Discover and read the best of Twitter Threads about #LMIC

Most recents (9)

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.”

statnews.com/2020/07/22/cli…
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.
who.int/publications/m…
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.
apps.who.int/gb/archive/pdf…
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

#welldone
2/
.@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
3/
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.
yrise.yale.edu/using-migratio…
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

bit.ly/3bJIr1k
.@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
#globalhealth
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
#bioethics
@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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