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Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
@celinegounder
Apr 8, 2020 • 3 tweets • 3 min read • Read on X
In Season 2 of @AmericanDxFM AmericanDiagnosis.fm, we talk about the #opioid #overdose crisis. How might the criminal justice system change its approach... to help funnel people into housing and other services? Rather than contributing to the cycle of #addiction?
In Season 3 of @AmericanDxFM AmericanDiagnosis.fm, we explore #gunviolence in America. Why, for example, is there a double-standard when it comes to POC and women and #gunrights? Who's disproportionately affected by #gunviolence and why?
Stay tuned for Season 4, coming out later this year!

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Apr 25
1/ Stemming the spread of H5N1 bird flu
🔹The federal government is ramping up testing of dairy cows
🔹Cows will now have to be tested before being transferred to another state
🔹H5N1 viral fragments detected in grocery store milk
🔹The risk to humans remains low at this time
2/ Remember PCR tests from COVID?

They can be positive even after you’ve recovered because they’re picking up dead virus.

Some PCR tests on pasteurized milk from grocery stores have come back positive for bird flu... but that could just be dead virus.
3/ Pasteurization has worked for over a hundred years to protect consumers from bacteria and viruses.

There’s no reason to think pasteurization won’t also work to kill the bird flu virus, but scientists are confirming that with testing anyway.
Read 16 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Apr 23
1/ H5N1 bird flu has been detected in the milk supply




We currently believe the milk supply to be safe.

Some other key points:washingtonpost.com/health/2024/04…
nytimes.com/2024/04/23/hea…
fda.gov/food/alerts-ad…
2/ The levels of virus fragments being found in milk by PCR are high.

Milk from different cows is combined into big vats.

You wouldn't see such high levels of virus if only a couple cows were infected... it would be diluted down.

This implies many cows have been infected.
3/ I suspect there's been a ton of asymptomatic transmission among cows.

They've only been testing symptomatic cows.
Read 8 tweets
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

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