First, there is now a Resources Page here for the most commonly asked questions I’m getting.
Happy to continue to answer your questions/concerns as best I can, so don’t be shy about that.
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When we go to grocery stores & find shelves empty, to pharmacies & find them closed because every single employee is out sick themselves or tending to a loved one. Please get what you need to look after your household. Fill prescriptions, get over the counter meds & staples…— Tatiana Prowell, MD (@tmprowell) December 30, 2021
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COVID Misinformation From the Top Offers False Cheer and True Risk
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Climate Change And Infections
See What to do if newly infected, under Tips, below:
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Beyond case counts: What Omicron is teaching us
The Omicron wave in the United States is upon us.
If you were fortunate enough to tune out from Covid-19 news over the holidays, you’re coming back to startling reports about record high case counts and, in some places, increases in hospitalizations. The wave will crest, of course; the question is when.
For now, experts say, the country still has a ways to go to get through the Omicron surge. Below, STAT outlines what Omicron is already teaching us as this phase of the pandemic plays out.
A reminder: Scientists have known about this variant for just a little over a month. While a tremendous amount has been learned in a stunningly short amount of time, our understanding will continue to be refined as data pour in and key questions are answered.
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Omicron variant largely resistant to current antibodies
The team was able to show that antibodies from recovered persons hardly inhibit the omicron variant. Antibodies after two BioNTech-Pfizer vaccinations also showed significantly reduced efficacy against the omicron variant. Better inhibition was observed after triple BioNTech-Pfizer vaccination as well as after heterologous vaccination with Oxford-AstraZeneca and BioNTech-Pfizer. Finally, most of the therapeutic antibodies evaluated in the study were not effective against the omicron variant. These results indicate that several antibodies used to treat COVID-19 will be ineffective against the omicron variant. However, they also suggest that a third immunization with the BioNTech-Pfizer vaccine (booster) and heterologous immunization may protect well against the omicron variant.
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Probe of first US Omicron cluster hints at shorter incubation period
The median incubation period in the cluster patients was 3 days, compared to about 4 days for Delta, and 5 or more days for earlier SARS-CoV-2 viruses.
Dec 28 MMWR report
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Shortened CDC COVID isolation guide draws sharply mixed reviews
Facing an onslaught of Omicron variant activity amid holiday gatherings and travel, the Centers for Disease Control and Prevention (CDC) yesterday updated its COVID-19 guidance yesterday, halving the isolation and quarantine period for people with or exposed to the coronavirus.
The move, which relies on masking and accounts for sparse rapid test availability, drew praise from some experts as a needed change in the face of an evolving situation. But it also drew sharp criticism from other experts and some labor officials, who point to scientific gaps and ongoing risks.
CDC anticipates major Omicron-driven disruptions
In a press release announcing the new recommendations yesterday, the CDC recommended that anyone who tests positive, regardless of vaccination status, stay home for 5 days. If there are no symptoms or symptoms resolve after 5 days, the individual can leave the house if they mask around others for 5 days.
For those who are exposed, the CDC recommends people who aren’t boosted or are unvaccinated should stay home for 5 days, then wear a mask around others for 5 more days. Those who are boosted or recently completed their primary vaccination series should mask around others for 10 days. Both groups should test on day 5, if possible.
CDC Director Rochelle Walensky, MD, MPH, said the quickly spreading Omicron variant has the potential to impact all parts of society. She added that the new guidance takes into account what’s known about virus spread and protection from vaccines and boosters.
“These updates ensure people can safely continue their daily lives. Prevention is our best option: get vaccinated, get boosted, wear a mask in public indoor settings in areas of substantial and high community transmission, and take a test before you gather,” she said.
Leana Wen, MD, former Baltimore health commissioner and contributing columnist for the Washington Post, said on Twitter that the CDC’s decision to reduce isolation and quarantine was needed to prevent the collapse of critical infrastructure, with the nation poised to pass its previous COVID-19 peak, possibly reaching 1 million cases a day.
Ashish Jha, MD, MPH, dean of the Brown University School of Health, on Twitter today said the new guidance is a step in the right direction, taking into account the period when people are most contagious, while minimizing unnecessary constraints and encouraging more people to test and isolate.
However, other experts said the 5-day isolation period unpaired with a negative test is risky and not supported by data.
