Matter-of-fact recitation of the horror in Manaus from @DrMikeRyan:
“ICU occupancy right now in Manaus is 100% over the full last two weeks.
This is a health system under extreme pressure.”
More than 4000 new cases, 50 deaths a day.
"Over 400 people waiting to be hospitalized."

“New variants may have an impact down the line and they may be having some impact now”, says @drmikeryan.
“But again: It's too easy to just lay the blame on the variants and say it's the virus that did it.
Unfortunately it's also what we didn't do that did it."

Question about travel restrictions and recommendations on that. Houssin:
“With coronavirus things have changed and it's necessary to reconsider perhaps some of the orientations which were commonplace in the context of the IHR.”

"We didn't go into the details of what should be done, but our recommendation to WHO was that it was really time to reassess what could could be recommended, what guidance could be provided with regard to air travel, sea travel, land border”, says Houssin.

Committee recommended not requiring vaccination proof for travel, @DrMikeRyan points out, “not because that won't be a good idea in future, but because we are lacking critical evidence regarding whether or not persons who are vaccinated could continue to ... transmit disease"

"There needs to be a system in place to understand what each of these mutations mean what these variants mean and how it impacts the behavior of the virus”, says @mvankerkhove.

“This virus is dangerous on its own, variant or not”, says @mvankerkhove. "And even if it can provide increased transmissibility - and some of them do - we still have tools that could break chains of transmission."