 cases among +400K tests. Internationally influenza B viruses (B/Victoria) predominate.
2. That number of positive #flu tests is a positivity rate of 0.78%, which is still well below what we'd expect to see at this time of the year, when flu transmission in the Northern Hemisphere normally builds. This graph (mine) compares positivity rates in autumn 2019 & 2021.
3. #Flu isn't the only non-#Covid respiratory disease spreading. Some areas are seeing a lot of RSV activity & other influenza-like illnesses. The lowering of the guard on Covid precautions will allow these other viruses to resume transmission.
Gonna be an interesting winter.
Read 5 tweets
24 Nov
1. "We must do better at sharing the fruits of science." @WHO Director @DrTedros at today's virtual press conference. It's important for all countries to have access to #Covid vaccines, but also rapid tests and therapies, Dr. Tedros said.
2. @DrTedros said no country or region is yet out of the woods when it comes to #Covid, pointing to the surge in cases in Europe where vaccination rates are reasonably high. He urged people to continue to take precautions against Covid, even if they are vaccinated.
3. @DrTedros points to next week's special session of the World Health Assembly — the WHO's governing body — to try to come up with a treaty or instrument designed to prevent or mitigate future pandemics. Tedros said he is heartened that there now appears to be a broad consensus.
Read 9 tweets
19 Nov
1. #ACIP will begin meeting at noon ET on the expansion of the emergency use authorizations for Pfizer & Moderna #Covid19 boosters.
The agenda is here: cdc.gov/vaccines/acip/…
The meeting can be listened to here: video.ibm.com/channel/VWBXKB…
I will be live blogging in this thread.
2. #ACIP is beginning. Roll call was conducted in an unusual fashion so I'm not sure I've got this right, but I think 2 voting members of the committee are not present (meeting was called at the last minute). So 13 members will be voting.
3. #ACIP is getting a bit of data on #Covid vax uptake in kids aged 5-11. So far nearly 2M kids have been vaccinated.
Matt Daley, chair of ACIP's Covid vax work group, says he's been talking to kids about vaccination. They're excited "not about the poke, but about the promise."
Read 33 tweets
11 Nov
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-…
Read 4 tweets
5 Nov
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. Image
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. Image
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. Image
Read 10 tweets

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