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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
Jun 19
1/ Why are People Promoting Raw Milk?
by @elizabethics for @RollingStone


If you drink unpasteurized milk, you don't just risk getting #H5N1 bird flu.rollingstone.com/culture/cultur…
2/ Image
3/ Image
Read 5 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Jun 19
1/ Tick-borne infections are on the rise around the country

with @CBSMornings @GayleKing @tonydokoupil @nateburleson
2/ A unique collaboration among hunters,
the Texas Parks & Wildlife Department @TPWDnews,
& researchers at @Baylor University
is helping to map what tick-borne diseases can be found where.
3/ Lyme disease is the most common tick-borne infection in the US, but it's far from the only one.
hopkinslymetracker.org
Read 13 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Jun 14
1/ #H5N1 bird flu update on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson

Who's at risk for bird flu right now?
🔹You're at risk if you're a dairy farmworker &/or if you drink raw milk.
2/
🔹If the virus mutates (which is what viruses do!) & becomes transmissible between humans, we could have a pandemic virus on our hands.
3/
 🔹Flu viruses can mutate incrementally (drift) or dramatically (shift).
🔹We see dramatic shifts when 2 flu virus strains infect the same animal or person.
🔹Those 2 flu strains can swap "body parts" & form a Frankenstein virus.
Read 9 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 30
1/ #H5N1 bird influenza is deadly to birds.

Most of our flu vaccines are manufactured using eggs.

Birds lay eggs, but they can't do that if they're dead.

Houston, we have a problem.

cbsnews.com/video/scientis…Image
2/ Influenza virus is grown in eggs.

Then the virus is inactivated (i.e. killed) & formulated into flu vaccine.
3/ Cell-based vaccines (e.g. mammalian cells, insect cells) elicit better immune responses, but egg-based manufacturing has cornered the market on flu vaccines.

Pfizer & Moderna are developing mRNA vaccines for influenza.
Read 4 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 13
1/ What is H5N1 bird flu costing dairy cattle farmers?

Let's say you have a 5,000 cow dairy.

Those cows produce an average of 85 lbs of milk per day
= 425K lbs of milk/day x 7 days/week
= 2.975M lbs of milk/week
2/ Milk producers are paid by "hundredweight" (cwt).

The current class III price is $18.66/cwt of milk. Image
3/ So the gross revenues of the farm per week are:
2.975M / 100 x $18.66
= $555,135/week

The breakeven price
i.e. Gross revenue - Input Costs = 0
is between $17 & $21.
Read 7 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 10
1/ #H5N1 news today 📢📢📢

@USDA has announced an indemnification program for dairy farms to be based on the amount of milk🥛 lost from cows🐄 sick with H5N1.
2/ @USDA will also offer farmers support for biosecurity measures on the farm:
🔹to protect against potential spread between animals 🐄 & humans🧑‍🌾: PPE &/or outerwear laundering services
🔹to make biosecurity plans
🔹to pasteurize milk🥛 before disposal
3/ @USDA will also offer farmers support for biosecurity measures on the farm (continued):
🔹to offset costs of veterinary care for sick cattle🐄
🔹to offset costs of shipping samples for testing🧪
Read 15 tweets

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