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Bio: ID physician, epidemiologist/statistician. Current President @ASIDANZ. Opinions my own. RT ≠ endorsement
Location: Australia
Rhonda is a legend (and also needs a break!)
Time for a few days off! Thank you Victoria for all your efforts in suppressing this second wave, and please stay safe. I'll be signing out for a bit.
Today PHAA is delighted to welcome its new President, A/Prof Tarun Weeramanthri! @tarunw is a former Chief Health Officer in WA & NT, and has been assisting with the Australian COVID-19 response. We look forward to working together for #publichealth!
More: phaa.net.au/documents/item… pic.twitter.com/UYUdQxfCRw
This year, I've felt like I've moved from curling to MMA!
It would be curling - furious effort to keep the rock of knowledge moving.
A community case is an infection acquired in the community (as opposed to in hotel quarantine, acquired overseas). A mystery case ("unknown source") is when it can't be established who transmitted the infection to them.
Not in Victoria (yet) - Shepparton and Kilmore wastewater went positive just as we found cases, and we didn't find any cases in Apollo Bay after a positive despite extensive testing. Not sure about other states.
Wonderful recognition. Congrats @edwardcholmes smh.com.au/national/nsw/v…
I got myself one this morning after dropping the kids off at school!
#BREAKING: Victoria has recorded NO new cases of coronavirus and no deaths overnight.
It’s the first official day of zero cases since early June.
Yes, that's correct for close contacts. They are getting daily calls/visits to reinforce what's required.
No, quarantine and day 11 testing only required if they have been called as a close contact by DHHS. (People who are not close contacts but are symptomatic should isolate until they are well and have a negative test result)
COVID deaths & hospitalizations always lag cases. The lag has been demonstrated, is often 𝗺𝗼𝗿𝗲 than a month, and its timing can be predicted accurately (I have done it.) The #casedemic folks are just, well, wrong.
A thread explaining the lag with real-world examples.
1/n pic.twitter.com/4Suv94BhkD
Not looking good for you, Cam!
You can also subscribe to the @VictorianCHO update which comes out every evening
dhhs.vic.gov.au/coronavirus-co…
dhhs.vic.gov.au/coronavirus-co…
That's pretty much what the Premier reads off every morning.
Congratulations, Catherine!
What about "communicable diseases"?
How do we reconcile the conflicting remdesivir study results for treatment of #COVID19? Here I give it a try. h/t @AaronRichterman @EricMeyerowitz @mikejohansenmd @FranciscoMarty_
blogs.jwatch.org/hiv-id-observa…
blogs.jwatch.org/hiv-id-observa…
Well done, Nick!
A few reasons - modelling less useful when we get to these numbers; models haven't looked at unknown source cases which are the current concern; qualitative assessment now most important.
I use them all! twitter.com/simongerman600…
A special shout-out to our colleagues in occupational medicine, epidemiology, primary care and the army of nurses also contributing. And of course to our public health colleagues for patiently giving us a crash course in government.
Thanks Greg - there are many of us standing shoulder-to-shoulder (metaphorically) with our public health colleagues, all trying our best to get us all through this difficult time.
Happy Birthday, Peter! twitter.com/TheDohertyInst…
I am genuinely mystified as to why anybody thinks heaping abuse on me or anyone else on Twitter would change the way we do our job or our expert view of the science
This is a classic straw man argument. As we have said repeatedly, models are only one input into decision making, and with lower numbers the qualitative assessment becomes increasingly important.
That's very kind (but no thanks!)
Plant derived flu vaccine: good to have a new potential platform, but disappointing results in the elderly despite higher antigen dose. Needs an adjuvant? twitter.com/TheLancet/stat…
Thanks for the opportunity to present on our experience in Australia.
Congratulations!
The first controversy is that most aren't called Candida any more!
Plenty of hospitals don't have an ID physician. Ideally, micro would call the clinician to flag important results but doesn't always happen; certainly can't rely on clinicians to call anyone.
All micro reports should state the new name and the old name at least for the next few years (not sure that this is happening eg Klebsiella aerogenes)
Good question - I don't know
Beta blockers and many other drugs (eg efavirenz) can cause nightmares - depends on whether they can cross the blood brain barrier (lipid solubility, active transport mechanisms) and whether they interfere with neurotransmitters
Results with high cycle thresholds go through additional confirmatory tests (different test platform and at a reference lab) and an expert review. If still unclear, a repeat swab (+/- swabs from close contacts) is taken.
Latest paper from RECOVERY trial:
In patients admitted to hospital with COVID-19, lopinavir–ritonavir did not reduce 28-day mortality, duration of hospital stay, or risk of progressing to invasive mechanical ventilation or death.
thelancet.com/journals/lance… pic.twitter.com/KjLp3O1j3t
More results from the RECOVERY trial - Hydroxychloroquine:
Among patients hospitalised with COVID-19, hydroxychloroquine (HCQ) did not improve 28-day mortality, duration of hospital stay, or risk of progressing to invasive mechanical ventilation or death
nejm.org/doi/full/10.10… pic.twitter.com/BXZ8vUlRk3
Now there will be three names - old name, anamorph, teleomorph!