Noha Aboelata, MD @NohaAboelataMD Twitter profile

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Noha Aboelata, MD

@NohaAboelataMD

6 days

Public health update week of 4/29: Covid including KF.2 Variant, Measles, H5N1 in milk, Worker's Memorial Day.

Roots Community Health

@RootsEmpowers

6 days

Covid, Flu, H5N1, Measles

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Overheard on a recent medical facility visit: MA in a surgical mask: "Sit here and I'll take your vitals." Patient in N95: "Not til you put on a N95! I'm not gonna sit under you breathing on me. You WORK in this petri dish. I'm surprised you don't wear one ALL the time." 😂😂😂

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Doctors ditching masks in healthcare - serious question: if you see patients today maskless, and find out tomorrow you're covid positive, do you notify all the patients?

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Noha Aboelata, MD

@NohaAboelataMD

2 months

CDC says no one really stops at stop signs, so we're going to go ahead and remove them all.

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Noha Aboelata, MD

@NohaAboelataMD

2 years

40,000 ppl/yr die in car crashes, so we invest heavily in safety infrastructure/measures: stop lights, speed bumps, air bags, seatbelt & carseat mandates, driver assistance packages, speeding tickets, etc. We're losing 4x that number from Covid and have decided to do nothing.

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Noha Aboelata, MD

@NohaAboelataMD

2 months

One of my greatest disappointments in this pandemic is that we failed to adopt appropriate and equitable sick leave policies for all. Instead, we're choosing to normalize working while sick and contagious.

Jess

@MeetJess

2 months

This was posted on Facebook. I can’t express or put into words the rage I feel. We can’t continue on this path. We have all been abandoned

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Noha Aboelata, MD

@NohaAboelataMD

1 year

"I got covid and I did ok," the new reason I'm hearing for people dropping precautions. These same people seem genuinely surprised when they learn of the cumulative nature of the harms of reinfection. The public seems mostly in the dark when it comes to critical info like this.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Does anyone else find it problematic that there are no updated antigen tests, test guidelines, or accuracy estimates coming from manufacturers? We're about 10 variants/subvariants in, and crickets! Do we swab our throats? How effective is each test against XBB.1.5? Anyone? 1/2

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Hospitals saying they're dropping masks, even for healthcare WORKERS because the public health mandate is gone is wild. When did you need a public health mandate to implement any infection control measure in your facility? Does OSHA have anything to say? Joint Commission? Anyone?

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Noha Aboelata, MD

@NohaAboelataMD

10 months

How will we know if a covid wave is coming? The short answer is we might not, but there are some earlier indicators that can clue us in: 1- Wastewater 2- Emergency Department (ED) Visits with/for covid 3- % positivity Here's where we are on each:

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Noha Aboelata, MD

@NohaAboelataMD

4 months

I haven't said anything about this yet - at first, it was because I was speechless. Then I hoped no one would notice. Now that advocates, reporters, concerned parents, and outraged colleagues have reached out, I see that's not going to be the case.🧵1/7

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Noha Aboelata, MD

@NohaAboelataMD

4 months

Wearing a mask at work, to travel, run errands, gather indoors, etc. is now completely normalized in my life. So for those asking, "Are you gonna mask forever?" the answer is I don't know, but if it remains necessary, I'm OK with it.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

<Entering a meeting today wearing an N95> Them (unmasked): "Hey, doc, you're still wearing a mask. Good for you." Me: "Yah, I ain't got time to catch COVID." Them: "Yah..." 10 min later, I look across the room and they've got a mask on. Maybe it was a reminder? Maybe solidarity.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Sooo let me get this straight. We've allowed a significant portion of our workforce to be dead or disabled via covid, resulting in labor shortages, so now we're turning to *children* to fill the gap? Where are the "urgency of normal" pundits now?

