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Eric Feigl-Ding Profile picture
@DrEricDing
Jul 23, 2022 • 25 tweets • 16 min read • Read on X
⚠️BREAKING: at last—@WHO has finally declared the #monkeypox global outbreak a PUBLIC HEALTH EMERGENCY OF INTERNATIONAL CONCERN. The WHO leadership has overruled the committee that had voted 6-8. Thank you @DrTedros!
2) Sources inside the WHO say that YES votes for a PHEIC were mostly by those with expertise in #monkeypox, LGBT health, while those voting NO were by non-monkeypox-expert members of the committee. Thank god someone overruled that nonsense.🤦🏻‍♂️
3) My @TheWHN team has been advocating for an emergency declaration for #monkeypox for weeks. We were especially infuriated when WHO didn’t declare it last month. Our oped in the Washington Post…
4) “We have an outbreak that has spread around the world rapidly through new modes of transmission, about which we understand too little, and which meets the criteria” for a public health emergency, Dr. Tedros told reporters.

nytimes.com/2022/07/23/hea…
5) “The committee’s inability to come a consensus also highlights the need for a better process to decide which events represent public health emergencies. It is apparently the first time that the director general has overruled his advisers to declare a public health emergency.”
6) No longer contained to a single continent or found only among travelers, #monkeypox is undergoing community transmission in dozens of countries worldwide and spreading unchecked at an alarming rate.

Our oped 2 weeks ago:
@kavitapmd @yaneerbaryam
washingtonpost.com/opinions/2022/…
7) Nota bene— @CDCgov warns: “Young children (<8 years of age), individuals who are pregnant or immunocompromised, and individuals with history of atopic dermatitis or eczema may be at especially increased risk for severe outcomes from #monkeypox disease.” cdc.gov/poxvirus/monke… Image
8) Community & household transmission —just yesterday, CDC reports 2 kids now have #monkeypox. CDC notes again that kids <8 years old are at "especially increased risk" for severe disease. axios.com/2022/07/22/mon…
9) One month ago, my team at @TheWHN declared #monkeypox a *pandemic* emergency. While the @WHO has now agreed it’s an emergency, the WHO has not said it’s a pandemic yet. They still need to. In 2020, WHO only declared COVID a pandemic when it was too late in March 2020.
10) a month ago, many attacked @TheWHN for “fear mongering”. The lesson is that the arc of the moral universe is long—but precautionary is good.

Here is the full speech by @DrTedros outlining the reasons and next steps after #monkeypox PHEIC declaration

who.int/director-gener… Image
11) Everything is NOT fine with the #monkeypox global emergency. It’s going to get worse soon.
ourworldindata.org/monkeypox Image
12) A new study also suggests that the virus might be mutating 12 times faster than expected, and could lead to 60,000 new cases per day in the U.K. alone by the end of 2022.
13) How do you spot a #monkeypox rash? Here is how. See YouTube video explainer by Drs. @KashPrime and @lisa_iannattone
14) Even more worrisome is that the steepness of the #monkeypox epidemic curve is now worse for the US than many other countries of the world. Image
15) If our models (HT @JPWeiland) are right, we can easily see 100,000 cases by end of August and perhaps even higher soon in Sept. we have to slow #monkeypox ASAP!
16) Given #monkeypox cases rising faster in the US than most of the rest of the world, we need urgent US emergency declaration from Biden WH too. bloomberg.com/news/articles/…
17) We can either act fast and prevent enormous suffering, or we can let history repeat… let’s not please 🙏
18) there are those who can see a train wreck incoming… and those who cannot. Don’t be the latter. And demand better leaders - who have the courage to warn and to do the right thing for the greater good even when it’s unpopular. #monkeypox Image
19) A new @WHO reports finds that **72 children** have now gotten #monkeypox, despite limited testing.

Rash and fever are the most common symptoms. worldhealthorg.shinyapps.io/mpx_global/ Image
20) Where did #monkeypox come from? How was it discovered? It all dates back to 1958… fascinating historical thread 🧵.
21) are there non-MSM #monkeypox cases? Yes, some — but more in actuality due to surveillance bias in many countries that did not prioritize testing non-MSM folks until recently. But among that @WHO has tabulated… interesting. Note many unknown. Need more widespread testing. Image
22) America is winning!!! Not… #monkeypox
23) several weeks ago, I tried to warn everywhere I could that #monkeypox was coming — yet our complacent global leadership allowed this emergency to happen.
24) I have no words that can capture my fuming anger at this shit… new single day all time record high!!! #monkeypox
25) This is the ugly state of #monkeypox right now. And it’s only going to get worse until it gets better (with fast action). A US public health emergency declaration can do a lot to unlock and move resources.