Michael Mina, MD, PhD, epidemiologist and major proponent of at-home COVID-19 antigen tests, on Twitter said the new guidance is reckless and noted that some people are infectious for 3 days, while others can still pass the virus at 12 days. He said testing negative to leave isolation early is a smart strategy, as would be wearing an N95 mask if leaving isolation.
Mina said the lack of a negative test requirement before leaving isolation probably reflects a perception that there aren’t enough rapid tests in the United States, which he said is a massive problem that can be easily changed.
Meanwhile, the Association of Flight Attendants today questioned the CDC’s new policy, saying it aligns with the number of days pushed by corporations. The group’s president, Sara Nelson, called it “less than reassuring.”
“If any business pressures a worker to return to work before they feel better we will make clear it is an unsafe work environment, which will cause a much greater disruption than any ‘staffing shortages’,” she said in a statement.
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Forecasting the Omicron winter: Experts envision various scenarios, from bad to worse
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But the omicron variant is far more transmissible, and our vaccines don’t work as well against it.— Dr Zoë Hyde (@DrZoeHyde) December 30, 2021
This means that an omicron variant epidemic will infect far more people than a delta variant epidemic would.
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Other Covid news:
Ohio: COVID-19 infection detected in deer in six locations
Scientists have detected infection by at least three variants of the virus that causes COVID-19 in free-ranging white-tailed deer in six northeast Ohio locations, the research team has reported.
Previous research led by the U.S. Department of Agriculture had shown evidence of antibodies in wild deer. This study, published today (Dec. 23, 2021) in Nature, details the first report of active COVID-19 infection in white-tailed deer supported by the growth of viral isolates in the lab, indicating researchers had recovered viable samples of the SARS-CoV-2 virus and not only its genetic traces.
researchers estimated the prevalence of infection varied from 13.5% to 70% across the nine sites, with the highest prevalence observed in four sites that were surrounded by more densely populated neighborhoods.
The research team speculated that white-tailed deer were infected through an environmental pathway – possibly by drinking contaminated water. Research has shown that the virus is shed in human stool and detectable in wastewater.
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COVID-19 can trigger self-attacking antibodies, even in mild or asymptomatic cases
Infection with the virus that causes COVID-19 can trigger an immune response that lasts well beyond the initial infection and recovery-even among people who had mild symptoms or no symptoms at all, according to Cedars-Sinai investigators. The findings are published in the Journal of Translational Medicine.
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How can I protect a child too young for a COVID-19 vaccine?
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Burnout, Violence: How Much More Can Healthcare Workers Take?
– As COVID rages on, attention turns to healthcare worker mental health. Will help arrive in time?
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Intestine ‘organoid’ grown in lab to study why bats live with viruses but don’t get sick
Are We Testing for Omicron Wrong?
– South African study suggests nasal swabs aren’t the best way — combine w throat swab
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Symptoms are starting v early w Omicron (for a number of reasons I’ve discussed)— Michael Mina (@michaelmina_lab) December 27, 2021
This means that there is a chance the virus isnt yet growing in the nose when you first test
Virus may start further down. Throat swab + nasal may improve chances a swab picks up virus. https://t.co/NfxHqjKpIo
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Hello, you can read it here: I am baffled at CDC’s decision to shorten isolation. Here are tests… https://t.co/WTVNxrCqzo Have a good day. 🤖— Thread Reader App (@threadreaderapp) December 28, 2021
Drugs and Vaccines:
Here's why this is a BFD:— Prof Peter Hotez MD PhD (@PeterHotez) December 28, 2021
1. BioE now has 150 million doses ready now, and will be making 100 million per month.
2. In so doing our @TexasChildrens Vaccine Center has just matched or DOUBLED the US Government current commitment to global vaccine equity.
3. We technology transferred our vaccine and helped in its co-development with BioE with NO PATENT and no strings attached. 4. As a result it should be the least expensive COVID vaccine available yet
5. It uses an older recombinant protein yeast fermentation technology similar to that used for the recombinant hepatitis B vaccine which has been around for 40 years. 6. It was authorized based on superiority studies to another well established COVID vaccine.
