Infectious Diseases @InfectiousDz Twitter profile

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Infectious Diseases

4 years

More people die from car accidents than bear attacks, but if you saw a sleuth of bears (really that's the name) running at you, you wouldn't say to the bear, cars kill more people. You'd take that time to attempt some social distancing maneuvers, really fast.

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Infectious Diseases

@InfectiousDz

2 years

You might not be worried about getting COVID You may do just fine if you do Problem is you may not do so well when surprised by a car accident, heart attack or leukemia because hospitals are struggling Epidemics are about communities and not individuals. We share resources

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Infectious Diseases

@InfectiousDz

2 years

Monkeypox, metropolitan areas: - London, GB: 9 confirmed - Lisbon, Portugal: 14 confirmed, 6 suspected - Madrid, Spain: 23+ suspected (1 ex-Canary Islands) - Quebec, Canada: 13 suspected - Boston, MA, USA: 1 confirmed - Stockholm, Sweden: 1 confirmed - Rome, Italy: 1 identified

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Infectious Diseases

@InfectiousDz

2 years

The tale of two COVIDs: New Zealand and Hong Kong. Compare cases and deaths. It's two very different stories Both have kept COVID at bay with public health COVID zero-styled approaches. Both finally saw Omicron break through. Cases shot up in parallel.

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Infectious Diseases

@InfectiousDz

4 years

From the editor in chief of the Lancet

richard horton

@richardhorton1

4 years

President Trump’s decision to defund WHO is simply this—a crime against humanity. Every scientist, every health worker, every citizen must resist and rebel against this appalling betrayal of global solidarity.

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Infectious Diseases

@InfectiousDz

4 years

There are 360K people in Iceland. 2 French tourists arrived, tested positive, asked to isolate, they decided isolation was not for them. 100 cases in the last few days can be traced to their trip in August.

Brutu sóttvarnareglur og nú hafa yfir 100 smitast - Vísir

Af þeim þrjátíu sem greindust með veiruna í gær voru fimmtán ekki í sóttkví. Þá má rekja um helming smitanna til skemmistaða. Alls eru 242 í einangrun og tveir á sjúkrahúsi. 2102 eru í sóttkví. Þetta...

www.visir.is

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Infectious Diseases

@InfectiousDz

2 years

Monkeypox is now suspected or confirmed in 3 European metropolitan areas, with transmission to 4 in London, 5 confirmed in Lisbon with 20 suspected, and 8 suspected in Madrid. 🧵

Porto Canal

@PortoCanalpt

2 years

𝐄𝐗𝐂𝐋𝐔𝐒𝐈𝐕𝐎 𝐏𝐎𝐑𝐓𝐎 𝐂𝐀𝐍𝐀𝐋 Chegou a Portugal, o vírus Monkeypox (Varíola dos macacos) Já há pelo menos duas dezenas de casos confirmados. A maioria dos casos foram registados na região de Lisboa. 🔗 (em atualização) #PortoCanal #Informa ção

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Infectious Diseases

@InfectiousDz

2 years

If you've never seen what diphtheria, tetanus, or polio can do, you're lucky. Your parents or grandparents or great grandparents weren't so lucky. These are horrible diseases with no good treatments. This is why there are vaccines. A little reminder of the reality:

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Infectious Diseases

@InfectiousDz

2 years

Omicron creates its own de facto shutdowns, minus any government With super-spreading, everyone may suddenly be out sick with no one free to work Not enough flight attendants, there arent flights Not enough teachers, there arent classes Not enough truck drivers, there are delays

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Infectious Diseases

@InfectiousDz

2 years

San Miguel de Tucumán, Tucumán, Argentina - 8 healthcare workers and 1 patient ill - Symptoms: fever, myalgia, abdominal pain, dyspnea - 6 cases with bilateral pneumonia - Multiple requiring technical ventilation - 3 of 9 have died So what could this be?

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Infectious Diseases

@InfectiousDz

2 years

Now for the bad news: Hong Kong now leads the world in deaths per capita. In New Zealand, there is barely a blip in deaths per capita.

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Infectious Diseases

@InfectiousDz

4 years

Rule 1. If a country is not reporting many cases but is exporting cases, its epidemic is larger than recognized. The US just exported a case.

