{"id":1232880580653654000,"conversation_id":"1232786174428827648","created_at":1582776610000,"date":"2020-02-27","time":"04:10:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Getting the academic labs stood up to do #covid19 testing will greatly expand our screening capacity. There could be a path outlined for enabling labs to offer  testing services as LDTs under an emergency use authorization.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":27,"likes_count":89,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232880580653654016","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232868826531991600,"conversation_id":"1232867016991789058","created_at":1582773808000,"date":"2020-02-27","time":"03:23:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We have faced many infectious threats in our history. This one is sinister, but we have never been better equipped to mitigate its impact. We will preserve life, and prevail. 10/n","mentions":[],"urls":[],"photos":[],"replies_count":108,"retweets_count":287,"likes_count":1556,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232868826531991553","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232868668306067500,"conversation_id":"1232867016991789058","created_at":1582773770000,"date":"2020-02-27","time":"03:22:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"5. The best thing Americans can do is be vigilant, take responsible precautions, and follow the advice of our great public health professionals at CDC and local health authorities. 9/n","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":185,"likes_count":857,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232868668306067456","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232868425707511800,"conversation_id":"1232867016991789058","created_at":1582773712000,"date":"2020-02-27","time":"03:21:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need to put significant resources now behind the development of not just a vaccine, but also therapeutics that can treat or prevent its spread. These also include antibodies that can serve as prophylaxis for those at greatest risk of contagion.  8/n","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":174,"likes_count":848,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232868425707511808","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232868321583865900,"conversation_id":"1232867016991789058","created_at":1582773688000,"date":"2020-02-27","time":"03:21:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"While it’s spread may dissipate and even largely disappear in the peak summer months, it could come back in the fall. We have the capacity to manage its persistent presence. 7/n","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":174,"likes_count":754,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232868321583865856","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232868191195553800,"conversation_id":"1232867016991789058","created_at":1582773657000,"date":"2020-02-27","time":"03:20:57","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4. This could be a long fight that will require shared sacrifice. There may not be a start and finish to the spread of this virus. It may become something that we need to manage for a period of time until we can develop a therapeutic backstop. 6/n","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":186,"likes_count":852,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232868191195553792","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232867994314952700,"conversation_id":"1232867016991789058","created_at":1582773610000,"date":"2020-02-27","time":"03:20:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3. The development of vaccines and therapeutics is actively underway and, in time, we could have a treatment or preventative medicine that could substantially lessen the impact of this virus. 5/n","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":146,"likes_count":750,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232867994314952706","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232867810109534200,"conversation_id":"1232867016991789058","created_at":1582773566000,"date":"2020-02-27","time":"03:19:26","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"While this virus can be serious and deadly, our experience with its spread is likely to look very different than other nations that don’t share out public health capacity. 4/n","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":180,"likes_count":880,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232867810109534209","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232867648003870700,"conversation_id":"1232867016991789058","created_at":1582773527000,"date":"2020-02-27","time":"03:18:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2. We have capacity to contain small outbreaks, and, where we can’t, mitigate impact of spread. We have best public health system in the world, best infection control procedures, a vast healthcare system with substantial capacity, well equipped hospitals, and skilled providers.","mentions":[],"urls":[],"photos":[],"replies_count":106,"retweets_count":260,"likes_count":1121,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232867648003870720","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232867256469725200,"conversation_id":"1232867016991789058","created_at":1582773434000,"date":"2020-02-27","time":"03:17:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1. Your risk of contracting #coronavirus in the U.S. is still low. While it may be spreading, there are likely still a small number of cases. This could change, but it is likely the case right now. 2/n","mentions":[],"urls":[],"photos":[],"replies_count":42,"retweets_count":310,"likes_count":1132,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232867256469725184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232867016991789000,"conversation_id":"1232867016991789058","created_at":1582773377000,"date":"2020-02-27","time":"03:16:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: On New #COVID19 Diagnosis in California Tonight: We will have community spread of #coronavirus in the U.S. It is likely that we have — right now — more cases that remain undiagnosed but will soon be revealed. We need to keep in mind several key points: 1/n","mentions":[],"urls":[],"photos":[],"replies_count":197,"retweets_count":2080,"likes_count":4234,"hashtags":["#covid19","#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232867016991789058","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232634877167710200,"conversation_id":"1232634877167710208","created_at":1582718030000,"date":"2020-02-26","time":"11:53:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Even while South Korea starts exhausting tests on known #covid19 clusters, it records largest single day increase: 284 new cases, 2 fatalities. Currently 20,716 people are in process of being tested. They’re finding cases and isolating clusters through a robust testing capacity.","mentions":[],"urls":[],"photos":[],"replies_count":57,"retweets_count":228,"likes_count":553,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232634877167710208","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232032886640922600,"conversation_id":"1232032346506792960","created_at":1582574504000,"date":"2020-02-24","time":"20:01:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"FDA can play important role building on proactive posture that CDRH has always taken in times of public health challenge to help advance alternatives to the CDC test to back up CDC process should that continue to be delayed. This includes academic and public health lab LDTs. 