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Feb 18 • 6 tweets • 7 min read
The appearance of a child suffering from wild #polio in #Malawi is a bitter discovery. afro.who.int/news/malawi-de…
African nations years ago celebrated eradication of the virus, continent-wide. A key failure of the global eradication prog has been environmental surveillance...
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2/..in wastewater. We have the tools, they're easy & cheap, & everywhere in the world polio testing should be routine. Why? Because the virus is passed in human feces, even by some #vaccinated people. Routine monitoring is a must, but $ isn't there. doi.org/10.1016/S2666-…
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3/ Evidence of #polio in wastewater is clear.
In Israel pnas.org/content/115/45… and nytimes.com/2013/06/04/hea…
In Cuba doi.org/10.1093/ije/dy…
In Japan journals.asm.org/doi/10.1128/AE…
In Pakistan science.org/content/articl…
In Australia
theage.com.au/national/victo…
4/ I've long said that the #polio virus has a host -- perhaps bacterial or parasitic -- in the human gut. So eradication requires years of routine wastewater monitoring, in all countries. The @Rotary agreed, but @gatesfoundation puts its $ on vaccination. spokesman.com/stories/2019/m…
5/ And the @gatesfoundation role in mass-vax is terrific.
But there's a problem, and potential for #polio resurgent. Who will fund decades of environmental surveillance? Could polio resurge?
statnews.com/2019/08/19/cou…
and telegraph.co.uk/news/2019/04/3…
and
time.com/5432508/world-…
6/ The world over, authorities track #SARSCoV2 using sequencing surveillance of wastewater. Why don't we create an assay that picks up #coronaviruses + enteric viruses + #cholera + #polio ? I tried yrs ago to push this. Maybe #COVID19 is a political lever. news.stanford.edu/2020/12/07/was…

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More from @Laurie_Garrett

Laurie Garrett Profile picture
Feb 7
Thoughts about the strange forms of #SARSCoV2 found in NYC wastewater. Last week NY researchers published discovery of novel mutant forms of the #COVID19 virus that were resistant to existing antibody treatments & seemed to have come from animals.
MORE

nature.com/articles/s4146…
2/ As far as I know, nothing of this kind has been discovered in wastewater surveillance elsewhere -- just NYC, a very densely populated metropolis of nearly 9 million humans, >575,000 pet cats + 100s of strays, nearly 350K dogs & loads of rats & mice. The genetics...
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3/...argue against rodent sources. Is there active zoonosis going on in NYC betwn people & pets? Could it lead to emergence of a viable, antibody-resistant form of #SARSCoV2 ? Researchers: "these cryptic lineages could be relevant to public health & necessitate further study."
Read 4 tweets
Laurie Garrett Profile picture
Jan 19
"A @Quinnipiac poll found a majority of Americans – by a 58 to 37 margin – believe 'the nation’s #Democracy is in danger of collapse.' Some of that is right-wingers who think the 2020 election was stolen, but it’s 56 to 37% among #Democrats, too."
presswatchers.org/2022/01/where-…
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2/
 Critic @froomkin noted >1/2 of, "Americans consider it very likely (19%) or somewhat likely (34%) that there will be another attack like the 1 at the US Capitol on January 6, 2021."
Then he asked, "Where are the interviews w/regular Americans terrified for our democracy?"
AND Image
3/
 Twitterrati amazed @froomkin:
"I was struck by how many people responded by telling me that not only are they terrified, but that everybody they know is terrified, too."
I also hear this from most of my natl security cohorts, wondering why U.S. citizens aren't panicking.

MORE Image
Read 5 tweets
Laurie Garrett Profile picture
Jan 13
Reaction to #SCOTUS decision from @POTUS #JoeBiden
"As a result of the Court’s decision, it is now up to States & individual employers to determine whether to make their workplaces as safe as possible for employees, & whether their businesses will be safe for consumers..."
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2/
 "...during this #pandemic by requiring employees to take the simple & effective step of getting #vaccinated . The Court has ruled that my administration cannot use the authority granted to it by Congress to require this measure, but that does not stop me from..."
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3/
 "...using my voice as President to advocate for employers to do the right thing to protect Americans’ health & economy. I call on business leaders to immediately join those who have already stepped up – including 1/3 of Fortune 100 companies – & institute #vaccination .."
MORE
Read 5 tweets
Laurie Garrett Profile picture
Jan 13
FLASH
#SCOTUS hands down its ruling on #Biden admin #COVID19 safety mandates, and it's classic anti-Federalist "law" that could open the floodgates on all public health efforts. The majority of Justices ruled that Biden can mandate #vaccination and/or masking in...
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2/ healthcare facilities that receive fedl $ (#Medicare & #Medicaid), BUT can NOT issue mandates in the private sector. Specifically, #SCOTUS blocked #Biden reg that employers w/100+ workers require either 💉 or 😷 of all staff.
Majority opinion:
“Although #Congress ..."
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3/
 "...has indisputably given #OSHA the power to regulate occupational dangers, it has not given that agency the power to regulate public health more broadly. Requiring the #vaccination of 84M Americans, selected simply because they work for employers with more..."
MORE
Read 6 tweets
Laurie Garrett Profile picture
Jan 13
Mundane life in NYC as #Omicron rages:
- subways are shutting down all over the place because too many @MTA workers are home sick
- a snow "bomb cyclone" is forecast for Sunday & nobody's sure there will be enough snow plow operators to clear streets
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nytimes.com/2021/12/29/nyr…
2/
 - so many @FDNY and EMT personnel are out sick that response teams are down 30% & 911 operators say please don't call unless it really, really is an ER
- wind chill on Saturday will be 13 F -- cancel that safe outdoor dinner date
MORE
nytimes.com/2022/01/06/nyr…
3/
 - you bought tickets to concerts, plays months ago: now check daily to see which are cancelled, or resched
- friends ask if it makes sense to book a wedding/bar mitzvah/graduation party in May, or June, even July
- temp falls below 30 & you find K95 masks keep the face warm
Read 5 tweets
Laurie Garrett Profile picture
Jan 10
Let's compare NYC & Hong Kong #COVID19 experiences.

NYC population = 8.4 million; HK = 7.5M.
NYC is averaging >40K cases/day, totaling nearly 2M since Jan2020, with 35,883 deaths.
HK has had zero-to-7 daily COVID cases over last 8 mos, 12K since Jan2020 w/200 deaths.
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2/ What's the difference?

HK has strict border controls, testing, tracing and mandatory quarantines in hotels & detention centers, under observation, with jail for violators.
NYC, like rest of USA, has near-nil track/trace/test/quarantine in use. NY "control" - persuasion.
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3/ Of course, China shut the border with HK, sealing the City off from Mainland. And over last 2 yrs PRC has imposed a police state on HK. People have no choice but to obey mask, vaccine, quarantine laws.
But, most vaccination is with lousy Sinopharm & Sinovac which offer...
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Read 5 tweets

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