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DrEricDing's profile
Eric Feigl-Ding
Eric Feigl-Ding
Eric Feigl-Ding
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@DrEricDing

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Eric Feigl-DingVerified account

@DrEricDing

Epidemiologist & health economist. Senior Fellow @FAScientists. Former 16 years @Harvard. @JohnsHopkins alum. COVID updates since Jan '20: http://nym.ag/3olszuo 

Washington DC & Virginia
fas.org/expert/eric-fe…
Joined January 2009

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    Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

    🦠NEW VARIANT—a new #SARSCoV2 variant C.1.2 just identified in South Africa & several countries, with concerns it could be more infectious and evade vaccines. #C12 also has mutation rate that is nearly **twice as fast** as the rate of the other variants.🧵 https://www.jpost.com/health-science/new-covid-variant-detected-in-south-africa-most-mutated-variant-so-far-678011 …pic.twitter.com/a432jYiexE

    9:35 PM - 29 Aug 2021
    • 11,404 Retweets
    • 15,817 Likes
    • Nicholas Gruen El Demiurgo Alice Clearman, PhD 🌊 Micro Harvest Cian O'Connell Northern Defender 🇵🇭 🇺🇸 🇦🇺 🇯🇵 🇹🇼 🇪🇺 🌏 hdd tschy2m DrHarryLeider
    1,558 replies 11,404 retweets 15,817 likes
      1. New conversation
      2. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        2) Study comes from a new preprint by South Africa's National Institute for Communicable Diseases. ➡️The new variant has "mutated substantially" and is more mutations away from the original virus than any other variant detected so far worldwide”—wow! ⚠️https://www.medrxiv.org/content/10.1101/2021.08.20.21262342v2.full-text …

        37 replies 971 retweets 2,387 likes
        Show this thread
      3. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        3) What does that mean above? It means that #C12 variant has somehow mutated so fast and far that it is now the FURTHEST MUTATED variant found to date! It has mutated the greatest genetic distance from the original Wuhan 1.0 strain—and implies potential troubles for 1.0 vaccines.pic.twitter.com/3dY50AbnnP

        52 replies 1,147 retweets 2,565 likes
        Show this thread
      4. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        4) it gets worse with #C12… it has a 1.7x to 1.8x faster mutation rate than the average of all other variants! The authors note this coincides with the emergence pattern of other really bad VOC variants. https://www.medrxiv.org/content/10.1101/2021.08.20.21262342v2.full-text …pic.twitter.com/RLTHsaRXA2

        41 replies 664 retweets 1,872 likes
        Show this thread
      5. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        5) Let’s visualize how much farther and faster the new #C12 variant is - it is much much faster in mutation rate and it has gained the farthest distance from Wuhan 1.0 strain (denoted by “0” distance). This means #C12 is the most mutant of all mutant variants found to date!pic.twitter.com/qCuSQNvEoc

        35 replies 588 retweets 1,745 likes
        Show this thread
      6. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        6) “The study found consistent increases in the number of C.1.2 genomes in South Africa on a monthly basis, rising from 0.2% of genomes sequenced in May to 1.6% in June and then to 2% in July, similar to increases seen with Beta & Delta variants there.” ➡️Pattern recognition 🔔?

        7 replies 352 retweets 1,311 likes
        Show this thread
      7. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        7) To be clear, the mutation rate of #C12 being “nearly twice as fast” is how quickly it gained mutations in a short period. It won’t necessarily continue to - but it certainly did in the time of window that it took to emerge.pic.twitter.com/8wETYMEzKB

        7 replies 346 retweets 1,290 likes
        Show this thread
      8. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        8) “More than half (about 52%) of the mutations in the spike region of the C.1.2 sequences have previously been seen in other VOCs and VOIs. The mutations N440K and Y449H, which have been associated with escape from certain antibodies, have also been noticed in C.1.2 sequences.”pic.twitter.com/nH4vNxNv0o

        8 replies 337 retweets 1,235 likes
        Show this thread
      9. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        9) “The scientists stressed that the combination of these mutations, as well as changes in other parts of the virus, likely help the virus evade antibodies and immune responses, including in patients who have already been infected with the Alpha or Beta variants.” 👀 oh boy.

