You might’ve scrolled past today’s #COVID19 update. Or maybe you've become numb to the numbers.

But outbreaks thrive on complacency! As many turn their attention to the election, we cannot underestimate the very worrisome nature of this worsening pandemic in the US...

Today the US passed 8 million confirmed cases. At ~20% of the world's total, that's a staggering toll.

And the 68k new cases today represents the highest daily toll since the end of July. It's also the 7th highest total EVER.

"Yeah, but there's more testing" some will argue.
But it's not just the daily tolls - it's the trends.

The last time we hit 68k cases, we had begun a downward trend.

But there is absolutely no mistaking the fact that we are on a steep upslope.

And not just in cases, but also test positivity and hospitalizations as well.
Even if case numbers fluctuate a bit with testing, it's hard to deny the significance of rising hospitalizations.

We started October with ~30k hospitalized.

Two weeks later and we're at 37k.
The rise is greatest in the Midwest and the northern plains.

And in the hardest hit places like Wisconsin, field hospitals are being set up to deal with the influx.
But most other parts of the country seeing major case and hospitalization upticks as well.

In the last week, hospitalization numbers have increased in 42 states (!).
Unlike earlier in the pandemic when we saw specific regions hit hard, communities all across the country are awash in virus right now.

In the past week alone, 17 states posted record numbers of new cases. And not a single state is in the WH Coronavirus Task Force's 'green zone'.
We've also seen deaths plateau at ~700/day. That means we're still registering almost 5k deaths a week from COVID19 in the US, despite advances in clinical care & treatments.

COVID19 is now the 3rd leading cause of death in the US. And as hospitalizations rise, deaths will too.
As we go into fall & winter, these numbers will all undoubtedly rise unless we all act now to keep them down.

We know what works - physical distancing, masks, hand hygiene, good ventilation.

If we fail to act, the US may be reporting >100k cases per day in the coming months.
We need all of us to act, together, to get this pandemic under control.

But we also need public health leadership. The CDC - muzzled during this pandemic - needs to be out front, communicating with the American people.

Partisanship doesn't end outbreaks.…
Some will say I'm being a #COVID19 fear-monger. But Ive seen what happens when case and hospitalization numbers get out of control.

If this virus finds you, it will infect you. And the majority of people will be fine. But many won't.

We can all do better. We all deserve better.

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More from @Craig_A_Spencer

8 Oct
If you’re watching the debate, the head of the Coronavirus Task Force is refusing to answer why we have more deaths than any other country.
And in the same sense stating that the other side is plagiarizing a response that has caused over 210k deaths.
'We surged resources to NJ, NY, Detroit..."

"The American people made the sacrifices"

They did. We did. There wasn't enough PPE to do our job safely.
Read 10 tweets
4 Oct
I'll be sharing updates here from today's (Oct 4) POTUS #COVID19 medical briefing:
President 'has continued to improve', 'frequent ups and downs'
The President has experienced two drops of oxygen saturation.
Read 35 tweets
3 Oct
Some thoughts from the update on the President’s condition:
They said illness for 72 hours? Seems to be a different timeline than we heard.
They also said he got antibodies 48 hours ago. That’s Thursday morning.
Read 23 tweets
3 Oct
I’m getting a lot of questions about how fast COVID19 progresses:

I’ve seen 90 year olds test + and not have a sniffle for days.

I’ve seen 40 year olds come in stable and VERY rapidly decompensate.

There’s a lot of speculation right now. But the realm of possibilities IS vast.
I don’t know the specifics of the President’s case - but the American public should.

Maybe it’s all an abundance of caution? Or not.

Point being he could be stable. Or not. This virus is always fickle & sometimes ferocious.

I wish him a speedy recovery. And we need more info.
This timely transmission just in!

Reportedly not on supplemental oxygen.

Remdesivir started.

‘Doing very well’.
Read 7 tweets
10 Sep
I’m furious.

He didn’t want to cause a panic?!

It’s impossible the describe the panic, the sadness, the loneliness of family members that I called to tell their loved one had passed from ##COVID19. So. Many. Times.

And because we didn’t act, this happened everywhere in the US.
I’m furious because as a doctor, so many of these deaths were preventable. If only we acted at the outset.

He knew how dangerous and deadly this was.

And he did basically nothing.

He said it would disappear. He said we’d open by Easter. He said again it’s disappear.

All over the country there is virus circulating in our communities.

We’ve failed. Not because he didn’t know. But because HE DID NOT ACT!
Read 9 tweets
8 Sep
We need to talk about #LongCovid.

Many who had #COVID19 continue to experience complications long after their initial illness.

In this🧵below, I expand on what @angie_rasmussen and I discussed in this @ASlavitt podcast to outline what we do know and what needs to come next...
In that episode, you’ll notice how often we say “I think “ instead of a definitive “we know”.

But that doesn't mean we don't know a lot. We can draw from similar illnesses and the growing body of research, especially the patient-led work being done by #longhaulers themselves.
So first, what ARE ‘long-covid’ and chronic covid?

There’s no formally accepted definition, but post-covid (#LongCovid) includes those who haven't returned to baseline ~3 weeks after the onset of first symptoms.

And chronic covid includes those months out with ongoing symptoms.
Read 47 tweets

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