Kai Kupferschmidt Profile picture
Mar 23 23 tweets 15 min read
“The global increase in #COVID19 cases continues, driven by large outbreaks in Asia and a fresh wave in Europe”, says @DrTedros at @WHO presser.
"We all want to move on from the pandemic. But no matter how much we wish it away, this pandemic is not over."
“Even as some high-income countries propose a second booster dose, one third of the world’s population remains unvaccinated”, says @DrTedros.
“But there are some promising signs of progress.”
@DrTedros “In Nigeria, for example, vaccine uptake was dramatically increased when supply stabilized, and planning was done on how to effectively distribute vaccines”, says @DrTedros.
Goal remains to vaccinate 70% of population in every country by middle of this year.
@DrTedros On to Ukraine:
"Almost 10 million people, nearly a quarter of Ukraine’s population, have now been forcibly displaced”, says @DrTedros.
"The humanitarian situation continues to deteriorate in many parts of the country, and is critical in the Mariupol and Bucha districts."
@DrTedros “The disruption to services and supplies throughout Ukraine is posing an extreme risk to people with cardiovascular disease, cancer, diabetes, HIV and TB, which are among the country’s leading causes of mortality”, says @DrTedros.
@DrTedros "Displacement, poor shelter, and overcrowded living conditions caused by the conflict are also increasing the risk of diseases such as measles, pneumonia and polio, as well as COVID19”, says @DrTedros.
@DrTedros WHO’s response is facing hurdles.
“Access to many parts of the country remains blocked”, says @DrTedros. Also "serious cash-flow constraints in our ability to deliver life-saving support". WHO has received just $9.6 million against our appeal for $57.5 million over next 3 months.
@DrTedros One of the most horrifying counts these days:
"WHO has now verified 64 attacks on health care since the start of the war, and we are in the process of verifying further attacks."

"Attacks on health must stop”, says @DrTedros.
@DrTedros "We have concerns around the integrity and safe operation of nuclear and chemical facilities”, says @DrTedros.
“We continue to call on all sides to minimise the risk of a nuclear or chemical accident, which could have catastrophic consequences for human health"
@DrTedros .@DrTedros moves on to the humanitarian crisis in #Tigray, which is getting far less attention.
WHO had been waiting for permission to send 95 metric tonnes of medical supplies. It finally got that.
@DrTedros "If we can deliver these supplies safely, they will help people in desperate need, but much more is needed”, says @DrTedros.
“Only 4% of the needs for health supplies have been delivered. The region has been under siege for almost 500 days, with dire shortages of fuel and food:"
@DrTedros One of my favorite subjects now: Guinea worm eradication.
This terrible disease remains endemic in 5 countries in Africa.
At a meeting in Abu Dhabi this week, ministers from those countries "came together to commit to taking the action needed to eradicate Guinea worm by 2030"
@DrTedros In recent weeks in Europe with the lifting of restrictions and BA.2 taking over "transmission has taken off again in many, many, many countries”, says @DrMikeRyan.
@DrTedros @DrMikeRyan But "we're seeing that in countries with high levels of vaccination, especially in those most vulnerable, we're not seeing that translate into pressure on the health system into high rates of hospitalization and high rates of death”, says @DrMikeRyan.
@DrTedros @DrMikeRyan Same picture in Asia, says @DrMikeRyan:
"Countries that have high rates of vaccination amongst their vulnerable populations are weathering that transmission storm”. But where vaccination rate is low, "we've seen higher rates of hospital admission and death".
@DrTedros @DrMikeRyan Vulnerabilities of the 6,5 million people displaced within Ukraine are stark, says @DrMikeRyan:
- 27% of those households have an infant under 5
- 56% have a person over 60
- 32% have a chronically ill person
- 10% have a pregnant women
- 19.5% have a disabled person
@DrTedros @DrMikeRyan “I'm not even getting to the issues of mental health and trauma”, says @DrMikeRyan.
"Those people have suffered so there's an incredibly complex problem inside Ukraine as well”, he says, with a further 12 million people estimated to be in the zones of conflict and unable to move
@DrTedros @DrMikeRyan Out of a population of 44 million people over all, "half the population of Ukraine has either left the country, has been displaced within the country or is in the direct conflict zone”, says @DrMikeRyan.
"That's an incredible, shameful statistic 4 weeks into this invasion."
@DrTedros @DrMikeRyan Problems so far are “the tip of an iceberg of need”, says @DrMikeRyan.
“There's going to have to be a further massive scaling up of assistance within Ukraine in the coming weeks because I have never myself seen such complex needs so quickly in a crisis that is developed so fast"
@DrTedros @DrMikeRyan "We have experienced all kinds of bureaucratic restrictions”, says @DrMikeRyan on #Tigray:
"It is the responsibility of all parties to facilitate a process of giving access not to take away piecemeal small bits of a blockade and allow some aid to trickle in."
@DrTedros @DrMikeRyan “It shouldn't be upon the humanitarian community to have to constantly renegotiate and negotiate and then have bureaucratic blocks and stop, start, stop, start. This is not the way it's supposed to be”, says @DrMikeRyan
@DrTedros @DrMikeRyan "We are forgetting the basic principles of humanitarian law, when we end up in these interminable discussions about getting the most simple and basic access to populations who desperately desperately need us”, says @DrMikeRyan.
@DrTedros @DrMikeRyan And @DrMikeRyan adds: “Nowhere right now on this planet is that situation being more precisely illustrated than in Ethiopia and Tigray."

