Thank you to all the clinicians and PMO team members who worked in the clinical cell it’s great that all the hard work on supply resilience has been recognised @sgroves287 @DrMikePrentice @HarryDECarter @ClaireEdwin1 #teamCNO @teamCNO_
We @UKHSA have updated our monkeypox #MPX case counts to 106 confirmed cases in the UK.
A few things have changed over the past two weeks. A short explainer thread here.
https://t.co/XLP8C0wRZn
monkeypox - a short thread.
Firstly a huge thank you to the people coming forward with symptoms, clinicians that are taking samples and helping us find cases, health advisors and health protection teams for tracing contacts, vaccination teams and inpatient management teams 👏
@drclairetaylor From cases there have been no onward transmission during flights home despite contact with others for 5 plus hours.
Have to balance risk of transmission with pragmatism of testing - masks & cover lesions should be sufficient. But would still try to avoid packed trains etc.
So being a gay infection doctor I am used to getting messages from friends regarding PEP/PrEP. But last few days have had quite a few messages from worried friends. So thought I'd create a tweet of my advice following the current guidance that is developing and in flux.
Seeing a lot of folk tweeting about monkeypox. Some are experts on COVID19 but not all have experience of emerging disease outbreak investigation. So here are some thoughts.
- It’s not Covid
- Control will be different
1/n
It is important to know that monkeypox is transmitted through close contact. The strain in the UK has a low mortality rate and most people make a full recovery.
Here’s a primer from @56deanstreet: https://t.co/ep8HpaxzBp (2/2)
A truck loaded with thousands of copies of Roget's Thesaurus spilled its load leaving New York
Witnesses were stunned, startled, aghast, stupefied, confused, shocked, rattled, paralyzed, dazed, bewildered, surprised, dumbfounded, flabbergasted, confounded, astonished, and numbed.
How it started and how it finished…37 years apart. Been such a special journey and a privilege to have worked in the NHS all that time, alongside the most compassionate, caring, selfless and special people #Improve4Patients
🚨 BREAK: MPs vote AGAINST government policy to scrap at-home early abortion services brought in during the pandemic in August. Telemedicine abortion in England will now be PERMANENT
In December, as Omicron took off in South Africa, many of us emphasised time and again that the observed reduction in severity in a population with lots of vax and infection was likely to be coming as much from that immunity as from intrinsic mildness https://t.co/0PnPI9Opa4
Vaccines.
Or more specifically: the elderly vaccination rate.
When Omicron hit, *more than two-thirds of people aged 80+ in Hong Kong were still unvaccinated*, compared to a couple of percent in New Zealand and Singapore. This was a year after vaccines became available.
Hong Kong doesn’t just look grim when compared to its Asia-Pacific peers.
In March 2020 we saw awful pictures from northern Italy. Last winter, UK & Portugal saw huge mortality spikes, and last summer it was Namibia, but Hong Kong has now set a new global record for daily deaths
After accounting for lag between infection & death, *1 in 20* cases in Hong Kong currently ends in death.
To put that into context, HK’s case fatality rate (NB different to infection fatality rate) is currently higher than England’s pre-vaccine peak. Two years into the pandemic.