Discover and read the best of Twitter Threads about #PublicHealth

Most recents (24)

WARNING: Some are assuming that if new #COVID19 cases are mostly young people, then the death total will be low (eg, @VP is optimistic because most new ones are in the 29-44 range). However, as an ER doc I still worry that rising death totals could soon follow. Here’s why: (1/11)
Let's look at the history so far. On March 1, the first NYC case was ID'ed in a 39 year-old health worker who travelled from Iran. Testing was very limited then. It's all but certain the virus was in NYC for at least a month before hospitals began to fill up in late March. (2/11)
We can infer that the virus was spreading in NYC during this time, and without a surge of hospitalizations and deaths, it was almost assuredly spreading among young people. That is likely the same kind of phase in which AZ, TX, FL, and other states find themselves now. (3/11)
Read 11 tweets
Thread on the main findings and implications from our @EPAIreland funded SAPPHIRE project.
1. Small towns in Ireland experience extreme #airpollution in winter due to residential burning of peat, wood and coal. Exposure to this pollution has a huge impact on #publichealth
2. We focused on measuring fine particulate pollution (PM2.5), which causes over 1100 premature deaths in Ireland each year.
Wintertime PM2.5 was measured in three towns - Killarney, Enniscorthy and Birr.
Same daily pattern observed in each town - huge evening spikes
3. Particulate pollution was the highest in Enniscorthy, where PM2.5 levels averaged 29.2 μg/m3 and a peak value of 236.6 μg/m3 was recorded.
Furthermore, the WHO 24-hour mean guideline value
of 25 μg/m3 was exceeded on 42% of the days (16
out of 38).
Read 6 tweets
This is such BS. WE KNEW THIS WAS HAPPENING. The spread of #covid19 is not a shock. We, a bunch of ER docs, said this was happening -

And ps: there is still time. It is NOT inevitable. We know how to stop it. The question is, do we WANT to.

My cup of anger overflows.
But because I am not simply an angry person, I will be more specific. This is what we need to do.

1) Get & share good data. Test as much as we can. Track hospitalizations, deaths, basic epi. This is KEY.

2) physically distance, & wear masks, & stay outside as much as we can
3) #GetMePPE - not just for hospital workers, but also for grocery store workers, bus drivers, home health aides, and anyone high risk

4) #WearAMask (yes I've said it 2x)
Read 7 tweets
(1/6) This #SundaySpotlight on #PublicHealth is focused on the facts regarding masks and face coverings. Follow along 👇 & remember – I wear my mask to protect you, and you wear yours to protect me. #COVID19
(2/6) Originally most health experts thought those who were asymptomatic (e.g. no fever or cough), had low risk of having/spreading #coronavirus. @CDCgov now estimates 35% or more with #COVID19 DO NOT have symptoms. cdc.gov/coronavirus/20…
(3/6) Wearing a face covering has always been more about protecting your neighbor than protecting yourself. The more people who wear them, the lower the likely spread and burden of #COVID19 in YOUR community. What’s good for your neighbor is also good for you in the long run!
Read 6 tweets
We have so many people who lack even the most basic, elementary school-level science literacy in this country, who cite "decreased oxygen intake" or "carbon dioxide retention" as a reason it to not wear a mask in public.

#wearyourmask
#DoBetter
#PublicHealth
#TrustANurse
This is clearly not grounded in any factual information or science.

If only there were some way to accurately measure oxygen saturation or detect CO2 retention while wearing the masks, then MAYBE the fact resistant contingent of our population who are throwing tantrums over
wearing masks for a few minutes at a time to shop at the market or pharmacy would MAAAYBE realize the error in their ways and recognize that they are only parroting erroneous claims that they've heard non-experts, who don't actually have their or the best interest of overall
Read 6 tweets
While the cases are surging, it’s in our control to keep Namma Bengaluru as best model despite the vast population of the city.