In a tight labor market, some states look to another type of worker: Children

Bills advancing in the Iowa and Minnesota state legislatures would roll back child workplace protections to address worker shortages.

www.washingtonpost.com

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Aaand there it is. The deal has been sealed. Hospitals are no longer required to report hospital-acquired COVID to CDC. I guess now hospitals can get away with infecting their own patients with SARS-CoV-2, CDC does not care. 🙈🙉🙊 H/t @CapitolineTriad

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Noha Aboelata, MD

@NohaAboelataMD

1 year

I love the self-advocacy! We should all feel empowered to request safe interactions in a medical facility. The MA said ok & put on an N95. All physicians I saw were in N95s, and nearly all other staff were in surgical masks. I don't get it. And soon there may be no masks at all.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Them: "You're still wearing a mask?" 🤔 Me: "Yes. I still have no interest in catching COVID." 😊 🦗🦗🦗

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Noha Aboelata, MD

@NohaAboelataMD

6 months

Me: Have you tested for anything? Them: No, should I? Reader, this is someone who is post solid organ transplant. If they have covid or flu, they need proper antivirals ASAP to dramatically reduce their risk of hospitalization or death. Doctors, please stop doing this!! 🤬🤬🤬

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Noha Aboelata, MD

@NohaAboelataMD

6 months

Just got off the phone with a family member and I'm just 🤬 Them: Just got vaccinated, now I have fever, cough and sore throat. Could it be the vaccine? Me: Fever sure, but not cough or sore throat Them: On call doctor is calling in an antibiotic Me: Diagnosis? Them: No idea 1/2

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Noha Aboelata, MD

@NohaAboelataMD

1 year

If a hospital *gives* a patient covid, they should NOT be reimbursed for the care that follows! Medicare doesn't pay for hospital acquired infections and errors - ADD COVID to the list now! Since public health measures are being abandoned, it's time for the payors to step in.

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Noha Aboelata, MD

@NohaAboelataMD

2 years

I don't know what's worse, the CDC throwing up its hands and conceding to COVID's unmitigated spread, or public health professionals I respected defending the move because it reflects where people are. What?! Is that what leadership does?

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Noha Aboelata, MD

@NohaAboelataMD

9 months

Thanks Insider for interviewing me for this story on the current rise in covid (no, it's not the flu). I was surprised to have a few reporters reach out to me this week to talk about the covid increase. #CovidIsNotOver , seems that's being recognized.

No, you don't have the flu already. It's probably COVID.

Almost no one is sick with the flu right now. Flu-like symptoms could mean you have COVID-19, and experts recommend you get tested to find out.

www.businessinsider.com

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Noha Aboelata, MD

@NohaAboelataMD

2 months

It's ok to not want covid even if you're not considered "high risk." It's OK to keep protecting your loved ones from infection and reinfection even if they're not considered "high risk." It's OK to do what you can to keep yourself and loved ones from *becoming* high risk! ❤️🙏🏽

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Noha Aboelata, MD

@NohaAboelataMD

6 months

In case it wasn't clear, I'm the one who suggested the home test. If it was negative, the plan was to do the multiplex PCR (covid, flu A/B and RSV) tomorrow. The on-call doc who saw fit to prescribe the antibiotic did not bother to suggest any of the above. 🤬

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Noha Aboelata, MD

@NohaAboelataMD

1 year

*especially* given the nature of our health work, our meeting becoming a superspreader would not be a good look. Gave a brief overview re: ventilation. Next meeting: several large HEPA filters, open doors, posted C02 monitor! Mine read in 700s the whole time. Grateful! 🙏🏾 2/

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Noha Aboelata, MD

@NohaAboelataMD

9 months

This is how you know something's seriously wrong. Dropping infection precautions that were likely in place pre-pandemic while treating IMMUNOCOMPROMISED CHILDREN. We're either witnessing some kind of denial/trauma response or blinding political ideology. This is not care.

Dr. Lawren is Openly Ya Ya

@pedsmd2b

9 months

I recently spent the morning in a bone marrow transplant clinic at a hospital where they've removed mask mandates. I was 1 of the few clinicians masked....in a clinic for immunocompromised children. What tf are we doing?

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Noha Aboelata, MD

@NohaAboelataMD

1 year

After much inquiry and conversation over the past several weeks, I think I understand the plan with regards to removing masks in healthcare: they intend to normalize in-hospital covid spread. There's no other explanation.