Isaac Bogoch

@BogochIsaac

4 years

Toronto has another case of #COVID19 in a traveler who acquired the infection in.....Las Vegas. You heard that right - Las Vegas. The USA is exporting cases and the travel history is rapidly becoming irrelevant.

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Infectious Diseases

@InfectiousDz

3 years

In a car, seatbelts may be enough if you're in an accident at 25 MPH, but you want airbags if you're going 80 MPH. We were going at 25 MPH, but Delta is going 80 MPH. We need both vaccines and masks.

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Infectious Diseases

@InfectiousDz

2 years

Measles may be more infectious, but its not known for doing an immune wiggle and asking for a do over. COVID does. Flu may change its disguise every year, but it doesn't become a high R, super spreader. COVID can. That's what makes COVID hard. Its endgame isn't the same.

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Infectious Diseases

@InfectiousDz

3 years

So what do we know about the Pfizer vaccine. 1. Great news: vaccine, so far, 90% effective in reducing symptomatic COVID, as opposed to saline injection 2. Study enrolled 43,538 volunteers and 38,955 had 2 doses; 94 cases in unvaccinated

Covid-19 vaccine from Pfizer and BioNTech is strongly effective, early data from large trial...

Pfizer and partner BioNTech said Monday that their vaccine against Covid-19 was strongly effective, exceeding expectations with results that are likely to be met with cautious excitement — and relief.

www.statnews.com

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Infectious Diseases

@InfectiousDz

4 years

Coronavirus patient in Northern California had no known contact with anyone known to have coronavirus. This indicates community spread.

Libby Casey

@libcasey

4 years

BREAKING from @washingtonpost : First U.S coronavirus case of unknown origin confirmed in Northern California, a sign the virus may be spreading in a local area Follow live updates here:

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Infectious Diseases

@InfectiousDz

3 years

The coronavirus was first identified and photographed by a woman, Dr June Almeida. Her photos were at first rejected for publication "because the referees said the images she produced were just bad pictures of influenza virus particles".

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Infectious Diseases

@InfectiousDz

3 years

Those who tell you the answer lies in iteration, in baby steps, have worked on epidemics before. Those who have blustering self-confidence and are absolutely sure they know the answer have not worked on epidemics before.

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Infectious Diseases

@InfectiousDz

2 years

Meanwhile in New Zealand, vaccination rates in the elderly are over 95%

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Infectious Diseases

@InfectiousDz

2 years

There are many differences here, like density. Hong Kong is a lot smaller in size than New Zealand but larger in population (7.5M vs 5M) The crucial difference though is vaccination It's not that Hong Kong doesn't have vaccines, it's just not the right ones w the right targeting

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Infectious Diseases

@InfectiousDz

2 years

There is not a specific known and effective treatment for monkeypox but there is a vaccine. In fact, the first vaccine we used - for smallpox - works against monkeypox. It's thought to be at least 85% effective

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Infectious Diseases

@InfectiousDz

2 years

Hong Kong has more who are elderly and fewer who are vaccinated than in New Zealand. It's the elderly who die from COVID. As Omicron spread in HK, vaccine hesitancy has led to vaccination rates among those aged 70-79 and 80-plus to be just 63.1% and 34.2%

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Infectious Diseases

@InfectiousDz

2 years

We need better metrics to capture the immune wall, the buffers that keep death and overwhelming outbreaks at bay. It needs to include not just how many were vaccinated but who, with which vaccines, supplemented by what levels of infection-derived immunity

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Infectious Diseases

@InfectiousDz

3 years

This is COVID in Chile. It's current COVID peak is higher than it's ever been.

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Infectious Diseases

@InfectiousDz

2 years

Botswana first identified the new variant in 4 European diplomats who entered the country on Nov 7th, tested positive Nov 11th, confirmed Omicron Nov 24th, but did not stigmatize the country of origin by identifying which countries they came from.

Botswana’s leader says foreign diplomats who traveled from Europe were among the first known...

