1. Short #MPXV thread, based on data from @WHO_Europe & @ECDC:
The Euro #monkeypox outbreak continues to grow. Of +5200 cases reported here, 29 were women — which seems to be an increase. 15 health workers among cases; not clear if exposure was on the job. monkeypoxreport.ecdc.europa.eu
2. This may not be new-new, but I haven't noticed this previously: @WHO has pushed back the date on its case definition for suspected #monkeypox cases. They'd previously said March 15; now saying since Jan. 1. Suggests they believe the outbreak started earlier.
3. These regular #monkeypox updates from @WHO_Europe & @ECDC_EU contain really useful information, like this breakdown of symptomology among cases.
4. I don't know what to make of the #monkeypox epicurve in the report, however. It's based on date of notification, not symptom onset. Don't think one can read into this a decline in transmission; expert opinion welcomed.
5. Adding to this #MPXV 🧵 with material from a new @WHO update.
WHO says to date there doesn't appear to be sustained transmission outside networks of men who have sex with men.
6. @WHO reports #MPXV cases globally; it no longer reports on the outbreak outside of endemic countries as a distinct entity.
It reports that as of July 4, 6027 confirmed cases of #monkeypox were reported this year; 3 of those people died.
7. The 3 #monkeypox deaths @WHO reports were in endemic countries: Nigeria (1) & Central African Republic (2).
The global deaths in 2022 are actually higher: the latest epi report from Nigeria lists 3 deaths as of July 3. ncdc.gov.ng/diseases/sitre…
8. The preponderance of #monkeypox infections globally this year have been in men; you can barely spot the female cases in this graph, which is based on data from 4397 of 6207 confirmed cases.
9. @WHO reports that to date 25 health workers have been among this year's #monkeypox cases. It's not clear if they were infected at work, though occupational exposure cannot be ruled out in at least some cases.
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1. Some thoughts on #H5N1 #birdflu in cows. A 🧵
A bunch of new herds were announced by a couple of states today — Colorado and Iowa. The former reported +5 & looks like it may have another pending; It now has 18 in total, maybe 19. Iowa reported 2 more, taking it to 10.
2. To the best of my ability to keep up — and that's being challenged — I think there have been 125 herds reported in 12 states since the end of March. This graph combines @USDA's numbers from yesterday with the newly reported herds from Colorado & Iowa.
3. But @USDA threw a wrench into the works today. It updated its exceedingly wonky #H5N1 #birdflu in cows landing site. Some things work better, but the cumulative number of herds was lowered by 4 (from yday) with no explanation. USDA now says 112 herds in 12 states.
1. @USDA posted an FAQ today about the federal order restricting movement of dairy cattle infected with
#H5N1 #birdflu. Interesting information therein.
A 🧵
New to me: USDA says 8 poultry operations in 5 states have had poultry outbreaks with the virus detected in cows.
2. Minnesota hasn't reported #H5N1 #birdflu in cattle, but it has had at least 1 poultry outbreak with the cattle virus, @USDA reveals. More evidence, probably, that the virus is far more widely spread than has been realized. The FAQ is here: aphis.usda.gov/sites/default/…
3. The federal order on the movement of dairy cows goes into effect 4/29. @USDA is setting what looks like an ambitious timeline for processing of tests, especially "non-negative" tests that must then go for confirmatory testing at the USDA lab in Ames, Iowa. #H5N1 #birdflu
1. Listening to an @ASTHO - @IDSAInfo - @CSTEnews webinar on #H5N1 #birdflu in cows.
Of interest so far:
— @USDA is monitoring feral swine; no detections of H5 so far.
— in the "small number" of samples tested to date, doesn't look like cows are shedding virus thru feces.
2. @USDA Rosemary Sifford said the infections are "mostly" being seen in lactating herds.
1 herd was found to be positive despite the fact there were no clinical signs among the cows.
Sifford said USDA doesn't yet know how long infected cows shed virus.
#H5N1 #birdflu
@USDA 3. Sonja Olsen from @CDC says there've been 6 infections detected in cats on dairy farms. Not sure I've seen the exact number. #H5N1 #BirdFlu
1. A 🧵 on #flu, #Covid & #RSV (mostly flu). The
#influenza-like illness season is pretty much over. The percentage of people seeking care for ILIs is below 2.9%, that dotted line. You can catch flu at any time of the year, but chances of catching it now thru the summer are low.
2. It's not just #flu. #Covid activity now is at low levels nationally and #RSV activity has declined to the point where @CDCgov says the season is ending. Hallelujah. cdc.gov/respiratory-vi…
3. It hasn't been a particularly bad #flu season, but the estimated number of hospitalizations for flu has been pretty high — one of the highest in recent years. (red line) The 2017-18 season, which was harsh, was worse. CDC estimates there were 370K hospitalizations this year.
1. A 🧵on #flu & #Covid activity trends based on reports today from @CDCgov. Most of the data is for the week ending Feb. 3. The #influenza-like illness (ILI) season seems to have peaked at the end of Dec, with declines in flu, Covid & #RSV since then. But the season isn't over.
2. There was a bit of an uptick in #flu activity in the central & south central US. It corresponds with an increase in flu B detections there. Pre-Covid, flu B often arrived in a late season wave. We may see that again this year.
Map on left is the week ending 1/27; right is 2/3.
3. An additional 8 pediatric #flu deaths were reported to @CDCgov in the wk ending 2/3. The season's death toll in kids now stands at 74, which is awful, obviously, but not as bad as most years pre-Covid. But if there's a lot of flu B activity, this number could climb.
1. Traditionally I've done #flu updates on Fridays, but given our new reality — #Covid is here to stay — & the expansion of data on @CDCgov's website, I'm going to broaden the scope going forward. Top line news: Lotta illness out there right now. cdc.gov/respiratory-vi…
2. Most parts of the country are ensconced in #influenza-like illness season right now. (Minn, what are you doing to stay so healthy?) This graphic doesn't just represent #flu activity; #Covid, #RSV & other ILIs are also captured here. @CDCgov's FluView: cdc.gov/flu/weekly/
3. #Flu is the most common bug making people sick right now, but there's a lot of #Covid going around too. (I know from recent experience.) #RSV is still fairly active but declining. This breakdown of what's causing most illness is seen both in positive tests & ER visits.