7. This vaccine can be made locally all over the world, and we’ve now technology transferred our Texas Children’s vaccine to producers in India, Indonesia, Bangladesh, Botswana. 8. Our Texas Children’s Center does not plan to make money on this, it’s = a gift to the world
This was an effort of a team of 20+ scientists
co-led by me and my brilliant science partner for the last 20 years @mebottazzi
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A new coronavirus vaccine heading to India was developed by a small team in Texas. It expects nothing in return.
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Once a ‘crazy idea,’ patent-pooling nonprofit will help bring COVID-19 pills to world’s poor
Medicine patent strategy proved its worth with HIV drugs and now a founder of group sets her sights on Pfizer’s vaccine next
Science 29 DEC 2021 BYJON COHEN
In the United States, widespread hope greeted the decision by the Food and Drug Administration last week to authorize the emergency use of two different oral treatments for SARS-CoV-2 infection, which could mark a new era in which pills taken at home can prevent severe COVID-19. Global health advocates are also celebrating the preauthorization decision by the two Big Pharmas producing the treatments to allow generic manufacturers to make low-cost versions accessible to poorer countries.
Each of the treatments, Pfizer’s combination of a new antiviral, nirmatrelvir, with an old one, and Merck’s molnupiravir, require 5 days of pills, which the U.S. government has purchased for $530 and $712 per treatment course, respectively. That’s far too expensive for much of the world, but both companies joined the Medicines Patent Pool (MPP) for their patented treatments. A nonprofit set up in 2010, MPP encourages Big Pharmas to voluntarily cut deals that allow generic manufacturers to produce and sell a company’s drugs or vaccines at steep discounts in agreed on regions of the world. “Everyone at the time said this will never happen, this is a crazy idea,” says attorney Ellen ‘t Hoen, who helped establish MPP and remains on its expert advisory group.
Generic makers are expected to cut the cost of either treatment to as low as $20 per treatment course, while Pfizer and Merck will continue to sell the pills to wealthy countries for whatever the market will bear. (Nirmatrelvir is boosted by a second drug, ritonavir, that came to market as an HIV treatment and is widely available as an inexpensive generic.)
MPP modeled itself after a cross-licensing agreement created by the U.S. government to free patents controlled by the Wright brothers and another aviation pioneer, who tied up the entire airline industry. MPP initially set out to make lifesaving antiretrovirals for HIV more accessible to low-income countries and then later branched out to include drugs for hepatitis C and tuberculosis. “This is frankly a dream coming true that the pool is moving into all these various areas of huge need and succeeding,” says ‘t Hoen, who ran the Campaign for Access to Essential Medicines for Doctors Without Borders (MSF) before starting MPP. Deals through the group have led to the supply of more than 18 billion doses of drugs.
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STAT/Harris Poll: Vaccinated Americans far more likely to take Pfizer Covid-19 pill (Paxlovid) than unvaccinated people
Only 72% of the adult population in the U.S. is fully vaccinated and just 24% have received a booster dose, according to the U.S. Centers for Disease Control and Prevention.
In studies, the pill reduced the risk of hospitalization or death by 88% compared to a placebo among patients treated within five days of experiencing Covid-19 symptoms. Yet interest in the Pfizer pill varies significantly, according to the STAT-Harris poll, which queried 2,103 Americans over 18 years old between Dec. 17 and Dec. 19, three days before the FDA endorsed the medication.
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EXPLAINER: New easy-to-use COVID-19 pills come with a catch
Newly infected COVID-19 patients have two new treatment options that can be taken at home.
But that convenience comes with a catch: The pills have to be taken as soon as possible once symptoms appear.
The challenge is getting tested, getting a prescription and starting the pills in a short window.
U.S. regulators authorized Pfizer’s pill, Paxlovid, and Merck’s molnupiravir last week. In high-risk patients, both were shown to reduce the chances of hospitalization or death from COVID-19, although Pfizer’s was much more effective.
A closer look:
WHO SHOULD TAKE THESE PILLS?
The antiviral pills aren’t for everyone who gets a positive test. The pills are intended for those with mild or moderate COVID-19 who are more likely to become seriously ill. That includes older people and those with other health conditions like heart disease, cancer or diabetes that make them more vulnerable. Both pills were OK’d for adults while Paxlovid is authorized for children ages 12 and older.
WHO SHOULDN’T TAKE THESE PILLS?