1. Wear masks, it can mitigate burden on health system in terms of how many severe cases it can handle.
#allofsocietyapproach
#Covid19Karnataka 1 of N
2. If you have symptoms of breathing difficulty, fever, cough or cold, use Apthamitra app of Karnataka Government or Call 14410 for medical help. Download here: tinyurl.com/aptmitra from App Store or tinyurl.com/apthmitra

#allofsocietyapproach
#Covid19Karnataka 2 of N
3. Remember, more than 80% of persons with #Covid_19 do not need hospitalization or immediate active intervention. Do not overcrowd the hospitals. As responsible citizens, contribute to keep the beds available for only those need it.
#allofsocietyapproach
#Covid19Karnataka 3 of N
Read 7 tweets
Want a feel for how extensive, entrenched and structured the hatred in America is for our tens of millions of drug users? Take this #ThoughtExperiment with me....

#Stigma #PWUD #PWID #DrugUse #HumanRights #PublicHealth
#HarmReduction #NormalizeHR #SafeSupply #SCS #SIF

1/
IMAGINE for a moment that you woke up tomorrow to the news that the entire retail #alcohol supply in the #US was randomly contaminated with deadly levels of #fentanyl. A one ounce shot could put you into respiratory arrest in 120 seconds, quickly followed by cardiac arrest.

2/
The proper administration of #NARCAN within minutes or #RescueBreathing is your only hope for survival; #911 and #EMS can’t get there that fast.

Now IMAGINE for a moment what the governmental and civil society response would be to this news...

3/
Read 12 tweets
Each shift in the ER I put on my surgical mask, grab my #N95 from the storage room, and prepare to see patients. I covet my N95 to protect me from #COVID19, but I wear my surgical mask to protect others from me. So why has this act somehow become political? Some thoughts>>>> 1/18
Early in the #pandemic, the CDC did not recommend the widespread wearing of masks. They wanted supplies saved for healthcare workers, and there was no hard science telling us that the public wearing masks was a significant component to stopping the spread of #COVID19. 2/18
The science evolved, as it always does, and on 3 April, in a packed WH briefing room, flanked by the #coronavirus task force, @realDonaldTrump announced that masks were officially recommended, stating that he would not be wearing one. Thus began the politicization of masks. 3/18
Read 18 tweets
Usually it takes more than 4 months for history to repeat itself. But here we are.

THREAD

Politicians still haven't wrapped heads around the dynamics of #COVID19.

Some truths:

1) You aren't seeing what's happening *today* you're seeing what happened 5-7 days ago.

1/
2) The number of cases isn't as important as the speed of spread. Once you have several days of increasing cases in a row, you've got a big problem...

3) ...because when it hits peak spread, it doubles in 2-3 days.

Put all that together...

2/
...and it means that by the time your daily case numbers show a week of increasing cases, you're WAY behind on trying to curb it.

In fact, you could be looking at an undercount by a factor of 4-16x because of points #1 & #3.

You need to act. You needed to act 1-2 wks ago.

3/
Read 6 tweets
Contact tracing and effective quarantine are among the topmost reasons why #covid19 infected regions in the world have low mortality. This requires phenomenal work by #publichealth workers. Technology can aid it but cannot replace the Human Resources. Invest in #publchealth
1ofN
Crowds and clusters in close contact spread #covid19 faster and wider. #koyambedu & #krmarket are examples. This requires phenomenal work by #publichealth messaging to reach everyone. Technology cannot replace the trained Human Resources. Invest in #publchealth training.
2ofN
Reducing mortality requires triaging those who have symptoms, testing and interpersonal communication with infected persons. This requires strong primary health care services, not star hospitals. Invest in #publichealth resources & #surveillance. #publichealth saves lives.
3ofN
Read 6 tweets
Despite surge in cases & increased testing, trajectory of new deaths attributed to Covid-19 for India is lower compared to in #US, #UK, & #Brazil. 7-day rolling average of new deaths (per million), by number of days since 0.1 average deaths (per million) first recorded.
1 of N
At the same time, the absolute number of cases per million is increasing at a lower trajectory in India. Testing has doubled in last month. Via 7-day rolling average of new cases (per million), by number of days since 0.1 average cases/million first recorded. Via @FT
2 of N
Inference:- Good news
1. Lockdown postponed the surge in cases

2. Lower rate of deaths can be ascribed to enhanced treatment capabilities, younger age demographics & protection due to cross infection.