Botswana and South Africa were the first countries to identify cases involving the Omicron variant, and an official in Botswana asserted that most of the initial 19 were “imported.”

www.nytimes.com

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Infectious Diseases

@InfectiousDz

2 years

The immune wall also depends on which vaccines used. Inactivated whole virus vaccines like coronavac in HK are just not as effective as mRNA (or viral vector) in NZ. Neither has more substantial infection-derived immunity to compensate.

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Infectious Diseases

@InfectiousDz

2 years

Monkeypox is a virus, often seen in the DRC, Nigeria as well as other parts of Central and Western Africa, that is usually transmitted from rodents, but can spread person to person (respiratory spread through the air and direct contact with lesions or persons's clothing/bedding).

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Infectious Diseases

@InfectiousDz

4 years

Infectious diseases mean the person taking the risk isn't always the person who feels the risk. Shared decision making about risk needs to involve those who are downstream of transmission and not just let risk be seen in its immediate context.

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Infectious Diseases

@InfectiousDz

2 years

The countries with the most knowledge and experience stopping monkeypox outbreaks have been Nigeria and the DRC. The NCDC has public health response guidelines that are very useful on monkeypox

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Infectious Diseases

@InfectiousDz

2 years

Hong Kong has higher vaccination rates than most of the world. At least 82% have 1 dose, 70% have 2 doses, 23% have 3 doses This doesn't match New Zealand: 84%, 78%, 48% but it isn't far The overall rate isn't the issue. It's which vaccines and who did or didn't get them.

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Infectious Diseases

@InfectiousDz

2 years

The smallpox vaccine should be given by 4 days after exposure (so anyone who was nearby the person diagnosed, including healthcare workers). If the vaccine is given between 4 and 14 days it can reduce the symptoms but not entirely prevent you from getting sick.

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Infectious Diseases

@InfectiousDz

2 years

Mortality rates can range between 1% and 15% in case series, but with good supportive care mortality is much lower and would be expected to be much lower in Europe. Higher mortality often reflects lack of access to care and limited available resources.

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Infectious Diseases

@InfectiousDz

2 years

Diphtheria - a choking choking, strangled by the layers of phlegm in their throat. it was the strangling angel, so horrifying to watch that doctors first invented tracheostomies, sticking knives and needles into children's necks desperately to keep them alive

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Infectious Diseases

@InfectiousDz

2 years

Polio - there's no reason for a child to be paralyzed from polio. paralysis, depending on what is affected, can require so much more care than just help walking, it can mean lifelong management of ulcers and their infections, urinary problems and infections, and much more

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Infectious Diseases

@InfectiousDz

2 years

Tetanus - each movement leads to painful waves of twitching. the patient is smiling sardonically, taking shallower and shallower breaths. others say they're fine. They look happy, not struggling for breath, just slowly silently suffocating, unable to move. it's a horror film.

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Infectious Diseases

@InfectiousDz

4 years

'If you could save the life of another person without harming your own, would you?' Dr Shadowen, an infectious disease specialist in Kentucky, posted on March 13." She died of COVID on 9/11

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Infectious Diseases

@InfectiousDz

1 year

One unvaccinated person attended a spiritual revival Feb 18th at Asbury University which 50-75K people are thought to have attended. One participant mapped the travel of the many participants. The close up below, the world map in the next tweet:

Lexington Herald-Leader

@heraldleader

1 year

“Anyone who attended the revival on Feb. 18 may have been exposed to measles,” Kentucky’s public health commissioner said.

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Infectious Diseases

@InfectiousDz

2 years

Naegleria appears to be spreading northward. The amoeba is found in warm, fresh water and can infect swimmers causing a fatal brain infection. Climate change is likely playing a role as US states, here Nebraska, report their first cases.

The New York Times

@nytimes

2 years

An infection caused by a brain-eating amoeba most likely killed a child who swam in a Nebraska river over the weekend, health officials said Thursday. It would be the first such death in the state’s history and the second in the Midwest this summer.

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Infectious Diseases

@InfectiousDz

4 years

Three nurses lost to coronavirus in Detroit area

3 Detroit-area nurses have died of coronavirus. These are their stories

Now, the coronavirus is beginning to kill the health care workers who've cared for the sick filling metro Detroit’s hospitals to capacity.

www.freep.com

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Infectious Diseases

@InfectiousDz

4 years

"Today I’m mourning Kious Jordan Kelly, a 48-year old gay nurse manager who died from caring. I was only with him for 15 minutes, but it was enough to see his unique power of healing. An unforgettable character. Honor his memory..."