2/2","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":12,"likes_count":63,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1232032886640922624","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231947070023569400,"conversation_id":"1231944326827081729","created_at":1582554044000,"date":"2020-02-24","time":"14:20:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"FDA and CDC are critical to this work and always focused on this mission. Now, given the need for additional testing capacity in the US, FDA and CDC could implement an approach specifically aimed at helping labs like academic hospitals offer their own validated LDTs for #COVID19","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":35,"likes_count":133,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231947070023569417","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231946561405509600,"conversation_id":"1231944326827081729","created_at":1582553923000,"date":"2020-02-24","time":"14:18:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It may take kit manufacturers several more weeks to obtain an EUA from FDA because kit production is a significant undertaking intended to supply multiple labs. It’s unclear when CDC will be able to help more public health labs stand up tests, but the hope is very soon.","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":33,"likes_count":97,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231946561405509636","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231946056960745500,"conversation_id":"1231944326827081729","created_at":1582553803000,"date":"2020-02-24","time":"14:16:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"FDA and CDC working together have a very important role to play to protect public health in these circumstances -- and make sure that screening tools are accurate and reliable -- while enabling access to technology that can support diagnosis, treatment, and response.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":21,"likes_count":72,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231946056960745472","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231945599009919000,"conversation_id":"1231944326827081729","created_at":1582553693000,"date":"2020-02-24","time":"14:14:53","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"For labs, FDA focuses on analytical validation and process controls for a reliable test that help guide clinical decision making and inform public health analyses in a COVID-19 outbreak. CDC could actively support this by making test controls and samples available for validation.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":17,"likes_count":69,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231945599009918977","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231945499910996000,"conversation_id":"1231944326827081729","created_at":1582553670000,"date":"2020-02-24","time":"14:14:30","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"FDA could adopt a tailored approach, recognizing the expertise of academic abs that develop and run highly complex and novel tests everyday, and address the expectations for test design, validation, and performance to help labs pursue EUAs.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":13,"likes_count":77,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231945499910995974","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231945341487984600,"conversation_id":"1231944326827081729","created_at":1582553632000,"date":"2020-02-24","time":"14:13:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Since FDA doesn’t usually review and authorize LDTs, the agency could make clear what the expectations are for labs who have the expertise and equipment to expand our testing capacity and capacity to offer screening.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":18,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231945341487984640","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231945156229828600,"conversation_id":"1231944326827081729","created_at":1582553588000,"date":"2020-02-24","time":"14:13:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"But this set up doesn’t mean we can’t have labs offer tests to diagnose COVID-19.  FDA can grant an EUA to a laboratory to run a coronavirus test at a single site, or can authorize a common protocol for multiple laboratories to collaborate.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":29,"likes_count":119,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231945156229828610","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231945049065259000,"conversation_id":"1231944326827081729","created_at":1582553562000,"date":"2020-02-24","time":"14:12:42","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"That’s why the approach has been for FDA to review all of these tests under its EUA authorities, which is an efficient framework for making medical products available in these epidemics. It was established to respond to public health emergencies like epidemics of novel pathogens","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":16,"likes_count":64,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231945049065259008","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231944758261665800,"conversation_id":"1231944326827081729","created_at":1582553493000,"date":"2020-02-24","time":"14:11:33","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In public health emergency, tests not only diagnose serious or life-threatening disease that’s not completely understood, but help guide analyses of disease progression and risks to public health. Precision matters. False negative results can have significant adverse consequences","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":23,"likes_count":93,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231944758261665795","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231944670416179200,"conversation_id":"1231944326827081729","created_at":1582553472000,"date":"2020-02-24","time":"14:11:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This means labs need to seek an EUA from FDA before offering an LDT to diagnose the novel coronavirus.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":23,"likes_count":65,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231944670416179201","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231944599243042800,"conversation_id":"1231944326827081729","created_at":1582553455000,"date":"2020-02-24","time":"14:10:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"FDA regulates test kits but generally lab developed tests, which are designed and used in single lab, can be offered without FDA review. When HHS declares Public Health Emergency and issues declaration to support EUAs, labs must seek FDA authorization before launching new test.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":21,"likes_count":80,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231944599243042818","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231944498588143600,"conversation_id":"1231944326827081729","created_at":1582553431000,"date":"2020-02-24","time":"14:10:31","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"CDC can develop and refine the testing protocol and work with labs to expand testing capacity until commercial test kit manufacturers receive EUAs to make tests more widely available to large commercial and academic laboratories.