3. Increasing the testing and treatment capacity is working well
3 of N
Read 6 tweets
Long #MedEd #publichealth 🧵 might be applicable to where you live but is directed at my home town #Melbourne 🇦🇺

Melbourne’s R0 is now up 2.5 as per @JennyMikakos

That means every person with #COVID19 #COVID19Vic is infecting another 2.5 people. 1/ theage.com.au/national/victo…
Back in March Dr Angela Merkel used her communication skills & #STEM background to eloquently explain what R0 is and why even just a rise above 1 to 1.1, 1.2 or 1.3 is significant.

Worth watching interview 👇🏼which has subtitles for nonGerman speakers. 2/
Recapping: the current R0 of 2.5 in #Melbourne is very alarming.

Every person with #covid19 (test proven or not) will infect 2.5 people.

Fabulous gif by @siouxsiew @xtotl of @TheSpinoffTV shows the exponential increase well & what happens if we #StayAtHome 👇🏼H/T @simonahac 3/
Read 18 tweets
The following thread: Advocating for expanded @pharmacists immunization capabilities to close gaps in vaccine schedules that have been widened due to COVID-19. @RIpharmacists @RIHEALTH #vaccination #publichealth #pandemic #COVID19 Written by @alyssfalleni13 and @jefbratberg
The coronavirus pandemic has revealed a stark need for greater and more equitable community access for public health and primary care. ama-assn.org/delivering-car… @AmerMedicalAssn #equityandinclusion
Despite state and national shutdowns that dramatically reduced emergent, urgent and routine access to medical care and hours of operation, community pharmacies were universally deemed essential businesses and remained open.cdc.gov/coronavirus/20… @CDCgov #essentialservices
Read 22 tweets
❗️@NorfolkCC & @NorwichCC are consulting on proposed changes to #Norwich streets. We urge all our supporters to respond - the deadline's tomorrow! Here's most of our response - feel free to steal any of our points (long thread!) norfolk.citizenspace.com/consultation/h… 1/n
"🖊 We strongly support the proposed changes to St Benedict’s Street, Exchange Street, and to the timings of various crossing points. 2/n
However - although we are aware that more changes are still to be announced - we are V. disappointed by the lack of ambition compared to what other UK Transport Authorities are doing & compared to what Transport Sec @grantshapps & @transportgovuk have called for. 3/n
Read 24 tweets
1/8 Here’s the [fairly] simple math on why YOUR actions matter. 1 case of #COVID19 spread to ~3 people X 10 generations of spread (IF NO #PUBLICHEALTH MEASURES) = 88,573 cumulative cases & many deaths in just ~5 weeks. See how it happens:
2/8 Think of yourself as the red dot in the middle who could spread to 3 contacts IF no #publichealth measures. This shows just 3 generations of spread from 1 (YOU) to 39 other cases in just 12 days (~4 days btw. each generation).
3/8 The degree of #COVID19 CONTROL vs. SPREAD depends on the #Publichealth measures we all continue to take. Without #PhysicalDistancing, #Handwashing, #CoughEtiquette, & non-medical masks where recommended, here is what can happen:
Read 8 tweets
1/3 Almost 11,000 #FluWatchers reporting this week with only 0.09% reporting symptoms of cough and fever.
Every report from you is helping our understanding of #COVID19.
2/3 It is important to keep reporting even if you are healthy! Thank you to all the FluWatchers reporting each week. Keep up the great work! #TogetherApart
3/3 Answering 2 simple Yes/No questions a week can help track COVID-19 activity in your community. Support #publichealth in your community by joining FluWatchers. The more participants in your area, the more accurate the data. #CitizenScience
Read 3 tweets
Less than 2 weeks ago, the top cop—and top #Chad—in Riverside County, @SheriffBianco, was telling the Board of Supervisors that "it's not your job to tell me what to do" when it comes to ensuring that the @RSO is held accountable to the public for violence committed by deputies.
In May, Bianco passed himself off simultaneously as an expert on #pandemics and a constitutional scholar when instructing the Board of Supervisors to ignore guidelines from the Riverside County #publichealth officer and California Governor @GavinNewsom.
#LawEnforcement isn't Chad Bianco's only job: he doubles as the county coroner, which it turns out is problematic. Two Fridays ago, he again told the Board of Supervisors that he rejected oversight efforts— even though he knew how a man had been killed in @RSO custody in 2017.
Read 10 tweets
1/6 #SSWGTC20 @SCB_SSWG