Kious Kelly, Gay Mount Sinai RN, Died Due to Lack of Protective Equipment – Gay City News

Just five weeks ago — before all of this — I was sent by New Alternatives for Homeless LGBT Youth, where I’m on the board, to look in on a client hospitalized

gaycitynews.com

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Infectious Diseases

@InfectiousDz

4 years

"We show here that hydroxychloroquine is efficient in clearing viral nasopharyngeal carriage of SARS-CoV-2 in COVID-19 patients in only three to six days, in most patients" - Didier Raoul et al

Hydroxychloroquine and azithromycin as a treatment of COVID-19.pdf

drive.google.com

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Infectious Diseases

@InfectiousDz

3 years

Indoor gatherings create a risk for COVID. Period. Full Stop When cases surge, what was low risk is now high risk Masks help but they aren't magic force fields Distancing matters but COVID can travel >6 feet Testing helps but you can be negative in the am, positive in the pm

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@InfectiousDz

3 years

The variant B.1.617 is better known in the headlines as the "double mutant" from Maharashtra We don't know enough about it What we do know ,in India: 2 weeks ago - 80% of samples were B.1.617 2 mos before - 24% We also know India has seen this caseload

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@InfectiousDz

3 years

Here's the start of a list of tweets announcing new vaccine mandates.

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@InfectiousDz

2 years

27 March 2022 - EasyJet drops mask requirement 3 April 2022 - EasyJet cancels flights. Spokesperson adds: "like all businesses easyJet is experiencing higher than usual levels of employee sickness"

EasyJet cancel Jersey flights due to Covid

Jersey are among many flights that were cancelled this weekend due to Covid-related illnesses.

www.bbc.com

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Infectious Diseases

@InfectiousDz

2 years

Current monkeypox cases detected do not correspond to real time transmission 1) We are playing catch up identifying patients not recognized before 2) Monkeypox serial intervals* are much longer than say for COVID Rising cases can still mean we are finding what we've been missing

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@InfectiousDz

4 years

Graphs that don't look encouraging

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@InfectiousDz

2 years

Immunoglobulin developed for smallpox and various antivirals have been given and continue to be studied for their effectiveness More on Monkeypox

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@InfectiousDz

4 years

Hawaii, opening up to tourism with testing may not be the best idea. Islands like Aruba, French Polynesia, and Iceland had seen terrific control of COVID until tourists, fully tested tourists, arrived and then COVID rates exploded.

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Infectious Diseases

@InfectiousDz

3 years

There should be righteous anger that anyone ever said natural herd immunity was the answer to COVID The human cost was glaringly obvious at the back of napkin calculation stage COVID was never a bandaid to pull off fast

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@InfectiousDz

3 years

In August, an 80 year old man woke up to find a bat on his neck. Bat tested positive for rabies. The man reportedly refused the vaccine. He died of rabies. First death in Illinois from rabies since 1954.

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Infectious Diseases

@InfectiousDz

3 years

When an infection spreads innocuously by breath and harms some terribly and leaves others almost untouched, those who take risks may never know the downstream effects of the breaths they took that infected others, before they even knew, if they ever knew, they were infected.

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Infectious Diseases

@InfectiousDz

3 years

The story of Manaus is worrisome 1. Manaus, Amazonas, Brazil had an overwhelming initial surge (44% seropositive, likely 76% infected) 2. Cases now surging again 3. Mutant variants found spreading 4. Variants like the UK variant, but arose separately in Brazil

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Infectious Diseases

@InfectiousDz

4 years

Limit mass gatherings, don't hold a parade. You want to be like St Louis, not Philadelphia that held a parade in 1918 as influenza arrived.

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@InfectiousDz

3 years

Bhutan is showing the world how vaccination can be done. The population may be just 770K but the speed of vaccination of the elderly in rural mountainous areas is no small feet. Community health workers make public health work.

