In June Germany's scientific advisers recommended the vaccine should only be offered to children 12 to 15 with underlying health conditions. But in Aug, after Delta variant started spreading, the rollout was extended to all those over 12 years old.https://www.bbc.com/news/health-58516207 …
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Germany also had less prior infection than U.S., and less total immunity in population. U.S. CDC estimates up to 80% of Americans have some immunity to Covid (either from vaccination, prior infection, or both). In the U.K. that figure may be 90%. In Germany that rate is lower.pic.twitter.com/ftLQKy497q
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Germany hasn’t used testing as aggressively and as widely as the U.S., U.K. and some other countries to identify cases, get infected patients isolated and treated, and trace close contacts to help prevent further transmission.pic.twitter.com/9067hzUKm4
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Earlier this fall, after months of offering free coronavirus antigen tests to all residents, Germany stopped subsidizing them for adults who chose not to get vaccinated.https://www.nytimes.com/2021/08/10/world/europe/germany-covid-test.html …
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Delta was late to rise in Germany in Aug and the bigger surge is more sudden and recent as Delta appears to have gotten into populated regions as weather cooled, perhaps people moved indoors. But the reproduction number appears to be slowing, a sign they (may) be starting to peakpic.twitter.com/npbVNY8N6Q
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Germany's challenges are caution to world, Covid pandemic isn't over globally, won't be for long time. But U.S. is further along than many other countries, in part because we already suffered more spread, in part because we're making progress on vaccines, therapeutics, testing.
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Germany has 33 cases/100,000/day. In U.S., the national avg is about 22. But US spread is highly regionalized, the south has largely had its wave, the current wave in plains and mountain states is receding, but cases are rising further north in New England and Great Lakes regionpic.twitter.com/KhhjHPIbfa
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In U.S., we're much closer to end of delta wave then beginning. Through wider vaccination, oral anti-viral drugs, wider use of antibody drugs - along with our already high levels of population-wide immunity - we'll be entering a more endemic, yet still persistent phase of Covid.
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Replying to @ScottGottliebMD
I have to say, Germany seems pretty straightforward to explain—as you just did. Delta is tragically good at finding the unvaccinated/uninfected, and even, say, 15% of unvaccinated adults would be a large number to work through especially in a place without a prior large outbreak.
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Replying to @zeynep
And the social and geographic areas of under-vaccination are concentrated in specific regions (especially the Eastern part of Germany) so that reality makes it even easier for delta to get into the pockets of vulnerability and cause the dense, concentrated outbreaks we're seeing
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Yeah, similar to many places.
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Replying to @zeynep @ScottGottliebMD
Peter Sparding Retweeted Eric Topol
How does this fit in with this warning that things will get worse here again, too?https://twitter.com/EricTopol/status/1459160929812115465 …
Peter Sparding added,
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