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Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
@celinegounder
Feb 8, 2020 • 4 tweets • 4 min read • Read on X
THREAD: I was at the gym this morning. Our coach used to be an entertainer on cruise ships. A bunch of her friends still work in the business. Apparently, a number of ships are stuck on the ocean & unable to dock due concerns about #2019nCoV #coronavirus #coronavirusoutbreak.
They're rationing food b/c it's unclear when they'll be allowed to dock. Keeping all these people on cruise ships isn't a good way to prevent disease transmission. It's not just #2019nCoV #coronavirus #coronavirusoutbreak. There's also #influenza #flu, #norovirus & more.
Why can't these ships dock on dry land, and then public health officials can determine if quarantine of everybody who was on the ship versus screening/testing/isolation is indicated? #2019nCoV #coronavirus #coronavirusoutbreak
If quarantine is indicated, this could be done in less crowded conditions, on dry land, where symptomatic persons would also have better access to medical care. #2019nCoV #coronavirus #coronavirusoutbreak

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Apr 2
1/ The 2nd human case of H5N1 bird flu was reported in the US yesterday.

This case was in Texas & likely involved transmission from an infected cow🐄 to this individual.

The 1st case was reported in Colorado in 2022.

with @tonydokoupil @GayleKing @nateburleson
2/ The person in Texas became ill with H5N1 bird flu after direct contact with infected dairy cattle🐄.

The patient's primary symptom was conjunctivitis (i.e. pink eye).

The patient is isolating & is being treated with an antiviral for flu... as are their close contacts.
3/ The risk to the general public is believed to be low at this time.

Risk factors for H5N1 bird flu:
🔹Close contact with animals suspected of having H5N1 bird flu
🔹Close contact with someone infected with H5N1 bird fluImage
Read 23 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Mar 18
1/ Health workers fear it's profits before protection as CDC revisits airborne transmission by @KFFHealthNews' @amymaxmen

So incredibly brave of Dr. @sonyastoked to speak out:
nbcnews.com/health/health-…
Image
2/ Image
3/ Image
Read 7 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Mar 12
1/ U.S. Healthcare System Reels from Cyberattack

with @CBSNews' @errolbarnettcbsnews.com/news/change-he…Image
2/ The February 21st cyberattack on a medical payment processing company Change Healthcare, a unit of insurance giant UnitedHealth Group's Optum division, is the worst cyberattack on the U.S. healthcare system in history.
3/ Change Healthcare company processes 15B health care transactions annually & touches 1 in every 3 patient records.

Change Healthcare controls providers’ ability to process claims for payment, patient billing & patient cost estimation services.
Read 11 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Dec 1, 2023
1/ Ohio is reporting an outbreak of pediatric pneumonia cases.

This is similar to the "white lung syndrome" (aka ARDS) that is being seen in Europe & China.

THIS IS NOT DUE TO A NOVEL PATHOGEN CAUSING A NEW PANDEMIC.

on @CBSEveningNews @CBSNews with @noraodonnell & @megoliver
2/ Lung "white out" = acute respiratory distress syndrome (ARDS)

This can be caused by viral & bacterial infections as well as other conditions.

Before people had much immunity to COVID in 2020, this was how people with COVID most often presented to the hospital.
3/ This seems to be a similar phenomenon to the pediatric pneumonia outbreak in China... but that is NOT to say that they are connected.

It's being caused by a combo of viral (e.g. RSV, COVID, flu, adenovirus, rhinovirus) & bacterial (e.g. Mycoplasma pneumoniae) infections.
Read 12 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Sep 27, 2023
1/ New @KFF polling data on flu/COVID/RSV vaccines


with @CBSNews' @AMGreenCBS
kff.org/coronavirus-co…
cbsnews.com/video/long-cov…
2/ We're entering respiratory virus season:
flu + COVID + RSV

For the first time ever, we have safe & effective vaccines against ALL THREE!

But will people get them?

% of adults planning to get the annual FLU vaccine:
🔹more than 50% of all adults
🔹almost 75% of adults 65+ Image
3/

% of adults planning to get the annual COVID vaccine:
🔹just under 50% of all adults
🔹64% of adults 65+ Image
Read 6 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Sep 9, 2023
1/ I went out exploring in the medina in Marrakech this morning:
2/ I couldn't get past this without interfering with relief efforts. It seems like the worst of the destruction was behind this, in the oldest parts of the medina.

The oldest parts of the medina in Marrakech date back to the 12th century. Image
3/ Here's the worst of what I could see:


Image
Image
Image
Image
Read 8 tweets

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