Wildlife has been linked to the outbreak of #COVID19 🐾😷

This has led to calls on social media for changes in how #wildlifetrade is managed

How has this link between #wildlife and #COVID__19 changed the #twitter discourse on wildlife trade? 🧐
2/6 #SSWGTC20 #MarSocSci

How has interest in wildlife trade changed?🧐🐾

🗓️ 2019 ¦ 2020
📣 Tweets: 7,553 ¦ 32,806
🔁 Retweeted: 42,325 ¦ 132,607
❣️Avg Sentiment: -0.48 ¦ -0.74
🐦 Unique Users: 4,975 ¦ 19,810
🌍Unique countries: 99 ¦ 140
3/6 #SSWGTC20

How have the topics discussed changed? 🗣️🤷

🔝 2019 ¦ 2020
#wildlife ¦ #wildlife
#iwt ¦ #coronavirus
#conservation ¦ #covid19
#wildlifecrime ¦ #china
#trade ¦ #endwildlifemarkets
Read 7 tweets
1/10 #COVID19 key concerns in 🇨🇦: all over the country people have sacrificed & adapted to slow the spread of COVID-19 by staying home these many weeks. Sadly, home is not a safe place for the many people experiencing family violence.
2/10 Children, youth, women, seniors & #LGBTQ2S people are among the most affected by #FamilyViolence and #genderbasedviolence that can make home an unsafe place to be. #COVID19 #ElderAbuse
3/10 Some jurisdictions have observed ↑ reports of domestic violence, calls to crisis support lines & demand for emergency shelter during #COVID19, while child welfare orgs observe a concerning ↓ in reporting of child abuse & neglect.
Read 10 tweets
1/Thread- There already a lot of great work on the development of #antiracism #curricula in #publichealth and medicine- I’ve been compiling to share at my institution and wanted to disseminate some of the awesome resources that are already out there. Please add any I’ve missed! Image
2/ Hardeman R, Burgess D, Murphy K, Satin DJ, et al. Developing a medical school curriculum on racism: Multidisciplinary, Multiracial conversations informed by Public Health Critical Race Praxis (PHCRP). ethndis.org/edonline/index… 2018; Ethnicity & Dis; 28 (Supp 1):271-278 @RRHDr
3/ Hagopian A, West KM, Ornelas IJ, Hart AN, Hagedorn J, Spigner C. Adopting an Anti-racism public health curriculum competency: The University of Washington Experience. 2018. Public Health Reports; 133(4):507-513. ncbi.nlm.nih.gov/pmc/articles/P… @profe_ornelas @amyhagopian
Read 8 tweets
It’s an interesting approach at @MITSloanFellows - placed into teams rather than allowed to select own team. The teams are formed so there is likely to be misalignment and conflict. And then we have to work together for grades. We cannot do usual bonding activities via Zoom
Teams are being coached & cautioned that it is easy to create “in” and “out” groups to exclude, marginalize, label some in group. Instead, keep open communication and pause prior to forming any conclusion.

mindtools.com/pages/article/…
“Identify where on ladder you are.

Are you:
-Selecting your data or reality?
-Interpreting what it means?
-Making or testing assumptions?
-Forming or testing conclusions?
-Deciding what to do and why?”

Vet, verify, listen, consider

(This seems especially relevant for biases)
Read 19 tweets
Dr. Quick is the 7th county public health officer/director to resign since Mid-April.
The woman cited in this story, who read Dr. Quick's home address aloud during a County Board of Supervisors meeting last month, is Leigh Dundas. She led an organization called Advocates for Physician Rights opposing @DrPanMD's #SB276. She's #antivaxx, but it's more than that...
Leigh aggressively targeted Dr. Charity Dean, then the public health officer for Santa Barbara County. Dr. Dean endured a barrage of personal attacks and a lawsuit for enforcing #SB277 vcstar.com/story/news/loc…
Read 5 tweets
THREAD: Wondering what's available to watch & listen to on Day 1 of our Social Equity Leadership Conference, co-hosted with @napawash? Check out the links below! #SELC2020
1/5
• Welcome remarks from Humphrey School Dean Laura Bloomberg to all participating in #SELC2020
2/5
• Welcome remarks from Terry Gerton, President and CEO of @napawash #SELC2020
3/5
Read 5 tweets

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