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Michelle Kendall

@mishkendall

Infectious disease epidemiologist at Oxford PSI. Working on vaccine trials for CEPI priority pathogens and Digital Contact Tracing, previously NHS COVID-19 app. https://michellekendall.github.io/

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Latest posts by Michelle Kendall @mishkendall

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Six years since the inception of Digital Contact Tracing!

We've shown that privacy-preserving DCT could play a key, low-cost role in mitigating future outbreaks whilst simultaneously gathering valuable epi insights in real time.

michellekendall.github.io/2026/03/05/d...

05.03.2026 17:22 πŸ‘ 3 πŸ” 2 πŸ’¬ 0 πŸ“Œ 0
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BBC Radio 4 - More or Less, Do we really have β€˜superflu’? The NHS is warning of an unprecedented flu season - we check.

Excellent detail on the latest β€œsuper flu” situation here, featuring @jameshay.bsky.social from Oxford Uni’s PSI @psioxford.bsky.social

Spoiler: it’s bad but β€œsuper” is a bit of a stretch

www.bbc.co.uk/programmes/p...

17.12.2025 18:33 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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National flu and COVID-19 surveillance report: 11 December 2025 (week 50)

1/ Seasonal influenza summary from latest @ukhsa.bsky.social surveillance report. #IDSky #EpiSky πŸ§ͺ

πŸ—“οΈ Based on data up to week 49 2025 (01-07 Dec 2025)

πŸ“Š Increases in activity measured by multiple indicators. Influenza circulating at medium levels in England.

Report πŸ”—: www.gov.uk/government/s...

11.12.2025 15:12 πŸ‘ 25 πŸ” 10 πŸ’¬ 1 πŸ“Œ 2
Evaluation of the epidemiological outlook of the influenza A/H3N2 clade K in England during the 2025-26 season Key findings England is currently experiencing a high growth rate of infections caused by the influenza A/H3N2 K clade. Antigenic change from the previously dominant clade, a rapid selective sweep evi...

H3N2 preprint: there are concerns of a severe incoming influenza season due to the drifted H3N2 K clade. We at @psioxford.bsky.social analysed epi data and ran scenario models to see what we could discern about K clade transmission dynamics: zenodo.org/records/1770....

(1/18)

25.11.2025 13:51 πŸ‘ 27 πŸ” 15 πŸ’¬ 1 πŸ“Œ 6

If you've heard murmurings about the new H3N2 flu 🦠 strain you may appreciate this excellent work by @jameshay.bsky.social & team, putting the available data for England in context of previous seasons and mapping out likely ways it could play out over the winter.

πŸ“„ zenodo.org/records/1770...

25.11.2025 14:38 πŸ‘ 2 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Graph showing positive tests for flu, COVID-19 and RSV

Graph showing positive tests for flu, COVID-19 and RSV

Graph showing positive tests by age for flu

Graph showing positive tests by age for flu

VirusWatch infographic

VirusWatch infographic

Dr Jamie Lopez Bernal, Consultant Epidemiologist at UKHSA, said:
Flu continues to increase among younger people despite the school half-term break. We expect the holidays gave flu a β€˜firebreak’ and dampened the spread, but we do now expect to see further increases as people return to school and work.
With this upward trend continuing, it’s more important than ever that those eligible for a free flu vaccine come forward.

Dr Jamie Lopez Bernal, Consultant Epidemiologist at UKHSA, said: Flu continues to increase among younger people despite the school half-term break. We expect the holidays gave flu a β€˜firebreak’ and dampened the spread, but we do now expect to see further increases as people return to school and work. With this upward trend continuing, it’s more important than ever that those eligible for a free flu vaccine come forward.

πŸ†• #UKHSAVirusWatch: The latest flu, COVID-19 & RSV data from our weekly winter surveillance report.

🟒 Flu has continued to increase - especially in children and young adults - in what has been an unusually early start to the influenza season.

Read the full report below. πŸ”Ž

https://bit.ly/47shfmB

06.11.2025 16:55 πŸ‘ 2 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0
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πŸ†• #UKHSAVirusWatch: The latest flu, COVID-19 and RSV data from our weekly winter surveillance report.

Flu has increased, particularly in children, and is now above baseline levels. This is an unusually early start to the influenza season

Find the full report here: https://bit.ly/3Lh27zJ

30.10.2025 15:29 πŸ‘ 5 πŸ” 4 πŸ’¬ 3 πŸ“Œ 1
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Want to build an interactive dashboard so others can explore epidemic scenarios? For COVID, @ngdavies.bsky.social spearheaded a great drag-and-drop approach, which made use of the JavaScript-based nature of RShiny... 1/

08.10.2025 09:44 πŸ‘ 32 πŸ” 10 πŸ’¬ 2 πŸ“Œ 1
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Landmark African-led research to map the extent of Rift Valley fever impact | CEPI The studies will help scientists figure out if trials assessing the efficacy of Rift Valley fever vaccines are possible.