UNICEF Bhutan

@UNICEFBhutan

3 years

Bhutan has finished mass #COVID19 vaccination — vaccinating 467,895 people in just 9 days 👏 💙 Vaccinators visited elderly people with mobility or sight impairments at their homes last week! ✨ Pictured: Home visits in Tsirang & Wangdue districts. #Vaccinated

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@InfectiousDz

3 years

Sinovac's CoronaVac vaccine has been bought by countries with promises of high efficacy Brazil just burst that bubble Brazilian researchers report the CoronaVac efficacy is 50.4% This is why we need published phase 3 trials before celebrations

Coronavac tem eficácia geral de 50,38% no estudo feito pelo Butantan - 12/01/2021 - Equilíbrio e...

Resultado foi divulgado nesta terça (12) após cobrança de cientistas; vacina se mostrou segura e só 0,3% tiveram alguma reação alérgia

www1.folha.uol.com.br

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@InfectiousDz

4 years

Dr Marcello Natali was one of the doctors in Italy who sounded the alarm and warned of medical supply shortages. He continued to work without the medical supplies he needed and which he advocated for others. He died from coronavirus.

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Infectious Diseases

@InfectiousDz

4 years

Oregon can test ~40 people a day Texas Tribune reports Texas can test 30/day Iowa has supplies to test about 500/day PA about 12/day Hawaii < 20/day Arkansas 4-5/day NY 100 - 200/day DE 50/day Korea tests well over 10K a day

질병관리청

www.kdca.go.kr

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Infectious Diseases

@InfectiousDz

3 years

Epidemics are a bit like floods. You can sandbag your house but if your neighbors and your town don't do anything, your house may still be at risk. Your risk is collective, not always personal.

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@InfectiousDz

3 years

"Unvaccinated patients exhibit more antigenic mutational variance" That is to say, if vaccinated, you're much, much less likely to get infected, but if you do, you're less likely to be hospitalized, die, transmit it - or create a new deadly variant

COVID-19 vaccines dampen genomic diversity of SARS-CoV-2: Unvaccinated patients exhibit more...

Variants of SARS-CoV-2 are evolving under a combination of immune selective pressure in infected hosts and natural genetic drift, raising a global alarm regarding the durability of COVID-19 vaccines....

www.medrxiv.org

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@InfectiousDz

4 years

In Iceland, there have been 196 COVID cases diagnosed in the last 5 days. Most of these cases were traced to a common super spreading location - two restaurants in Reykjavík (the Irishman and Brewdog)

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@InfectiousDz

4 years

When predicting what epidemics will do, it's worth taking into account that China and Africa have similar populations overall - but not similar numbers of over 50 year olds, who are the most vulnerable to severe COVID illness

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@InfectiousDz

2 years

No one chooses to have a lockdown. What they choose is to do nothing to prevent it.

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@InfectiousDz

2 years

Infectious disease is not all doom and gloom. Here's good news this week: - Injectable PrEP (HIV pre-exposure prophylaxis) approved - Novavax emergency approval by WHO, Europe (EMA) - Zerbaxa, antibiotic for resistant bacteria, is back - No Ebola outbreaks anywhere in the world

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@InfectiousDz

2 years

COVID isn't rain where umbrellas do nothing to stop the downpour Instead of rushing to pull back controls creating policy whiplash we need to plan for lulls and returns. We need to establish which policies are for surges and which for baseline. We need to avoid rebounds

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@InfectiousDz

3 years

Mongolia hasnt gotten the credit it should for controlling COVID. Long a virtually COVID free country, it has responded to the current surge (which is now dropping) with Bhutan-level vaccination rates, in the most spread out (least dense) country in the world

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@InfectiousDz

2 years

For those setting up Holiday parties: The Norwegian holiday party where everyone was vaccinated and tested now has apparently 100 out of 120 with COVID

Emil J. Bergholtz

@EmilBergholtz

2 years

Över 100 av 120 smittade. Ormgrop eller luftburen smitta?

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@InfectiousDz

4 years

Coronavirus was found in Brazil during Carnival. This is not a good start to this story.