Merck’s molnupiravir is not authorized for children because it might interfere with bone growth. It also isn’t recommended for pregnant women because of the potential for birth defects. Pfizer’s pill isn’t recommended for patients with severe kidney or liver problems. It also may not be the best option for some because it may interact with other prescriptions a patient is taking. The antiviral pills aren’t authorized for people hospitalized with COVID-19.
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Early remdesivir for COVID-19 lowers hospitalization, death risk by 87%
An early 3-day course of remdesivir lowered the risk for hospitalization or death among nonhospitalized patients at high risk for severe COVID-19 by 87%, according to a study published in The New England Journal of Medicine.
In treatment guidelines for COVID-19, the Infectious Diseases Society of America suggests remdesivir for certain hospitalized patients – a departure from WHO, which does not recommend it for any patients hospitalized with COVID-19, regardless of how sick they are.
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Beneath a Covid Vaccine Debacle, 30 Years of Government Culpability
Washington has rejected plans to revamp vaccine preparedness for decades and repeatedly paid a price. The Biden administration is at a similar crossroads.
WASHINGTON – As the Biden administration tries to stanch yet another wave of the coronavirus pandemic, senior White House officials have also been considering a proposal to ensure the nation is better prepared for the next infectious disease outbreak.
Key to the plan is the creation of a taxpayer-funded “vaccine hub” where experienced drug makers would partner with the government, reliably churning out millions of doses under federal oversight.
The proposal is partly a response to a searing failure by a once obscure Maryland biotech firm, Emergent BioSolutions. While Pfizer and Moderna had spectacular success producing vaccines, the government entrusted the manufacturing of two of the other leading candidates to Emergent, which was forced to toss tens of millions of doses of Johnson & Johnson’s vaccine and to quit producing the AstraZeneca vaccine because of serious quality problems that ultimately led the Biden administration to cancel its contract.
The government’s partnership with Emergent, which cost taxpayers hundreds of millions of dollars over the past decade, was supposed to be a pillar of the nation’s pandemic preparedness. Instead, it proved to be the culmination of 30 years of frustrations.
Three times over the past three decades, presidential administrations explored plans for a vaccine overhaul like the one President Biden is now considering, only to be thwarted by pharmaceutical lobbying, political jockeying and cost concerns, a New York Times investigation found.
In each case, the nation was left ill prepared for the next crisis – while creating a vacuum that Emergent eagerly filled.
“The reason why Emergent got so many contracts is mostly because they were the only ones willing to do the work,” said Dr. Kenneth Bernard, a top biodefense adviser to Presidents Bill Clinton and George W. Bush.
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Just sayin… pic.twitter.com/ZDonxT4FMR— Tales & Typos (@kathrynresister) December 26, 2021
Devices and Masks:
N95 masks: A must-have with Omicron, but fakes abound
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With the emergence of more transmissible variants, it’s “even more important to adopt widespread mask wearing….& to redouble efforts with use of all other nonpharmaceutical prevention measures until effective levels of vaccination are achieved nationally” https://t.co/4wO5N5KBNf— Prof. Gavin Yamey MD MPH (@GYamey) December 27, 2021
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The SARS-CoV-2 virus is largely released and transmitted in aerosols produced in speech. Thus there are far more aerosols than droplets (>100 aerosols:droplets which drop fast) which makes mask choice even more important right now while Omicron is surging. (2/4)— Kimberly Prather, Ph.D. (@kprather88) December 29, 2021
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Listen to the mask nerd: “With ample supplies of these masks available and a more transmissible variant on our doorstep, there has never been a better time to up your mask game.” https://t.co/cJBKXVLObx— Jeffrey Duchin, MD (@DocJeffD) December 28, 2021
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Following my @guardianopinion article, people asked which #mask I recommend. I won't recommend a specific brand or model but I can recommend features of masks that will enhance comfort and fit. This🧵relates to industry-certified masks. 1/ https://t.co/qarwjwnR4u#BetterMasks— Prof Claire J. Horwell 😷 (@claire_horwell) January 1, 2022
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Important point here and especially key because for many, they cannot control what is going on around them— Abraar Karan (@AbraarKaran) December 30, 2021
If you’re immunocompromised & those around you aren’t masking at all bc they’re “over it”— upgrade your mask.