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Noha Aboelata, MD

@NohaAboelataMD

6 months

I'm truly mystified by the obsession with saying covid is just the flu now. One is SARS-CoV-2, and one is influenza! It's like saying, "HIV is just chlamydia now." I don't get it.

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Noha Aboelata, MD

@NohaAboelataMD

6 months

UPDATE after home covid test, and I quote, "This sh** positive than a MFer!" There you have it. If I know my family well (and I do), that on-call doc is about to learn a lesson they will not soon forget. DON'T be that doctor.

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Noha Aboelata, MD

@NohaAboelataMD

6 months

There's gotta be at least one airline that will do masked only flights. I would become a preferred customer.

KimRB she/her

@KimRigden

6 months

Usually, i am happy to stand out, but just once I would love to be part of a crowd of masked people on a flight.

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Noha Aboelata, MD

@NohaAboelataMD

7 months

Friend: "I went into McDonald's to grab a coffee, and every single employee was masked. Went to my doctor's office, and I was the only one. How does that make sense?" Me: It doesn't. That's really all I could say.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

There are no mask mandates. There are no vaccine mandates. There are no indoor air quality requirements. If you are anti-mitigation, congrats, you won! So why are you still whining about mask mandates, vaccine mandates, and interventions to clean the air?

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Noha Aboelata, MD

@NohaAboelataMD

3 months

🔥🔥🔥 "Frankly, there's been no change in the science...Most people continue to be shedding virus for about 9 days with a range of 6 to 11 days." - Lara Jirmanus, MD, MPH on possible revisions to CDC isolation guidelines. @larazjmd

Doctor on possible revision to CDC's COVID guidelines: "No change in the science"

The Centers for Disease Control and Prevention may revise its COVID-19 isolation guidelines to more closely match those for flu and other respiratory diseases, according to a report by the Washington...

www.cbsnews.com

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Noha Aboelata, MD

@NohaAboelataMD

1 year

When I walk into a clinical setting and see staff with properly fitted filtration masks, I see Competence & Professionalism. When I see staff with bare faces or loosely worn surgicals, I'm wondering what *else* they don't know. #KeepMasksInHealthCare

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Noha Aboelata, MD

@NohaAboelataMD

11 months

"the nonprofit was able to manage COVID-19 so well that they didn't have their first cases until December 2021." They dropped masks 2 weeks ago & now they have an outbreak that sickened 36 people including 4-5 staff, and that they can't financially afford.

COVID outbreak at homeless shelter leaves nonprofit struggling to help those most vulnerable

Hope Shelters on Baldwin Avenue in Pontiac has done a lot of good for those who have found themselves homeless.

www.wxyz.com

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Sharing a small victory. Important recurring 2+ hr meeting now must be in person. I arrived in my fit tested N95. Nearly everyone was unmasked. CO2 went as high as 1800. Emailed organizers after the meeting to express my concerns about the poor ventilation. Nicely stated that 1/

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Noha Aboelata, MD

@NohaAboelataMD

6 months

I'm curious about folks who've gotten covid more than once and still don't take any precautions. What's the plan? Keep catching it and hoping for the best? Each infection is not only a new opportunity for a bad outcome but a compounded opportunity for post or long covid impacts.

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Noha Aboelata, MD

@NohaAboelataMD

3 months

For those who missed the memo: "The virus is rampant. We’re still in a pandemic. There’s a lot of complacency at the individual level, and...at the government level...using masks for respiratory pathogens that transmit through the air is a no-brainer..."

Rampant COVID Poses New Challenges in the Fifth Year of the Pandemic

“We’re still in a pandemic,” says a lead COVID official with the World Health Organization

www.scientificamerican.com

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Noha Aboelata, MD

@NohaAboelataMD

9 months

One of my greatest disappointments of this crisis: we failed to acknowledge our toxic culture of working & going to school while sick. This is totally counterproductive in the midst of our ongoing situation and unhealthy for the sick and their contacts.

