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Dec 19 15 tweets 5 min read
"Immune cell dysregulation is a driver of COVID severity" (peer-reviewed)

"decreased total conventional DC (cDC), conventional type 2 DC (DC2), and plasmacytoid DC (pDC) (Fig. 2, C and D). CyTOF also showed lymphopenia of CD4 and CD8 T cell populations"

eurekalert.org/news-releases/…
An immunologist writing a peer-reviewed paper on immune dysfunction & lymphopenia.

Wish it weren't true but the good news is mild cases recover. The problem is how fast reinfections often occur.

Dr. Sacha Gnjatic received his PhD in Immunology from the University of Paris VII.
Paper on persistent infection in asymptomatic children's tonsils that may contribute to transmission,showed similar results.

Fig. 2 "Proteomic characterization of COVID serum reveals distinct immune patterns associated w/disease severity & clinical outcome."

#Immunedysfunction
ACE2-independent infection of T lymphocytes by SARS-CoV-2"

"This work confirmed a SARS-CoV-2 infection of T cells, in a spike-ACE2-independent manner, which shed novel insights into the underlying mechanisms of SARS-CoV-2-induced lymphopenia in COVID."

nature.com/articles/s4139…
We know COVID infects immune cells. We know immune cells are depleted.

"COVID assembles viral factories, impairs cell function and may cause cell death. COVID infected T helper cells express higher amounts of IL-10, which is associated with viral persistence & disease severity."
"CD4-mediated SARS-CoV-2 infection of T helper cells may explain the poor adaptive immune response of many COVID-19 patients." ⬅️

medrxiv.org/content/10.110…
"Age is a significant risk factor for the coronavirus disease 2019 (COVID-19) outcomes due to immunosenescence and certain age-dependent medical conditions." ⬅️ Wait a minute.. COVID causes immunosenecsence.🥴
medrxiv.org/content/10.110…
Reinfections bypassing antibodies, infecting T-cells, dendric cells, & neutrophils leads to senescence.
We are aging our immune system years per infection which is shortening lifespans a decade w/reinfections. Protect yourself and our children's future.

Recap:
1. Infections cause temporary lymphocytopenia in many mild cases. It can take months to recover. That opens up the possibility of other infections.

2. Reinfections occur 1 - 2 x a year if taking care to mitigate and still active. Every few months or weeks is possible.
3. Immunosenescence causes more severe COVID.

COVID leads to rapid Immunosenescence costing our cells years of life.

Therefore each reinfection will increase risks even if that person has a fully recovered immune response after prior infection.
4. If reinfected prior to immune system recovery then the increased risk would be combined with the already increased risk from the aging of our immune system cells.

Reinfections are then creating a downward spiral in health. The closer together they are, the faster the pace.
5. The younger someone is, the longer it would take to notice.
It could take 10 years or more if young enough but will likely have early aging issues years ahead of when they otherwise would. That doesn't account an increasing pace of other infections or new variants.😵‍💫
6. Lastly that doesn't take into account persistent infections that may last years and quite possibly for life, like EBV or Herpes and other viruses. That increases the risks for autoimmune disorders.

researchsquare.com/article/rs-113…
Conclusion:
This is Unsustainable ⬇️

The big picture view keeps getting clearer and unless there are other undiscovered mechanisms at play, or new treatments, it's looking very bad for the let it rip/vaccine strategy.
Updated definition:
COVID: An increasingly more efficient, airborne disease that can cause accelerated aging & lymphopenia. COVID can lead to vascular, neurological, musculoskeletal, immunological & cognitive dysfunction and increases the risk of cancers and autoimmune disorders.

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More from @TactNowInfo

Dec 20
Japan has significantly less reinfections than the U.S.
& this ⬇️

“We can’t downplay the fact that 1 in 20 patients has some kind of symptoms after a month,” said Osaka University professor Satoshi Kutsuna

➡️“We call on people
to be careful not to
become infected” ⬅️ 1/
They found that 47.7% of the respondents suffered after effects, 5.2% saw those linger for at least 30 days and 3.7% continued to experience them for 60 days or more.