It’s the fastest way to protect yourself https://t.co/QHOmSayOqK
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STORY UPDATED to note @NCHStats' "age standardization" as well as to note today's @NYTimes article which also kind of/sort of includes some of the same data (and no, neither they nor I knew of each other's work on the same data):https://t.co/HlWfxmiEy2— Charles Gaba (@charles_gaba) December 28, 2021
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With yet another in vivo study of Omicron infection today, it sure is looking that this variant has less virulence, less chance of inducing Covid pneumonia👍— Eric Topol (@EricTopol) December 29, 2021
New report: https://t.co/6gj5WmCpRt
Added to our immunity wall and T cell defense, this is all good. pic.twitter.com/qhc767nuCK
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Myth debunking:— Dr. Deepti Gurdasani (@dgurdasani1) December 26, 2021
After reading more misleading takes in the media, I'm going to try to explain this again- overall, omicron causes *more* and not less severe disease than delta – even at an individual level for most people. Why? 🧵
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⬇️ This is an example that underscores the important principle that viral aerosols will linger & remain infectious until the air is swept out of the room via ventilation or filtration. Be aware of the air you share *also* from the people who recently left the room you enter. 😷 https://t.co/ldCC1a95gc— Alex Huffman, Ph.D. (@HuffmanLabDU) December 27, 2021
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Testing isn’t perfect, but sequential negative tests could indicate that an asymptomatic person is no longer productively infected and shedding tons of virus. So naturally that’s not part of the CDC recommendations.— Dr. Angela Rasmussen (@angie_rasmussen) December 28, 2021
Tips, general reading for public:
Tatiana Prowell (@tmprowell) and others have tips for newly infected and/or exposed, below. See also https://cleanaircrew.org/someone-in-my-home-has-covid-how-do-we-isolate-safely/
1/ The first thing to say is that if someone has #COVID19 symptoms (#Omicron most common: nasal congestion/runny nose, scratchy sore throat, fever, & aches), you have to assume they have it. You may not have a test (urgent cares are still open & do) or they may still be neg.
2/ You, as the person exposed to the one with symptoms, have to assume that you both do & don’t have #Omicron too. Wait, what? I mean: assume you could infect others now & take care to avoid exposing them, BUT don’t assume it’s too late for you to avoid getting it.
3/ Especially in households with #vaccinated (& #boosted) family members, I have seen people manage to limit #Omicron to the first person who was infected. This #CovidVariant is incredibly contagious, but It CAN be done. Don’t give up on the idea!
4/ If you have N95/KN95/KF94 masks, get in them immediately. If you have only 1, put the sick person in it for source control. If you have >1 but not enough for all put the sick one & the highest risk (older, #immunocompromised) people in them. Then get outside, & leave door open.
5/ Fresh air is a friend & shared air is an enemy. The more you can ventilate your , now & until this is over, the better. You want the concentration of #omicron in air as low as possible. This decreases odds of infection & may make you less sick if you do get infected.
6/ Plan to bundle up if you’re in a climate, because you’re going to need to leave doors & windows open enough for air exchange, esp for next 5d or so, & a cross draft. If you have a fresh HVAC filter, change it. If a hardware place is open, get a MERV13 HVAC filter. (Amazon has too.)
7/ Run the fan on your thermostat on high. Filter that #Omicron ! If you need supplies of any kind, please do curbside pickup or same-day delivery or drive-thru. No one exposed should be indoors in public, & def not the one with symptoms, to prevent further spread.
8/ If you don’t have any N95/KN95/KN94 masks, please see if a nearby friend or neighbor has unused ones you can have & order them replacements. The nonprofit @projectn95 (http://projectn95.org) is a great place to get them. Your backup plan for right now is a surgical mask.
9/ A surgical mask (ASTM level 3, 3-ply is best) has good filtration but usually not good fit. There are often gaps. Knot ear loops where they join the mask & then tuck to improve the mask fit. Here’s a short video demo: https://youtu.be/GzTAZDsNBe0. Put a cloth mask over the surg mask.
10/ Now it’s time to create the space where the infected person or people will isolate for 10d to let #Omicron run its course. This prior of mine covers what is helpful to have in there & other things to consider.
11/ This whole scenario assumes that things are going ok with the person who has #Omicron. How do you know if they are ok? As I mentioned before, if you have a pulse oximeter (O2 sat monitor)-the thing drs put on your fingertip to measure O2-use it. See guide in .
