Discover and read the best of Twitter Threads about #publichealth

Most recents (24)

🧵 #LivingLongCovid

Some maybe already know me probably% and maybe my story.

I am a #HealthCareWorker and since before and at the beginning of #COVID19 I have worked in the #ICU saving lives and learning about #IntensiveCare

I've had #COVID19 3 times so far this pandemic. Image
I developed #LongCovid from my 2nd contagion that was serious at the time, I required hospitalization in #ICU and oxygen therapy.
Since Dec 2020 I have lived with #LongCovid since then and when I understood the Multi-organic gravity of #LongCovid Image
I SURVIVED!
And I still do it daily.

A few days ago I had a 2nd #InfarctionSilent a year ago I had a multiorgan failure accompanied by #infarctionSilente

We know that #COVID19 can cause #myocarditis and that is possibly the case, I don't know yet.

I tell you now.
Read 19 tweets
2022 markiert eine Zeitenwende.

Weg vom Menschenrecht auf #Gesundheit,
hin zum Recht des Stärkeren.
Das Ende von #PublicHealth,
geplante wiederholte #Durchseuchung aller.
Kein Schutz der #Risikogruppen,
nur noch eugenischer Darwinismus.
#Eigenverantwortung statt Gemeinwohl.
Das #postfaktische Zeitalter wird sichtbar.
Der #Informationskrieg tobt überall.

Die Gefühle der Empathielosen zählen mehr
als wissenschaftliche Evidenz.
Gesellschaftlicher Diskurs wird absichtlich vergiftet,
Hass und Hetze werden gesellschaftliche Norm.
Empathie wird Luxusgut.
"Gutmensch" ist ein Schimpfwort,
"Egoismus" ist ein Selbstverständnis.

So kann unsere #Gesellschaft nicht funktionieren.
#NurGemeinsam kommen wir gut durch Krisen.
Wir brauchen ein #Miteinander aus
mehr #Empathie und weniger Feindschaft.

Ich gebe die #Hoffnung darauf nicht auf!
Read 3 tweets
C8H20Pb -wahlweise als Ethyl oder als Tiger im Tank vermarktet besser bekannt als "Blei im Benzin" ist der Protagonist einer der größten #PublicHealth-Katastrophen aller Zeiten. Fast alle Menschen die im letzten Jahrtausend geboren sind dürften den "Tiger" nicht nur in den Zähnen
...sondern auch im Hirn haben. Mehrere Generationen die zwischen 1930 und dem Jahr 2000 in einem industrialisierten Land geboren sind leiden allesamt unter einer chronischen Bleivergiftung - diese vor allem verursacht durch verbleites Benzin.
Die Toxizität von Blei ist seit der Antike bekannt, auch das es schon in geringen Konzentrationen bei Kleinkindern nachhaltige Entwicklungsstörungen des Gehirns verursacht wusste man in den 1920ern sehr gut.
Read 20 tweets
1/🧵 Land Mines in Long COVID - @BostonGlobe

Alex was training for 2024 Olympic Trials 🥇

That dream exploded 💣
 
New #LongCOVID science
📌Viral reservoirs at 1 year
📌Cardiac edema at 1 year
📌Dementia at 2 years
📌Hijacked mitochondria

ScreenShot👇
bit.ly/3U77u4r
2/ It’s one thing to concede that Long COVID exists as a societal problem for those w vulnerabilities like advanced age, pre-existing health conditions, or nearly dying in ICU.

What about nationally ranked D-1 long-distance runners⁉️

Paywall so read 🧵
bit.ly/3U77u4r
3/ Alex Schell is 21 & based his life decisions on making the 2024 Olympic trials.
 
“Not only can I not run due to #LongCOVID, I’ve also lost everything I hoped for. Who I envisioned myself to be is a past idea. It’s a monumental loss.” (story w perm)
 
What causes LongCOVID?
Read 22 tweets
Hello and welcome to today’s #disinformation in #publichealth topic, the pre-print problem.

#MisinformationKills
#VaccinesSaveLives Image
The focus of this discussion is a Thai pre-print misinterpreted by an under qualified, politically compromised doctors and sent through a chain of social media posts directly to policy makers in Florida. Image
For questions about pediatric cardiology, consult pediatric cardiologists like @han_francis. Image
Read 12 tweets
Wenn so viele Menschen #Long Covid haben, warum sehe ich sie dann nicht?

Sie

1) wollen es nicht wahrhaben
2) diagnostiziert, aber 1)
3) wissen es noch nicht
4) haben es akzeptiert aber sich nicht geoutet
5) sind bettlägerig, sterbend oder tot
6) werden ignoriert

1/5
Öffentlich chronisch krank und behindert zu sein, ist keine Selbstverständlichkeit.

