Paul Maidowski Profile picture
Apr 18, 2023 32 tweets 16 min read Read on X
1. Simple policy like 'hygiene and pasteurization' doubled the human lifespan after 1889, stopping constant CoV outbreaks from milk.

Simple policy like 'quarantine, isolation, N95 and international cooperation' ended SARS-CoV-1.

We can end CoV-2. Don't halve the human lifespan.
@ilonamotto @RealCheckMarker 93. What I see is such analysis: Creative yet generic, abstract and not reflecting existing law, policymaking, and SARS-CoV-2 literature—WHO IHR 2005 as most relevant example. We could do better as political scientists, systems scholars, parents or just as public-facing scholars.





95. One fundamental problem: IPCC and mainstream science ignore uncomfortable knowledge (@SFuntowicz PNS). Undesirable social tipping points (@ilonamotto) or positive feedback structures like aerosols are ignored in favor of politically acceptable stories. science.org/doi/10.1126/sc…
@ilonamotto @OECD_ENV 97. Why do I criticize X? (Not just @W_Lucht complained) Because I hold climate and systems scientists to higher standard. Few others enjoy similar privileges of education.

Because we think decades ahead, vital in a pandemic. Because we can and should develop workable solutions.
106. Prion disease is considered THE RPD prototype, but over the past 20 years epidemiological reports and various encephalitis-mediating antibodies have led to a growing recognition of other encephalopathies as potential causes of rapid cognitive decline. nature.com/articles/s4158…
@RealCheckMarker @kali0x2a 109. I now think SARS-CoV-2 will lead to progress in prion science, but in the meantime check out viroids. Life begins with single strings of RNA. This is as close to magic as it gets.
Proposed mechanism: 👇 shoutout to @dbdugger, who can administer MoCA tests; I hear it's even free for students or higher ed staff. Much more research needed. As long as our "Living with SARS-CoV infections" clownshow continues, the virus will outmutate and outpace humans. Enjoy,
@dbdugger 111. Brain-derived neurotrophic factor (BDNF) is key to neuron survival and growth. Maternal serum BDNF decreased in COVID+ pregnant women, unlike umbilical cord BDNF. Fetal blood-brain barrier may protect the fetus from inflammation and maternal hypoxia. https://t.co/ZkfqvaXTTmeuropeanreview.org/article/31807




@mtosterholm 113. Long-term neurodevelopmental sequelae are seen in neonates after in utero SARS-CoV-2 exposure. Report of two neonates after mid-term maternal infection who displayed early-onset (d1) seizures, acquired microcephaly and significant developmental delay. publications.aap.org/pediatrics/art…
114. In HIV, small trans activator proteins (Tat, Nef, Rev) modulate transcription of cellular genes. Likewise, in SARS-CoV-2 Orf8 acts as histone mimic disrupting chromatic structure with many epigenetic and immune modulator changes. - We shared all this. https://t.co/MyOis35txropastpublishers.com/open-access-ar…
121. While some draw spider diagrams (🥴), we know: "As SARS-CoV-2 infects pAPCs including DCs, macrophages, B cells, and non-p APCs this suppression of MHC II has the potential to dramatically decrease the activation of CD4+ T cells in COVID-19 patients." https://t.co/xR8un0YGVwbiorxiv.org/content/10.110…
122. If you do spider diagrams, connect everything to everything, incl. all elements in the second column to each other. Dysbiosis and microbial dislocation are feeling lonely🤣

Learn from HIV science. You are not helping COVID survivors by not following evidence based medicine.





123. Thread of pediatric COVID-19 literature. You can add arbitrarily more, eg Systemic Inflammation and Microbial Translocation Are Characteristic Features of SARS-CoV-2-Related Multisystem Inflammatory Syndrome in Children (MIS-C). 2021.

All well known. https://t.co/VCDKxK968H
124. 2021 study from India: "MIS-C and COVID-19 are characterized by systemic inflammation and microbial translocation, 2 processes that may play a pivotal role in disease pathogenesis, including multi-organ involvement and dysfunction in these children." academic.oup.com/ofid/article/8…
132. “Adopting at least two prevention measures during rooming-in resulted in a rate of mother-to-child infection of 1.0% (95%CI: 0.3–1.7%). Low rate of perinatal SARS-CoV-2 infection supports rooming-in and preventive measures.” nature.com/articles/s4159…
135. As political scientist, a hint: @SAHIVSoc offers good materials. There is even a dedicated UN programme to learn from, present in many member states @UNAIDS @UNAIDS_CN @UNAIDSBrasil. You will need international cooperation and the same for SARS-CoV-2. sahivsoc.org/Guidelines/Mod…
@SAHIVSoc @UNAIDS @UNAIDS_CN @UNAIDSBrasil 136. Here one of the mechanisms SARS-CoV-2 uses to inactivate CD4+. It's no coincidence that it behaves like HIV-1 or Ebola virus. They share structural and sequence similarity in various proteins even beyond the much-discussed spike S1, as did SARS-CoV-1. https://t.co/gipBL1ISjpbiorxiv.org/content/10.110…