12/ If you don’t have a pulse oximeter, many pharmacies carry them. They are over the counter. Ask the pharmacist if you don’t see them. You can order them online from many places too. Get one highly rated by many people. They need not be expensive. $15 gets a very good one.
13/ Some of your devices (smart watches, fitness trackers) can detect heart rate (60-100 normal for adults) & less reliably O2 levels. If you have them & they read low O2 levels, def do call a dr or seek care. Video calls are helpful to check on the sick as well.
14/ If the person w/ #Omicron is high-risk (especially #immunocompromised, organ or bone marrow transplant, active #cancer, #pregnant, #diabetes, older, etc), they should contact a dr even if they seem ok. There are outpatient treatments that sig risk of being hospitalized.
15/ These include monoclonal antibodies (some brands no longer work vs #Omicron, but 1 called sotrovimab remains effective). It is given IV as a single dose. There are also two types of pills taken for 5d at home. All are in short supply at the moment. https://google.com/amp/s/abcnews.go.com/amp/Health/omicron-treatments-monoclonal-antibodies-work-variant/story%3fid=81893922….
16/ All of these things to treat outpatients w/ #Omicron, the monoclonal antibody sotrovimab, as well as the pills (Paxlovid: https://google.com/amp/s/www.nytimes.com/2021/12/22/health/pfizer-covid-pill-fda-paxlovid.amp.html…) & (molnupiravir: https://google.com/amp/s/www.nytimes.com/2021/12/23/health/covid-pill-merck.amp.html…) are new, so they are being reserved for higher-risk folks while supply increases. [Paxlovid is better imho] 17/ If you are not the sick person, but one of the exposed, & you can walk-up/drive-up (NOT indoors & ONLY in a !) to #GetVaccinated, do it. If age 16+ & 6+ mos post dose 2 of vaccine (or 2+ post J&J), go #GetBoosted now! The booster protects w/in a wk! 19/ If you are high-risk #immunocompromised or #immunosuppressed, we know that #vaccineswork less well in many of you. While you should still #GetVaccinated & #GetBoosted, an injection (Evusheld) can decrease your risk of #COVID19. It’s given every 6 mos. ~ ~ ~ Also #Remdesivir might be available as an outpatient for high-risk- (1.6%) in the remdesivir group and 21 of 252 (8.3%) hosp or death in placebo https://www.nejm.org/doi/full/10.1056/NEJMoa2116846 I suggest contacting the local health department +/- hospital to see where any of these drugs might be available. There are very limited supplies.
I have tried to hold onto hope that @CDCDirector @CDCgov will pull through and lead us out of this mess. Today, I give up. It is absolutely appalling to let (force) HCWs go back to work without even taking a rapid test on/after Day 5. It is going against the science and reckless.— Kimberly Prather, Ph.D. (@kprather88) December 28, 2021
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For example, every media outlet should include that Delta CEO Ed Bastain asked the CDC to reduce the recommended quarantine time from 10 days to 5 for vaccinated people because of workforce impact. That’s not a health decision. The media needs to frame it that way every time.— Jemele Hill (@jemelehill) December 28, 2021
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It was the CEO of DELTA 🙄🤬https://t.co/fEobw6LKdS— Bella Ciao (@CrynJohannsen) December 28, 2021
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I understand the intent and agree with 5 days, but hard to understand why they didn’t also require at least one negative antigen test (preferably 2 tests 24 hours apart).— Jerome Adams (@JeromeAdamsMD) December 27, 2021
It’s almost as if they didn’t believe they’d have the tests to support such a recommendation? 🤔 https://t.co/5qydi8npzw
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Wow – this tweet struck a nerve. Want to share what I found to be a super helpful thread from @Bob_Wachter from a couple days ago about Omicron infections and multiple-layers of mitigation strategies, including high-quality masks. (I just stocked our family up on KN95s.) https://t.co/DyD2Lu0kW5— Ann Swinburn (@annswin) December 29, 2021
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A missing element in harrowing stories of overwhelmed hospitals and exhausted staff is the decades of CEOs/consultants working to maximize profit and extract maximum value from every employee and ICU bed at all times, leaving hospitals with as little surge capacity as possible.— James Hamblin (@jameshamblin) December 24, 2021
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OK. Wait. He met an American Army Captain from Miami in a St. Petersburg, Russia casino? Why would a U.S. Army officer be in a Russian casino?— Fred Wellman (@FPWellman) December 27, 2021
I have questions. https://t.co/TIVtujVhUs
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Mayo Physician Fired Over COVID Book
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I am 100% for getting people to drop isolation early.— Michael Mina (@michaelmina_lab) December 27, 2021
Heck, I formally recommended it to CDC in May 2020 and Published the recommendation in J of Clin Infectious Diseases in April 2020.
