In science & esp medicine, risk is a tricky thing to contend with - besides of course being a mathematical one - and involves many considerations in order to have a more fulsome understanding.
In this post @LizMarnik and I attempt to explain these concepts. 1/9
In simple terms, risk is the probability of an event occurring. In statistical terms, the risk of an event occurring is simply defined as its probability. 2/9
Take a fictitious disease - AhCrap. Risk of dying due to this is 2/million & using GoodStuff tx can reduce risk to 1/million.
While relative risk reduction is 50%, only one less person out of 1M w AhCrap are saved by GoodStuff, making absolute risk reduction fairly small. 3/9
Because the risk of dying decreased from two in a million to one in a million, the relative risk decreased by 50%.
However, the absolute risk only changed from 2/1,000,000 to 1/1,000 000, that is, a difference of 0.00005%. 4/9
A few other things to consider, such as:
what the likelihood of the risk occurring is and what the risk-benefit analysis including downstream impacts are.
The examples in this slide demonstrate these points to help put overall risk into context. 5/9
Changing gears, let’s talk about cumulative risk, which is the combined risk from multiple exposures or behaviors over time.
This requires several pieces of information, such as time period, how many exposures, risk assoc w each & how other behaviors impact the likelihood. 6/9
Take this example: risk of TerribleOutcome after the first time one has BadInfection is 2 in 100 or 2%. Risk after each subsequent infection is 1 in 100 or 1%.
Cumulative risk in this example of person having TerribleOutcome over lifetime, i.e. a 15 year period is 3.95% 7/9
So as we can see in this situation, while the individual risk of a subsequent Badinfection may infact be lower than the first infection, the cumulative risk of developing BadOutcome is higher with each additional infection. 8/9
Understanding these can help you make informed decisions.
Putting into context how likely risk is, what impact of the risk is, what overall risk-benefit analysis is & downstream impacts are all important considerations when assessing & evaluating risks + decisions.
9/9
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A new longitudinal cohort study found that children who were sick more often in early childhood were more likely to continue being sick in later childhood with more moderate to severe infections and require more antibiotic therapies. /1
We are in a summer COVID surge and this has lead to many questions! In this post @LizMarnik and I share things to consider to protect yourself, what we both do & consider in our own actions and recommendations for others to help make society safe & equitable for all.
🧵 1/8
Why are cases increasing? Mostly due to new variants, summer behaviours such as travel and really, because that’s just how pandemics work. 2/8
There are lots of things you can do to stay safe:
Mask, esp indoors. Test. Be in well-ventilated areas, outdoors preferred, stay home when sick and vaccinate. 3/8
So much disinformation on AstraZeneca's announcement re: withdrawing their COVID-19 vaccine, so I thought I should go back and review the timelines of what occurred in Canada.
AstraZeneca's COVID-19 vaccine was first approved in Canada on Feb. 26, 2021. /2 cbc.ca/news/politics/…
In Canada, it was first only recommended to be used in adults 64 and younger. This is because the initial study results were too limited to allow a reliable estimate of vaccine efficacy in individuals 65+. /3 ctvnews.ca/health/coronav…
New post on Rapid Antigen Tests. Will post the entire thread here instead of just a link, given importance.
A master thread with current data: key concepts, which brands are more sensitive, tips to improve sensitivity & important considerations. 1/7
Recent CDC MMRW Report found overall sensitivity of RATs was 47% compared to PCR.
The peak percentage of positive RAT was 59.0% occurred 3 days after onset of symptoms.
Highest on days when fever was reported, lowest on days when no symptoms were reported. 2/7
Overall QuickVue and Flowflex had the highest sensitivity. Special mention for Australian Fanttest. Several commonly used RATs performed extremely poorly. 3/7
Avian Flu:
Current situation, context and what you need to know 1/8
AVIAN FLU - A BRIEF HISTORY:
Highly Pathogenic Avian Influenza (HPAI) is caused by Influenza A H5 and H7 viruses. The current highly infectious strain of Avian Influenza that is spreading is the H5N1.
H5N1 is not new. 2/8
Currently we have an outbreak of the subtype H5N1 clade 2.3.4.4b.
There are 33 outbreaks across 8 states in cattle reported in USA. None in dairy cattle in Canada, CFIA monitoring closely.
This degree of spread outside of birds & poultry is unprecedented & concerning. 3/8