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Noha Aboelata, MD

@NohaAboelataMD

10 months

Every time I mention that >6000 people are being hospitalized and >500 dying weekly from COVID, people are completely shocked! I get blank stares, "no way!" and "how come they aren't they saying anything about it?" Great thread on why. 👇🏾

Nate Bear

@NateB_Panic

1 year

If I hadn’t spent the last 15 years working in media and public relations, I too would interpret the media silence around covid and new covid research/science as a sign that there is nothing to worry about. But I have. So here are some things you should know🧵

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Noha Aboelata, MD

@NohaAboelataMD

4 months

Contagious people are being encouraged to go to work/school. This decision is not evidence-based, and it clearly does not consider the impacts of long covid, the need for people to rest and recover when sick, or the ramifications of increased transmission such as new variants. 2/

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Noha Aboelata, MD

@NohaAboelataMD

3 months

CDC has seemingly given up on basic public health principles like: improving the health of the population, reducing the spread of contagious illness, preventing disability, and promoting health equity. So, what principles are guiding their decisions?

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Serious question: if CDC no longer recommends we all wear masks, and CDC no longer suggests isolating while contagious, on behalf of those of us still doing these things, who are the sheep now? 🤷🏽‍♀️

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Noha Aboelata, MD

@NohaAboelataMD

1 year

When the pandemic started and we first learned that COVID caused loss of taste and smell, and then brain fog, I was surprised more people didn't find this alarming. I mean, we don't see these symptoms with "the flu" or "a cold," and they are clearly related to the brain. 1/3

Noha Aboelata, MD

@NohaAboelataMD

1 year

After a status update on COVID and Mpox, I discuss the relationship between COVID and cognitive issues. There have been literally thousands of papers published on this topic. I selected three I thought were important ones to review.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

How it started...how it's going. At least 36 people infected at this BC hospital and extended care facility not even 2 weeks after ditching masks. Can someone please explain to me how this isn't negligent?

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Noha Aboelata, MD

@NohaAboelataMD

2 months

If you are testing positive for covid, you should stay home. If you absolutely must go out, you should wear a well-fitted filtration mask to reduce the risk of infecting others. It's the right thing to do. Actually, it's the least you can do.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

I'm happy the advocacy worked. The changes will make it safer for us all. I'm still wearing my fit-tested N95 though. 😅 3/3

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Noha Aboelata, MD

@NohaAboelataMD

1 year

I do not *like* wearing a mask. But I will continue to do so unless/until I think my risk of catching covid is extremely low, and/or until I know more about post-covid events (like why they happen and how to prevent them) and long covid (not risking my energy and brain power).

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Excellent piece on the sad state of US Public Health. "Current life expectancy numbers are a warning sign and it’s just getting worse. By 2040, we’re expected to decline further, with the largest drop in rankings in life expectancy among high-income nations." 1/3

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Noha Aboelata, MD

@NohaAboelataMD

5 months

I'm much more concerned about those avoiding care over legitimate concerns about contracting covid in unmasked facilities than those throwing temper tantrums over reinstated mask requirements. I said what I said.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

I'm starting to think that the narrative that "everyone" has caught covid is just a way to make those in charge feel better about their zero mitigation policies. I know a lot of people who've never caught it. The strategy of delaying catching it as long as possible is a good one.

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Anyone else find it disingenuous to make antigen tests too expensive for most, then say people aren't really using them, so we're going to remove their use from the guidelines? Knowing full well that testing out of isolation would prevent a lot of spread?

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Noha Aboelata, MD

@NohaAboelataMD

2 months

The latest wave of covid propaganda is to claim that ~covid anxiety~ is the biggest pandemic problem we're facing. I have yet to see the data. I have, on the other hand, seen mountains of data indicating structural and functional changes to heart, lungs, brain, and more. 🧵

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Noha Aboelata, MD

@NohaAboelataMD

1 year

I say this as a community physician CEO. Hospitals, if you are going to unmask, I respectfully request a *pre-discharge* covid test. You may have accepted the risk of giving your patients covid, but we must prevent them from infecting severalfold more in the community. 1/

