Discover and read the best of Twitter Threads about #LMIC

Most recents (12)


Creating awareness for the public on the key factors which influence the lung development till adulthood and sharing the ways to keep the lungs healthy is important.

Because we all have only one set of lungs. (1/n)

This is a new term introduced recently which highlights the 'complex and dynamic' interactions between #Genetics and #Environment over #time which plays the crucial role in the development of #COPD (2/n)
When i was a resident, I was taught that #Cigarettesmoking contributes to ~90% of COPD burden in the world.

But now the data suggets that more than half of COPD burden, worldwide is due to causes other than tobacco. Why? What has changed? (3/n)
Read 19 tweets
62/bbr “The J curve of Institutional reform” (2020)… showed that anti-black money crusade can’t b sustained w/o Institutional reform. Corruption is a systemic problem in India(origin Bureaucratic Socialism) & can only b solved by policy+institutional reform
63/bbr This is encouraging, but more needs to be done wrt #EODB/#EORC and to translate the policy reforms announced during last 3 yrs into rules, regulations & simpler procedures for producers & exporters.…
Read 17 tweets
1) Welcome to a new #accredited #tweetorial on a🗝️ topic in #cancer care & #vascular medicine: #VTE (#DVT and #PE). Cancer patients are at⬆️risk from their disease, their comorbidities, & often from their treatment. It's a sticky wicket & @cardiomet_CE is proud to welcome ...
2) ... one of the world's leading authorities on cancer-associated VTE as new faculty both here and on @onc_ce: Dr. Alok Khorana @aakonc of @ClevelandClinic, to talk about advances and best treatment in this space!
3) This educational program is intended for health care providers & is supported by a grant from Bristol Myers Squibb & its Alliance partner Pfizer, Inc. Faculty disclosures are listed at Earn CE/#CME credit from prior programs at
Read 39 tweets
My friends in #AcademicMedicine. I am from Nepal. You must have heard and read regarding the state of affairs of COVID in India. Nepal is headed in the same direction. While India is a larger economy with more resources at its disposal Nepal is the exact opposite. #COVID #LMIC
Thinking of the possibilities in the coming weeks in Nepal wrenches my heart. There is already a short supply of Oxygen reserves, Steroids, Remdesivir, Anticoagulants, and basic resources. To date, only <5% of the country's population has been immunized. #COVIDNepal
I am sure the state is no different in other #LMICs. I would hereby urge for aid, urge for a global effort to pull countries like Nepal out of a disaster. A delay or a denial can be disastrous beyond imagination. We are already seeing the unfolding of events of #COVID19India.
Read 6 tweets
LOVE being faculty at @MIT this semester for a class on #dataanalytics & #datascience. I tend to PM my mentees, especially women and #blackexcellence to start to prepare questions to ask. Too often people stay silent. Speak up. Never be embarrassed to show #curiosity.
Listening right now to mid-semester progress reports from teams and am feeling like such a proud #datascience #BigData #bigdataanalytics momma. Bear cubs doing good (well AND good in world)

LOVE that this is a space within @MIT that focuses on #SDoH and #equity.
Literally right now, hearing about a study on #socialmedia chatter as a driver of vaccines hesitancy driven by #Twitter - start postulate "cause/effect" by an incident that happens within days after a vaccine - like ppl automatically assume a death is "caused" by vaccine
Read 27 tweets
My last #hackathon & #socialenterprise pitch was to improve minority participation in #clinicaltrials. This trial is has 74% black participants compared to usual 2.5%. Why?

Yes, we do need to expand access. Colon cancer kills.

#MedTwitter #BlackTwitter #NurseTwitter thoughts?
In trials for new therapies however, you see this:

“Even though heart conditions disproportionately affect Black individuals, they accounted for only 2.5% of clinical trial participants in a global trials report by the Food and Drug Administration.”…
So black participants are the majority in WHICH studies?

Having been in executive suite, speaking on #access broadly, I saw non-clinicians use “access” to shame clinicians on self care or pointing out workplace issues. Yet same administrators would cut number of staff for budget
Read 9 tweets
1/14 Dear Richard, “all we have is silence” equally applies to deadly interplay b/ #COVID19 pandemic + #NCDs epidemic. #PLWNCDs are at heightened risk of becoming severely ill or dying from #C19. Health systems are being overwhelmed with PLWNCDs becoming acutely ill.
2/14 Our recent survey shows massive disruptions in access to #NCDs services, which will result in upsurge of illness and deaths from NCDs (projections forthcoming) which failing health systems are unlikely to be able to manage.…
3/14 In 2000, #WHA53 recognized that “long-term needs of #PLWNCDs are rarely dealt with”. Since then, 200 million PLWNCDs aged 30-70 have died, majority living in #LMIC. Most deaths could have been avoided or delayed.…
Read 14 tweets
Important paper in @NEJM coming out of #Pakistan

RCT of amoxicillin for pneumonia in #Pakistan - the world’s largest community-based assessment of the use or withholding of antibiotics in children with mild pneumonia

Fantastic to see @FyezahJehan as 1st author

.@WHO recommendations for pneumonia recommend amoxicillin, but this conflicts with trial data showing possibility noninferiority of using amoxicillin.

Overuse of course leads to antibiotic resistance
In this RCT
Kids 2-59 months (all from #Pakistan) who met @WHO criteria for nonsevere pneumonia with tachypnea
Assigned to either amoxicillin for 3 days or placebo

4002 children enrolled
Read 8 tweets
#COVID spreads through human-to-human transmission, so #migrants are an important vector. In the absence of adequate covid tests in LMICs, can we predict sub-national COVID spread, or identify likely hotspots using data on migration?

Short answer: Yes.…
Data on airport returnees predict subsequent quarantines & #COVID19 distress calls across districts in #Bangladesh. Data on migration permits predict confirmed cases in #Philippines municipalities and Bangladeshi sub-districts.
Beyond the validation using public health data, our recent phone surveys across Bangladesh helps to ground-truth this approach:
Living in communities with recent #migrant returnees triples the odds (!) of reporting #COVID symptoms. This is the single largest risk factor.
Read 5 tweets
The moment we have been waiting for!! @jerjohzimm #sepsis @PedCritCareMed @ESICM #ccc49 (thread)

#sepsis #PedsICU
.@PierreTissieres is up first introducing the process & rationale #CCC49 #PedsICU #Sepsis
@TexKissoon tells us “Why Now”? #ccc49 #PedsICU #sepsis

Burden is highest on #children, and deaths occur early in the course
Read 21 tweets
The 50th Union World Conference on Lung Health @UnionConference begins tomorrow in #Hyderabad, a major event in #TB and #lunghealth . I am not going- here is a short #thread why.
This is despite being part of an accepted symposium on #coercion and #TB
@UnionConference The reason is the ridiculously expensive registration fees for the conference. For a meeting which focuses majorly on #TB, a disease of poverty, and being held in a #LMIC location, it is atrocious to charge such fees. Even at the discounted rates for #LMICs, it is very EXPENSIVE
@UnionConference I do not have a salaried position which offers such registration fees through the institution, or grant money to cover such fees. I am not going to spend such amounts of money, even if its an important event, as a matter of principle. It is deeply disturbing that this is usual.
Read 10 tweets

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