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Ryan Hisner Profile picture
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9 Jan, 4 tweets, 2 min read
Hard to believe Walensky said this out loud—apparently intentionally.

I'm pretty sure if Trump had said this, all the major media would've been in an uproar for days or weeks—and rightfully so. Why is this not a major story? Has she apologized?
I thought this was a joke tweet, but I followed the link, and there it is, on page 5 of the CDC's 152-page list of "Conditions contributing to deaths involving COVID-19" through Dec 5, 2020: bird fancier's lung.
Reminder that there are people out there who have 4+ comorbidities entirely because they had Covid & never got better. If Omicron kills one of them, what fraction of a "healthy death" is their life worth?

50%?
25%?
10%?

Someone needs to ask Walensky.
On this topic, the thread below is a must-read. h/t @DFisman

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More from @LongDesertTrain

Ryan Hisner Profile picture
9 Jan
1/6 Important new study from Japan finds that with Omicron, infectious viral loads peak 3-6 days after symptom onset/diagnosis.

So many people are ending isolation & returning to work & school at peak infectiousness. Thanks, @CDCgov.

h/t @gianlucac1
niid.go.jp/niid/en/2019-n… Image
2/6 They looked at 21 cases: 19 vaxxed, 2 unvaxxed, 17 symptomatic, 4 asymptomatic. For the symptomatic, viral loads (by PCR Ct value) were much higher on days 3-6 after symptom onset than days -1 to 2. Furthermore, many samples still had high viral loads on days 7-9. Image
3/6 This is very different than what we'd seen with previous variants. Studies by @LucaFerrettiEvo, @DiseaseEcology, & others showed that peak infectiousness previously occurred the day before symptom onset & fell fairly rapidly thereafter. medrxiv.org/content/10.110… Image
Read 8 tweets
Ryan Hisner Profile picture
8 Jan
1/6 One remarkable but overlooked aspect of this already incredible case of long-range airborne transmission is that the index case was *asymptomatic* through the entire period. He had zero symptoms yet infected 3 people living in an entirely separate room across a hotel hallway.
2/6 ICYMI, this happened in a quarantine facility in New Zealand where cameras, genetic sequencing, frequent testing, & a controlled environment make the direction of transmission indisputable. Definitely worth reading the whole paper (it's not too long).
3/6 I still see Covid denialist claptrap claiming asymptomatic & presymptomatic transmission doesn't happen. This was partly fueled by an extremely flawed 2020 meta-analysis that somehow passed peer review & was published in JAMA. Breakdown below:
Read 8 tweets
Ryan Hisner Profile picture
2 Jan
1/ Monica Gandhi is living proof that, if you tell people what they want to hear, you will never lack for an audience, nor will you ever run out of major media outlets eager to disseminate your tripe—even if you've been embarrassingly wrong again and again and again.
2/ Gandhi has been minimizing the continuing threat of Covid and campaigning against mitigations and testing for many months now. She literally used the phrase "Delta variant, delta shmariant," at the end of an interview in late June. slate.com/technology/202…
3/ In the same interview, Gandhi's determination to purvey hopium, no matter the facts, led her to make the following remarkable—and false—statement about HIV. "I knew something else from HIV, which is that a virus can't keep on mutating forever."
Read 14 tweets
Ryan Hisner Profile picture
1 Jan
NYC Mayor Eric Adams, just before he pushed into a crowd of out-of-towners raucously celebrating the New Year: “It’s just great when New York shows the entire country how we come back." (1/5)
"Mayor-elect Eric Adams promised that New York City would soon lead the nation by example." (2/5)
Kindergarten teacher Jennifer Gaitan, while celebrating in Times Square: “In 2020 & 2021 we all had these high expectations, now we have to let come what may... It was my moral imperative to be here."

"Moral imperative"

Meanwhile... (3/5)
Read 5 tweets
Ryan Hisner Profile picture
30 Dec 21
1/7 Very important thread from an Indiana pulmonary/critical care doctor. Your choice to gather in large groups to celebrate New Year's Eve could mean someone else's death. If that sounds like hyperbole, read & share this thread. Indiana hospitals are operating on a knife's edge.
2/7 We are all potential links in the Omicron transmission chain—even those who've been infected and/or triple-vaccinated. Omicron spreads unlike anything we've seen. Even the triple-vaccinated are potential superspreaders.
3/7 Testing beforehand is better than nothing, but it is no guarantee that there will not be rampant transmission at your gathering, even if every single person tests negative.
Read 7 tweets
Ryan Hisner Profile picture
28 Dec 21
1/4 For about the 5th time, leading politicians & powerful medical authorities (e.g. @CDCgov) have decided that mass infection is preferable to inconveniencing "the economy," which is code for the interests of our wealthy overlords.
2/4 How have our previous attempts to achieve herd immunity through mass infection worked out? One could look to many countries, but Italy provides a good example.
3/4 Is there any limit to the number of times a strategy can fail, with devastating consequences, before politicians and public health leaders will acknowledge its utter failure?
Read 4 tweets

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