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":22,"likes_count":78,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231944498588143620","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231944326827081700,"conversation_id":"1231944326827081729","created_at":1582553390000,"date":"2020-02-24","time":"14:09:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD ON DIAGNOSTICS: In recent public health emergencies there’s been a stepwise approach to ramp up U.S. testing capacity. CDC develops test early in outbreak, then pursuant to Emergency Use Authorization (EUA) from FDA CDC makes test available to network of public health labs","mentions":[],"urls":[],"photos":[],"replies_count":34,"retweets_count":208,"likes_count":387,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231944326827081729","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231771629245603800,"conversation_id":"1231767287440474112","created_at":1582512216000,"date":"2020-02-24","time":"02:43:36","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"* The 146 figure excludes the passengers from the Diamond Princess who are in Japan. It is only domestic diagnosed cases.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":68,"likes_count":88,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231771629245603843","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231770145049186300,"conversation_id":"1231767287440474112","created_at":1582511862000,"date":"2020-02-24","time":"02:37:42","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Japan has 146 confirmed cases, 7 listed as serious. They’ve only tested around 1,500 people.","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":223,"likes_count":244,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231770145049186304","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231639667319148500,"conversation_id":"1231637628572839937","created_at":1582480754000,"date":"2020-02-23","time":"17:59:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Part of influence of temperature on spread is related to viral characteristics like how droplets transfer, but part of it can be related to epidemiology of disease — as temperatures warm, people are outside more, not confined as much in close contact.","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":26,"likes_count":101,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231639667319148545","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231062791206785000,"conversation_id":"1231061894779174913","created_at":1582343216000,"date":"2020-02-22","time":"03:46:56","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This data, showing declining flu incidence and reduced overall severity relative to comparable seasons (with exception of a tragic increase in pediatric deaths) may be factoring into epidemiological data reassuring U.S. health officials that coronavirus unlikely to be circulating","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":22,"likes_count":82,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1231062791206785025","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1230254646788149200,"conversation_id":"1230241475121692672","created_at":1582150539000,"date":"2020-02-19","time":"22:15:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In total, 16,560 active drug trials have recruitment sites listed China. 5,903 of the trials are listed as “recruiting” or “active, not recruiting” and 1,911 different conditions are represented by the total. 1,543 trials are funded by industry, 215 are for CAR-T therapies.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":19,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1230254646788149249","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1230244565191295000,"conversation_id":"1230241475121692672","created_at":1582148135000,"date":"2020-02-19","time":"21:35:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This is the top 10 rare disease categories ranked by number of active clinical trials underway in China. The data would include trials related to novel and already marketed drugs; including new indications on approved drugs. These are for industry trials only.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":6,"likes_count":13,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1230244565191294977","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229505534019031000,"conversation_id":"1229502840873242624","created_at":1581971937000,"date":"2020-02-17","time":"20:38:57","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"My thoughts: The sentinel surveillance system being implemented by CDC in five cities this week — that will begin to test indeterminate ILI for #COVID19 — will be an important contribution to our screening capabilities and our readiness.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":25,"likes_count":108,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1229505534019031040","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229504257532944400,"conversation_id":"1229502840873242624","created_at":1581971632000,"date":"2020-02-17","time":"20:33:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"“...These results do not particularly rule out any possibilities of COVID-19 transmission occuring in the US...If COVID-19 were present in the US, these data would seem to suggest that its incidence would be currently relatively small.”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":32,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1229504257532944384","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229503921657245700,"conversation_id":"1229502840873242624","created_at":1581971552000,"date":"2020-02-17","time":"20:32:32","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"They note: “In the last weeks of 2019 and first weeks of 2020, the observations of ILI burden due to non-influenza pathogens (rILI-) are, relative to what has been observed in the past 5 seasons, on the high side...”","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1229503921657245696","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229204145061625900,"conversation_id":"1229185408640126976","created_at":1581900080000,"date":"2020-02-17","time":"00:41:20","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Correcting my original tweet which had wrong number of tourists from China to Japan annually, it’s been more than 7,000,000+ in recent years, about 700K-900K month.","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":2,"likes_count":20,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1229204145061625866","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229197335143571500,"conversation_id":"1229185408640126976","created_at":1581898456000,"date":"2020-02-17","time":"00:14:16","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Another important step is making commercial PCR tests available under EUA to local hospital labs to help us evaluate and address the risks in the US, even before we have a PoC test (which will take longer to develop and clear).","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":19,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1229197335143571457","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229191699290894300,"conversation_id":"1229185408640126976","created_at":1581897113000,"date":"2020-02-16","time":"23:51:53","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This will make the sentinel surveillance system that the U.S. will be implementing this week in five cities especially important, along with development of diagnostic tests that can be more broadly adopted at PoC.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":14,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1229191699290894340","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229191072431116300,"conversation_id":"1229185408640126976","created_at":1581896963000,"date":"2020-02-16","time":"23:49:23","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Based purely on patterns of travel and experience with #COVID19 in other nations, it might suggest there are undiagnosed cases in U.S. Singapore has about an equal number of travelers from China as U.S (3.4 million annually) and has confirmed 75 cases of #coronavirus to date.