Dr. Saskia Popescu Profile picture
Sep 21, 2020 5 tweets 1 min read Read on X
In terms of aerosols, droplet, & “airborne”- the best approach to communication I’ve found is that this requires enhanced respiratory protection in a healthcare setting. It’s not entirely airborne and it’s not entirely droplet, but rather something in the middle. (1/n)
We know this means different things for AGMP. For the public, I think it’s a good lesson in that the “6 ft” rule isn’t a hard rule in that there’s no magic force-field that prevents the virus from going further. Infection prevention involves multiple things simultaneously (2/n).
That Swiss cheese approach comes to mind - ventilation won’t do it all. Just like masks or distancing alone won’t. When we describe transmission it’s important to discuss these principles. Scicomm is critical & I’m hoping the CDC is working to explain these pieces better (3/n)/
Understanding that grey area and how best to communicate it isn’t easy. What some might call “airborne” has a vastly different meaning in another field - that’s science though. It’s how we communicate these nuances that is critical right now. (4/4).
Adding-this really reinforces our need to reiterate that prevention & control require all these efforts. Early communication focused just on masks and/or distancing. It’s more complex and it behooves us to take the time to explain that prevention is a package, not a single item.

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More from @SaskiaPopescu

Jan 5
Sadly, this is something we deal with all too often in healthcare & IPC. Years ago we had a large measles exposure (@CDCMMWR link in thread) that involved a delayed diagnosis (related to Disneyland cluster) bc the family wasn’t transparent about vax status & illness (1/3)
Measles is highly contagious & infectious, so it’s critical to use AIIR/airborne isolation, but that’s only possible when we know the patient may have it/has been diagnosed. The MMR vaccine is amazingly effective & saves lives. For ref the @CDCMMWR - (2/3)cdc.gov/mmwr/preview/m…
@CDCMMWR For ref- our exposure involved a lack of disclosure about vax status + family neglecting to share that other members had been sick, so the physician wasn’t aware that our case was a second generation illness (meaning, the timeline of Disney exposure ruled pt out initially). (3/3)
Read 4 tweets
Sep 30, 2023
Such a great article on the increasing threat of fungi - hits extra close to home for those of us in valley fever areas.
“Helping existing fungal diseases reach new places isn’t the only effect of climate change. Warming temperatures can also help previously innocuous fungi evolve tolerance for heat.”
So glad to see discussions around C auris too- “In any case, the possibility of warmer temperatures bringing new fungal pathogens to humans needs to be taken seriously, says Casadevall— “ (1/2)
Read 4 tweets
Aug 30, 2023
We can’t keep neglecting the intersection of human, animal, and environmental health. This article underscores the increasing health threats we’re facing. It reminds me of a RMSF cluster we faced years back in AZ…(1/n) washingtonpost.com/health/interac…
A few years back we began seeing very sick pediatric patients admitted with RMSF (like multiple children in families, etc.) and many from tribal lands. To be blunt, RMSF is a really nasty disease - it hits hard and fast, despite being quite treatable. (2/n)
The number of patients we saw led to a close working relationship with local public health colleagues (shoutout to those relationships!) who took the reigns in identifying why we were seeing an influx of this tickborne disease (3/n)
Read 8 tweets
Jul 14, 2023
Big cuts to health - Subcommittee Markup of Fiscal Year 2024 Labor, Health and Human Services, Education, and Related Agencies Bill | House Committee on Appropriations - Republicans appropriations.house.gov/legislation/ma…
Department of Health and Human Services (HHS)
Cuts $103.7 billion in funding – a 14% reduction compared to FY 2023 levels
Centers for Disease Control and Prevention (CDC)
-Cuts $1.6 billion in funding – an 18% reduction compared to FY 2023
-Cuts $42 million for Emerging and Zoonotic Infectious Diseases programs
Eliminates funding for the Center for Forecasting and Outbreak Analytics
Read 6 tweets
May 5, 2023
So this is one of the biggest reasons I work in (& wrote a dissertation on🫠) hospital biopreparedness and what happens when we don’t invest in IPC…. New hospital data highlight rise in healthcare-associated infections during COVID | CIDRAP cidrap.umn.edu/healthcare-ass…
Hospital bioprep/response pretty much relies on infection prevention programs (unless you’re part of a larger special pathogens system, which most aren’t). This means that a tiny team of people - who are often seen as a cost center & not a revenue generator, are responsible for…
Not only ensuring hospitals can respond to biological events (outbreaks, bioterorrism, you name it), but also continuing the daily work of preventing healthcare-associated infections. So, when covid hit… well, we got slammed and had to do what we could to respond (3/4)
Read 4 tweets
Apr 20, 2023
Lots of attention on mask mandates in healthcare right now & I wanted to share a few things from the infection prevention/healthcare bioprep lens. Masking requirements &/or patient visitor restrictions are not unique to COVID, but often used during respiratory virus season. (1/n)
Historically, we’ve used flu/RSV numbers to make the decision for when that starts/stops. Mask requirements are often used for those in high risk areas (ED/ICU/Onc/NICU), and for those HCW refusing a flu vaccine. (2/n)
In this newer world of COVID-isn’t-going-anywhere, we have to find a path forward to integrates COVID response into sustained infectious prevention practice/policy. (3/n)
Read 9 tweets

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