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Choices. Last week, CDC approved an additional covid vaccine for 65+. Two days later, they eliminated covid isolation. Yesterday, they announced that the free testing program will be suspended this Friday. They seem busy trying to sweep this under the rug. 1/2

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Noha Aboelata, MD

@NohaAboelataMD

4 months

The consistent dialing back of precautions every time we think we're in "a better place" is what keeps up from actually getting to a better place. Zero mention of the burden of repeat infection or risk of long covid. I wonder if they listened to Dr. @zalaly 's brilliant testimony.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Thank you @mercnews for publishing my op-ed! "Opinion: California health care providers’ retreat from COVID masking is shameful In what universe is it ethically appropriate for physicians and hospitals to infect their own patients with COVID?" 🧵 1/8

Opinion: California health care providers’ retreat from COVID masking is shameful

In what universe is it ethically appropriate for physicians and hospitals to infect their own patients with COVID?

www.mercurynews.com

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Noha Aboelata, MD

@NohaAboelataMD

3 months

Shout out to all the parents doing what they can to keep their children from infecting others. 🙏🏽❤️

Get Up Stand UP

@unahijadelsol1

3 months

@We_Are_SSD Hey @CAPublicHealth ! My elementary school child is day 6 over here of being VERY positive still with cold symptoms, no fever ever. According to your “plan” he should have been back to school 5 days ago. This is not public health. This is reckless policy, gambling w/ our children

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Noha Aboelata, MD

@NohaAboelataMD

15 days

Very cool! Black tea, raspberry zinger, eucalyptus mint, mint medley & green tea shown to inactivate SARS-CoV-2 in saliva. Will it interfere with progression from the nose? To the lungs? 🤷🏽‍♀️ Until there's more study, I think we can file this under might help/won't hurt. Enjoy! 🫖

Vipin M. Vashishtha

@vipintukur

28 days

Can a cup of tea keep COVID away? A recent study demonstrates that certain teas inactivate SARS-CoV-2 in saliva. Researchers demonstrate how certain teas inactivate SARS-CoV-2 in saliva—in some cases by up to 99.9%. 1/

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Noha Aboelata, MD

@NohaAboelataMD

4 months

Hospitals all over the US have reinstated masks, now NY first responders as well. These are choices they're making on their own - US government, CDC, joint commission, etc. apparently could care less. If masks don't work, how do you explain this? 🤔

FDNY orders all first-responders to mask up amid spike in contagious...

The FDNY has ordered all firetruck and ambulance personnel to mask up while rendering patient care due to outbreaks of infectious diseases, The Post has learned.

nypost.com

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Noha Aboelata, MD

@NohaAboelataMD

3 months

Now 6 school districts in Texas "have temporarily shut down schools due to flu outbreaks along with other annual infectious diseases." So where are all the "Urgency of Normal" pundits now? Why aren't they screaming about the learning loss? 🧵 1/3

Multiple school closures due to illness outbreak

Crowell ISD is closing down school for the remainder of the week due to an outbreak of illness. Class is set to resume on Monday.

www.newschannel6now.com

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Noha Aboelata, MD

@NohaAboelataMD

1 year

NO ONE should be left to wonder if they're safer seeking health care or avoiding it. #KeepMasksinHealthcare

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Met with a colleague this week, caught covid for the first time 2 months ago. Still coughing. It was an indoor family gathering with pre-event testing, everyone was negative. 5 people of 15 caught covid. 1/

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Noha Aboelata, MD

@NohaAboelataMD

6 months

Update on my family member who got covid. Antivirals were not started promptly despite his very high risk (kidney transplant). He's been in the hospital for 1 week now. He's stable but sadly has lost the kidney. Now he's back on dialysis and back on the transplant list. 😔 1/2

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Noha Aboelata, MD

@NohaAboelataMD

19 days

This seems potentially big. This vaccine strategy uses a mutated virus that can't make the protein that normally suppresses small interfering RNAs produced even by babies & those with immunosuppression. Could be variant-proof and apply to multiple viruses.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Thank you Los Angeles County for maintaining masks in healthcare! Despite the state dropping mask requirements in high-risk settings April 3rd, LA's masking policy will be maintained, and will be reassessed by September 2023. 👏🏾 #KeepMasksinHealthcare