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More from @DrEricDing

Eric Feigl-Ding Profile picture
May 2
Incredibly frustrating that the @USDA again failed to include basic information about H5N1 genetic sequences from cows. All data had dates and locations scrubbed out—only saying “USA” & “2024”, which is useless for scientists to analyze for mutation rates.
statnews.com/2024/05/02/bir…
Image
2) The fact that basic information — called metadata — isn’t being shared about the samples “hinders our efforts a lot,” said Gytis Dudas, a senior researcher in genomic epidemiology and metagenomics. Dudas is working with a group of U.S. and international researchers to try to make sense of what the genetic sequences say about the H5N1 outbreak in cows.
3) A number of scientists have openly questioned whether the USDA is deliberately withholding these data, or even removing more specific information. 🔥
Read 5 tweets
Eric Feigl-Ding Profile picture
Apr 27
⚠️CDC WARNING FOR ALL VETERINARIANS, POULTRY, DAIRY & CATTLE FARMWORKERS, SLAUGHTERHOUSE WORKERS—New CDC guidelines now released to use PPE for high risk bird flu exposure occupations (all recommended):

📌N95 respirators
📌Goggles 🥽 or face shield 🛡️
📌Coveralls or fluid-resistant aprons
📌Head covering
📌Rubber boots with sealed seams
📌Gloves

Furthermore:
📍Designated areas for changing PPEs
📍Do not eat, drink, chew gum, chew tobacco, smoke, vape, or use the bathroom while wearing above PPE
📍Shower after work shift
📍(see full list for more details).

Glad the @CDCgov is taking this seriously. You should too. And please don’t drink raw milk 🥛! #AvianFlu #BirdFlu #H5N1
cdc.gov/flu/avianflu/h…Image
Image
Image
Don’t do raw milk 🥛 please, for the love of god. I know there are many raw milk enthusiasts out there. But just take a pause until this is over? Don’t try to be a macho man about this.
3) try to drink either vegan milks like oat or soy or almond milk, or ultra pasteurized milk.
Read 9 tweets
Eric Feigl-Ding Profile picture
Apr 27
Seriously. Raw milk drinkers… don’t do it. We scientists are pretty damn sure there will be some degree of active virus inside raw milk. Cats have been infected on farms—via likely raw milk. And all 6 cats with bird flu have died of rapid neurological declines, says CDC.
Raw milk drinkers… 1% of all milk being non pasteurized worries me. Too much virus to be potentially circulating.
3) I’m sticking with either vegan types of milk, or ultra pasteurized just to be safe.
Read 6 tweets
Eric Feigl-Ding Profile picture
Apr 26
⚠️Bad signal—CDC confirming—“cats having neurologic symptoms, rapid decline, and death” from H5N1 #birdflu. 3 more cases in cats 🐈 on dairy farms… now 6 total. ➡️The prior 3 bird flu positive cats? All dead now. Likely more. This is mammalian adaptation.
bnonews.com/index.php/2024…
Image
2) I suspect cats are drinking milk from the dairy cows on the dairy farms. This is why we shouldn’t drink raw milk 🥛 currently. Even pasteurized milk, some scientists are unsure of because of lack of safety data. See thread 🧵 below.
3) Not just cats — certain dog breeds (like beagles are highly susceptible to H5N1 avian flu too. And such dogs can facilitate their adaptation towards humans eventually (since more dogs are around people than dairy cows).

pubmed.ncbi.nlm.nih.gov/20580396/
Image
Read 10 tweets
Eric Feigl-Ding Profile picture
Apr 25
📍Let this sink in—a world leading virologist @RickABright who has studied H5N1 bird flu says he is pausing all his milk consumption until he sees proof from both FDA & USDA that pasteurized milk is safe to drink. Pausing milk because of his concern over lack of transparent data.
Why are scientists pausing milk intake? Because there still isn’t enough data on safety of pasteurized milk. There has been data on other viruses in the past that survive pasteurization. See detailed thread 🧵 below.
3) also avoid raw and undercooked eggs for now just to be safe…
Read 15 tweets
Eric Feigl-Ding Profile picture
Apr 24
Testing conducted by the FDA on pasteurized commercially purchased milk has found genetic evidence of the H5N1 bird flu virus. ➡️But the testing, done by PCR cannot distinguish between live virus or fragments of viruses that could have been killed by the pasteurization process.

The FDA said it has been trying to see if it could grow virus from milk found to contain evidence of H5N1, which is the gold standard test to see if there is viable virus in a product. 📌The FDA *does NOT explicitly say FDA laboratories were unable to find live virus in the milk samples, but nevertheless it does state that its belief that commercial, pasteurized milk is safe to consume has not been altered by these findings.

(Sound familiar? Just like blanket assuming a virus “isn’t airborne”, “cannot transmit without symptoms”, “no human to human transmission” errors during COVID). That said, I will am hopeful that no live virus will be found in confirmation. But let’s be precautious.
statnews.com/2024/04/23/h5n…Image
2) PPE and safety googles or face shield recommended for dairy farmers and anyone handling raw milk 🥛. Also they warn about poor fitting respirators for children (who may work near dairy— like I used to help on a dairy farm as a kid in rural Pa). Image
3) people working with cattle 🐄 should also “avoid eating drinking smoking chewing gum in contaminated areas or touching eyes.” And people exposed should wear PPE should be monitored for symptoms for 10 days. Image
Read 10 tweets

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