Dr. Lisa Iannattone Profile picture
Dec 9, 2022 27 tweets 7 min read Read on X
So if “immunity debt” — the covert disinfo version where the crisis is entirely pinned on the real but minor contributing factor of “2-3 cohorts of kids all catching it for the first time in the same year” — were real, which age group should be struggling most with the flu?
Which (pediatric) age group should be the least affected based on the “not disinformation” version of “immunity debt” defined above?
Given that 10-16 year olds should all have either caught the flu already at least once and/or been vaccinated, none should be flu-naive, so according the immunity debt hypothesis favored by pundits and politicians this group should be largely unaffected.
So here it is guys, another dagger through the heart of the “immunity debt” disinfo op. This is the breakdown of cumulative influenza hospitalizations in Canada to date for this season. Notice something weird? Age Group	Total 0-5 mo	57 6-23 mo	112 2-4 yr	203 5-9 yr	185
Other than the fact that these are only the numbers until Nov 26, 2022 and the number of hospitalizations is staggering, THIS is weird. This immediately stood out for me. More 10-16 year olds hospitalized than 6-23 month olds. Same graph as previous tweet with the 10-16 bar circled.
Hmmm maybe teenagers are more susceptible to severe influenza than I thought? So I clicked through all of the other seasons available, going back as far as 2014-2015 and this has never happened before. 10-16 years olds have never outpaced toddlers.
Cumulative influenza hospitalizations (all of Canada) — for the entire season — for 10-16 year olds:
2014-15 97
2015-16 117
2016-17 103
2017-18 182
2018-19 157
2019-20 nil
2020-21 nil
2021-22 56

2022-23 150 !! — so far! only up to Nov 26, 2022

canada.ca/en/public-heal… Graph of Danish RSV admissions by cohort showing the 20/21 c
In the same week (week 47) of the 2 worst seasons before this one cumulative flu hospitalizations for 10-16 year olds were at:
2017-18 — 9
2018-19 — 9
vs
2022-23 — 150

That number is 17x higher. A 1700% increase from the *bad* flu years.
Wait maybe it’s because the season started earlier this year?

This year’s season started week 43 while 2017-18 and 2018-19 both started week 45.
Let’s see:
2022-23 week 47 — 150
2017-18 week 49 — 13
2018-19 week 49 — 20

Do the math with me. That’s a **750% to 1150% increase**.
So what are the odds that no one in our pediatric hospitals or PH agencies noticed that there’s been a 750%-1150% increase in 10-16 years olds hospitalized for influenza? In our *bad* flu years there were 13-20 in the entire country, and now there are 150 and *no one* noticed? 🤨
I mean, the more I look at these numbers, the more the “immunity debt” (or “gap” or “cohort”) hypothesis looks like straight disinfo. Age Group	Total 0-5 mo	20 6-23 mo	62 2-4 yr	65 5-9 yr	61 10-Age Group	Total 0-5 mo	57 6-23 mo	112 2-4 yr	203 5-9 yr	185
Let’s do the math. These are the increases by age group for the worst season (2018-19) vs 2022:

0-5 months: 20 — 57 = 2.85x
6-23 months: 62 — 112 = 1.8x
2-4: 65 — 203 = 3.1x
5-9: 61 — 185 = 3.0x
10-16: 20 — 150 = 7.5x