Wir tun uns schwer bei @LongCovidCH @LongCovidKinder @SGME_CH Menschen zu finden, die die Presse in ihr Schlafzimmer lassen und ihre Story erzählen. Man bleibt für immer stigmatisiert.

2/
Wir wollen #LongCovid #LongCovidKids und #MECFS sichtbar machen, aber schwer Betroffene sind bettlägerig oder ans Haus gebunden. Moderat Betroffene haben noch Hoffnung und mild Betroffene wollen ihren Job nicht verlieren. Sie outer sich nicht wegen des Stigmas.

3/
Read 5 tweets
#Argentina, Ministry of #PublicHealth reported that an #outbreak of bilateral #pneumonia has been detected in six patients, without having been able to find its origin and #etiology. msptucuman.gov.ar/comunicado-ofi… RT @InfectiousDz
@InfectiousDz ''At this point, #covid19 and #influenza, both influenza A and B; and #HantaVirus'' have been ruled out.
@InfectiousDz ''One of the six cases has passed away, a #HCW.''
Read 7 tweets
🔴Cuánto tiempo covid remodela el cerebro y cómo podemos tratarlo

La buena noticia es que, al menos en algunos pacientes, los efectos prolongados de covid en el cerebro pueden no ser permanentes o progresivos.

Perspectiva de @WesElyMD

🧶🪡Mega-Hilo en Español, por favor RT
Está es la inquietante ciencia cerebral del COVID prolongado 🧠

📍Reducción del cerebro 📍Fantasmas Coronavirus
📍Autoinmunidad
📍Grupos clínicos

@washingtonpost
wapo.st/3wvPBlF
El COVID leve es biológicamente peligroso mucho después de la infección viral inicial.

Estudio en 81 pacientes de COVID leve:

✔️Los astrocitos (🧠 células de apoyo para las neuronas) se infectan.

✔️Los neurotransmisores se alteran.

✔️Las neuronas mueren indirectamente.
Read 57 tweets
Gespräche die letzten Tage. Versicherungsmakler killt Illusionen über Anstellung/Vorsorge, Fronten bezüglich Strategie zur Bewältigung einer Pandemie sind erhärtet, & es gibt Expert*innen, die uns unterstützen wollen, weil sie das was wir tun als wichtig und richtig erachten. 1/8
Fairsicherung, ein toller unabhängiger Versicherungsmakler, erklärte mir, warum @LongCovidCH keine Chance habe, für Angestellte eine Pensionskasse und Taggeldversicherung zu bekommen. Teilzeit, Frauen, teilweise über 50 Jahre und KRANK. Wenn wir 5 Jahre gesund sind eventuell. 2/
Viele Betroffene sind Frauen, arbeiten Teilzeit, haben keine berufliche Vorsorge, die den Namen verdient. Wenn sie krank sind, ist es zu spät. Von IV (wenn man überhaupt Kriterien erfüllt & Rente bekommt) und Sozialhilfe kann man nicht leben, geschweige denn Kinder ernähren. 3/
Read 8 tweets
1/🧵 The Haunting Brain Science of Long COVID 🧠

@washingtonpost Aug 25

📍Brain shrinking
📍Corona ghosts
📍Autoimmunity
📍Clinical clusters

“The good news is that in some pts #LongCovid #BrainFog may not be permanent.”

Link👇 but paywall so see 🧵

wapo.st/3wvPBlF
2/ Mild Covid is biologically dangerous long after initial viral infection.

81 mild COVID pts:

Study revealed:
✔️Astrocytes (🧠 support cells for neurons) get infected
✔️Neurotransmitters are altered
✔️Neurons die indirectly
✔️Then we lose brain power

bit.ly/3pcqbFV
3/ Epidemiology💥

Long COVID is tightening its grip on society.
 
We’re still losing >600 people a day to death from COVID in US alone

Over 100,000 new infections per day (Johns Hopkins data).
 
This is an epic global 🌍#PublicHealth catastrophe.

wb.md/3SKjGrh
Read 28 tweets
Yesterday's @CDCgov @CDCDirector announcement was much-needed.

