Emmanuel Profile picture
Jun 6, 2024 โ€ข 17 tweets โ€ข 6 min read โ€ข Read on X
๐™Ž๐˜ผ๐™๐™Ž-๐˜พ๐™Š๐™‘-2 :
๐™๐™๐™š ๐™œ๐™ง๐™š๐™–๐™ฉ ๐˜พ๐™Š๐™‰๐™๐™๐™Ž๐™„๐™Š๐™‰ ๐™—๐™š๐™ฉ๐™ฌ๐™š๐™š๐™ฃ ๐™Ž๐™€๐˜ผ๐™Ž๐™Š๐™‰๐˜ผ๐™‡, ๐˜พ๐™”๐˜พ๐™‡๐™„๐˜พ ๐™–๐™ฃ๐™™ ๐™ˆ๐™€๐™๐™€๐™Š๐™๐™Š๐™‡๐™Š๐™‚๐™„๐˜พ๐˜ผ๐™‡ ๐™›๐™–๐™˜๐™ฉ๐™ค๐™ง๐™จ
(๐˜ฎ๐˜ฆ๐˜จ๐˜ข-๐˜ต๐˜ฉ๐˜ณ๐˜ฆ๐˜ข๐˜ฅ - 1๐˜ด๐˜ต ๐˜ฑ๐˜ข๐˜ณ๐˜ต)
2) SEASONAL DISEASES refer to illnesses or health conditions (flu, common cold, allergies...) that are more prevalent during SPECIFIC seasons of the year (usually winter or spring).
These diseases are influenced by environmental factors and the presence of seasonal pathogens. Image
4) COVID-19 is a PANDEMIC and CYCLIC disease.
Pandemic, as it has spread globally and continues to affect populations worldwide.
Cyclic, because it appeared on average every 3/4 months which could give the false impression that it followed the seasons. Image
5) Like any rule there are exceptions, with cycles which have not taken place in some countries, with generally a more intense cycle afterwards.

Contrary to what some say, they are not linked exclusively ... Image
6) ... to the emergence of new variants, as we have shown for the US ๐Ÿ‘‡
There is a combination of factors, new variants, waning immunity / increase in nb of susceptible people, population movements and changes in modes of transmission (vacations, school breaks, etc.) ... Image
7) What is the contribution of meteorological factors (temperature, humidity) to these cycles?

In less than a month, there have been 3 fascinating studies on this subject which we will develop in a 2nd part, far from clichรฉs or abusive simplifications ๐Ÿ˜Š
8) METEOROLOGICAL FACTORS
(2๐˜ฏ๐˜ฅ ๐˜ฑ๐˜ข๐˜ณ๐˜ต)

1st study :
"A mixture of mobility and meteorological data provides a high correlation with COVID-19 growth in an infection-naive population: a study for Spanish provinces"
frontiersin.org/journals/publiโ€ฆ
Image
9) Analysis of Spanish COVID-19 data reveals high correlations between growth rate and principal components of mobility and meteorological data, with mobility playing a larger role. Correlations are maximal at 2-3 week time lags, consistent with delays between infection ... Image
10) ... symptom onset, and case reporting. Combining mobility and meteorological data improves explanatory power compared to either alone.

2nd study :
COVID-19 dynamics in Hiroshima, Japan, and its association with meteorological factors over 3.5 years.
cureus.com/articles/24332โ€ฆ
Image
11) Wind speed showed the strongest correlation with COVID-19 metrics. SARS-CoV-2 variant distributions, with Alpha, Delta, and Omicron predominant, were also linked to meteorological factors. Image
12) The findings highlight the role of environmental factors in shaping pandemic outcomes and underscore the need for integrated surveillance approaches to mitigate future outbreaks. Image
13) Spearman's correlation coefficient. Image
14) Maybe the most interesting one to end :
"Non-linear effects of meteorological factors on COVID-19: An analysis of 440 counties in the americas"
cell.com/heliyon/fullteโ€ฆ
Image
15) This study analyzed the non-linear effects of meteorological factors (temperature, humidity, solar radiation, surface pressure, precipitation, wind speed) on COVID-19 transmission across 440 counties in the Americas from 2020-2021. The results showed ... Image
16) - Temperature had a positive correlation below 5ยฐC and above 23ยฐC, and a negative correlation between 5-23ยฐC.
- Relative humidity and solar radiation exhibited significant negative correlations, with a rapid decrease in daily new cases above 74% humidity and ... Image
17) ...750 kJ/m2 solar radiation.
โ€ข Surface pressure showed an inverse relationship at 0-10 and 15-21 day lags.
โ€ข Precipitation had no significant associationใ€‚
โ€ข Wind speed had a slightly higher infection risk under low (0-2 m/s) and high (10 day lag) conditions. Image
18) The study provides important insights into the complex, non-linear relationships between meteorological factors and COVID-19 transmission, highlighting the need for regional and latitudinal considerations in understanding pandemic dynamics.

