The CMO & CME of Island Health in B.C. appears to have written a memo to staff below, recommending that HCWs with respiratory symptoms NOT test for COVID(unless they themselves are at risk of severe disease, pregnant or are hospitalized.) Otherwise, return to work when you’re able.

If real, rather shocking to put admin interests ahead of patient safety & MDs…
#covidsars2 #medicine #medtwitter #patientsafetyfirst

This report is one of the first reports in pediatric patients of #covidsars2 in the spinal fluid of two patients with severe COVID-19. Shows the “neurotropism and neuroinvasion characteristics of the virus.”

#CNS #pediatrics #medicine

https://bmcpediatr.biomedcentral.com/articles/10.1186/s12887-022-03806-0

“We should be doing the “strengthening” surveillance, testing, sequencing, clinical care, supply, access, R&D, IPC, ventilation, reinforcing work force, research, building trust, etc. now… not dismantling it.

Responding to #COVID19 is preparing for the next one.”—Maria Van Kerhove

#WHO #covidsars2 #ventilation

The FDA is now recommending 3 tests for Covid, since it can take awhile for the virus to replicate. Do an intial one, a 2nd test 48 hrs later, and if still negative, a 3rd one 48 hrs after the 2nd. #covidsars2 #test #FDA #medicine

An NIH study found that compared to a pre-pandemic grp, “adolescents assessed after the pandemic shutdowns reported ⬆️symptoms of anxiety & depression. Their brains showed thinning of the cortex, which helps execute mental processes like planning & self-control, & ⬇️volume in the hippocampus & amygdala, which are involved in accessing memories & regulating responses to fear & stress.”The post-shutdown group had older brain ages than pre-pandemic adol

https://bit.ly/3RcDCTm #covidsars2 #medicine

Corsi tweeted today that the Corsi-Rosenthal boxes have been proven “effective by many researchers w/ additive equivalent ACH that easily get many classrooms above 9-10 equivalent ACH (CR Box + ventilation) at relatively low cost. He explains more, here, in case you’d like to share with school administrators.

“These DIY units work amazingly well, & better than some commercial HEPA units,” says Jehl, an epid. Definitely, a no brainer! #covidsars2 #cleanair #ventilation

https://bit.ly/3XW6di4

Very candid discussion about what Corona vaccines can & cannot do by Paul Offit , on the FDA’s Vax Advisor Committee, & the NEJM editor-in-chief Eric Rubin. They don’t mention the 🐘 in the room with this strategy… #LongCovid How do we solve this? There is more at risk with each reinfection than contracting mild illness & that is the problem…

https://www.nejm.org/doi/full/10.1056/NEJMp2300222 #covidsars2

And the Oscar goes….
to the Aussies at Garvan Institute who are working on a variant-proof vaccine! 👏👏👏

“SARS-CoV-2 vaccines are developed reactively rather than proactively, meaning that while they do offer protection, the virus is one step ahead, leaving communities vulnerable to waves of new strains.”
#Vaccine #vaccines #covidsars2 #variants

https://newsroom.unsw.edu.au/news/general/green-light-universal-covid-19-vaccine-project

“An analysis of workers’ compensation claims in New York found that 71 percent of claimants with long Covid needed continuing medical treatment or were unable to work for six months or more.”

#LongCovid #covidsars2 #medicine

https://www.nytimes.com/2023/01/24/health/long-covid-work.html?smid=nytcore-ios-share&referringSource=articleShare

Long Covid…

“It can take people who are entirely functional, athletic, healthy, & make it difficult for them to get out of bed or difficult to walk just a block…We are long on mechanisms & short on treatment. That's the summary of everything.”—EricTopol

https://bit.ly/3J3vpyE

#CovidIsNotOverYet #covidsars2 #LongCovid #medicine #healthawareness #medtwitter

They were 2x as likely to need treatment in the ICU after birth and had an increased risk of being born preterm.” Data included 13k ppl from 12 countries #pregnancy #covidsars2

Keep a lid on it!:)

When flushing, researchers found that a typical toilet generates an “aerosol plume” of particles (will not further describe) up to 5 feet above the bowl at speeds of > 6 feet/second! That’s all.

https://bit.ly/3k1EFZV #infectiousdisease #AirborneSpread #covidsars2

Low sperm counts, low testosterone levels, erectile dysfunction…

“Male fertility is definitely being affected,” says @raevti @ClevelandClinic . “We just don’t know how severely and for how long.”

#covidsars2

https://bit.ly/3VWjBRB

neutralise XBB.1pp highlights that novel mAbs are needed for the treatment of COVID...”

#covidsars2 #medtwitter #vaccines #bivalent #bivalentboosters

WHO’s recent update on XBB.1.5

https://youtu.be/ne5ezgPRTI8

#WHO #covidsars2

WHO’s recent update on XBB.1.5

https://www.google.com/search?q=whos+kerhove+uodate+on+xb.1.5&ie=UTF-8&oe=UTF-8&hl=en-us&client=safari#fpstate=ive&vld=cid:705f5d27,vid:ne5ezgPRTI8

#WHO #covidsars2

shortages/illness, being underpaid/overworked, swamped A&Es with providers already burned out/suffering moral injury — one can only handle so much.🙏 https://bbc.in/3GBlJdk

#EmergencyMed #EmergencyPhysicain #uk #covidsars2 #medtwiiter #bbc END

https://apple.news/Ak2sXrqVjSp27Ojg5B8LA9w

Additionally, an @Nature study concluded: "The soundest solution is the combination of the face mask and upward ventilation, which can reduce the indoor infectious concentration by nearly 99.95%. "go.nature.com/3WDXxfQ

While transmission is high, pls mask indoors, boost, ⬆️ventilation and have a safe, happy and healthy New Year’s!
#covidsars2 #bivalent #vaccines #NewYear2023 4/4

Excellent review by @linseymarr and @EricTopol covering aerosol transmission, masking, outdoor spread, ways to improve ventilation in schools, etc. #ventilation #covidsars2 #medtwitter

https://wb.md/3IcwSlO

Dr Mike Ryan, the WHO Executive Director discusses immune dysfunction, vascular harm, inflammation and neuro/ psych effects of Long Covid. (2 min video.) R/T @sandyboots2020
#covidsars2 #LongCovidCommunity #medtwitter

https://twitter.com/sandyboots2020/status/1608402400817336322?s=46&t=KvLyv9R_2BPng0TA6gVuxw