“There’s probably more transmission of SARS-CoV-2 in the last 30 days than there had been in any 30-day period in the entire pandemic,”said Dr Osterholm of Ctr ID Research & Policy.
Map of community transmission below speaks for itself. Where’s
@CDCgov
?
NEW:
@zalaly
et al nailed it: COVID IS WORSE THAN FLU😷
‘It’s a “much more serious threat” and affects nearly every single organ system in the body, per a new study
@Nature
.
"We trivialize
#Covid
infections to our own peril," Al-Aly told me.👇. 1/2
The new booster may not be for you...
Is this for real?
@DrPaulOffit
, who serves on the FDA's expert panel, said to
@NPR
here that, "The general public should not expect to need to receive the latest COVID booster." He explained that it is intended only for those who are age…
Long Covid…
“It can take people who are entirely functional, athletic, healthy, & make it difficult for them to get out of bed or difficult to walk just a block. We are long on mechanisms & short on treatment. That's the summary of everything”-
@EricTopol
@CalltoActivism
Nearly 1 in 4 Americans have medical debt & plenty of hospitals sue patients who don’t pay. No one should be put in these impossible financial circumstances bc they seek care. Simply put, our healthcare system is broken—we overspend, WAY overcharge and underdeliver. Based on my…
@MeetJess
@FortuneMagazine
Good news, Jess. The article has gone viral and both Google & Apple News have picked it up, so the info. is being shared, widely.👍
Kaiser researchers examined records of 6.2 million pts—found NO serious health effects linked to the 2 mRNA COVID vaccines.
Myocarditis risk 12-39 yos: 6.3 cases/million doses; hospitalized median 1d.
@aboutKP
Covid is in the air! How much?
A new study reports that
#COVID19
pts exhaled up to 1000 copies of virus/min until day 8 of sxs, when levels plummeted.
⭐️Mild/mod symptomatic pts exhaled large amounts of virus, though severely symptomatic cases generally exhaled ⬆️⬆️ levels…
New cancer diagnoses exceed 2 million/yr for 1st time. Many poss reasons for this. I spoke with mult experts👇incldg
@VirusesImmunity
about whether
#SARSCoV2
can lead to cancer…
“We don’t have great evidence, but this virus has surprised us over & over.”
In a "bleak milestone," new
#cancer
diagnoses exceed 2 million/year for the 1st time in U.S. history, per
@AmericanCancer
.
Models don't account for Covid, but "existing cancer disparities will likely be further exacerbated by the COVID-19 pandemic."
Thank you
@zalaly
for all of your great work. Dr. Aly’s remarks to
@BurnetInstitute
:
“We looked at the heart, lungs, kidneys— we saw increased risk of diabetes, mental health disorders, & blood clotting problems. We saw increased risk for nearly every organ system.
Long Covid…
@MeetJess
@FortuneMagazine
I have and linked about 5 of your sudden death threads in the piece. Also tweeted out a thank you to you for your hard work this AM. Trying to help spread good info.👍 Cheers!
New research published by a
#UCSF
/
#Harvard
team provides the strongest evidence yet that the
#COVID_19
virus can persist for months to yrs after infection. Employing an ultra-sensitive blood test, the team found that proteins made by the virus were still present for up…
Why isn’t anyone talking about this? Covaxin submitted an EUA to FDA 11/21 for its vaccine for KIDS 2 YEARS AND UP w/ no myocarditis.
AND it could be a great booster generating broad immunity against whole virus versus just spike.
@EricTopol
@PeterHotez
@DrLeanaWen
@ASlavitt
Covid virus found all over the body.
An NIAID autopsy study of mostly older, unvax'd ppl who died from COVID revealed SARS-CoV-2 viral RNA in 79 of 85 body locations (including the brain, heart, ovary, testes.) Virus persisted up to 230 days after symptom onset in 1 case. 1/
Pls try to avoid Covid during the holidays. In this massive study(> 450K ppl), people who were reinfected with COVID had a more than 2x ⬆️risk of death and 3x⬆️ risk of hosp vs those infected just once. Also they were 3x more likely to develop lung prob, 3x ⬆️heart issues, etc…
⚠️AVOID INFECTION—Risk of death, hospitalization from
#COVID19
jumps significantly with reinfection compared with 1 or no infection. Problem goes beyond vaccinated or unvaccinated. ➡️Each infection you accumulate more risk.🧵
(See Purple>>Orange>>Green).
