1. An update on #flu in the US, with data from @CDCgov for the week ending Jan 29.
For the second year in a row the warnings of a "twindemic" of Covid & flu haven't come to pass. There will be winters when we have to deal with both. But this year we may have dodged that bullet.
2. Currently influenza-like activity is "below baseline." That could mean we've passed the peak of flu season for winter 2021-22. That said, #flu B activity often occurs late in the season — sometimes into March & April. So there could be more flu later.
3. @CDCgov estimates that 1,200 people have died from #flu this winter in the US. And it has received reports of 5 deaths of children. In most regular years, there are somewhere between 100 and 200 children who die from flu.
4. It looks like (non-Covid) influenza-like illness activity in the US peaked the week ending Jan. 1 (left). Activity since then has eased. This is really early for the ILI map to have this much green in it.
5. The burden of #flu this year is really mild vis-a-vis regular years, as this graph on cumulative hospitalizations shows. This year hasn't been that much different from last year (when there really wasn't a flu season) or the 2015-16 season, which was unusually mild.
6. This week's @CDCgov #flu data are found here: cdc.gov/flu/weekly/

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More from @HelenBranswell

Feb 4
1. I'm listening to some presentations to #ACIP on myocarditis associated with receipt of Moderna's Covid vaccine or mRNA vaccines in general.
CDC's Tom Shimabukuro was asked about deaths. He said there were 13 deaths reported, but so far none are thought to be vax-related.
2. @CDCgov is doing a study following up on people who reported myocarditis after mRNA vaccination. CDC's Ian Kracalik is presenting on that study now.
3. No surprise by now, most of the people reporting myocarditis after mRNA vaccination were young males.
Read 13 tweets
Feb 1
1. Amazing statistic: In the 10 weeks since Omicron was discovered, there have been 90M #Covid cases reported — more than in all of 2020, says @drtedros at today's @WHO press conference.
2. A dangerous narrative on the pandemic has taken root, says @drtedros. With the availability of vaccines & the transmissibility of Omicron, some are assuming the need to fight to reduce transmission is either unnecessary or futile. More infections will lead to more deaths.
3. @drtedros said the #SARSCoV2 virus remains dangerous and continues to evolve. @WHO is monitoring 4 subvariants of Omicron, he said.
Read 5 tweets
Jan 28
1. A short #flu 🧵
Flu activity in the US remains low for this time of year. For the week ending Jan 22, 1.9% of samples tested for flu were positive. To put that in context, in the corresponding week in 2019-20, the positivity rate was nearly 28%.
2. #Flu activity in the week ending Jan. 22 was roughly equal to the previous week, @CDCgov reports. But transmission of other respiratory pathogens has declined, which have brought the epi curve for #influenza-like illnesses (ILIs) for this season almost back down to baseline.
3. It's early in the flu season for this kind of decline; there could be a rebound later.
Is the decline due to precautions people are taking to avoid Covid? Is Covid beating the other ILIs to the punch — it's infecting people before flu or other ILIs can? I'd love to know.
Read 6 tweets
Jan 21
1. A #flu 🧵 based on US data from @cdcgov.
Two children died from flu in the week ending Jan. 15, bringing to 5 the total number of pediatric flu deaths so far this season. It's a such a shame to see this feature of flu season return.
2. #Influenza-like illnesses dropped again last week. The further we get out from the holidays, the more likely it is that's a real thing, not an artifact of reporting delays. Is the Omicron wave crowding out flu? Are measures people are taking to avoid Omicron driving down flu?
3. #Influenza-like illness activity (which is #flu, RSV & a range of other non-Covid respiratory pathogens) is incredibly variable this year. It's unusual to see some areas reporting very little (green) & others lots (deep red). In a regular flu season, it's more homogeneous.
Read 5 tweets
Jan 14
1. A #flu 🧵, based on U.S. data for the week ending Jan. 8.
There has been another pediatric death from flu, the third this season. It occurred in the week leading up to Christmas. Pediatric flu deaths are still at very low levels relative to regular flu years, thankfully. Image
2. #Flu activity is still at low levels & it actually dropped last week. Is that because of data filing delays over the holidays? Because people are avoiding health care because of Covid? Or is Omicron somehow crowding out flu? Need someone smarter than me to answer that Q. Image
3. Hospital admissions for flu decreased a little last week. That probably suggests some decline in #flu activity.
Will flu activity pick up again? Most flu seasons don't peak until late January, into February. The size of the Omicron wave, though, could be an influence here. Image
Read 7 tweets
Jan 12
1. There is a new global flu report out from @WHO, so, a 🧵.
#Flu activity is picking up globally after the historic low levels seen in the first year & a half of the #Covid19 pandemic. In some places, WHO says, activity is now at levels see before the pandemic.
2. @WHO didn't stipulate which countries are experiencing as much #flu now as they would have at a corresponding time of the year in the pre-pandemic era. I've asked & will add the info if I get it. It could be in parts of Europe. This from @ECDC_EU.
3. The global positivity rate for the period from Dec. 6 to Dec. 26 was 5.2%, which is above where it was in mid-March, 2020 when #flu activity worldwide collapsed.
The new rate is based on more than a half-million diagnostic tests conducted across 110 countries.
Read 4 tweets

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