1. A #MPXV 🧡
The director of @WHO_Europe issued a stark warning today about the state of the #monkeypox outbreak. Case counts have tripled in Europe in the past 2 weeks, @hans_kluge said.
who.int/europe/news/it…
2. @hans_kluge also noted while the majority of cases are still men who have sex with men, infections are being reported outside of that demographic. There is no reason #monkeypox will restrict itself to spread within a single group. Given the opportunity to transmit, it will.
3. @hans_kluge appeared to predict the #monkeypox outbreak will be declared a public health emergency of international concern sometime soon. An expert committee met last week & advised against declaring a #PHEIC for now.
4. There have been 10 health workers infected with #monkeypox in Europe to date, but it's not clear if the exposure was through their work.
5. To date there have been no reported deaths among the +5400 #monkeypox cases in the outbreak that was first noted in mid-May in the U.K. map.monkeypox.global.health/country
6. As of yesterday, @CDCgov reported 396 #monkeypox cases β€”Β an increase of 13% from the previous day. Cases have been reported from 29 states, DC & Puerto Rico.
cdc.gov/poxvirus/monke…
7. As of today, @UKHSA is reporting 1235 #monkeypox cases, most in England & most of those in London. Of cases for which the gender is known, 5 are female.
8. A #monkeypox update from @WHO_Europe & the @ECDC_EU has useful data on symptoms that cases are manifesting.
monkeypoxreport.ecdc.europa.eu
9. HHS has ordered 2.5M more doses of Jynneos, the Bavarian Nordic #monkeypox vaccine. It's frankly very hard to keep straight what is a new purchase vs instructions to deliver doses that were previously paid for & in storage. This brings to 4M doses the US will get in 2022-23.

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More from @HelenBranswell

Jun 23
1. #ACIP is talking #monkeypox right now. Gonna try to live tweet.
This is the prior history in the US with #MPXV.
2. "Everything changed in May of 2022," @CDCgov's Agam Rao tells #ACIP.
3. The US #monkeypox case total is up to 176, @CDCgov says. There is some local transmission occurring, Rao said.
Read 18 tweets
Jun 18
1. #MPXV 🧡
@WHO has issued an update on the #monkeypox situation. In it they announce they're no longer going to report cases from the outbreak outside of Africa; rather, they're going to report all reported cases of/deaths from MPX together.
2. The rationale is clear: why should #MPXV cases in some countries be treated differently β€” treated as if they are more important β€” than #monkeypox cases in other countries? Makes sense & is just.
3. On the other hand, will this make it harder to track the outbreak? Isn't it possible there may be differences in cases that are caused by continuous human-2-human spread rather than animal-2-human events where spread stops after 1 or a few cases? Even if this is a DNA virus?
Read 9 tweets
Jun 17
1. Short #flu 🧡
Looks like flu activity in the US is finally declining pretty much nationwide. @CDCgov says it is moving to the shortened FluView format next week, the one it uses in the off-season. Typically is does that from May-Sept, but this year has been different.
2. A child died from #flu last week, the 29th of the 2021-22 flu season. That's a low number compared to pre-Covid years, but as this chart shows, flu has been making a return after its early Covid hiatus. That's bad news for kids and their families.
3. Even though @CDCgov says #flu activity is decreasing, +2000 people were hospitalized for flu last week. In mid-June,
Read 4 tweets
Jun 13
1. Short 🧡 on #PediatricHepatitis of unknown origin in kids.
@ECDC_EU & @WHO_Europe put out an update today on cases in Europe.
There've been 402 cases in 20 countries. 87 of those children have needed ICU care & 17 got liver transplants. ecdc.europa.eu/en/hepatitis/j… Image
2. Last week @WHO said it had been notified of 700 cases of #PediatricHepatitis globally & at least 10 deaths.
In Europe, 1 child has died. 78% of the children are under the age of 5. Image
3. The @ECDC_EU / @WHO_Europe update on #PediatricHepatitis has an epicurve that shows either date of onset of illness or hospitalization, depending on what info is available. It urges caution in trying to interpret what looks like a recent decline in new cases. Image
Read 4 tweets
Jun 10
1. A short #flu thread, being that it's Friday. So weird to be tweeting about flu in June.
@CDCgov says flu activity is increasing in some parts of the country, but on average, this sort of late season surge seems to be slowing. Finally.
2. Nevada, New Mexico (since early April!), Florida & DC seem to have quite a bit of #flu. But other places are really quieting down, notably in the NE.
3. Three more children have died from #flu, with the deaths occurring in mid-to-late May. The pediatric death toll for the season stands at 28.
Read 4 tweets
Jun 10
1. A short #monkeypox thread.
@UKHSA has put out a technical briefing on MPX. Still early days in the investigation & it's not as meaty as I hoped, but there are some interesting nuggets within.
It's here: gov.uk/government/pub…
2. This is one of few epicurves based on date of onset that I've seen. @UKHSA says their earliest case had symptom onset on April 8. They caution some things about the epicurve, though.
Like it's based on 265/320 cases known when the epicurve was constructed. Cases now at 366.
3. Another thing about the #monkeypox epicurve β€” you could conclude from looking at it that they might be getting their outbreak under control. Don't assume. @UKHSA says there's ~10-day delay at this point between the time someone develops symptoms & when UKHSA hears about it.
Read 4 tweets

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