This⬇️
Mindboggling that
@michaelmina_lab
has to write this article for the 10th time in 20 mos.
Testing= knowledge=control…control over outbreaks, in-person learning, safe gatherings, our lives… Come on
@WHCOVIDResponse
@JoeBiden
@CDCDirector
, pls make this happen, ASAP.
The US needs an Operation Warpspeed for Rapid Tests!
Not just for COVID19 but for our future selves!
It’s not if, but WHEN the next pandemic hits, we shouldn’t spend years fumbling around.
Get accessible rapid tests to ppl in weeks!
From Sept ‘21
@michaelmina_lab
Did I just hear press Secretary Jen Psaki correctly in her press briefing say that all Americans will get free at home COVID tests?! Think it’s finally happening. THANK YOU,
@michaelmina_lab
for your relentless persistence re this essential public health tool. 👏
@kprather88
Agree, this definitely needs more attention. Tried to raise some awareness here, but
@CDCgov
can you pls investigate the rash of sudden deaths that we are all seeing & correlate with causation?
@MeetJess
has done a fantastic job listing these on her acct.
Such a waste of a tremendous opportunity. The NIH received $1.15 billion from Congress in 2020 to help patients, but most of this funding has been spent, already. Only 15% of the funding went towards clinical trials.
"Scientists and patient advocates agree that the current slate…
@EricTopol
Thanks, Eric. Just wrote about these new variants and the consequences of these repeated surges
@FortuneMagazine
…
“Strokes, heart attacks 💔, sudden death. Does America understand the long-term risks of catching Covid?”
Riddle: What takes ~40 minutes to build, drastically improves air quality in a school, dorm or office helps mitigate against COVID-19 infection & won’t break the bank?!
@CorsIAQ
@JimRosenthal4
@ShivenTaneja
“We estimated that there were approximately 10 million people in the first year of the pandemic in the U.S. who are in this predicament: who got Covid, got long Covid, but tested negative for Covid,” said Igor Koralnik, who led the study
#COVID
…
Common cancer screens (mammography, colonoscopy, PSA testing, etc.) don't save lives by extending lifetimes, per a meta-analysis of over 2M ppl.
That's pretty shocking when you think about it.
And for too many Americans, the downstream effects of mass screening (biopsies,…
@Genlman
@MeetJess
Crazy enough, these DIY Corsi- Rosenthal boxes work better than a lot of store-bought HEPA units bc of the tremendous airflow generated by the large fan. And, you can build one in about 45 minutes! Wrote about them here…
@tmprowell
@Hexagon1594
Low sperm counts, low testosterone levels, erectile dysfunction…
“Male fertility is definitely being affected,” says
@raevti
@ClevelandClinic
. “We just don’t know how severely and for how long.”
@amyfaithho
Terrible. Nearly 1 in 4 Americans have medical debt & plenty of hospitals sue patients who don’t pay. No one should be put in these impossible financial circumstances bc they seek care. Our hcare system is broken—we overcharge & underdeliver. My book👇($4)
-A 7 yo died of a heart attack
-Last mo. a 12yo collapsed
-In Jul, an 11yoM & 19yoF suffered ht attacks & others.
-In Jun, an 18yo & 24yo collapsed
"It is shocking how many children suffered ht attacks in 2022"
How is Covid NOT listed as a risk factor?
@yaneerbaryam
Thank you! Reviewed this recently with several experts..impotence, ⬇️sperm counts, low T & erectile dysfunction.
The bottom line: Don’t try to outguess this virus, not with your sexual health, among other things, potentially on the line
@FortuneMagazine
"Cao’s lab posted results for lack of neutralizing Abs to BQ.1.1 & XBB (& BA.2.75.2) after 3 shots (Coronavac) 7 months after a BA.1 infection. If anything should be considered as a red flag about immune evasion, this would be it.”-
@EricTopol
@SubstackInc
In a Swedish study of over 1M ppl who had COVID, researchers found that the risk of developing heart arrhythmias like atrial fibrillation, atrial flutter, PSVT and even slower rhythms(bradycardias) post Covid were higher vs folks w/o illness. Unvax’d at > risk than vax’d.
