7 Jan, 7 tweets, 5 min read
🧵/Remember when I said that New York would end up with a higher total number of patients in the hospital because most hospitals already reported numbers that excluded *with* #COVID19? Well…
2/ ⚠️ As I said, the data reported to HHS already excludes hospitalizations *with* #COVID19. Here’s an apples-to-apples comparison of pediatric hospitalizations using HHS data vs. New York state data:
🔸Dec 19-Dec 24: +3 HHS overcount
🔸 Dec 25-Jan 1: -87 HHS undercount
3/ The difference stems from the fact that hospitalizations are the result of a simple equation:
# patients admitted - # of patients discharged

I wrote a short thread about this yesterday 👀⤵️
4/ With that knowledge in mind, let’s revisit this chart of pediatric hospitalization reported by hospitals in New York State ➡️ to HHS. Each bar tells you the number of children in the hospital on that day *for* #COVID19. The highest it goes is 252— keep that number in mind
5/ By contrast the state of New York says there were 339 hospitalizations *for* #COVID19 between Dec 25th and Jan 1st.

How do we explain the difference? Simple math…

source: health.ny.gov/press/releases…
6/ 252-339 = -87. What happened to those 87 hospitalizations?

This apples-to-apples comparison tells us that HHS’s daily snapshot “missed” 87 admissions for COVID-19 and 87 discharges for COVID-19 between Dec 25th and Jan 1st. Here’s a hypothetical illustration 👀⤵️
7/ ⚠️⚠️ Here’s why it matters: when I say that New York State is shattering its pandemic record for pediatric #COVID19 hospitalizations day-after-day-after-day, I’m not exaggerating. I’m saying it to flag a real problem that can’t/shouldn’t be dismissed as a data hiccup. 👀⤵️

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# More from @DataDrivenMD

8 Jan
⚠️ FDA says: don't swab your throat for rapid antigen tests that are designed to be used with nasal samples
Closed replies to this ^^ b/c misinformation was being shared, and b/c several replies ignored the text in the FDA's tweet— a sign of troll- and bot-like activity.

I answered some of the questions. For the rest, I urge you to read the FDA's thread (👀⤵️)
Several noted that other countries, like the UK and South Africa, recommend swabbing the back of the throat. Please note that the studies other countries use to support their guidance is based on tests available in *their* country— tests differ in the US, hence the FDA's notice
7 Jan
PSA: hospitalizations and admissions are fundamentally different metrics— they're not comparable. Example:

A hospital reports 100 COVID-19 hospitalizations on consecutive days. That could mean:
🔸0 admissions - 0 discharged
🔸100 admissions - 100 discharged
🔸any combo netting 0
^^That's just scratching the surface. There are #COVID19 admissions that may not count toward daily hospitalizations— like short stays lasting <24 hrs

From a patient's POV: they were hospitalized

From a reporting standpoint: daily hospitalization totals may not reflect the stay
^^Yet another nuance: the patient's condition upon hospital discharged. Are they deceased? Were they transferred to another hospital? Were they transferred to a subacute or rehabilitation hospital? Or are they able to go back to their daily routine?
6 Jan
🧵/NEW: Preliminary study findings suggest that “in addition to reducing the risk of acute illness, COVID-19 vaccination may have a protective effect against [#LongCovid]”
2/ “Of the 951 participants, 337 (35%) reported not fully recovering from the initial COVID-19 symptoms at follow-up. The most commonly reported symptoms at the time of follow-up were fatigue (22%), headache (20%), and weakness in arms or legs (13%)”

#LongCovid
3/ “After adjusting for duration of follow-up and presence of symptoms at baseline, a 54-82% reduction in reporting symptoms among those fully vaccinated for seven of the ten most commonly reported symptoms was detected (Table 3).”

#LongCovid
6 Jan
Look at it this way: at least now you know which public health experts and pandemic pundits are MAGA supporters behind closed doors.

I still can't figure out why the Biden WH keeps amplifying their hot takes, tho
What they're saying in public now is exactly how they've been talking in DMs & emails for 21 months. They don't give AF about working families or BIPOC communities. I've tried to show several of them how their policies fall short, but they honestly believe we should be *grateful*
I straight up asked one of them: "Do you believe racism is a public health crisis?" Their response was, "I feel like this is a trick question."

smh
5 Jan
::whispers:: Volunteers were doing this work since mid-March 2020 and I was in touch with senior Biden Administration officials in Nov. 2020…they went radio silent, and volunteer enthusiasm waned so the effort shuttered in mid-October 2021.
And yes, scam COVID-19 testing sites are a real problem— and they’ve been a real problem since the earliest days of the pandemic.
5 Jan
⚠️👀 “On days 0 and 1 following a positive PCR test, all of the antigen tests used produced false-negative results, even though in 28 of the 30 cases, levels of virus detected by the PCR test were high enough to infect other people.”
🔥🔥🔥 “In four cases, researchers were able to confirm that infected people transmitted the virus to others during the period before they had a positive result on the rapid antigen test.”

see: statnews.com/2022/01/05/stu…
Remember when I said “rapid antigen tests may be contributing to the spread of #Omicron