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ɪᴀɴ ᴍ. ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ 🦠🤧🧬🥼🦟🧀
@MackayIM
virologist. husband. dad. reader. writer. fixer. bad typist. learner. in no order. opinions mine alone. Also here-mastodon.social/@mackayim2022
Brisbane, Australiavirologydownunder.comJoined April 2013

ɪᴀɴ ᴍ. ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ 🦠🤧🧬🥼🦟🧀’s Tweets

🆕 New study across 4 Nordic nations “Compared with myocarditis associated with covid-19 disease and conventional myocarditis, myocarditis after vaccination with SARS-CoV-2 mRNA vaccines was associated with better clinical outcomes within 90 days of admission to hospital.”
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New study out comparing myocarditis due to Covid-19 vaccines vs infections in a Nordic cohort. Confirming past evidence, there was a higher risk of heart failure and death for myocarditis post Covid-19 infections compared to post vaccination. 1/n dx.doi.org/10.1136/bmjmed
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And this is the truth
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I’m snippy about this b/c public health and infectious disease MD hubris has killed and disabled a lot of people globally. Started with the WHO refusing to say airborne and continues with thinly disguised droplet dogma today. Science is about truth, not power and control. Fin
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population based study covering 23 million individuals-myocarditis after SARS-CoV-2 mRNA vaccination was associated with a lower risk of heart failure within 90 days of admission to hospital compared with myocarditis associated with covid-19 disease & conventional myocarditis
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A rare side-effect of SARS-CoV-2 mRNA vaccines is myocarditis. The prognosis of this side-effect is not well established. Using information from 23+ mil. residents in four countries (🇩🇰,🇫🇮,🇳🇴,🇸🇪), we compared this kind of myocarditis to other types: bmjmedicine.bmj.com/content/2/1/e0 1/14
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Very good thread and worth a read.
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We have to talk about this Cochrane review of masking and handwashing that found “little to no evidence” masks (surgical & N95) reduce viral infections at the population level and some evidence that handwashing may help. Let’s dive in to understand why 1/ cochranelibrary.com/cdsr/doi/10.10
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Masks work. But humans don't. Does that ="masks aren't effective at the community level" - probably. And also IMO, it's not about everyone wearing them or they don't work, it's about wearing them when risk is present. Which is difficult because that's often & not always obvious.
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This is the key point to note about the "masks do/don't work" debate IMO. If you're not masking _whenever_ there's risk, masks are less likely to be helpful overall. They don't work in your pocket or sitting on the kitchen bench when your newly infected school child comes home.
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For example, if healthcare workers don’t wear masks socially outside work or in the breakroom it can undermine the estimate of overall effectiveness of their masking at work. It doesn't necessarily mean masks don't help protect individuals when they're seeing patients. 16/
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There are 100s of pubs showing this statement is false. He/ cannot provide the equivalent refs showing it is droplets and not aerosols. Do you realize there are 100-1000 aerosols produced for every droplet? Droplets drop. Aerosols float. Catch up with the facts .
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2/ At the 2 Dec 2022 Independent SAGE briefing, Dr David Nabarro, WHO Special Envoy on Covid-19, said “…Covid is primarily, primarily, a droplet-borne infection, it may be airborne in certain circumstances, but we still in WHO contexts say its primarily droplet-borne..”
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🔅What follows is not to minimise serious impact of COVID-19. Because many things are true at once. 🔅 Pre-pandemic, excess deaths from heart & other issues were associated with respiratory virus seasons-Flu, RSV, MPV etc. Cleaned air & 😷 will also reduce risk of those harms
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Ah, the Cochrane Review making the rounds again – almost always without these key bits highlighted, by far the defining limitations with why this review is unfortunately nothing more than misleading fluff: folks in trials wore masks in limited settings, and risk of bias is high.
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😷Systematic review: Community mask use is not a highly effective intervention for respiratory viruses cochranelibrary.com/cdsr/doi/10.10
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