Why are 10-16 year olds doing the most “catching up”? 🤨
“Immunity gap effect” has the same issue with RSV. It’s the wrong cohort “paying the debt”. It should be 2020/21 babies doing the “catching up” but instead it’s babies not yet born (21/22) or even conceived (22/23) that bear the lion’s share of the excess hospitalizations. Graph of Danish RSV admissions by cohort showing the 20/21 c
I elaborate more on why “immunity debt” (the version that very serious people keep falsely claiming fits the data and is a legitimate explanation for the surge in severity we’re seeing — nope 👎🏻) doesn’t work for RSV in this thread.
That really inconvenient data led to the invention of the super dangerous trash theory of pregnant women not catching enough pathogens — “generational immunity debt”. But the other problem with the RSV data is that the “immunity debt” was also being paid by adults over 45.
How many RSV naive 45+ year olds adults do you think there are? Or maybe the 20/21 babies were able to transfer their debt somehow? 🤔
Don’t worry your brains with the details though, because everyone just happily ignored that RSV data because it’s Denmark’s data which means it doesn’t count here and lots of very important people had very important galas to attend.
Now that we have our very own Canadian flu data showing that the pediatric age group seeing the biggest jump in severity is 10-16 year olds, do you think the very serious people spreading the “immunity debt / catch up effect” disinformation with impunity will finally find God?
I doubt it. A >1000% increase in flu admissions of pre-teens and teens doesn’t feel like something that would have gone unnoticed on the ground. And yet, I haven’t heard any of the ‘immunity debt’ proponents discuss this in the media. 🤔 Have you? Must have slipped their minds.
Sorry for the out-of-place graph, Twitter does that sometimes when I add on ALT text at the end when prompted. 🤷🏻‍♀️
The whole immunity debt circus 🎪 is a big campaign to distract everyone from the alternative (and looking more and more likely) explanation: immunity theft. A lot of experts risk falling from grace if the ‘mass infection with SARS2 harmed children’ hypothesis is taken seriously.
While I’m here, “immunity debt” doesn’t explain 15 dead kids from Strep A in the UK either. Breaking news headline “Strep A deaths in children rise to
fyi I focus on the “cohort effect” version of immunity debt in these 🧵s since that’s the version promoted by MDs and scientists that swear they know the other version “if you don’t constantly expose yourself to pathogens, your immune system gets weaker” is unscientific nonsense
Someone suggested that the flu data could just be random. Sure, it could. But there’s now several observations that don’t line up with the insistance that this is just a cohort of unexposed pandemic toddlers “catching up” ⤵️
-⬆️ RSV admissions in infants
-⬆️ RSV admissions in adults
-A worse 2022/23 season despite already having had a large rebound RSV epidemic in Denmark and Canada in 2021/22
-⬆️ influenza admissions in pre-teens and teens
-Surge in school aged children dying of invasive strep A
It’s not just influenza. Several data points don’t fit the double-triple cohort effect hypothesis.
And if you pay very close attention, you’ll notice that the Venn diagram of ‘experts’ digging in their heels on immunity debt and ‘experts’ that dug in their heels on “covid is primarily spread by droplets/ it’s not airborne/ you don’t need N95s” is almost a perfect circle. 🧐