LA County Keeps COVID Vaccination And Mask Requirement For Health Workers

Visitors and patients will not be required to wear a mask.

laist.com

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Noha Aboelata, MD

@NohaAboelataMD

4 months

If the diagnosis is wrong, the treatment will be wrong! @CAPublicHealth seems to think absenteeism is caused by the 5 day isolation rule, so the fix is having contagious kids come to school?! Result: more sick kids, sick teachers and absenteeism! 1/3

Chronic absenteeism is up across the country. School leaders are trying to address why

Federal guidelines say districts should aim to have 90 percent of students in attendance 90 percent of the time. In Missouri, about 76 percent of students meet this standard, according to state data...

www.pbs.org

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Noha Aboelata, MD

@NohaAboelataMD

1 year

We seem to be at the stage of the pandemic where the last line of defense, healthcare facilities, has been breached. Consent is being manufactured for dropping masks, even among HCWs, despite the majority understanding the ramifications. 1/3

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Noha Aboelata, MD

@NohaAboelataMD

4 months

Instead of normalizing working while sick, can we implement adequate sick leave for all?

Bernie Sanders

@SenSanders

4 months

I have tested positive for Covid. My symptoms are minimal and I will continue to work from home in Vermont while isolating in accordance with CDC guidance. I am glad to be fully up to date with the vaccine.

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Noha Aboelata, MD

@NohaAboelataMD

4 months

This paves the way for sick days to be denied/not excused and encourages a culture of selfish disregard for one's classmates, coworkers, teachers, etc. The worst part is, it's not that difficult to just test to confirm you're not likely contagious before going back around others.

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Noha Aboelata, MD

@NohaAboelataMD

4 months

Whatever is motivating this - the economy, the need for "butts in seats," desperation for a normal that no longer exists - it doesn't change the science. When it comes to antigen tests, we generally still believe "enough to detect is enough to infect." 6/

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Noha Aboelata, MD

@NohaAboelataMD

10 months

No, "everyone" has *not* had covid. Updated seroprevalence estimates show nearly 1 in 4 people in the US hadn't had a covid infection, including 44% of those >65yo, by the end of 2022. In California by the end of 2022, 30% hadn't had covid, including 50% of those >65. 1/2

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Noha Aboelata, MD

@NohaAboelataMD

1 year

I've been asked how I have advocated for covid-safer meetings, so I'm sharing some of my more successful correspondence here. I hope it helps! 🙏🏾 1/10 🧵

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Me at the DMV in Oakland. A good number of staff are masking - they know what's up 👀

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Noha Aboelata, MD

@NohaAboelataMD

3 months

Can someone please explain what pubic health principles are being followed here? 114 kids in this school are unvaccinated, others are immunocompromised, and we're doing a "you do you" approach...to a measles outbreak?

Becca Peter

@DefectiveBecca

3 months

🚨Unvaccinated kids are being allowed to continue to go to school during a measles outbreak🚨 This is unprecedented in the 21st century in the USA. And still no community exposure notifications. This is how measles becomes endemic again. Utter failure @HealthyFla @CDCgov

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Well this is the first time in a long time I've seen CDC issue a warning about a new variant. Not sure if this represents an improvement in their communications or if we're headed for disaster.

CDC

@CDCgov

1 year

New data show the #COVID19 variant #XBB .1.5 is projected to make up 40.5% of COVID-19 cases nationally. See thread below for what we currently know and on what you can do to protect yourself. See COVID Data Tracker:

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Noha Aboelata, MD

@NohaAboelataMD

5 months

"You never wore a mask before covid so why now?" is such an odd argument. First off, of course HCWs wore masks before covid in many situations, during H1N1, and if unvaxed in flu season. Second, we MUST continuously incorporate new knowledge into practice. It's literally our job.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

These superspreaders seem to be getting more common with how contagious XBB.1.5 is. Yet now we only hear these things anecdotally because there's no more reporting and very little reportable testing. We need a Citizen's App for covid.