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More from @kakape

Mar 24
Oh boy... this is a correction I really wish I didn’t have to write.

In my first big piece on misinformation in Science I ended up misinforming readers about a study on misinformation in Science.
(I know. No irony there whatsoever.)


Let me go through it slowly:
So: In 2018, Science published a piece by @sinanaral, @dkroy and @CrashTheMod3 that showed that false news spreads “farther, faster, deeper, and more broadly than the truth”.

That paper is here:
science.org/doi/full/10.11…
@sinanaral @dkroy @CrashTheMod3 The result was often communicated as a very general “lies spread faster than the truth". But that's a bit of an overstatement. The Science paper specifically looked at news that had been fact-checked by sites like Snopes, so news that had gotten enough attention to warrant that.
Read 12 tweets
Mar 24
I’ve said a few times that how this pandemic has played out so far makes me think I cannot just remain an infectious disease reporter but have to understand/write about misinformation and how it spreads too.
So here is a first story (and thread) on this:

science.org/content/articl…
First off: Delving into a new field is the most daunting and the most rewarding part of being a journalist. It will take time to know this area as well as I know infections. So if you know of fascinating ideas, research, scientists out there, point me in the right direction…
So what have I learnt in this forst foray into the budding field of misinformation research?
Well, (no surprise to anyone who knows me): It’s complicated.

But a few basic points:
Read 17 tweets
Mar 9
“This Friday marks two years since we said that the global spread of #covid19 could be characterised as a pandemic”, says @DrTedros at @WHO presser.
“Two years later, more than 6 million people have died."
@DrTedros @WHO "Although reported cases and deaths are declining globally and several countries have lifted restrictions, the pandemic is far from over”, says @DrTedros.
"And it will not be over anywhere until it's over everywhere."
@DrTedros @WHO "@WHO is concerned that several countries are drastically reducing testing. This inhibits our ability to see where the virus is, how it's spreading, and how it's evolving”, says @DrTedros.
"Testing remains a vital tool in our fight against the pandemic"
Read 21 tweets
Feb 22
“We provide evidence that Omicron BA.2 reinfections do occur shortly after BA.1 infections but are rare”

Interesting preprint from Denmark looking at 47 cases of BA.2 infections coming shortly after BA.1 infection.

.medrxiv.org/content/10.1101/2022.02.19.22271112v1.full.pdf
Of these 47 cases:
42 (89%) were not vaccinated,
3 (6%) were vaccinated twice,
2 (4%) had one vaccination.

For comparison: In Denmark on the whole:
81% are vaccinated twice and 62% have received the booster.
None were hospitalized or died in follow-up period.
"Detailed information of symptoms was obtained for 33 of the cases, whereof most of them reported symptoms during both infections … The distribution of reported symptoms did not differ markedly between the two infections"
Read 8 tweets
Feb 21
I attended a little roundtable today with key people at @WHO ahead of this week’s 3rd #COVID19 Global Research and Innovation Forum. There was no news, but some interesting comments so a quick thread:
England dropping all restrictions came up of course.
“It's a period of great uncertainty”, @DrMikeRyan said.
“I think a lot of people even in the UK are choosing to wear their masks indoors, are choosing to wear their masks on public transport.”
“Whether their governments continue to mandate that activity is an issue for national policy. But I certainly know from my own perspective, I'll be wearing my mask on public transport and indoor spaces probably for a good while yet”, @DrMikeRyan said.
Read 17 tweets
Jan 18
After spending many weeks reporting on #omicron, I spent the first two weeks of 2022 having omicron.
It inevitably feels like a defeat of sorts after two years of avoiding the virus. But I’ve studied infectious diseases long enough to know that’s not helpful - or even the point.
Like many vaccinated and boostered people, I experienced a mild infection.
Of course I wonder what the experience would have been like with no prior immunity at all.
I’m privileged. I got three doses. One third of the world population has gotten zero doses so far.
Delivery of vaccines to low- and middle-income countries has been picking up and COVAX recently delivered its one billionth dose.
That’s good news.
But the way we have handled global access to vaccines overall has been bad.

Read 5 tweets

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