Short 🧵 #COVID19 & post-acute/long-term care facilities:
-Facilities are often unfairly blamed for outbreaks
-As long as the virus continues to spread in communities it will likely make its way into these vulnerable populations, & once it gets in it’s very hard to control (1/4)
-There are specific things facilities can do to help keep infection out, like frequent testing, but resources are limited & they need much more support than they’re getting.
(2/4)
-Even if staff have proper PPE & are practicing perfect infection prevention measures, many of the residents are unable to comply w/ mask-wearing & physical distancing
(3/4)
-We have to get this under better control in our communities, by wearing masks, practicing physical distancing, & avoiding indoor gatherings, & staff need more support (inside and outside the workplace).
“Nobody is safe until we are all safe.” - @DrMikeRyan
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(The fact that he wasn’t properly isolating before this evening is a different story.)
(2/n)
Most people are most infectious from 2 days before to 5 days after the onset of symptoms. This excellent thread by @mugecevik explains this much better than I could.
As infectious diseases physicians, the specialists primarily responsible for controlling infection within hospitals, we strongly dispute the author’s interpretation of data referenced in the June 1st article, “Medical Workers Should Use Respirator Masks, Not Surgical Masks.”
The headline itself, phrased as an official recommendation, could cause innumerable problems. The author draws inaccurate conclusions from a study published in the Lancet, which is a review and meta-analysis that draws from 172 studies.