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":59,"likes_count":129,"hashtags":["#covid19","#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1229191072431116288","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228330698051870700,"conversation_id":"1227990885901705217","created_at":1581691834000,"date":"2020-02-14","time":"14:50:34","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Cities disclosed today, one correction: Seattle not Atlanta","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":15,"likes_count":50,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1228330698051870720","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228289154703876000,"conversation_id":"1228284230960140288","created_at":1581681929000,"date":"2020-02-14","time":"12:05:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The impact on healthcare workers is more reflection of the tragic toll that this is taking in China.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":14,"likes_count":61,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1228289154703876097","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228038397068968000,"conversation_id":"1228037116329910272","created_at":1581622144000,"date":"2020-02-13","time":"19:29:04","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Of note: In both cases we should assume there was transmission (and cases incubating) without overt infection, prior to time period observed in graph. In Hubei it’s clear #COVID19 was epidemic for 2-4 weeks prior to the controls. In case of Diamond Princess it sailed for 14 days.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":44,"likes_count":153,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1228038397068967939","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1227993520985854000,"conversation_id":"1227990885901705217","created_at":1581611445000,"date":"2020-02-13","time":"16:30:45","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Still confirming these cities but believe these are the ones.","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":16,"likes_count":96,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1227993520985853952","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1227990885901705200,"conversation_id":"1227990885901705217","created_at":1581610816000,"date":"2020-02-13","time":"16:20:16","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"CDC will begin using the national flu surveillance tracking system with health departments in 5 cities to test patients with flu-like symptoms for #coronavirus. This is an important and prudent step that’ll help identify outbreaks earlier. The cities are SF, LA, ATL, Chicago, NY.","mentions":[],"urls":[],"photos":[],"replies_count":89,"retweets_count":514,"likes_count":947,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1227990885901705217","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1227771288695058400,"conversation_id":"1227768644291170306","created_at":1581558460000,"date":"2020-02-13","time":"01:47:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It’s unclear how many of these cases were confirmed clinically using imaging but it appears some proportion of the patients now being classified as confirmed cases of coronavirus are based in part on prior findings on CT.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":15,"likes_count":69,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1227771288695058432","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226672355365343200,"conversation_id":"1226672355365343233","created_at":1581296454000,"date":"2020-02-10","time":"01:00:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Two investigator led studies with Remdesivir are underway for treatment of #nCoV_2019 - One will recruit about 300 patients with mild/moderate disease, the other will recruit about 450 patients with severe disease. Investigators said the trials are expected to finish early April.","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":71,"likes_count":174,"hashtags":["#ncov_2019"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226672355365343233","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226662231917592600,"conversation_id":"1226662231917592576","created_at":1581294041000,"date":"2020-02-10","time":"00:20:41","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"China reports tonight that total confirmed #coronavirus cases cross 40K with 3,062 new cases and an additional 97 deaths, bringing total reported fatalities to 908. The case growth is fairly steady day-to-day, and data may reflect limits of China's testing and reporting capacity.","mentions":[],"urls":[],"photos":[],"replies_count":58,"retweets_count":239,"likes_count":530,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226662231917592576","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226566327600545800,"conversation_id":"1226563719980818434","created_at":1581271175000,"date":"2020-02-09","time":"17:59:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It’s not just generics that could fall into shortage. Brand drugs use CROs in China and Wuhan for development, clinical trials enroll in China and may be put on hold. Drug makers will have to shift development work outside China which could delay regulatory filings on new drugs.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":26,"likes_count":82,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226566327600545792","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226565920765685800,"conversation_id":"1226563719980818434","created_at":1581271078000,"date":"2020-02-09","time":"17:57:58","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"There's opportunity to work now to make up the lost China supply. There's idle manufacturing capacity that can be brought online. Regulators can work closely with industry. India, for example, has about 1,500 plants that manufacture APIs and are running at 40% of their capacity.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":61,"likes_count":137,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226565920765685763","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226564648603877400,"conversation_id":"1226563719980818434","created_at":1581270775000,"date":"2020-02-09","time":"17:52:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The need to be proactive is a function of the current shortage framework. It relies on passive reporting system from manufacturers, where we might find out too late of impending shortage. It may not work in a crisis situation like this where information and reporting is imperfect","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":12,"likes_count":61,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226564648603877377","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226564217618215000,"conversation_id":"1226563719980818434","created_at":1581270672000,"date":"2020-02-09","time":"17:51:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"FDA has flexible tools in a shortage situation to help bring on alternate supply capacity that may be needed.