But it was always with a negative test.
What the heck are we doing here?
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Only in the United States could the government run a public health campaign centered on fears of large, unexpected medical bills. https://t.co/n9gEl9H1sO— Sarah Kliff (@sarahkliff) December 27, 2021
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Republicans are now subsidizing anti-vaxxers:— Kyle Griffin (@kylegriffin1) December 28, 2021
Republican-led states — Arkansas, Florida, Iowa, Kansas and Tennessee — are extending unemployment benefits to people who've lost jobs over vaccine mandates. https://t.co/21t5pjaMaw
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LA school district cut its police budget by $25m in 2020 and redirected funds toward the Black Student Achievement Plan—investing $36.5m in student advocates, mental health counselors and social workers. Midpoint data shows suspensions are down and English/math proficiency is up.— melinda d. anderson (@mdawriter) December 29, 2021
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Ohio's gerrymander, approved by Governor Mike DeWine, is being heard at the Ohio Supreme Court today. One of the justices is Pat DeWine, his son. In an unprecedented move, he has not recused himself in a case against his own father.— Duty To Warn 🔉 (@duty2warn) December 28, 2021
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Timezones are so weird. Australia is in 2022, Canada is in 2021, and the United States is in 1935.— Santiago Mayer (@santiagomayer_) December 31, 2021
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If you think GOP depravity began with Trump, then you haven’t read what they did to DonSiegelman, Alabama’s last Democratic Governor. by Jennifer Cohnhttps://t.co/SgkVhnuL9Q— Jennifer Cohn ✍🏻 📢 (@jennycohn1) December 31, 2021
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A normal president walking his dog. Not golfing, not spreading hate. Just a regular Joe. Happy New Year Mr. President! pic.twitter.com/Nnbpib7WVn— Steve (@s_vickman) January 1, 2022
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Just a casual reminder that in 1861, 11 Senators and 3 Representatives were expelled from Congress for failing to recognize Lincoln’s election and supporting insurrection.— Andrea Junker (@Strandjunker) December 29, 2021
Feel good du jour:
Look at this moth from the genus Phalera— Science girl (@gunsnrosesgirl3) December 21, 2021
It looks like a fragment of twig complete with chipped bark and even the layering of wood tissue at the “cut” ends…
perfectly resembling a broken piece of wood to avoid predation.
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every child should grow up with a dog pic.twitter.com/EfOxRFEGhL— theworldofdog (@theworldofdog) December 28, 2021
I don’t know if FROG AND TOAD ARE DOING THEIR BEST (which my wife got as a Christmas gift for her mom) is the best book, but it certainly feels the most familiar pic.twitter.com/EnsJFVrTmK— Dan Diamond (@ddiamond) December 26, 2021
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because i have photos pic.twitter.com/7FeMURDcpS— Monsters Ink (@fabiansociety) December 28, 2021
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The 2021 COVID Derby… pic.twitter.com/WQlUynW5R9— Rex Chapman🏇🏼 (@RexChapman) December 27, 2021
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Playing in the snow.. pic.twitter.com/1wSNRXlAiz— Buitengebieden (@buitengebieden_) December 29, 2021
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“Things are circling back again.”— Sarah Kay (@kaysarahsera) December 26, 2021
If you have never heard Layli Long Soldier’s “38,” today is the day to sit with it. https://t.co/fTstsMxOam
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To all the exasperated doctors and epidemiologists who saw this winter's COVID wave coming and wish that more had been done to prepare,— Dr. Robert Rohde (@RARohde) December 24, 2021
We understand how you feel.
All the climate scientists
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Let me keep my distance always from those who have all the answers.— Joyce (@joycebudenberg) December 28, 2021
Let me keep company always with those who say “Look!” and laugh in astonishment, and bow their heads.
Mary Oliver pic.twitter.com/XuY2RGWOnc