@SAHIVSoc @UNAIDS @UNAIDS_CN @UNAIDSBrasil 137. It's a syndemic and needs to be analyzed as such. SARS-CoV-2 acts as latency reversal agent (LRA) in HIV+ patients, notably on PLWH with HAND diagnosis. The paper is good but wrong: SARS-CoV absolutely does form viral reservoirs and chronic infection. https://t.co/ilgUxD4KPKmdpi.com/1999-4915/15/5…




138. C3 rs1047286 or rs2230199 coding SNPs were found in 60 % of Deceased (n=25) (67 % of Deceased Males) and 31 % of Survivors (n=105, p = 0.012) (rs2230199 in 25 % of Survivor Males).

rs2230199 is highest in Caucasians (18 %) and lowest in Asians (1 %). sciencedirect.com/science/articl…
142. Silvio Berlusconi died 86 yo after COVID-19 in 2020. He now contributes to the literature on outcomes of early treatment of SARS-CoV-2 infection in patients with haematological disorders, here rare blood cancer chronic myelomonocytic leukaemia (CMML). mdpi.com/2673-6357/4/2/…
143. Three years survival are respectable for a man of Berlusconi's age, a testament to Milano's medical excellence. To understand context, read the threads we shared on SARS-CoV-2 and non-Hodgkin lymphoma (NHL) or chronic lymphocytic leukaemia (CLL). onlinelibrary.wiley.com/doi/full/10.11…
@RealCheckMarker 147. Modeling of SARS-CoV-2 open reading frames (Orfs) liebertpub.com/doi/full/10.10…
@RealCheckMarker 148. SARS-CoV-2 evolved unique changes to manipulate autophagy and endocytic pathways to help viral replication and downregulate host innate immunity response, promoting its survival. Orf3a and Orf10 work together; M and Orf10 localize to the mitochondria. https://t.co/wnSLYK8DzXmdpi.com/1422-0067/24/9…




153. The days of Arctic summer sea ice are numbered (by thermodynamics not us, so there's little you can do about it -- but if enough people listen and act, we may be able to slow things down significantly). Zoom in here, the entire Arctic is swiss cheese. https://t.co/REJ9btGiRNworldview.earthdata.nasa.gov/?v=-3291114.51…
@JessicaLexicus 160. 16th Century immunoglobulins and nucleocapsid peptides detected, indicating a HCoV different from modern coronaviruses and SARS-CoV-2, an old HCoV with no known modern representative. Zoonosis suspected from deer, dogs, swine, cattle. It's unknown whether they visited Wuhan.

161. What distinguishes SARS-CoV from other coronaviruses? MDs, patients, policymakers won't understand the COVID-19 pandemic until they read science because the basics are too counterintuitive to cover in conversation. Great ACE2 overview: @GOuditResearch cell.com/cell/fulltext/…
@HugonetX @Mike_Honey_ 164. Incredible study worth reading: 21 autopsies in Argentina Jan to Aug 2022. Ten deaths after hospitalization, 11 non-hospitalized. 7 were unvaccinated, 13 COVID-19 vaccinated in different formulations. 5 SARS-CoV-2 reinfections within past 6–12 months. frontiersin.org/articles/10.33…
165. SARS-CoV-2 RNA (for ORF1ab, N) was found in all tissues and 47 out of 100 tissue samples: 13/21 in the lung, 7/21 heart, 9/21 liver, 8/21 kidney, 10/16 in the small intestine tissue. (working link 👇) ncbi.nlm.nih.gov/pmc/articles/P…
166. Viral load (in viral copies/mL for the Orf1ab and N gene) was highest in the lung (4,400 and 6,200) with VL ranging from 101 to an incredible 114 million.

Median VL was lower in liver (520 and 290), heart (6,100 and 830), kidney (470 and 600), small intestine (980 and 320).
67. The absence of SARS-CoV-2 RNA in tissue tested did not necessarily correlate with the absence of viable SARS-CoV-2. The presence of viral RNA did not necessarily imply the presence of infective viral particles.

