😷Respiratory virus data in these tweets are from Sullivan Nicolaides Pathology (SNP) lab weekly report.
😷They service #Queensland, northern New South Wales and wider Darwin area and Alice Springs
•Reports: snp.com.au/clinicians/res…
•SNP locations:snp.com.au/our-locations/
😷A reminder that whatever respiratory signs & symptoms bring a patient in for a test/Doctor's visit - many very different respiratory viruses can cause that disease. Only a good pathology laboratory test has a hope of identifying a cause.
🧬Detailed public-facing PCR data from a private lab in Queensland, Australia (thankyou🙏) showing #Flu % positivity around 6%↔ (about 1 in 16 samples tested are FluA or FluB positive).
•FluB showing its spiky face but FluA dominating
•RSV and rhinovirus number⬆
Also, #Flu numbers in New South Wales (NSW), Australia (with 𝘁𝗵𝗲 𝗯𝗲𝘀𝘁 reports) to week ending 04MAR2023.
😷Gradual rise in #flu daily detections. Looks like we're in the foothill of the 2023 season (there was a bit of a false start very early in Jan that dipped away).
Thanks, as always, to @NSWhealth
for always reliably producing Australia's best set of data on respiratory viruses and keeping your community informed about their illnesses.
Graphs and data from: health.nsw.gov.au/Infectious/cov…

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More from @MackayIM

Feb 11
Equatorial Guinea quarantines 200 after unknown hemorrhagic fever deaths.
reuters.com/world/africa/c…
"Equatorial Guinea said on Wednesday that it had registered the "unusual epidemiological situation" over the past weeks in Kie-Ntem province's Nsok Nsomo district that caused nine deaths in two adjacent communities over a short period."
Read 9 tweets
Feb 4
🔅What follows is not to minimise serious impact of COVID-19. Because many things are true at once. 🔅

Pre-pandemic, excess deaths from heart & other issues were associated with respiratory virus seasons-Flu, RSV, MPV etc.
Cleaned air & 😷 will also reduce risk of those harms
We've never succeeded in removing those harms or, in many nations, made serious non-vax efforts to reduce the risks, although a well matched flu vaccine likely helps them for flu.
But now SARS-CoV-2 has added more harms to the pile.
We have plenty of evidence of airborne spread for all respiratory viruses. Including SARS-CoV-2. We have plenty of evidence of how to interfere with that without needing to lockdown.
Yes, even masks (despite some poorly thought out studies) have a role.
Read 4 tweets
Jan 27
We are all playing Covid roulette. Without clean air, the next infection could permanently disable you.
-a pretty full summary of the worst of it all.
1/7
theguardian.com/commentisfree/…
"Do we really mean to sit and watch as this infection encroaches on our freedom to be well, brutal winter after brutal winter?"
🦠Of course "No", but I can't square that with the fact that in my lifetime, there's been no action but a vaccine for the same question about influenza
Because we prove again & again that we have short memories. We'd rather fight than learn/progress.
We're easily distracted & don't care about the death of our elderly (we do seem to care about neonate & infant deaths)
Not very hard to see why we *must* have leadership.
3/7
Read 7 tweets
Jan 14
Hey didja hear the buzz about the latest recombinant MPV variants reported from China?

No. You probably didn't. And why would you have?

We mostly ignore that stuff & the contribution this & other viruses continually make to our death, harm & hospitalisation baselines.
And while an arbitrary human naming system says all variations are called 'MPV' (human metapneumovirus; not current name btw), there are in fact distinct lineages & variants & constant evolution & recombination.
The Chinese study is just one I recently saw, of many out there.
At some point the viral cause of COVID-19, SARS-CoV-2, will also just become "SARS-CoV-2".
Perhaps the next round of reviews could help if they clarify who still dies, who doesn't, takes a bigger picture view & delve into how other harms have changed after vaccination & infection
Read 5 tweets
Dec 31, 2022
Study on Measles Transmission in China Has Implications for Controlling Epidemic Worldwide shar.es/aflJn9 via @Columbiamsph
of the slice of time over which diseaseX is being observed. Let's use China & measles as an example.
journals.plos.org/ploscompbiol/a…
🔴"we found that large industrial cities in China with large migrant populations supported 𝗲𝗻𝗱𝗲𝗺𝗶𝗰 measles transmission during 2005–2014"
2/x
But also...
🔴"In China, where countrywide vaccination coverage for the last decade has been above 95% (the threshold for measles elimination), measles continues to cause large 𝗲𝗽𝗶𝗱𝗲𝗺𝗶𝗰𝘀"

The disease can enter or leave either state depending on conditions..
3/x
Read 10 tweets
Dec 4, 2022
Frikkin astounds and annoys me that we continue to focus only on the hyper detailed genetic variation of SARS-CoV-2, yet give none of that prime time attention to Flu virus or RSV, MPV & others driving hospitalisations around the world. Where's the genotyping & narration?
We should have the capacity to do this, at a wider range of sites than prepandemic times. We have vaccines for some of these (now or soon). We have a more knowledgeable populace. Shouldn't we be *building* on genomics, not slipping back to a pre-genomic communication age?
I may not see the value of sequencing hundreds of SC2 genomes a day at one site. But I do see a point to applying the tech to other seasonal and outbreak pathogens at that site. And reportinv clearly publicly/open access, on those findings.
Read 4 tweets

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