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Strategies to safely expand the lifespan of the supply of medical equipment are critically important. 1/
UV Sterilization of Personal Protective Equipment with Idle Laboratory Biosafety Cabinets During the Covid-19 Pandemic.
medrxiv.org/content/10.110… 2/
Conserving Supply of Personal Protective Equipment—A Call for Ideas.
jamanetwork.com/journals/jama/… 3/
Cloth masks and mask sterilisation as
options in case of shortage of surgical
masks and respirators. ecdc.europa.eu/sites/default/… 4/
Reuse of FFP2 masks - The Dutch National Institute for Public Health and the Environment (RIVM).
rivm.nl/en/documenten/… 5/
Guidance for Extended Use and Reuse of Facemasks, Respirators, and Protective Eyewear - Nebraska Medicine COVID-19 PPE Guidance. nebraskamed.com/sites/default/… 6/
Addressing COVID-19 Face Mask Shortages - Stanford Learnly Anesthesiologist.
m.box.com/shared_item/ht… 7/
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kyriakos.zaragkoulias@gmail.com
@KyrZaragkoulias
What are the diagnostic challenges in #Covid_19 disease? The diagnosis seems to be dependent on the quality of the testing method, the type of the sample, the clinical picture and the course of the disease. This is a rough review of the literature as of March 29th. 1/
Could a variable positivity rate of RT-PCR kits mirror our experience with MERS-CoV? In this study bit.ly/33V6A1x of 336 MERS patients, 89% had a positive result after 1 swab, 96.5% after 2 consecutive swabs, and 97.6% after 3 consecutive swabs. 2/
This paper bit.ly/2UOSn1I suggests that samples from lower resp. tract have a higher positivity rate for #Covid_19 than from upper resp. tract. Clinical information regarding symptoms and disease course are missing, and the number of some types of samples was small. 3/
Read 19 tweets

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Lindsey Simmons
@LynzforCongress
Yesterday, the CEO of Bates County Memorial Hospital issued a statement on the COVID-19 test shortage. He explained that due to the shortage BCMH won't be able to expand testing beyond hospitalized patients for another 2-3 weeks.

We need help in rural Missouri, @GovParsonMO
On Tuesday, Cass Regional Medical Center suspended its outpatient testing of COVID-19. The decision was made to help alleviate the backlog of tests for hospitalized patients in the region.

We are triaging patients.

Help us, @GovParsonMO.
The Western Missouri Medical Center in Warrensburg has a shortage of personal protective equipment. They issued a public request for homemade masks--and even provide a link to CDC guidance on how to do so from their website.

See below to help. You too, @GovParsonMO
Read 4 tweets
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Daniel Sinclair
@_DanielSinclair
“Mr. Xi’s visit comes as China re­ports a steep de­cline in the num­ber of new cases. On Tues­day, Wuhan shut down the last of the 14 tem­po­rary hos­pi­tals that it had built to ac­com­mo­date the sud­den surge of new pa­tients.”
A signal that China can get back to work:
But, despite this victory lap for the Xi presidency, China is very much not back to normal. Those who can leave Hubei will still need to quarantine. Their Alipay health codes will still be red. They’ll still be shunned from society.
Read 3017 tweets
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Daniel Sinclair
@_DanielSinclair
"Who wants to go to the dentist or the hospital during an outbreak if a visit isn’t necessary? Yet health spending is 17 percent of the U.S. economy — more than triple the proportion spent in China."
"Agriculture, a sector not noted for day-to-day social interaction and so potentially less harmed by social withdrawal, is a 10 times larger share of China’s economy than it is in the United States."
"For all the talk about the global 'supply shock' set off by the coronavirus outbreak and its impact on supply chains, we may have more to fear from an old-fashioned 'demand shock' that emerges when everyone simply stays home."
Read 3038 tweets
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Daniel Sinclair
@_DanielSinclair
The cliché cover photos have even become a meme of sorts for Asian Americans and westerners, with people from many backgrounds throwing their hat into the ring with corona aesthetic ™
Last Monday, a young Singaporean man — Jonathan Mok — was assaulted in an unprovoked hate crime on Oxford Street in London. The men reportedly yelled “I don’t want your coronavirus in my country.” theguardian.com/uk-news/2020/m… Image
I don't know why the man in Flushing collapsed, but he doesn't look much older than Jonathan Mok, and as we approach this pandemic, I am given a little hope in that — unlike China's lifeless pariahs on the streets — people came to help in America. ImageImage
Read 3004 tweets
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Daniel Sinclair
@_DanielSinclair
Saint Patrick's Day celebrations winding down next. A year without culture or celebration.
"This is a unique virus, with unique features. This virus is not influenza. We are in uncharted territory." cnbc.com/2020/03/03/who…
"Dr. Mike Ryan, executive director of WHO’s health emergencies program, said Monday that the coronavirus isn’t transmitting the same exact way as the flu and health officials have been given a 'glimmer, a chink of light' that the virus could be contained." Image
Read 2981 tweets
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Daniel Sinclair
@_DanielSinclair
A really heartbreaking sight. The sacrifices from health workers in China have been immense.
This is the context of that video, reportedly related to the death of hospital director Liu Zhiming.
This is making the rounds, claiming to be Chinese escaping the country into Vietnam. I'm almost certain that it is misrepresented, and that this is not true.
Read 2899 tweets

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