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":15,"likes_count":71,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226564217618214919","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226318222816895000,"conversation_id":"1226293580974764033","created_at":1581212022000,"date":"2020-02-09","time":"01:33:42","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"That 6,000 case testing capacity is per specimen. Assuming for each patient, there are multiple specimens sent, the actual testing capacity on a per patient basis may be closer to 3,000.","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":33,"likes_count":97,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226318222816894976","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226293580974764000,"conversation_id":"1226293580974764033","created_at":1581206147000,"date":"2020-02-08","time":"23:55:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"BREAKING: An additional 2,147 cases of #coronavirus have been diagnosed in Hubei, China; the epicenter of the epidemic, taking the province’s total to 27,100. Of note: the provinces testing capacity is now about 6,000 cases a day. The cumulative death toll also rose by 81 to 780.","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":80,"likes_count":164,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1226293580974764033","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225910547822121000,"conversation_id":"1225910547822120961","created_at":1581114825000,"date":"2020-02-07","time":"22:33:45","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The numbers of new #coronavirus cases out of China remain relatively linear, varying from day to day within a narrow band. Tonight’s update is no different. It suggests that testing capacity may be influencing the reported cases more than epidemiology.","mentions":[],"urls":[],"photos":[],"replies_count":150,"retweets_count":662,"likes_count":2115,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1225910547822120961","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225815616415785000,"conversation_id":"1225814577847336960","created_at":1581092192000,"date":"2020-02-07","time":"16:16:32","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"It’s likely that as more data accrues, the percent of mild and moderate disease will increase as proportion of total burden. But even if this data from WHO is still underestimating mild cases because we’re not diagnosing them, we’re confronting a very serious potential threat.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":21,"likes_count":65,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1225815616415784961","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225487507166503000,"conversation_id":"1225486928658731008","created_at":1581013964000,"date":"2020-02-06","time":"18:32:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Limited outbreaks don’t necessarily mean we’ll have large outbreaks, nor does it mean it’ll become epidemic in U.S. Spring & summer should be a backstop against spread. We know how to contain outbreaks of disease to prevent epidemic spread. The first step was wider screening 2/2","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":19,"likes_count":80,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1225487507166502915","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225486928658731000,"conversation_id":"1225486928658731008","created_at":1581013826000,"date":"2020-02-06","time":"18:30:26","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: Now that we’re going to be testing more people for #coronavirus owing to excellent work by CDC and FDA to deploy hundreds of test kits capable of screening over 100,000 samples, we’re likely to find more positive cases and probably some community transmission of virus 1/2","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":56,"likes_count":126,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1225486928658731008","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225214478041530400,"conversation_id":"1225214478041530368","created_at":1580948869000,"date":"2020-02-06","time":"00:27:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"China reports that deaths from #coronavirus rise by 73 to 563, and the number of confirmed cases rise by 3,694 to 28,018. It’s hard to discern how much their reporting on new cases is still being skewed by their fixed and limited testing capacity.","mentions":[],"urls":[],"photos":[],"replies_count":78,"retweets_count":341,"likes_count":707,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1225214478041530368","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224884454310793200,"conversation_id":"1224884454310793216","created_at":1580870185000,"date":"2020-02-05","time":"02:36:25","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The latest numbers, just released, on the #coronavirus toll in China continues to reveal a grim and worsening epidemic. The total number of cases are 24,324, up more than 3,900 from yesterday. Total deaths now at 490, up another 65 since yesterday.","mentions":[],"urls":[],"photos":[],"replies_count":60,"retweets_count":322,"likes_count":641,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224884454310793216","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224791437071569000,"conversation_id":"1224787115541696512","created_at":1580848008000,"date":"2020-02-04","time":"20:26:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Even if CFR ends up around 0.5%, Ro 2-3, and 10-20% develop significant pneumonia, this could still burn its way through large populations and become a historic and devastating pandemic. We face a lot of uncertainty, and risk. The next several weeks are critical for containment.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":49,"likes_count":126,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224791437071568896","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224790647871361000,"conversation_id":"1224787115541696512","created_at":1580847820000,"date":"2020-02-04","time":"20:23:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Also unknown is clinical condition of all 146. It’s possible there could be more victims among those diagnosed. But so far, among those presenting — which tends to be people with pneumonia based on current screening criteria — CFR has hovered around 2% in China and globally.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":6,"likes_count":32,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224790647871361024","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224787920588083200,"conversation_id":"1224787115541696512","created_at":1580847170000,"date":"2020-02-04","time":"20:12:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We know the grim numerator (fatalities) but still don’t know the precise denominator (the total number of cases). It’s likely that a lot of mild and moderate disease is already circulating globally, and remains undetected. As more mild cases are diagnosed, the CFR should decline.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":13,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224787920588083202","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224787115541696500,"conversation_id":"1224787115541696512","created_at":1580846978000,"date":"2020-02-04","time":"20:09:38","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Thread: There are now 2 deaths in 146 patients diagnosed with #coronavirus outside China. It’s a case fatality rate of 1.37%. This may be our best estimate to date. The patients include mild disease as well those presenting with pneumonia. It tracks with 2% CFR reported in China.","mentions":[],"urls":[],"photos":[],"replies_count":59,"retweets_count":89,"likes_count":222,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224787115541696512","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224296143225589800,"conversation_id":"1224295009769467904","created_at":1580729921000,"date":"2020-02-03","time":"11:38:41","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The summer should provide a natural backdrop against epidemic spread of a #coronavirus. So we need to buy ourselves more time, mitigate potential outbreaks and slow community transmission, and get into the spring and summer months when the epidemiology of spread should change.