#covid
…
@CDCgov
@CDCDirector
Respectfully, we have more “common sense” strategies than hand washing & it would be helpful if
@CDCDirector
would mention these. Didn’t it take until May of 2021 before
@CDCgov
recognized that SARS-CoV-2 was an airborne virus? Masking & proper ventilation/filtration help stave…
And herein lies the dirty little secret… We all know that the
#COVID19
#vaccines
aren’t intended to protect vs infection. The rub: last year’s
#bivalent
vax provided addt’l protection vs hosp/critical illness for only ~2 mos, before effectiveness waned. Frustrating, to say the…
@GavinNewsom
Good call on the masks. Everyone would have dropped masking, placing the unvaccinated at risk. Many more will be vaccinated by 6/15 and case numbers will have dropped, significantly. 👍
@1goodtern
Wrote about some of this back in 2021. “We had a dysfunctional health care system in the U.S. well before the pandemic, but with COVID the dike has broken wide open. The problems have been laid bare: inadequate staffing, inefficiencies, rising expenditures and the corporatization…
@farid__jalali
FYI: In a recent study, researchers found evidence of SARS-CoV-2 liver tropism, “including viral RNA detection in 69% of autopsy liver specimens, & isolation of infectious SARS-CoV-2 from liver tissue postmortem.”
“Federal data published by the CDC on Wed found that 15% of adults who previously had a COVID-19 infection are currently experiencing symptoms of long COVID.”
~15 million having difficulties performing daily activities
-Highest rate of activity limitations? In 18-29 age group!
Majority of Adults with Long COVID-19 Report Trouble Performing Daily Activities
More than 80% of adults with long COVID say their long-term symptoms have reduced their ability to carry out daily activities ⚠️
This is HUGE
@CDCDirector
We actually know much more. Respectfully, I don’t really understand why
@CDCDirector
says that “we are more prepared than ever” to track variants (when the
#CDC
isn’t even tracking cases), why she doesn’t mention masking or ventilation strategies AT ALL, nor discuss the risks of…
@DrEricDing
Thx Eric! Discussed impotence, ⬇️ sperm counts, low T & erectile dysfunction with several experts, recently.
“The bottom line: Don’t try to outguess this virus, not with your sexual health, among other things, potentially on the line.”

@POTUS
Thank you, Mr. President. Bleeding from a miscarriage or an abortion are indistinguishable in the ER. And uterine bleeding can be fast and furious. As ED docs, we must be able to act immediately to save womens’ lives, free from fear of retribution or prosecution. A good start…
@healingfromlc
Metformin—relative risk 40%⬇️ less. “At day 300, the cumulative incidence of long COVID was 6.3% among patients who received metformin vs 10.4% among those who received matched placebo ([HR].”
@EricTopol
Thx! Wrote about this, recently.
“Ramasamy found evidence of the virus remaining within the endothelial cells of penile tissue as much as 7 months after infection, which suggests that direct damage to cavernosal endothelium may affect erectile function.”
@FitFounder
As a long-time ER doc, I would not recommend you randomly get any of these tests at age 35+. Pls see Dr Vinay Prasad’s thread, this article that discusses the harms of overscreening
& my book, Runaway Medicine (only $4!:).
@mch_childrens
Very sorry to hear this, and thank you for this info. Betting some of those admissions are related to diabetes/DKA. Just wrote about this in
@sciam
A team finding that microglia in the brain attack neurons post Covid infection, inciting inflammation.
“We believe this is one of the primary pathways of how
#COVID19
infection leads to brain damage.”
#LongCovid
I almost forgot today is
#MicroscopyMonday
, such a good start for this year !😁
The micrograph below shows microglia (🟠Iba1), the brain's primary immune cells, selectively attacking pyramidal neurons (🟣Neurofilament) of the olfactory cortex, 7 days after infection with…
With conferences having the potential to be massive superspreader events, suggested mitigation measures by
@EMSwami
@choo_ek
@JessicaSmithMD
include:
📌 attendees vax’d/boosted
📌 daily tests
📌 high quality mask use
📌 proper ventilation/use of outdoor spaces
📌 ⬇️ no. attendg
Opinion: If medical professionals don't gather safely at meetings and annual conferences, how can other professionals, not to mention the general public, be expected to do that?