Thanks and nice weather to you ๐Ÿ˜Š Image

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More from @ejustin46

Apr 18
"Now this is not the end. It is not even the beginning of the end" (Winston Churchill)

This study shows that the Sarbecoviruses have the capacity to generate new variants rapidly, with RBD of two novel viral groups exhibiting high similarity to SARS-CoV-2
biorxiv.org/content/10.110โ€ฆImage
2) Over 3 years, researchers sampled 1,462 bats in Cambodia Steung Treng province, identifying extensive and diverse coronaviruses co-circulation. Using metatranscriptomic and amplicon sequencing, they generated 33 complete sarbecovirus genomes. Image
4) This study suggests that the viral family of Sarbecoviruses can reserve some unpleasant surprises, and quite rapidly:

โ–ถ๏ธ They emphasize the "significant pandemic threat" posed by the genetic diversity and evolutionary dynamics of circulating bat coronaviruses.
Read 7 tweets
Apr 18
Doctor, I'm confused ๐Ÿค”
I have a high level of antibodies, yet I'm still experiencing long COVID. Why is that?

"The ANTIBODIES PARADOX in LONG COVID Condition: Unraveling the Disconnect Between Humoral Immunity and Chronic Illness"
nature.com/articles/s4146โ€ฆImage
2) The finding in this study of persistently higher anti-N antibody levels in people with Post-Covid Condition (PCC) compared to those with acute infection only, does seem paradoxical at first glance. Image
3) A few points on this:

โ–ถ๏ธ The study suggests this may indicate "altered immune activation or viral persistence" in people with PCC, rather than just a stronger antibody response per se. Image
Read 8 tweets
Apr 17
The incredible world of T-CELLS and why are they exhausted fighting the SARS-COV-2 virus ?

(An explanation๐Ÿงต for kids based on an astonish study Thanks to @DavidJoffe64)
sciencedirect.com/science/articlโ€ฆImage
2) T-cells are like the superheroes of our immune system - they work hard to protect us from germs and viruses.

When a virus like SARS-COV-2 gets into our body, the T cells spring into action. There are different types of T cells, each with a special job to do. Image
3) - Some T cells are like the fighters, killing off the virus-infected cells.
- Other T cells are the coordinators, telling the other immune cells what to do.
- There are also T cells that act like the police, making sure the immune response doesn't go overboard.
Read 11 tweets
Apr 16
"COVID-19 CRUSADERS:
The TRIO of NASAL IMMUNE CELLS That BATTLE the VIRUS"

A masterpiece study in Nature ๐Ÿ’ฏ๐Ÿ’ฅ
nature.com/articles/s4159โ€ฆImage
2) The most important immune components in the nasal tissue for fighting COVID-19 are:

โ–ถ๏ธ Monocytes and neutrophils
- These immune cells moved into the area under the nose lining during active COVID-19 infection and helped protect the underlying lymphoid tissue. Image
3)โ–ถ๏ธ Macrophages
- As people recovered from COVID-19, macrophages started to help repair the nasal tissue.
โ–ถ๏ธ Germinal centers and B cells
- The specialized germinal center structures in the nose contained active B cells that were producing antibodies against the COVID-19 virus Image
Read 6 tweets
Apr 16
How SARS-COV-2 spreads (Re) and why there are differences between countries ?

An explanation for kids based on the astonishing new study of @firefoxx66 @richardneher and colleagues
pubmed.ncbi.nlm.nih.gov/40233303/Image
2) With a really fast-spreading virus going around, like the one that causes COVID-19, when someone gets sick, they can pass the virus to other people. But some sick people end up spreading it to a lot more people than others. Image
2) The scientists in this study wanted to figure out how the virus is spreading and how much it's spreading from person to person. To do this, they looked at the genetic code, or the "DNA", of the virus.

Whenever the virus infects someone new, it can change a little bit.
Read 7 tweets
Apr 12
STRUCTURAL BRAIN CHANGE with LONG COVID ๐Ÿ˜ฐ

Brain scans of Long COVID patients showed reduced volumes in critical brainstem regions like superior and middle cerebellar peduncles, along with decreased connectivity.
These structural and functional changes were linked to motor ... Image
2) ... sensory, and autonomic dysfunction in patients. Researchers propose a "Broken Bridge Syndrome" where COVID-19 disrupts the vital connection between the brainstem and cerebellum, contributing to the diverse neurological symptoms of Long COVID. Image
3) Figure 4 clearly shows the structural dissolution and volume reduction of the 4th ventricle in the superior cerebellar peduncle in one and the same COVID-19 patient. Image
Read 4 tweets

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