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More from @lisa_iannattone

Mar 4, 2024
Public health has changed a lot since covid. Here’s a really concrete example of that. In 2019, PH in Montreal published a really detailed list of places people were exposed to measles: bus routes, malls, walmart, etc. In 2024? The list is just healthcare, schools + the airport.
From a 2019 Montreal Gazette article:  Those sites include the Walmart store on the Chomedey autoroute; the Second Cup outlet as well as common areas near Gate 2 at Carrefour Laval; the Laval Excellence gymnastics club on St-Martin Blvd. E.; the Oeufrier restaurant, the Dollarama store and Proxim pharmacy on Laurentides Blvd.  Buses running on the No. 20 and 70 routes in Laval at specific times on June 26 are also deemed as at-risk areas.  The areas and precise exposure times are available at the ministry’s website. A person considered contagious visited the mall on June 26.  The call for v...
The list of measles exposures from the 2024 Montreal outbreak which includes on healthcare facilities, childcare/school and the airport.
Why the sudden change in what information is made public? I highly doubt that *none* of these measles cases exposed people anywhere else. Did any of them go to a pharmacy or grocery store or coffee shop or hockey rink? And if so, why aren’t any of these locations being published?
Not publishing these locations means 1. people don’t have the opportunity to protect themselves and others post-exposure and 2. the fact that people are actively being exposed in the community (not just clinics and airports) is not being made explicit for the public.
Read 6 tweets
Dec 15, 2023
@Penelope19920 @jvipondmd As soon as the IPAC email goes out letting everyone know they need to wear masks, everyone wears masks. If IPAC decides everyone has to wear respirators, then everyone wears respirators. This actually isn’t hard at all. Why leadership would make it seem like it is, is baffling.
@Penelope19920 @jvipondmd They lean on hand wave-y concepts like mask fatigue when I have never once received a survey asking me how I felt about masking. None of this is evidence based. Since 2022, they seem to be making decisions based on “feels”.
@Penelope19920 @jvipondmd Do you know what happens in hospitals when HCWs get hand washing fatigue? They hire people to patrol the wards and make sure we’re washing our hands when we’re going in and out of patient rooms. They don’t give us hand washing breaks and just let c.diff run wild for a while. 😒
Read 4 tweets
Dec 8, 2023
StatCan just dropped a bombshell report on LC. This is the most important figure. It highlights that the risk of long term symptoms is cumulative, it increases with increasing number of infections. By 3+ infections, 38% report long term symptoms — that’s 1 in every 2.6 people. 🤯 Data table for Chart 2 — Percentage of Canadian adults with long term symptoms, by number of self reported covid-19 infections, June 2023 1 infection — 14.6% 2 infections — 25.4% 3 or more infections — 37.9%
Right now 1 in every 9 Canadians has long covid. 80% have symptoms for longer than 6 months and 50% just never recovered.

Full report here:
www150.statcan.gc.ca/n1/pub/75-006-…
How long before the majority of the population is at 3+ infections and 1 in every 2-3 people is suffering from long covid?

What’s the plan @GovCanHealth? Full speed ahead or? 🚆
Read 8 tweets
Dec 2, 2023
We’re in our *3rd* post-lockdown viral respiratory season and admissions for viral resp illness+pneumonia are 6 standard deviations above the historical average. I do not understand how so many reasonable people haven’t figured out that the “immunity debt” scapegoat is disinfo.🧵
It’s not the lockdowns, it’s the covid. Covid damages immune systems. Catching covid makes people more susceptible to catching other infections. Immunity theft, not immunity debt. A thread of evidence:
This study found that the risk of RSV infection needing medical attention was 40% higher in kids that had covid vs those that didn’t. Both in 2021 and 2022. Yes they checked twice.

pubmed.ncbi.nlm.nih.gov/37832975/
Read 31 tweets
Nov 17, 2023
“We report a consistent increase in the risk of persistent symptoms after reinfection compared to first infection. All post-acute symptoms mentioned in the WHO clinical case definition appeared more common after reinfection than after a 1st infection”

‘RoBuSt HyBriD iMmuNiTy’ 🤪 Screenshot of the article linked in the next tweet “The burden of post-acute COVID-19 symptoms in a multinational network cohort analysis”
Yet another study showing that more infections = more morbidity. Can we like warn people maybe? Feels like something people might want to know.
nature.com/articles/s4146…
“Escalation of commitment: A human behavior pattern in which an individual or group facing increasingly negative outcomes from a decision, action, or investment nevertheless continue the behavior instead of altering course.”

¯\_(ツ)_/¯
Read 9 tweets
Nov 14, 2023
I’m very optimistic that vaccine/treatment breakthroughs + better air hygiene standards will change the game at some point. But I’d also like to point out that preserving one’s short and long term health is an endgame in and of itself. It’s the endgame for so many things we do…
The endgame of exercise? Health.
The endgame of limiting alcohol? Health.
The endgame of treated tap water? Health.
The endgame of tossing spoiled food? Health.
The endgame of cooking meat to temp? Health.
The endgame of washing your hands? Health.
The endgame of screening and checkups? Health.
The endgame of carseats and seatbelts? Health.
The endgame of helmets? Health.
The endgame of brushing your teeth? Health.
The endgame of condoms? Health.
The endgame of indoor smoking bans? Health.
Read 7 tweets

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