The
#CDC
put out a new video to update the public on
#COVID19
and “to keep you & your family protected.” ⬇️
My 2 cents after viewing it…
We actually know much more. Respectfully, I don’t really understand why
@CDCDirector
says that “we are more prepared than ever” to track…
@EnemyInAState
Thanks! And the virus has been found in the endothelial cells of penile tissue, up to 7 months post infection… Reviewed Covid’s potential impact on erectile dysfunction with experts, here… Yet another GREAT reason to avoid this virus!
Portugal’s health care system was on the brink of collapse last Jan. Now, it has one of the highest vaccination rates in the world.
-86% fully vax'd
-98% >12yo fully vax'd
“We don’t really have a culture of questioning authorities,” said Sanches
@nytimes
“A gift to the world. Thank you rock stars
@PeterHotez
@mebottazzi
@TexasChildrens
@BCM_TropMed
for developing a vaccine with no patent/strings attached & sharing the technology so others can make life-saving shots. They have ~DOUBLED the US commitment to global vaccine equity.👏
@pedsmd2b
Dealing with structural problems--hosp. dysfunction, staffing shortages & failed leadership is critical.
Mayo study: the most effective strategies for alleviating burnout “will target organization-directed changes rather than the level of the individual.”
When I felt the tickle in my throat, I initially hoped for the best. For MANY reasons, I wanted to avoid COVID.
⭐️ Every infection or reinftn adds risk,”-
@zalali
⭐️ Up to 1 in 5 can develop long COVID
⭐️ Viral persistence seen in organs 230d later
The Hospice Hustle:
“Richardson hated admitting people who weren’t appropriate or dumping patients who were.”
“Some
#hospice
firms bribe MDs to bring them new pts.”
CA: “a large-scale, targeted effort to defraud
#Medicare
” LA has > 1000 hospices.
EVERYONE STOP AND WATCH—This is what it looks like to live with
#longCOVID
.
“Everything tastes like dog shit”
“I can’t swallow”
“My hair is falling out”
“My food tastes like it comes from a dumpster housing a dead raccoon🦝”
HT
@WesElyMD
&
@brutamerica
@SenSanders
Thank you
@SenSanders
“Long COVID stripped away my daughter’s life as she knew it,” Nicole Heim told the Committee.
Experts warn Congress about the burden of
#LongCovid
as the govt blows through $1.15 billion without finding treatments.
#COVID19
#Covid
@CDCgov
@CDCDirector
We actually know much more. Respectfully, I don’t really understand why
@CDCDirector
says that “we are more prepared than ever” to track variants (when the
#CDC
isn’t even tracking cases), why she doesn’t mention masking or ventilation strategies AT ALL, nor discuss the risks…
@VirusesImmunity
I’m so sorry to hear this, Dr Iwasaki. Thank you for using your platform to share this & for the important work you and your team are doing. Hope he/she improves. 🙏
@ejustin46
Thank you for your informative threads! Wrote about some of this in 2022…
“Men’s sexual health is definitely being affected,” says the Cleveland Clinic’s Bole. “We just don’t know how severely and for how long.”
#Covid
It’s clear that current vaccines don’t protect well vs infection. Researchers hope that enhanced mucosal immunity with intranasal vaccines will do the trick, but results thus far have been inconsistent.
In a study
@Nature
scientists found that intratracheal boosting with a…
@kprather88
Very high. Fatigue and neuromuscular issues post covid are well documented. I’d get her checked out, ASAP - guillian barre, transverse myelitis, myopathy, myositis, etc in the differential. This happened to my son with sudden weakness in both quads. His reflexes and CK were nl.…
One of Yale’s chief residents describes the hazards of being a patient right now…receiving only HALF a unit of blood despite active bleeding, again being alone bc visitors are too dangerous, catching COVID while in the hosp, etc., and some of the challenges of being a provider…
“Long COVID stripped away my daughter’s life as she knew it,” said Nicole Heim. Experts, patients warn Congress about the burden of long COVID as the government blows through $1.15 billion without finding a cure.
#LongCovid
#Covid_19
#Covid
#pandemic
@ashishkjha
@washingtonpost
Nicely written, Ashish. Just wrote a very similar article about Brazil on Friday, with the same conclusions. Hope the US can share spare doses and help build up global vaccine manufacturing. Thx for your hard work.
@MuhammadSmiry
“One night I think we saw seven dead children under the age of five in the course of like four or five hours,” she said in a call.
Absolutely Horrific.’ What American Volunteer Doctors Saw in Gaza …
#Gaza
#Palestine
#IsraelGazaWar