The question is: can we, collectively, actually do what's necessary?

nbcnews.com/health/health-…
To be clear, the problems predate Dr. Walensky - and honestly, predate #covid19.

cf statnews.com/2020/04/29/we-… (a piece from April 2020!)
What next? A short list of hopes (some alluded to in the news releases - but TBD what the final document says):

1. quicker data collection & sharing (which requires state participation, & better IT)

2. clearer budgets (instead of the current byzantine appropriations)

[cont]
Read 6 tweets
1/ Between 2020 and the first half of 2022, our #healthcare business has grown 267%. Our impact scales far beyond #COVID19 response. @PalantirTech is the most comprehensive health tech startup you’ve never heard of. 🧵
2/ At #Palantir, our health & life sciences customers are on the frontlines of the toughest #publichealth challenges. We work with leading institutions to solve their hardest problems - from drug discovery to care delivery - at speed.
3/ At the @NIH, our software accelerates critical research. The Covid Cohort Collective (#N3C) used Foundry to analyze an unprecedented collection of EHRs available for #COVID19 research to better understand long COVID. Analysis that once took months can now be done in hours.
Read 10 tweets
Ich ertrage sie nicht mehr diese scheinheiligen Arschgesichter, die sich jetzt auf einmal so schrecklich für die Interessen von Kindern interessieren...
Die #Maske, die die Kinder ja so schrecklich in ihrer #Freiheit beschränke, wird zu einem #Popanz...
1/N
in der Größe eines Heißluftballons aufgeblasen. Leute, vor allem Männer, die ihre eigenen Kinder kaum mit dem Arsch angeschaut haben und in deren Lebenswirklichkeit Kinder keine Rolle spielen fühlen sich auf einmal berufen sich für das Wohl der Kinder einzusetzen...
2/N
...das andere schrecklich hysterische Menschen unter einer Maske ersticken wollen.
3/N
Read 17 tweets
🧵What @DrArwady says here needs to be shouted from the rooftops. A huge challenge local #PublicHealth departments have is they have virtually no flexibility in how they spend money they receive from the federal government (i.e., most of their funding). chicagotribune.com/news/breaking/…
Local health departments receive precious little sustained, year-over-year funding, and only periodically receive large, temporary funding for emergency situations like COVID. (By the way, they've received NOTHING yet to fight monkeypox.)
And even those emergency funds are broken down into smaller piles that must be spent in certain ways. This means that if you have leftover $ from COVID response, you can't spend it on monkeypox. Even $ you didn't spend on one aspect of COVID cannot be spent on another aspect.
Read 5 tweets
Longish Thread 👇

Most of us have heard of 'Regulatory Capture' by the industry. But have you heard of 'Capture of Law Making Process' itself?

Fasten your seatbelts.
A sordid tale of how lobbying has almost succeeded in getting its masters a free pass from accountability
1/n
2/n
Remember this happened?
livemint.com/science/health…

During the peak pandemic period, batches of a drug called Remdesivir manufactured by a Gujarat based pharma company were found to contain bacterial endotoxins which when administered to patients manifested in severe adverse
3/n
events. Endotoxins are not supposed to be present in injectibles, the way to make sure your drugs are not contaminated is to run a series of tests prescribed in the Indian Pharmacopiea before you ship them the market. The Pharmacopiea sets the standards and tells us what
Read 18 tweets
I'm on vacation on a very busy #publichealth news week and just feeling THANKFUL that @HHSGov and @WhiteHouse are giving #monkeypox the attention it deserves at last 🧵
pbs.org/newshour/healt…
We've long known the playbook for pandemics:
* access to good data
* making prevention easy (through both behavior change + vaccines/meds)
* easy availability of treatment
* non-stigmatizing, accurate education

(cf: #covid19, #ebola, #opioids, #gunviolence...)
frustratingly ... up until this week, we've largely failed to apply this VERY BASIC set of guidelines to #monkeypox

(reasons why are TBD - I suspect it's a combo of lack-of-a-decision-maker, exhaustion from covid, and fear of criticism after mistakes?)
usatoday.com/story/news/202…
Read 9 tweets
We know how artistically magnificient and culturally rich Indian temples are which have a story of its existence, architecture,location and tradition. So a #weekend #philately trial to take a tour of #templesofindia with some stamps #IndiaAt75 #Indianphilately #indiawiththeme ImageImageImage
India is a land of #festivals and every festival is celebrated with happiness.A #philately display of some festivals of all the religions of India.Every festival has a moment of joy,celebration,excitement of its own #Indiaat75 #Indianphilately #AzadiKaAmritMahotsav
#indiatheme Image
India has the sixth largest number of UNESCO world heritage sites,in which 32 are cultural sites. So here are the stamps of 23 cultural sites- a showcase of culturally #vibrantIndia with a timeline of different phases of #Indianhistory
#IndiaAt75 #philately #Indiawiththeme ImageImageImage
Read 15 tweets
The standard tactic among anti groups is to pummel city councils and water boards with email and calls demanding an end to fluoridation. It's incredibly harmful yet unsurprising given it has worked for many, many years. #publichealth #prevention #dentistry #teeth
Let me explain further.
1) A group of anti fluoride researchers, including some foreigners, seek to end community water fluoridation in the United States.
2) They have brought litigation against the Environmental Protection Agency in the US District Court for the Northern District of California. dockets.justia.com/docket/califor…
Read 24 tweets
Kicking off #covid19 vaccine summit @WhiteHouse with @AshishKJha46 @JNkengasong @VirusesImmunity @PeterHotez @dr_kkjetelina & many more:
“It is possible that vaccines have saved more lives in the last 200 yrs than almost anything else, perhaps w/ the exception of sanitation”. 🙏
“The bar for a new generation of vaccines is tremendously high. Current ones are wonderfully effective at preventing severe disease & terrifically safe, with billions of doses given worldwide”…