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":7,"likes_count":29,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224296143225589766","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224043498816655400,"conversation_id":"1224042220665307137","created_at":1580669686000,"date":"2020-02-02","time":"18:54:46","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Since CDC and FDA haven’t authorized public health or hospital labs to run the tests, right now #CDC is the only place that can. So, screening has to be rationed. Our ability to detect secondary spread among people not directly tied to China travel is greatly limited.","mentions":[],"urls":[],"photos":[],"replies_count":24,"retweets_count":165,"likes_count":363,"hashtags":["#cdc"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224043498816655364","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224042847713796000,"conversation_id":"1224042220665307137","created_at":1580669531000,"date":"2020-02-02","time":"18:52:11","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"LDTs for #Coronavirus would be considered to be “developed to diagnose serious or life-threatening diseases or conditions” and for “analyses of disease progression and public health decision making” per FDA guidelines and expected to get EUAs. So herein lies the Catch-22","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":20,"likes_count":100,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1224042847713796096","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223776744622166000,"conversation_id":"1223775176615133184","created_at":1580606087000,"date":"2020-02-02","time":"01:14:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Reports from last three days:\n\nCases: \n9,692 ▶️ 11,791 ▶️ 14,380\n\nDeaths:\n213 ▶️ 259 ▶️ 304\n\nSuspected:\n15,238 ▶️17,988 ▶️19,544","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":39,"likes_count":67,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1223776744622166016","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223775176615133200,"conversation_id":"1223775176615133184","created_at":1580605713000,"date":"2020-02-02","time":"01:08:33","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"New report from China on epidemic: Cumulative total of 14,380 confirmed cases, 304 deaths and 19,544 suspected cases. These grim totals suggest a slowing in acceleration relative to recent day-over-day reporting, but caution that totals heavily influenced by testing parameters.","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":74,"likes_count":155,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1223775176615133184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223419864766804000,"conversation_id":"1223419864766803968","created_at":1580521000000,"date":"2020-02-01","time":"01:36:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"New numbers on the continuing tragic spread of #coronavirus in China. These are day over day increases in the running totals, reflecting additional reporting over the last 24 hours: \n\nCases: 9,692 ▶️ 11,791\nDeaths: 213 ▶️ 259\nSevere: 1,527 ▶️ 1,795\nSuspected: 15,238 ▶️ 17,988","mentions":[],"urls":[],"photos":[],"replies_count":71,"retweets_count":565,"likes_count":791,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1223419864766803968","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223360105347014700,"conversation_id":"1223360105347014656","created_at":1580506752000,"date":"2020-01-31","time":"21:39:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Strategies to prevent entry of #coronavirus into U.S. are smart critical steps. But we should also work from posture that assumes some index cases already arrived undetected and virus now circulating. Key to limiting outbreaks will be broadening screening guidance to physicians.","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":52,"likes_count":180,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1223360105347014656","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223309405560692700,"conversation_id":"1223308763391721473","created_at":1580494664000,"date":"2020-01-31","time":"18:17:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 Our current posture emphasizes steps to prevent introduction of the virus. We need to also work from a position that assumes virus may be already introduced and not detected yet. So we must have tools and procedures in place to spot new outbreaks and secondary spread. quickly","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":33,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1223309405560692736","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223308763391721500,"conversation_id":"1223308763391721473","created_at":1580494511000,"date":"2020-01-31","time":"18:15:11","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/2 Real time PCR based tests used to test for #caronavirus (developed by Roche) are reliable, fast, cheap. We can extend test capabilities to more labs and broaden screening criteria to screen more cases of undifferentiated viral pneumonia, even in absence of suggestive travel.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":17,"likes_count":54,"hashtags":["#caronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1223308763391721473","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223285733018013700,"conversation_id":"1223284532218122247","created_at":1580489020000,"date":"2020-01-31","time":"16:43:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The current RT-PCR based test CDC is using -- based on technology from Roche -- is cheap, reliable, rapid, can be rolled out to more public health labs and hospital reference labs. During Zika outbreak some hospitals used off-the-shelf reagents to make their own PCR based tests.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":18,"likes_count":37,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1223285733018013696","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1222682129974333400,"conversation_id":"1222682129974333440","created_at":1580345110000,"date":"2020-01-30","time":"00:45:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Debate around how long #coronavirus epidemic spread will last in China: mid-Feb according to Nanshan Zhong when considering broad quarantine efforts vs April/May based on estimate of Gabriel Leung from HKU. However Leung's estimates only factored in the lockdown of Wuhan alone.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":8,"likes_count":21,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1222682129974333440","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1222671127392280600,"conversation_id":"1222671127392280576","created_at":1580342487000,"date":"2020-01-30","time":"00:01:27","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"New numbers out from China National Health Commission regarding total #coronavirus infections: The running total count of confirmed cases now stands at 7,711 vs about 6,000 yesterday; deaths 170 vs 132 yesterday; suspected case 12,167 and 81,000 people under observation. Tragic.","mentions":[],"urls":[],"photos":[],"replies_count":248,"retweets_count":2482,"likes_count":3821,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1222671127392280576","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1222312101424836600,"conversation_id":"1222312101424836608","created_at":1580256889000,"date":"2020-01-29","time":"00:14:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Trials are ongoing with HIV meds lopinavir, remdesivir against #coronavirus. Given toxicities the drugs unlikely to be used prophylactically on any scale. Question to answer: In severe cases how much will interrupting viral replication after pneumonia develops impact outcomes?","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":4,"likes_count":20,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1222312101424836608","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221729347255652400,"conversation_id":"1221726573868519429","created_at":1580117949000,"date":"2020-01-27","time":"09:39:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Another interesting finding from these analyses is that samples tested from the upper respiratory track may not have enough virus present to yield a positive result, suggesting need for lower respiratory track samples and/or re-testing of samples from the upper reapiratory tract.