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aetiology's profile
Dr. Tara C. Smith
Dr. Tara C. Smith
Dr. Tara C. Smith
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@aetiology

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Dr. Tara C. SmithVerified account

@aetiology

Professor, infectious disease epidemiologist, writer, K & teen wrangler. Antibiotic resistance, zoonotic disease, scicomm, zombies. She/her. No one's sweetie.

Kent, Ohio
taracsmith.com
Joined April 2009

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    1. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      Quick thread on today's @CDCMMWR paper on #coronavirus infections and transmission on cruise ships (https://www.cdc.gov/mmwr/volumes/69/wr/mm6912e3.htm?s_cid=mm6912e3_w …), including the Diamond Princess (DP). /1

      25 replies 413 retweets 612 likes
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    2. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      From the top, the basic numbers: "Among 3,711 DP passengers & crew, 712 (19.2%) had positive test results for SARS-CoV-2... Of these, 331 (46.5%) were asymptomatic at the time of testing. Among 381 symptomatic patients, 37 (9.7%) required intensive care, and nine (1.3%) died. /2

      6 replies 38 retweets 160 likes
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    3. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      The "asymptomatic" number is getting play already, but note the qualifier: "AT THE TIME OF TESTING." They didn't report follow-up to show how many eventually developed symptoms. So many possibly still in incubation period. /3

      5 replies 77 retweets 413 likes
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    4. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      In the Discussion they add this: "Available statistical models of the Diamond Princess outbreak suggest that 17.9% of infected persons never developed symptoms" --so based on models, and not the "half of those tested were asymptomatic" that I've already seen reported. /4

      2 replies 50 retweets 227 likes
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    5. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      Seriously, cruise ships are nasty. "During February 3–March 13, in the U.S., approx 200 cases of COVID-19 were confirmed among returned cruise travelers from multiple ship voyages...accounting for approximately 17% of total reported U.S. cases at the time". /5

      6 replies 66 retweets 236 likes
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    6. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      I've also seen this misrepresented already. "SARS-CoV-2 RNA was identified on a variety of surfaces in cabins of both symptomatic & asymptomatic infected passengers up to 17 days after cabins were vacated on the DP but before disinfection procedures had been conducted" /6

      8 replies 83 retweets 242 likes
      Show this thread
    7. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      Say it with me: *viral RNA doesn't necessarily mean live virus was present.* Now you're going to see "coronavirus can live on surfaces for 17 days!" over and over, but we don't know that based on this study and for those using live virus, it's much shorter. /7

      46 replies 703 retweets 1,616 likes
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      Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

      It does seem like those who weren't showing symptoms can spread live virus, but that's now expected given several other papers out over the few weeks. Again, how much this drives transmission is uncertain, but shows again why distancing & hygiene are key. /fin

      5:57 PM - 23 Mar 2020
      • 76 Retweets
      • 342 Likes
      • Michael McCarron Sander Ochy Kevin Bauman Chris Lancashire Cat 大安生まれ 🌎🗽🩸🦷🌻🕊 gry gaard SameShitDifferentDay Gareth Cooper Ash Resists 🐺 🌎 🌊
      11 replies 76 retweets 342 likes
        1. Dr. Tara C. Smith‏Verified account @aetiology 23 Mar 2020

          Addendum: here's one already. Now when your friends post it, you can tell them "well, actually..."https://www.cnbc.com/2020/03/23/cdc-coronavirus-survived-in-princess-cruise-cabins-up-to-17-days-after-passengers-left.html …

          40 replies 99 retweets 413 likes
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        2. KevinDexter‏ @luftgeburstetz 23 Mar 2020
          Replying to @aetiology

          You're on to something Doc! Just drove a friend to Supermarket and noticed nobody grabbing the Sanitation wipes sitting next to the entrance OMG! 🤔

          1 reply 0 retweets 0 likes
        3. KevinDexter‏ @luftgeburstetz 23 Mar 2020
          Replying to @luftgeburstetz @aetiology

          You must wipe those shopping carts and baskets down before touching them! And many were grabbing door handles without thinking 🤔 We're Doomed if this keeps up!

          1 reply 0 retweets 0 likes
        4. Show replies
        1. Dan 🧢TheMan 🧢‏ @LogicalKangaroo 23 Mar 2020
          Replying to @aetiology

          Any thoughts on what the mechanism might be if it becomes true that hydroxychloroquine and zithromax combination are an effective treatment?

          0 replies 0 retweets 0 likes
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        1. drklausner‏ @drklausner 24 Mar 2020
          Replying to @aetiology

          What is that conclusion based on from that study?

          0 replies 0 retweets 0 likes
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        1. Greg Dworkin‏Verified account @DemFromCT 24 Mar 2020
          Replying to @aetiology

          key unanswered q is public wearing masks if 18-20% are asymptomatic but can spread, does masking help? societies with mask wearing doing better? thoughts? (assume in a shortage HCW first, but if we had enough?)

          1 reply 0 retweets 2 likes
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        2. jean-pierre Thermoz‏ @JPThermoz 24 Mar 2020
          Replying to @aetiology

          I read that the passengers were confined in their cabins, one meal a day behind the door, a moment each day to walk outside. If true, how can 2 positive people at the beginnig have contaminated 700 persons ? By air conditionning ?

          1 reply 0 retweets 0 likes
        3. Voluntary Cat Servant‏ @Fenbeast 27 Mar 2020
          Replying to @JPThermoz @aetiology

          By the time they were confined, it may already have gotten to more than just 2 people. Remember, by the time anyone has symptoms that alert them to the virus presence, they can have been infected (and infectious) for up to 2 weeks.

          1 reply 0 retweets 1 like
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        1. sam i am‏ @snacklad 25 Mar 2020
          Replying to @aetiology

          More than the RNA find, this one was far more concerning. But I could not find the model data... thoughts?

          0 replies 0 retweets 0 likes
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        1. Kenneth Vaughan‏ @KenVaughanSoc 27 Mar 2020
          Replying to @aetiology

          Interesting. I was under the impression that asymptomatics were presumed some of the worst spreaders. The extent of which is still being studied? Thanks for clarifying all of this.

          0 replies 0 retweets 0 likes
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