Belgium are also seeing another big spike according to their Covid wastewater surveillance, albeit not as extreme (yet) as the waves being experienced in the Netherlands, Austria and Germany.
I think perhaps you’re starting to see the trend by now.
Another huge spike in the viral load of SARS-CoV-2 in the wastewater signal (purple line) which, in some areas, is the highest it’s EVER been since the start of the pandemic.
Since September, there has been a steady and sustained rise in the SARS-CoV-2 viral load in their wastewater surveillance, once again reaching levels that are as high, if not higher, than the previous record high.
@michael_hoerger has been keeping a close eye on the data and predicts that this has the potential to be the 2nd largest COVID surge of all-time in the U.S.
So that concludes our whistlestop tour of the Covid wastewater surveillance in Europe (& beyond).
Two key questions arise from my research:
1️⃣ Given that practically every developed nation in the world is conducting Covid wastewater surveillance, why did England stop theirs?
As explained in this briefing note for SAGE back in Nov 2020, “wastewater surveillance is a reliable, timely & cost-effective method” of keeping track of Covid prevalence in the community.
So why was the budget for wastewater monitoring axed in England?
2️⃣ My second question is, given the huge surges in Covid prevalence across Europe, when are our government going to take action to reduce transmission here?
The WHO, BMA & RCN have called for improved infection control in health facilities - this would be a good place to start.
Millions of Covid vaccine doses have been stockpiled for a potential “surge” campaign this Winter.
Perhaps now would be a good time to release those vaccine doses to protect people in the coming weeks, rather than just leaving them until they expire & need to be destroyed?
Perhaps the gov could also consider bringing back free Covid tests.
In the US 🇺🇸, free Covid tests can be ordered by all households and are sent out by mail:
Here in England 🏴, tests are no longer free for most people. A pack of 6 tests costs ~£10. axios.com/2023/09/20/cov…
Another thing on my wishlist would be for some decent public health messaging, advising people in England to wear high quality masks (FFP2/3) in public indoor spaces and crowded places…
…like this recent public health campaign from New York. 👇🏻
There will be a huge amount of inter-generational mixing taking place over the next few days, so a public health message reminding people of the importance of VENTILATION could also make a huge difference right now.
Perhaps they could even re-release this video from 2 years ago?
Schools have broken up for the Christmas holidays now - but, by the time they return in a few weeks, Covid prevalence will be almost certainly be far higher.
We desperately need mitigation measures to reduce transmission - especially via improved ventilation & air filtration.
I’ve just listened to the health update from the US Nebraska Health Officials 🇺🇸
A few points of interest:
1/ in addition to the US passenger who tested positive & the one showing symptoms, it seems there is ANOTHER passenger who may have tested positive.
2/ Passengers currently in the Nebraska quarantine unit will spend a few days there being assessed.
If they remain symptom free & have support available at home to isolate safely, they’ll have the choice to complete the 42-day isolation either at home or in the quarantine unit.
3/ When asked about the US passengers who left the ship in St Helena on 24 Apr (at the same time at the Dutch woman who was symptomatic & sadly died on 26 Apr), they confirmed that these passengers have all been traced & are being monitored - but seems they’re NOT self-isolating.
Following my thread yesterday which criticised aspects of the WHO’s strategy, I’m pleased to see they’ve done a 180° turn in the updated guidance published today:
…and ALL high-risk contacts will now be required to ISOLATE in a designated facility or at home (depending on each country’s capabilities) for 42 days from last known exposure…
…and for the MV Hondius passengers & crew, the last day of exposure is the date of disembarkation.
So for the passengers & crew leaving the ship today, the clock for their 42 days in isolation starts ticking TODAY…
…and their isolation & monitoring will end on 21 June.
Following the WHO press briefing, I wanted to compile a thread with the key points.
1/ ISOLATION OF PASSENGERS
Concerningly, it seems the WHO are NOT recommending to isolate cruise ship passengers (even high-risk contacts) UNLESS they develop symptoms.
Just to quickly recap, it has been confirmed that the passengers & crew (including the 30 who disembarked on 24 April in St Helena) come from a total of 28 different countries.
The full breakdown of countries for both passengers 🟥 & crew 🟦 is detailed below ⬇️
When the 146 people remaining on the ship are repatriated to their home countries, each country will adopt their own local protocols.
There’s been a lot of discussion online and in the media about how exactly Meningitis B spreads.
A lot of it is conflicting & confusing.
So let’s put opinions & hearsay aside and take a proper look at what the latest science actually tells us…
🧵
The UK National Institute for Health & Care Excellence (NICE) states that bacterial meningitis and meningococcal disease is transmitted by the following 3 modes:
“Fundamental flaws in the UK’s approach to IPC [infection prevention & control] guidance, for example in relation to the use of PPE, put patients and healthcare workers at risk.”
“Initial guidance on preventing the spread of infection was flawed. It assumed the virus was spread by contact transmission, failing properly to consider the extent to which it was also spread by AIRBORNE transmission.”
But it wasn’t just the “initial guidance” that was flawed!
To this very day, the IPC guidance STILL does not reflect the latest science on AIRBORNE transmission.