I’m delighted to share that I’ve just started work on this @cepi.net project in Christophe Fraser’s group @christophraser.bsky.social

cepi.net//landmark-af...

01.09.2025 13:03 πŸ‘ 10 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
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Clade I mpox vaccination: strategies for deployment and evaluation Clade I mpox continues to spread in Central Africa with no sign of abating,1 however very few doses of vaccine have been deployed. Mpox vaccination strategies using either of the licenced vaccines, MV...

New paper: we argue that a promising approach for studying mpox vaccine effectiveness in Central Africa to incorporate mpox vaccination + testing data into existing cohort studies, especially those for HIV/STIs.
www.thelancet.com/journals/ebi...

26.08.2025 16:50 πŸ‘ 5 πŸ” 6 πŸ’¬ 1 πŸ“Œ 0

"I have long felt that the risks of sharing your data - the possibility that your information will fall into the hands of people who are up to no good - are given far more prominence that the potential rewards in the form of advances in medicine."

25.06.2025 08:35 πŸ‘ 1 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
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The Truth About the Covid App Myths about its cost and effectiveness stop us learning lessons

open.substack.com/pub/rorycell... This post about the importance of knowing the difference between truth tellers and myth makers in healthcare has already attracted a comment from a member of the β€œplandemic” community which nicely makes my point about the dangers of disinformation

15.05.2025 10:56 πŸ‘ 119 πŸ” 16 πŸ’¬ 5 πŸ“Œ 0
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The evolution of antibiotic resistance in Europe, 1998–2019 Author summary Antibiotic resistance is an important public health threat: resistant infections are currently associated with 5 million deaths per year globally. This burden may increase further in th...

New paper: long-term trends in antibiotic resistance show signs of stabilisation (thread). journals.plos.org/plospathogen...

07.04.2025 08:35 πŸ‘ 70 πŸ” 44 πŸ’¬ 6 πŸ“Œ 0

Right? Maybe there are good reasons for the scheduling, and only a small minority of us working part/flexi hours and not using after school clubs. But if we had been considered even for a moment I would expect them to at least offer a recording, and I can’t see one mentioned…

27.02.2025 12:59 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0
Screenshot of details for a Royal Statistical Society event, titled "Balancing the Equation: Work, Family, and Career Growth in Statistics and Data Science". It is scheduled for Monday 3 March from 3 to 4pm.

Screenshot of details for a Royal Statistical Society event, titled "Balancing the Equation: Work, Family, and Career Growth in Statistics and Data Science". It is scheduled for Monday 3 March from 3 to 4pm.

πŸͺ§ What do we want? πŸͺ§
Help balancing work and family life!

πŸͺ§ When do we want it? πŸͺ§
School pick-up time!

27.02.2025 10:00 πŸ‘ 11 πŸ” 2 πŸ’¬ 1 πŸ“Œ 0

@psioxford.bsky.social are hosting the International Pandemic Sciences Conference on 30 June – 1 July 2025 in Oxford and online, theme

'Getting ahead of the curve' πŸ“ˆ

Visit the website now to:
➑️ Register to attend
➑️ Submit an abstract
www.psi.ox.ac.uk/conference25

#episky #IDsky

21.01.2025 11:51 πŸ‘ 3 πŸ” 3 πŸ’¬ 0 πŸ“Œ 0

Interesting thread about calculating the reproduction number and reflecting on its utility

19.12.2024 15:29 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
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Quantification of the time-varying epidemic growth rate and of the delays between symptom onset and presenting to healthcare for the mpox epidemic in the UK in 2022 - Scientific Reports Scientific Reports - Quantification of the time-varying epidemic growth rate and of the delays between symptom onset and presenting to healthcare for the mpox epidemic in the UK in 2022

Hinch & Panovska‑Griffiths et al, Nature Sci Rep: we quantified how variable mpox case ascertainment delays over time in the UK distorted the relationship between growing case counts and the true epidemic growth
www.nature.com/articles/s41...

16.12.2024 08:57 πŸ‘ 1 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0
Front cover of Science Magazine shows a large crowd of people watching a football match, with the title TRANSMISSION EVENT: Digital contact tracing for COVID-19

Front cover of Science Magazine shows a large crowd of people watching a football match, with the title TRANSMISSION EVENT: Digital contact tracing for COVID-19

Example of app-based epidemic monitoring in England during the Euro 2020 football tournament. A graph shows how the daily number of close contact events and transmission events detected by the NHS COVID-19 app in England had sharp and increasing peaks on days of England football matches.

Example of app-based epidemic monitoring in England during the Euro 2020 football tournament. A graph shows how the daily number of close contact events and transmission events detected by the NHS COVID-19 app in England had sharp and increasing peaks on days of England football matches.

Kendall & Ferretti et al, Science: we showed anonymised data from app-based contact tracing enables analytics for epidemic monitoring that is virtually real-time, high-resolution & national scale. Nice Science mag front cover πŸ‘€ (Remember outdoors safer than indoors!)
045.medsci.ox.ac.uk/monitoring

16.12.2024 08:57 πŸ‘ 3 πŸ” 1 πŸ’¬ 2 πŸ“Œ 1
Image shows how the probability of reported infection with SARS-CoV-2 among people notified by the NHS COVID-19 App increases with the risk score calculated by the app.