Folha de S.Paulo

@folha

4 years

Brasil confirma primeiro caso do novo coronavírus

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@InfectiousDz

2 years

Savita Halappanavar was a medical professional looking forward to being a mom. Her pregnancy wasn't viable. She knew the infection it caused put her life at risk. She requested an abortion and was denied. She died from the infection. Her death changed Ireland's abortion law

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@InfectiousDz

2 years

Give enough time, immunity wanes and precautions are dropped. Let a virus continue to spread, unabated without enough walls in place, and it will be back. Yet, each time we act surprised.

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@InfectiousDz

4 years

This needs to be done across the board, everywhere.

Archive: Governor Andrew Cuomo

@NYGovCuomo

4 years

BREAKING: I am announcing a new directive requiring NY health insurers to waive cost sharing associated with testing for #coronavirus , including emergency room, urgent care and office visits. We can't let cost be a barrier to access to COVID-19 testing for any New Yorker.

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@InfectiousDz

4 years

Seattle drive thru COVID-19 testing

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@InfectiousDz

2 years

Fomites and monkeypox There are many questions about what's possible but not likely. The hotel cleaner making beds, the roommate doing laundry. What we know so far: 8 of about 4000 cases might be tied to fomites. Few past cases documented 1/n

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@InfectiousDz

4 years

In past epidemics, the death of a hero doctor, who tried to warn everyone the plague was coming and action needed, then rallied countries behind the fight they had been reluctant to join. We need to do this without a hero's death.

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@InfectiousDz

4 years

“She was on a shift where she had COVID patients, and she didn’t have a mask. She was very scared of going to work,” her husband explained. "Dicenso told reporters he believes she became infected with the disease due to the hospital’s lack of safety measures, including" PPE.

Miami Herald

@MiamiHerald

4 years

A nurse at Palmetto General Hospital who was on the COVID-19 front lines has died. Danielle Dicenso fell ill last month with a fever and cough, symptoms known to be caused by the novel coronavirus.

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@InfectiousDz

4 years

Gonna say this again, we do not have the ICU beds, vents, and healthcare worker staffing to handle a sudden surge in cases.

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@InfectiousDz

2 years

Perhaps, hospitals should not have indoor COVID testing with lines snaking through the hallways, full of folks concerned they may have COVID, as staff and patients walk past. Perhaps, not the best policy when SARS-CoV2 is something floats invisibly in the air.

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@InfectiousDz

4 years

Hey, It's possible that chloroquine and azithro may help It's possible they do nothing It's possible that they make things worse (as in another viral epidemic -Chikungunya) It's just that we don't know In meantime, supplies are low so med is being saved for the sickest

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@InfectiousDz

2 years

US CDC states hospital monkeypox precautions should include - Airborne (N95) - Contact (gown and gloves) Eye protection also recommended, as is pre or post-exposure smallpox vaccination for exposed healthcare workers Vaccination is trickier if more cases and more exposure risks

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@InfectiousDz

3 years

So if someone peed in your pool, you'd get out. That's COVID indoors. If someone peed in the ocean and you're far away, you'd never know. That's COVID outdoors. But if a whole lot of people peed in the ocean all around you, you wouldn't like that:

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@InfectiousDz

3 years

When all the dust settles, we realize we've lost azithromycin, right? Doctors from DC to Kampala give azithromycin for COVID even though it's a virus, even though <4% on hospital admit have a superinfection It's not helping patients but makes providers feel good to do something

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@InfectiousDz

8 months

Man eats raw oysters in Galveston, Texas and dies. Vibrio vulnificus has long been a risk; warmer waters due to climate change will make this an increasingly more common story

Texas man dies after eating raw oysters from restaurant, officials issue warning

A man has died from a bacterial infection after eating raw oysters in Galveston. Local health authorities are now investigating his death and the batch of oysters from the restaurant he visited on...

www.fox26houston.com

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@InfectiousDz

2 years

Ventilation works An Italian study of 10441 classrooms shows ventilation can cut school COVID cases by 82% "Dose" matters The more air changes per hour (ACH), the larger the case reduction ACH - cases reduced by: 2.4 - 40% 4 - 66.8% 6 - 82.5%

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1 year

As COVID cases rise in China and protestors challenge policies, note: the country does not have the immunity the rest of the world does - no mRNA vaccines, little infection-derived immunity. Of those most vulnerable, over 80, only 40% have had the 3 vaccine doses needed 1/n

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@InfectiousDz

4 years

Indonesia back in March and April claimed COVID wasn't a problem, even as neighbors fought epidemics and travelers from Indonesia were found to be ill. Indonesia is now facing an unmistakable epidemic. Reportedly over 100 doctors and 70 nurses have died. Economy damaged.