So what could better look like?
* durable
* flexible
* stop transmission 🦠
Adds @AlondraNelson46: our government’s leadership helps make it possible to both encourage new private sector innovations (eg skin patches, nasal sprays) - and to drive public sector change (eg work on ventilation with @EPA), locally & globally.
Read 13 tweets
Here I go again:
ER visits for #CovidIsNotOver are declining.

That is usually followed by a decline in hospitalization.

I know it is unpopular to talk of declining numbers, but that is what I am seeing.

We should see a 50-75%+ decline in hospitalization over the next 8 weeks.
COVID is not mild.

ER visits are going down and hospitalization may peak between 45K-55K-I posted this before

It was similarly unpopular in January when I said hospitalization will go down in February '22 down by 80%

Others were calling for end of time
The one indicator that I have touted since the pandemic began is ER visits. It is useful to look at all indicators.

It has proven to be more accurate than other indicators, particularly for severe disease, hospitalization, and critical disease (vents, respiratory failure/arrest)
Read 4 tweets
I’m concerned that labeling #monkeypox a sexually transmitted infection (STI) will cause confusion & delay (🚂) in public response. It’s transmitted most often by direct skin-to-skin contact w/ the rash (see the whole list of ways it spreads from CDC 👇), and sex includes … 1/
plenty of direct skin-to-skin contact, but you certainly don’t need to have sex to get it. That means that we will identify cases regardless of sex/gender/age, & whether or not ppl are sexually active. We have to get this right in #SciComm headlines & opening paragraphs …/2
because most people won’t read the whole article (or 🧵). They skim. We want people to understand that common STI risk reduction advice like “wear a condom” is valuable but will still leave ppl open to a lot of risk if a partner has #monkeypox. /3
Read 7 tweets
Liebe Entscheidungsträger,
#Infektionsschutz ist nicht so schwierig, wie ihr vllt denkt:

#Maskenpflicht reduziert das Infektionsrisiko,
#Impfungen schützen vor schwerer Erkrankung,
#Isolation verkürzt Infektionsketten.

Weniger Infektionsgeschehen bringt weniger #Virusvarianten.
Für die Wirtschaftsfreunde unter Ihnen hat #Infektionsschutz auch nur Vorteile:

Geringerer Krankenstand,
weniger #LongCovid erhält Arbeitskraft,
gesunde #Kinder können besser lernen.

Wir brauchen keine neue Shutdowns oder #Schulschließungen, aber vernünftigen Minimalschutz.
Die #Pandemie endet nicht durch Ignoranz des Problems.

#Eigenverantwortung funktioniert bei hochkomplexen Themen nur begrenzt und benötigt sehr gute #Aufklärung.

Bitte wiederholen Sie nicht die Fehler der Informationspolitik vom letzten #Herbst!
Read 5 tweets
So I watched this webinar & have a few thoughts.

Incoming mega🧵 on #Medicine & #ModernAg

Buckle up.
At the dawn of the 20th century life expectancy for Americans hovered around 45 years of age.

In other parts of the globe, people lived to the ripe old age of 30.

ourworldindata.org/life-expectancy
At the same time ~ 45% of the American population farmed.

According to 1950 census data 1 out of 2 Americans lived on a farm in 1900.

ourworldindata.org/employment-in-…
Read 25 tweets
Kids <2 yrs old can’t mask.
Kids <6 months can’t vax.

Many parents are using strollers w/rain covers to try to get some protection during essential activities.

Does adding a #PAPR or #HEPA device help?

I tried 6 models: engrxiv.org/preprint/view/…

#PAPRbuggy #HEPAbuggy
1/10 Image
First off, thanks @RealSexyCyborg for the original design. Thanks to @ccwake1, @gjmf, @drgregkelly for ideas too. Happy to acknowledge!

My goal was to test 6 models & help relate them to non-engineers.

2/10

The PAPR & HEPA buggies I tested had an estimated 57-951 air changes per hour (ACH) in these TINY spaces. The worst design had about 3x the air cleaning of an OR.

You can make a #PAPRbuggy that’s super discrete for about $110 more than an existing stroller & rain cover.

3/10 Image
Read 10 tweets

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