Image shows how the probability of reported infection with SARS-CoV-2 among people notified by the NHS COVID-19 App increases with the risk score calculated by the app.

πŸ‘‹ Hello World! Some of our papers this year ICYMI
Ferretti & Wymant et al, Nature: using 7 million digitally recorded COVID exposures, we found app-based contact tracing successfully measured the actual risk of transmission and we decomposed contributors to risk 045.medsci.ox.ac.uk/risk_measure...

16.12.2024 08:57 πŸ‘ 11 πŸ” 5 πŸ’¬ 1 πŸ“Œ 0
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Digital Pandemic Preparedness This programme will develop a blueprint for digital health systems that can be deployed during pandemics, create a funding model for implementation, and…

Another opportunity to come work @universityofoxford.bsky.social on the @oxmartinschool.bsky.social project on *Digital Pandemic Preparedness* together with Profs. Christl Donnelly, Christophe Fraser, Melinda Mills, Michael Parker, Luca Ferretti and me.

my.corehr.com/pls/uoxrecru...

18.11.2024 16:01 πŸ‘ 14 πŸ” 12 πŸ’¬ 0 πŸ“Œ 1
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17 key charts to understand the COVID-19 pandemic The pandemic has resulted in over twenty million deaths. In this article, we review the key insights from global data on COVID-19.

New article by me & Lucas at Our World in Data!

The COVID-19 pandemic is estimated to have killed more than 25 million people; it caused grief & suffering among their loved ones, impacted people's health worldwide & disrupted work & lifestyles.

We look back on the pandemic with 17 charts:

18.11.2024 10:21 πŸ‘ 225 πŸ” 96 πŸ’¬ 22 πŸ“Œ 13

Really handy! Thanks!

12.11.2024 09:00 πŸ‘ 0 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

Shout out to everyone who worked on the NHS COVID-19 app, particularly my amazing academic collaborators Christophe Fraser, @chriswymant.bsky.social, Luca Ferretti, @daphnetsallis.bsky.social, @alicele.bsky.social and Xavier Didelot who all played a central role in the work I've described.

11.11.2024 16:32 πŸ‘ 3 πŸ” 0 πŸ’¬ 0 πŸ“Œ 0

2. Motivations for pandemic preparedness. Digital contact tracing apps could:
a. play a key, low-cost role in mitigating future outbreaks.
b. gather valuable insights in real time, helping to evaluate and fine-tune our choices of public health interventions (towards minimising negative impacts).

11.11.2024 16:32 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

To round up. Why is all this important?
1. Retrospective insights:
a. we've quantified the epidemiological effectiveness of digital contact tracing.
b. we've found out more about COVID-19: how and when it spread during the years the app was active, in lots of detail.

11.11.2024 16:32 πŸ‘ 3 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0

Further results and more details are of course available at the links provided, with discussion of subtleties, limitations etc. to unpack this big list of statements.

For easy-read versions with just a bit more detail, you may prefer the corresponding blog posts: michellekendall.github.io/blog/

11.11.2024 16:32 πŸ‘ 1 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Science magazine cover showing England football fans in Wembley stadium, titled "Transmission Event: Digital contact tracing for COVID-19"

Science magazine cover showing England football fans in Wembley stadium, titled "Transmission Event: Digital contact tracing for COVID-19"

Figure showing contacts and transmissions associated with England match days during the Euros

Figure showing contacts and transmissions associated with England match days during the Euros

Christmas and the Euros were associated with big increases in spread, driven by synchronised (likely inter-generational) meet-ups across England and/or Wales. Excess transmissions on Euro match days accounted for 29% of all app-recorded transmissions during the month-long tournament scim.ag/86t

11.11.2024 16:32 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Figure showing relative daily fractions of contacts which were from households, recurring, single day or fleeting encounters, and the corresponding proportions of transmissions. Christmas Day stands out as having many more household contacts and fewer fleeting contacts than usual.

Figure showing relative daily fractions of contacts which were from households, recurring, single day or fleeting encounters, and the corresponding proportions of transmissions. Christmas Day stands out as having many more household contacts and fewer fleeting contacts than usual.

Plus the data captured fine-grained insights into the drivers of transmission, including the effects of day-of-the-week, setting (longer vs more fleeting contact), and geographical region.

11.11.2024 16:32 πŸ‘ 2 πŸ” 0 πŸ’¬ 1 πŸ“Œ 0
Figure showing various estimators of the reproduction number R over the course of the epidemic

Figure showing various estimators of the reproduction number R over the course of the epidemic

Analysis of app data provided a leading indicator of the reproduction number R, available at least 5 days earlier than other estimates. This provided valuable situational awareness for policy makers.

11.11.2024 16:32 πŸ‘ 2 πŸ” 1 πŸ’¬ 1 πŸ“Œ 0