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@InfectiousDz

2 years

85+ confirmed monkeypox cases 🇬🇧 20 London+ 🇵🇹 Lisbon 23 🇪🇸 Madrid 30 🇮🇹 Rome 3 🇸🇪 Stockholm 1 🇺🇸 Boston 1 🇨🇦 Quebec 2 🇫🇷 Paris 1 🇧🇪 Antwerp 1,Flanders 1 🇦🇺 Melbourne 1,Sydney 1 🇩🇪 Bavaria 1 🇳🇱 Netherlands 1 More are suspected in other parts of some of these countries

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@InfectiousDz

2 years

You never want to see diphtheria It's the reason intubation was invented It was called the "strangling angel of children" Before vaccines and antitoxin, children struggled to breathe through swollen necks, throats filled with thick bacterial films Vaccines stopped this

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@InfectiousDz

4 years

Along with dogs in quarantined homes everywhere, swans and dolphins are enjoying their current freedoms in Venice

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@InfectiousDz

4 years

The 30,000 positive cases in NYC are just the tip of the iceberg. The red areas have more than 2 out of 3 tests return positive. With that high a rate, those tested are only a small fraction of the total cases. Those who have mild to moderate symptoms are advised not to be tested

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@InfectiousDz

2 years

A sore throat that feels like you ate glass and a negative COVID test -> odds are it may not be antibiotics that you need but rather another COVID test

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@InfectiousDz

2 years

So many cases of monkeypox have been seen in urgent care for acne, then another urgent care for impetigo, treated then for herpes and syphilis, before continuing lesion development or testing shows this to be monkeypox.

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@InfectiousDz

3 years

Uganda has entered lockdown. No other surge has effected the country like the delta variant surge has. This is the trend in deaths:

Nation Breaking News

@NationBreaking

3 years

UGANDA IMPOSES total lockdown after country reports 42 deaths in a day; No public transport allowed for next 42 days, only cargo.

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2 years

Cholera - a disease we know how to prevent and know how to treat - still spreads, still takes lives. This will be the reality of climate change, of the pandemicene It's not just novel diseases, but it's the thousand fires at once in a world distracted, the vulnerable at risk🧵

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@InfectiousDz

3 years

It's not just that cases are going up and vaccines aren't, it's that testing isn't. The sense that COVID is over makes COVID last even longer. Many can't imagine they have COVID if they were vaccinated. Vaccines prevent death and hospitalization but aren't invincible armor.

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@InfectiousDz

3 years

Pfizer vaccine is good news. There's still a lot of work. Safety and longevity data still needed The vaccine relies on mRNA, which can disintegrate unless kept quite cold. The vaccine needs to have 2 doses of a vaccine kept at neg 80 C (neg 112 F) until just before injection.

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@InfectiousDz

4 years

Testing positive again does not necessarily mean reinfection. There can be prolonged and variable viral shedding. Testing technique can also lead to false negatives. A test may be positive, then negative, then positive

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@InfectiousDz

2 years

If you just have COVID and you're doing fine, the doctor who gives you reflexively steroids and a z-pac for your positive test is not your friend.

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@InfectiousDz

3 years

How cold do COVID vaccines need to be? AstraZeneca, J&J - like the flu vaccine, warmer than ice cream at home Moderna - a bit colder, like the chickenpox vaccine, warmer than the South Pole Pfizer -60-80C, temp of shipped ice cream and steaks WSJ 9/20

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4 years

"Life is what is important right now. I wouldn't take that risk. I just wouldn't," one Bureau of Indian Education said

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@InfectiousDz

3 years

The vaccine doesn't grant immortality There will be people who will die after taking the vaccine There will be people who will die after not taking the vaccine What the vaccine does is reduce your chance of dying from COVID without changing your risk of dying from other causes

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