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We're recruiting a bioinformatician and a full-stack developer to the Bedford Lab to work on
@nextstrain and@seattleflustudy. Details here: https://bedford.io/blog/nextstrain-bioinformatician-and-full-stack-developer/ ….Thanks. Twitter will use this to make your timeline better. UndoUndo -
Follow up #2: This supports the expectation that we'll see Delta circulation influenced by degree of regional vaccine coverage.https://twitter.com/trvrb/status/1407466078834360320 …
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Follow up #1: Prompted by question on Twitter (https://twitter.com/Nutmeg031992/status/1410409021492936704 …) I just did a simple correlation of total population fully vaccinated against Delta-specific Rt across 20 states with good data. We get a decently strong negative correlation with R^2 of 0.32.pic.twitter.com/i27X8Tk9mN
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Although I don't have a huge amount of faith in this specific 11% estimate, at the moment, just based on what's happening in the UK, I would expect there to be a US wave driven by Delta (figure showing Rt in UK from https://epiforecasts.io/covid/posts/national/united-kingdom/ …). 16/16pic.twitter.com/0ezweNZDXa
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Another 11% of the population infected is of course substantial, though we expect lower rates of mortality on a per case basis due to vaccination coverage differing substantially across age groups (https://www.cdc.gov/mmwr/volumes/70/wr/mm7025e1.htm …). 15/16pic.twitter.com/BV24LpacCc
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I'd hope for these two effects to largely come out in the wash. 14/16
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Second, vaccination is not perfect and vaccine efficacy against symptomatic disease drops from ~89% against Alpha to ~79% against Delta per
@PHE_uk report (https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/997418/Variants_of_Concern_VOC_Technical_Briefing_17.pdf …). Breakthrough infections imply a smaller fraction of the population immune than the 62%. 13/16pic.twitter.com/7tdw1PBRao
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A couple obvious places where this calculation is wrong. First, vaccination and infection are not independent and instead probably anti-correlated. This would imply a larger fraction of the population immune than the 62% used above. 12/16
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This would imply that Delta has a susceptible pool of 38% of the US population and given final size of 29% would suggest 11% of the total US population infected with Delta or 36M people. 11/16
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CDC lists 46% of the US population as fully vaccinated. Following https://covid19-projections.com , we take ~30% of the US population as having been infected. Assuming that vaccination and infection are independent yields 46% + 54% x 30% = 62% of the population with immunity. 10/16
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Inputting R0 of 1.18 in the final epidemic size equation yields 29% of the susceptible population infected in the Delta wave. 9/16
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Variant-specific estimates of Rt from
@marlinfiggins using@CDCgov case counts and@GISAID sequence data suggests Rt of Delta variant of 1.18 averaged across 20 states analyzed. 8/16pic.twitter.com/A2B3UHtExT
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We've recently seen rapid growth of Delta, where it's displacing other circulating viruses in many states. Here, predominance of Delta in Arkansas, Colorado, Missouri and Utah occurred in only ~4 weeks. 7/16pic.twitter.com/fajgs3TPo4
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Notably, the (super rough) math seems to work here. Initial Rt of ~1.1 translated to ~20% of the population infected, which is close to the 18% mathematical expectation. 6/16
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From Sep through Mar, the US reported 24M cases of COVID-19. If we assume 2.7 infections per reported case (via https://covid19-projections.com/ ) we arrive at 65M infections in a population of 328M for ~20% of the US infected in the fall/winter wave. 5/16
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Before we get to Delta, we can see how this logic works with the fall/winter wave in the US. Here, state-level estimates of Rt were ~1.1 in Sep and Oct 2020 and declined to ~0.9 in Mar 2021 as the epidemic ran its course and left a wake of population immunity. 4/16
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Given a specified R0, we can calculate final epidemic size in a simple SIR model with the following equation where Z is final epidemic size. For initial R0 of 1.1, an epidemic is expected to infect 18% of the susceptible population. 3/16pic.twitter.com/9QbGbVVwCg
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First off, epidemic size is determined by two primary factors: 1. Efficiency of onward transmission from an index case, commonly quantified as R0 2. Size of susceptible pool 2/16
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How big of a wave of
#COVID19 do we expect in the US from the Delta variant? Here I describe a simple approach to this question and attempt a rough back-of-the-envelop estimate. 1/16Show this threadThanks. Twitter will use this to make your timeline better. UndoUndo -
As I've said before, I believe both zoonosis and lab leak to be plausible hypotheses for COVID origins. I'm not pushing any narrative, just trying to figure out what's going on with this particular datapoint. 15/15https://twitter.com/trvrb/status/1400237539445800960 …
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