        19 replies 589 retweets 1,742 likes
        Show this thread
      10. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        10) Why is #C12 worrisome for immune escape? Here are many technical mutation details why. Also, I highlighted the worry about #C12’s mutations on the virus furin cleavage site- which helps the virus bind human cells faster. Bottomline—The authors are worried.pic.twitter.com/NA5f3wc6Cf

        22 replies 401 retweets 1,327 likes
        Show this thread
      11. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        11) This #C12 is obviously a very fast moving variant. We don’t know exact transmission yet or severity or vaccine efficacy yet. But the best advice that will serve us well is to take the PRECAUTIONARY PRINCIPLE as the approach—“move fast”!!!pic.twitter.com/CT9TFspXI0

        wenig Worte
        41 replies 944 retweets 2,596 likes
        Show this thread
      12. Eric Feigl-Ding‏Verified account @DrEricDing 29 Aug 2021

        Eric Feigl-Ding Retweeted Eric Feigl-Ding

        12) Until we know more, let’s follow the damn precautionary principle to heart — and STOP these crazy mass gatherings please! For the love of god, or for the love of our kids… please… two variants emerging in one day is not a good trend.https://twitter.com/DrEricDing/status/1432107695532822530 …

        Eric Feigl-Ding added,

        Eric Feigl-DingVerified account @DrEricDing
        📍Breaking—Fears growing that a new #DeltaVariant subvariant has emerged after 5000 young people infected from attending a 53,000 music festival in Cornwall—linked genetically to a Delta subtype. The region now has the highest #COVID19 rate in England. 🧵 https://inews.co.uk/news/health/boardmasters-festival-new-delta-strain-cornwall-event-1172393 … pic.twitter.com/dKeEfENXO2
        Show this thread
        73 replies 1,275 retweets 3,055 likes
        Show this thread
      13. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        13) UPDATE—I have just gotten direct confirmation from my @WHO colleagues that they are investigating and following up on the new #C12 variant from South Africa. ➡️Also note that C12 is already detected in England, Switzerland, Portugal, Mauritius, China, and New Zealand! 🚨pic.twitter.com/GK5mPYck04

        45 replies 827 retweets 1,743 likes
        Show this thread
      14. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        14) Observation—Delta came from India (with very few vaccines but high past infection rates), and so did #C12 from South Africa which also has a very low 8% fully vaccinated rate, but large past waves. Hence these new super variants did *NOT* come from high vaccinated countries.

        32 replies 667 retweets 2,020 likes
        Show this thread
      15. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        15) Thus, for those claiming vaccines are a major cause of these super bad variants—they are dead wrong. Unfettered spread of the coronavirus is what gives the virus more chances to practice in our bodies and learn to adapt against a body with no ready vaxxed immunity.

        50 replies 981 retweets 3,032 likes
        Show this thread
      16. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        Eric Feigl-Ding Retweeted Eric Feigl-Ding

        16) DURATION infection really matters for variants to emerge. The longer it lingers, the more time it has to learn, adapt & develop new evasive mutations. But vaccines both lowers risk, and also SHORTENS INFECTION TIME! Ergo less risk of variants if vaxxedhttps://twitter.com/drericding/status/1421874289398194187?s=21 …

        Eric Feigl-Ding added,

        Eric Feigl-DingVerified account @DrEricDing
        💡VIRAL LOAD of vaccinated versus unvaccinated #DeltaVariant who were hospitalized—2 keys findings: 📌93% lower risk of needing O2 📌 Faster drop in viral load in breakthroughs 📌However, in *first 6 days*, viral load of breakthroughs = unvaccinated! 🧵 https://www.medrxiv.org/content/10.1101/2021.07.28.21261295v1 … pic.twitter.com/MzzGjHwy3X
        Show this thread
        16 replies 467 retweets 1,449 likes
        Show this thread
      17. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        Eric Feigl-Ding Retweeted Eric Feigl-Ding

        17) Scientists in UK think what causes new sudden variants is often an immunocompromised person who doesn’t fight off the virus quickly & allows it to linger in their body for an extended period of time (more practice time). Also why vaccine boosters for immunocompromised key.https://twitter.com/DrEricDing/status/1359947539483684866 …