Also corpses can be infectious after months in an earth grave.

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More from @_ppmv

Sep 20
1. The structural parallels of SARS-CoV-2 and HIV-1 were known already 20 years ago, from SARS-CoV-1. Yet COVID-19 policy and even most scientists ignore these parallels, failing to learn key lessons. Fundamentally, genetic recombination drives both pandemics—two typical articles

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2. Don't worry about the specific article—there are hundreds more, and more relevant ones. The lesson here is we face syndemics, overlapping epidemics that cluster with inequity, not just distinct pandemics. All reinforce each other
link.springer.com/article/10.118…
frontiersin.org/journals/micro…
3. Background. There are literally thousands such articles; no one integrates them. That's why as political scientist, for years already, I've been arguing that only institutionalization can help with such complexity. We need a @UNAIDS for SARS-CoV, sorry
Read 29 tweets
Aug 30
1. Growing bamboo is our best chance to avert climate breakdown: the plants build soil, help biodiversity, avoid GHG emissions, provide food & construction material, sequester carbon 30 times (!) faster than mixed temperate forest. Yet stunningly, no one coordinates this work yet 40 year old moso bamboo in southwestern France grown from seed. Photo Lihua Jiang, www.yunnan-bamboo.com
2. After 40 years of climate science - first AGGG, now IPCC -, everyone feels they know climate. Yet experts only really know their own field. Generalists and practitioners can implement solutions but need experts to develop them. Bamboo as climate solution is entirely unexplored
Two bamboo stands in Zhongshan Expo Park, Taipei
Bamboo species in Tapei botanical garden
3. Last time atmospheric carbon content was as high as today, 16 million years ago, Earth was >3°C warmer than today, the Arctic was ice free, and Iceland had a subtropical climate. People think they know what climate change means, but most really don't. mdpi.com/2673-4834/5/2/…
Read 47 tweets
Aug 21
We’ve shared this for years, it was known or suspected even before the pandemic from SARS-CoV-1. Friends of we’re going to learn at this rate, ignoring prepandemic science, populations worldwide will get into serious trouble
Background. Thanks for outstanding science communications @vipintukur
I'd like to delete my account, but then a sizable fraction of the early Covid twitter scicomm documentation - to show what was known when - would be gone. As far as I know, no one else with even a moderately sized account (>10k followers) shares the same readily available science
Read 5 tweets
Jun 13
“Bamboo is our best chance to slow climate breakdown. It can replace drivers of GHG emissions and biodiversity loss (food, construction, concrete, plastic), build soil & allow regrowing rainforest." - Let's test it. Grow bamboo as blueprint for a future ecological civilization 🧵
Moso bamboo (phyllostachys edulis) seedling grown from seed with tap root
Moso bamboo forest in China, stock photo
2. Giant bamboo dwarfs trees. As grass, it grows 30 times (!) faster and can be harvested every year. Timber takes decades; too slow. Stunningly, no one in the west described the unique climate mitigation potential of bamboo yet. - Note the rhizome system:

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3. Climate relevant will be the use in millions of ha of plantations, just like other economically important crops. After two months on this, some significant progress: air pot kindly donated 1 m of their professional U system, so I can test it for bamboo.
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Read 39 tweets
Jun 4
SARS-CoV-2 reminder: The more immune compromised the population, the less symptoms, the ‘milder’ it appears, the more severe it really is (=Long Covid, long term damage). That’s what even most scientists seem not to get
Thanks for vivid discussion everyone. It really is a fundamentally important point. Since I deleted most references for lack of structure (and frankly, just being fed up repeating the same points for 3 to 4 years), I'll look for new references that must have been published by now
Read 8 tweets
May 30
1. "Bamboo is our best chance to slow climate breakdown: it sustains societies, can protect soil and store carbon for 100 years in food, construction, bio-concrete and plastic." - Let’s test this. As our very German neighbors renew their English Gardens, we start growing bamboo👇

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2. Three months ago I started on bamboo: no one else in Europe seemed to have systematically analyzed or even considered its global climate mitigation potential when used as agricultural crop rather than natural forests, which do little climate mitigation.
3. A bamboo focus isn't for the coming years. We are at least a decade early. However, since getting started will take decades, now is a good time. In 10 years, atmospheric CO2 will exceed 450 ppm. That's enough to fundamentally transform the Earth system.
Read 6 tweets

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