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Noha Aboelata, MD

@NohaAboelataMD

1 month

Really helpful overview of what we know, what we don't, where we've been, and what might be next as it relates to UV light and infection control.

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Congrats to Philadelphia for ending their measles outbreak like normal people. 9 cases, 6 were hospitalized - hopefully no neuro or other complications. They moved quickly to contain the outbreak. 42 days (2 x 21d incubation periods) with no new cases. 🙏🏽

Philadelphia Health Department announces end of measles outbreak

According to health officials, 93% of Philadelphians are up-to-date on their measles vaccine so the outbreak didn't spread further.

www.cbsnews.com

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Noha Aboelata, MD

@NohaAboelataMD

7 months

Have we learned nothing? By the time you have this type of outbreak, your intervention is weeks late. Reinstating masks demonstrates they know *what* to do but are unwilling to do it until after the harm caused is too obvious to ignore. Viscous cycle.

With 50 staff sick with COVID, CVPH returns to masking

Officials Wednesday said that roughly 50 employees are out with COVID right now, the highest since the pandemic.

www.wcax.com

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Long covid patients participating in Stanford's long covid clinic/trials are now being subjected to unmasked medical staff. On top of being reckless, it's just disrespectful.

Liv

@oliviaahliv

1 year

Today I had my last follow up for the Stanford paxlovid trial and the whole staff went mask off

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Noha Aboelata, MD

@NohaAboelataMD

11 months

Here we go again. "...the facility has reported a total of 93 cases, including 76 residents and 17 staff. One resident who tested positive for COVID died after being transferred to the hospital..." 1/3

Hilo nursing home outbreak includes 93 COVID cases | Honolulu Star-Advertiser

A Hilo nursing home has been dealing with a recent COVID-19 outbreak, which resulted in 93 cases and one death.

www.staradvertiser.com

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Noha Aboelata, MD

@NohaAboelataMD

4 months

The only redeeming component here is the recommendation to wear a mask 10 days after testing positive. I wonder if this will be followed given that these new instructions are telegraphing that we shouldn't concern ourselves with our own contagiousness. We should just carry on. 4/

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Noha Aboelata, MD

@NohaAboelataMD

7 months

Reading propaganda like this sends a chill up my spine. Not just because people will believe it and cause harm, but because it signals that we're still in a precarious situation: the powers that be are promoting covid spread, ignoring post- & long-covid, and giving false hope.🧵

BBC News (UK)

@BBCNews

7 months

Changing nature of Covid: Is it just a regular winter bug now?

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Noha Aboelata, MD

@NohaAboelataMD

1 year

>10% of conference attendees (that we know of) tested positive post CDC conference. That's at least 181 new chains of transmission, probably not even counting hotel/conference staff. But don't worry ~25% of them received antivirals. This is where we are 🤦🏾‍♀️

Tally of covid-19 cases after CDC conference climbs to 181 - The Wash…

archived 26 May 2023 18:18:44 UTC

archive.ph

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Shout out to Kaiser Oakland GI procedure clinic! A family member scheduled for a procedure was relieved at 100% staff in N95s. 100% patients masked too (not required). Nurse asked "can I take your mask down for a moment to put on the oxygen?" then replaced the mask for them! 1/2

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Noha Aboelata, MD

@NohaAboelataMD

5 months

I'm not sure if this is good or very, very bad. Good that the messaging is finally right. But after all this time, makes you wonder why the sudden change of tune.

Andrew W a n g, PhD, MPH, CPH

@AWangMPH

5 months

Thank you @CDCDirector @CDCgov for this invaluable message that included ventilation and masking.

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Pretty amazing. Apparently, "...precautions that helped people avoid Covid-19 – including masking, staying at home and better ventilation..." have caused the Yamagata strain to become extinct. VRBPAC voted unanimously to remove it from future flu vaccine.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Perhaps the most important question that MUST be answered BEFORE removing masks in healthcare: What is the infection mortality rate of hospital-acquired covid? This is actually a straightforward question, and the answer is undoubtedly known/knowable - yet it's not shared. 🧵 1/7

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Noha Aboelata, MD

@NohaAboelataMD

1 year

This is how we do it! Another covid safer work gathering. Testing table outside, sign in sheet, test on arrival. About 1/3 of us stayed masked the whole time anyway, air ON, food served outside. Safety Lead assigned to ensure late comers test as well. It's all about the layers!