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":3,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1221729347255652352","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221516444489408500,"conversation_id":"1221516321457868802","created_at":1580067189000,"date":"2020-01-26","time":"19:33:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"“From observations, the virus is capable of transmission even during incubation period,” Ma told a news conference, according to this report in the South China Morning Post. “Some patients have normal temperatures and there are many milder cases. There are hidden carriers.”","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":104,"likes_count":150,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1221516444489408519","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221459339120140300,"conversation_id":"1221459339120140288","created_at":1580053574000,"date":"2020-01-26","time":"15:46:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need to understand real scope of nCoV spread. This requires serology efforts to determine if people may have been exposed and are immune, but never had disease. China healthcare system is overwhelmed, but determining the scope of asymptomatic spread is key to gauging severity.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":22,"likes_count":83,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1221459339120140288","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220731416801091600,"conversation_id":"1220730965816958976","created_at":1579880024000,"date":"2020-01-24","time":"15:33:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Some key questions remain: 1) Has China already missed the golden window to avert a wider epidemic in China, 2) Does this virus fall into that “sweet spot” between contagion and severity, where it spreads efficiently, but is still virulent enough to cause people serious illness.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":3,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1220731416801091589","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220731077804937200,"conversation_id":"1220730965816958976","created_at":1579879943000,"date":"2020-01-24","time":"15:32:23","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Ideally we need an antibody based immunofluorescent “rapid diagnostic” that can be used at the point of care, like the rapid flu test. Right now we’re using PCR based tests that, while rapid, require samples to be sent to a lab. Early identification is key...","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":4,"likes_count":8,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1220731077804937217","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220729367199985700,"conversation_id":"1220728167129931779","created_at":1579879535000,"date":"2020-01-24","time":"15:25:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Some key questions: 1) Has China already missed the golden window to avert a wider epidemic in China, 2) Is this virus in that “sweet spot” between contagion and virulence, where it spreads efficiently, but is still virulent enough to cause serious illness.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":6,"likes_count":9,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1220729367199985668","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220728612531449900,"conversation_id":"1220728167129931779","created_at":1579879355000,"date":"2020-01-24","time":"15:22:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Ideally we need an antibody based immunofluorescent “rapid diagnostic” that can be used at the point of care, like the rapid flu test. Right now we’re using PCR based tests that, while rapid, require samples to be sent to a lab. Early identification is key!","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":5,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1220728612531449857","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220712134415437800,"conversation_id":"1220710809699078149","created_at":1579875427000,"date":"2020-01-24","time":"14:17:07","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"“Should the epidemic continue unabated in Wuhan, we predict ...191,529 infections by Feb.4”","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":79,"likes_count":183,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1220712134415437824","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220708130767753200,"conversation_id":"1220705655125893126","created_at":1579874472000,"date":"2020-01-24","time":"14:01:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Very preliminary and likely to change as more screening gets into place and more cases are identified.","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":0,"likes_count":0,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1220708130767753221","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220355172871872500,"conversation_id":"1220355172871872512","created_at":1579790320000,"date":"2020-01-23","time":"14:38:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/2 China only started to deploy test kits based on nucleotide sequencing in lab and healthcare facilities in mid-January, so as that testing equipment gets into place and more samples get run, we can probably expect the number of reported and confirmed cases to spike up.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":8,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1220355172871872512","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1219618685741961200,"conversation_id":"1219616181356843012","created_at":1579614728000,"date":"2020-01-21","time":"13:52:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Infectious virus from specimens that China could provide would also be useful for animal experiments to help evaluate potential therapeutics and vaccines. Soon enough, however, the West will have samples of this virus as cases tragically emerge outside of China's borders.","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":1,"likes_count":5,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1219618685741961216","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1219617365723361300,"conversation_id":"1219616181356843012","created_at":1579614414000,"date":"2020-01-21","time":"13:46:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"International health authorities should call on China to share samples of the #coronovirus with qualified health agencies like the #CDC so that the West can prepare effective screening tools now to help avert wider spread.