        Eric Feigl-Ding added,

        Eric Feigl-DingVerified account @DrEricDing
        JUST ONE PERSON—UK 🇬🇧 scientists think one immunocompromised person who cleared virus slowly & only partially wiped out an infection, leaving behind genetically-hardier viruses that rebound & learn how to survive better. That’s likely how #B117 started. 🧵 https://www.wired.co.uk/article/chronic-infection-uk-coronavirus-variant … pic.twitter.com/RFfKBEExHa
        Show this thread
        22 replies 446 retweets 1,434 likes
        Show this thread
      18. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        Eric Feigl-Ding Retweeted Eric Feigl-Ding

        18) This variant-emergence problem in weak immunity persons is also what happened in Boston with one immunocompromised man who was highly infectious for 155 days before he died—and developed virus with 20 mutations during that time! This is why vaccines key to reduce this chance.https://twitter.com/DrEricDing/status/1358878419438751744 …

        Eric Feigl-Ding added,

        2:09
        Eric Feigl-DingVerified account @DrEricDing
        Immunocompromised 45 year old suffered from #COVID19 for 155 days before he died. The virus was changing very quickly inside the man's body—it acquired a big cluster of >20 mutations—resembled the same ones seen in #B117 & #B1351. (NPR audio Part 1 of 2)🧵 https://www.npr.org/sections/goatsandsoda/2021/02/05/964447070/where-did-the-coronavirus-variants-come-from … pic.twitter.com/ZJ7AExB78Y
        Show this thread
        39 replies 509 retweets 1,430 likes
        Show this thread
      19. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        19) The first American news outlet finally picks up the #C12 story. Their assessments are similar. https://www.bloomberg.com/news/articles/2021-08-30/new-covid-variant-found-in-south-africa-has-concerning-mutations …pic.twitter.com/6i3ircfUQj

        25 replies 323 retweets 832 likes
        Show this thread
      20. Eric Feigl-Ding‏Verified account @DrEricDing 30 Aug 2021

        20) They also note the scientist note the “concerning constellation of mutations” that “are associated with increased transmissibility”’ these are the authors words, not my mine. I am not sensationalizing. #C12 is worrisome that @WHO is investigating too.pic.twitter.com/b2OlFXSUIs

        46 replies 175 retweets 703 likes
        Show this thread
      21. Eric Feigl-Ding‏Verified account @DrEricDing 31 Aug 2021

        Eric Feigl-Ding Retweeted Tulio de Oliveira

        21) One of the key authors of the #C12 variant study is “worried” too. And no, it is not “nearly extinct” as some out there erroneously claim—the C1 lineage has actually been growing for some time. Even WHO is investigating further. Neutralization studies coming. Stay tuned. 🙏https://twitter.com/Tuliodna/status/1431132825248571393 …

        Eric Feigl-Ding added,

        Tulio de Oliveira @Tuliodna
        The constellations of mutations worry us as they seem The C.1.2 end up adding multiple mutations that are similar to the Beta with extra mutations at S1/S2 and NTD. Now let me talk more about the C.1 lineages that emerged and persisted in southern Africa.
        Show this thread
        20 replies 105 retweets 282 likes
        Show this thread
      22. Eric Feigl-Ding‏Verified account @DrEricDing 25 Nov 2021

        Eric Feigl-Ding Retweeted Eric Feigl-Ding

        22) Update on #C12… it’s not a good sign… see newer thread 🧵 below.https://twitter.com/DrEricDing/status/1463770287695147011 …

        Eric Feigl-Ding added,

        Eric Feigl-DingVerified account @DrEricDing
        9) …well bad news, it seems #C12 variant has now suddenly spiked and achieved 30% of all sequences #SARSCoV2 variants in South Africa. 30% doesn’t seem to be a fluke. And this excludes recently unstable numbers. C12 is real. https://outbreak.info/situation-reports?pango=C.1.2&selected=NZL&loc=USA&loc=USA_US-CA&loc=CHN&loc=BRA&loc=NZL&overlay=false … pic.twitter.com/k0ZmqDxVPs
        Show this thread
        4 replies 48 retweets 102 likes
        Show this thread
      23. End of conversation

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