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Noha Aboelata, MD

@NohaAboelataMD

9 months

The kids are heading back to school as we are heading into a covid uptick - please consider protecting them with high-quality filtration masks. This helpful article reviews authentic K95s for various features like fit for different ages and face shapes.

The 7 Very Best KN95 Masks

Authentic, high-quality KN95 masks for adults and kids as recommended by doctors and tested by Strategist staff.

nymag.com

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Noha Aboelata, MD

@NohaAboelataMD

2 months

Instead of saying, "There's no long covid because there's also long flu," we should be saying, "Wow! We've under-recognized post-flu impacts for too long, and here's our chance to do better." Instead of ceasing to using a term, we need to add some terms. Know better, do better.

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Noha Aboelata, MD

@NohaAboelataMD

11 months

SARS-CoV-2 is being detected in wastewater...pretty much everywhere. This shows % of samples with detectable SARS-CoV-2 in the last 15 days. There are some areas with low detection though, you can zoom in on your area if you're curious.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

I don't know who needs to hear this, but "we're following state and federal guidance" will not be an adequate defense for negligent hospitals or physicians.

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Noha Aboelata, MD

@NohaAboelataMD

4 months

I'm hopeful that people will choose to do the right thing. Stay home if you're sick. Avoid household spread. If you MUST go around others, wear a well-fitted N95. Rest and fully recover. Test out of isolation. Avoid reinfection. Stay safe. 🙏🏽 /end

Reduce the Spread of COVID: Household Edition

Just because someone in the house has COVID, that doesn’t mean everyone has to get it. By remembering S.M.A.R.T. we can reduce spread, even in the household....

www.youtube.com

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Noha Aboelata, MD

@NohaAboelataMD

1 month

I hate to say it, but the only predictions I've really gotten wrong were the ones involving optimism about how this ordeal would change us. I thought we'd upgrade our archaic public health systems, beef up our data infrastructure, and invest in improved indoor air for all. 1/2

Salamāsina (she/her)

@salamasinamusic

1 month

When I joined Twitter, I intentionally seeked out reputable COVID info and since then, literally every prediction of theirs came true; opportunistic infections, death latency, new pandemics. It hit me so hard last night. This is the world now. The world my daughter lives in.

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Noha Aboelata, MD

@NohaAboelataMD

1 year

The pandemic is going so well we can now confidently ditch masks in hospitals! Deaths must be WAY DOWN, right? No. The fewest deaths we've had in a single week was not this week, not last week, it was A YEAR AGO. We've posted more deaths EVERY WEEK since.

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Noha Aboelata, MD

@NohaAboelataMD

5 months

Recently overheard Her: I'm just getting over my 3rd time with covid Him: oh man, how'd you get it? Her: I'm pretty sure it was at the restaurant. They didn't bring me a straw, so I had to drink straight from the cup 😭 Why am I hearing this in 2023? Anchoring bias must be strong

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Noha Aboelata, MD

@NohaAboelataMD

1 year

Stories like this make clear why we're still in this mess. Four years in, and we're still allowing/accepting school outbreaks and reporting that a "thorough cleaning" is the remedy. We remain in desperate need of strong, principled pandemic leadership.

Northampton Co. High in N.C. dismissing early due to high number of COVID-19 cases

The district issued a social media post at 10:30 a.m., Thursday, saying the high school would be dismissing at noon “in order to give the school a thorough cleaning and sanitation.”

www.wtkr.com

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Noha Aboelata, MD

@NohaAboelataMD

8 months

This wasn't talked about enough. In late August, covid ED visits reached an all-pandemic high for 0-15 year olds. Covid ED visits for 0-15 year olds even surpassed those for 75+ and all other age groups for that matter. Alarming.

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