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":0,"likes_count":6,"hashtags":["#coronovirus","#cdc"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1219617365723361282","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1219616896632397800,"conversation_id":"1219616181356843012","created_at":1579614302000,"date":"2020-01-21","time":"13:45:02","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Health authorities can develop screening tests (including antibody based tests) by sequencing virus genes based on the genetic sequence already provided by China. But development and validation of these tests could be more efficient and effective if they had samples to work with.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":1,"likes_count":4,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1219616896632397828","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1219616181356843000,"conversation_id":"1219616181356843012","created_at":1579614131000,"date":"2020-01-21","time":"13:42:11","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: It doesn't appear China has shared samples of the novel #coronovirus but just published the sequence of different strains that have been recovered. This could hinder efforts to develop and validate screening tests in the West. China should share samples of the virus...","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":6,"likes_count":26,"hashtags":["#coronovirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1219616181356843012","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1219333583837548500,"conversation_id":"1219332997398265857","created_at":1579546755000,"date":"2020-01-20","time":"18:59:15","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We should assume there are many more cases than those confirmed since only more severe cases seem to be presenting and broad surveillance doesn’t appear to be in place to reliably capture mild cases. We also shouldn’t assume that H2H transmission is confined to the severe cases.","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":3,"likes_count":12,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1219333583837548552","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1217895300779540500,"conversation_id":"1217893624353980416","created_at":1579203841000,"date":"2020-01-16","time":"19:44:01","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The public health risk is that kids using these illegal and dangerous THC products may not know that the CDC warnings relate to the THC products they’re using; since the CDC is not using a precise nomenclature to more clearly describe the THC vapes and dabs","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":45,"likes_count":122,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1217895300779540481","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1217894322093191200,"conversation_id":"1217893624353980416","created_at":1579203608000,"date":"2020-01-16","time":"19:40:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"CDC should reconsider the name it ascribed to these illnesses (EVALI) now that it seems to be definitively linked to THC vapes and dabs. By not speaking with precision it could leave a false impression as to the clear causal relationship between the tragic illnesses and THC vapes","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":52,"likes_count":136,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1217894322093191168","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1216728511236325400,"conversation_id":"1216727675340902400","created_at":1578925657000,"date":"2020-01-13","time":"14:27:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 ...FDA should also have access to records (including consumer complaints) during routine or for-cause inspections, mandatory recall authority, and new ingredient review. The bipartisan legislation offered by Reps. Pallone and Shimkus advances many of these critical concepts.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":3,"likes_count":7,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1216728511236325381","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1216453899051159600,"conversation_id":"1216447337616162821","created_at":1578860184000,"date":"2020-01-12","time":"20:16:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"A multitude of recent policies have also improved trial design, signal detection, and product safety. The net result is a renaissance of scientific opportunity that’ll define our age as one marked by our ability to crack the biology of disease and increasingly transcend illness.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":5,"likes_count":39,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1216453899051159552","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1216451487053693000,"conversation_id":"1216447337616162821","created_at":1578859609000,"date":"2020-01-12","time":"20:06:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This fidelity translates into a better overall drug and device development and review process. The improvements in people and process have made the agency’s review programs more efficient. #FDA’s singular strength remains its people and it’s culture of science and public health.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":38,"hashtags":["#fda"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1216451487053692928","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1216450812563484700,"conversation_id":"1216447337616162821","created_at":1578859448000,"date":"2020-01-12","time":"20:04:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"#FDA itself has undergone a transformation over the last few decades in terms of its professional efficiency and scientific prowess. The Office of New Drugs is a crown jewel of the federal service and the entire organization is marked by deep expertise and mission driven focus->","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":39,"hashtags":["#fda"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1216450812563484672","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1216450367182868500,"conversation_id":"1216447337616162821","created_at":1578859342000,"date":"2020-01-12","time":"20:02:22","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"I’m studying this empirically, but it’s likely that when we look at recent cohorts of new drugs against older cohorts we’ll find that the absolute treatment effect offered by new drugs has, on the whole, improved over time. In other words, new drugs offer more health improvement.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":41,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1216450367182868480","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1216449955209961500,"conversation_id":"1216447337616162821","created_at":1578859244000,"date":"2020-01-12","time":"20:00:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"When a drug is advanced the biological basis for how it works to achieve its effect is well understood. Gone are days of drugs screened at random. Rational drug design and firmer knowledge of biology means we know more about biological plausibility of new drugs than ever before.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":6,"likes_count":47,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1216449955209961477","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1216449085370069000,"conversation_id":"1216447337616162821","created_at":1578859037000,"date":"2020-01-12","time":"19:57:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The result? We often see a robust, outsized treatment response in small patient series in settings we’re disease is serious and options few. This opportunity fueled bi-partisan congressional consensus to make development more efficient through paths like breakthrough designation","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":44,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1216449085370068992","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