1.61% said they found difficulty performing daily activities, 1.41% experienced hair loss, 1.28% coughing. 2/
Remember this huge VA study from early in pandemic?
Study of 5.8 million people

41k with reinfection

444k with 1 infection (no reinfection)

5.3 million non-infected controls 3/
Read 13 tweets
Dec 20
"Worker productivity is falling at the fastest rate in four decades"

"The problem is not isolated to Benioff's company.: 2022 is the first year since 1983 when there's been three straight quarters of year-over-year drops in average productivity per worker." 1/
"Employees are working more and producing less, and a time when their financial stress is the highest it has been since 2008."

Why would productivity be declining and life expectancy declining? 🤔

cnbc.com/amp/2022/12/18… Image
Could it be the cognitive, immunological, & vascular, dysfunction from repeated COVID infections? 🤔
➡️ "SARS-CoV-2 infection and persistence throughout the human body and brain"

"COVID causes systemic infection and can persist in the body for months."

researchsquare.com/article/rs-113…
Read 5 tweets
Dec 19
➡️ Until better vaccines and treatment become available, increasing population awareness, hygiene, mandating the use of face masks, restricting travel, & physical distancing could be the most successful strategies to manage the impact on economy & health care system. ⬅️. 1/
That's from a 2020 study. Unfortunately, almost back to where we started but w/millions dead, 10's of millions with long term disability,
100's of millions that will live shorter lives.
Vaccine efficacy ⬇️
Monoclonal treatments ❌️
Paxlovid,a few mutations away from ❌️
2/
The moral of the story:
Don't treat without first controlling transmission.
COVID evolves around targets of treatments quite efficiently. This was known over 2 years ago.

We essentially trained a virus how to beat our immune systems and still ongoing.
Great job, people. 🤬
Read 14 tweets
Dec 19
This Holiday Season will
put the most at risk people in your life, in front of you.

They risk their lives to be with everyone this time of year so don't get infected before visiting your family & friends over the Holidays.

➡️💞Love & protect them 💕

Image
🚨➡️ Coinfections of COVID, Flu,RSV,Norovirus, and others will happen to many people, if not careful. Extremely important to consider the implications and be aware of this possibility. ⬇️
"EMERGENCY ROOMS INUNDATED; DOCTORS ASK THE PUBLIC TO HELP EASE PATIENT LOAD"

23,503 Flu weekly hospitalizations
37,837 COVID hospitalizations
Avg 402 deaths a day

abc30.com/amp/12581901/

ImageImage
Read 8 tweets
Dec 18
As of Dec 8th, 41,000 child COVID cases reported, 50% ⬆️

Last week's outpatient report notes 5 to 24 yr olds increasing as schools are back after Thanksgiving.

Children become the silent spreaders of viruses, remaining asymptomatic up to 50% of the time with COVID.
1/ Image
Implications ⬇️
If respiratory viruses, including the most immune evasive/suppressive COVID variants to date, are causing outpatient visits to increase then that will grow exponentially within schools & homes with children, then outward to households w/out children. 2/
We will inadvertently take these viruses to our holiday events that generally, older adults (grandparents) do not want to miss.
56 million people are over the age of 65 in the U.S.
Only 25% to 30% have received boosters. Less in the SouthEast.
Immunity is gone by 12 months
3/ Image
Read 13 tweets
Dec 18
BQ.1.1.4.
Immune escape 0.831 from BA.2
Logistical growth 5.95
1/ ImageImage
CH.1.1
Immune escape 0.907
Logistical growth: 9.90

Ch.1.1 appears to have the best odds of dominating the variant field in the near future.

Evolution is towards immune system escape/ suppression
2/ Image
CH.1.1 is the most immunosuppressive variant that is currently growing its global footprint. 3/ ImageImage
Read 7 tweets

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