1/ Important point from @K_G_Andersen — variant #B117 in San Diego; may not change what we need to do— but is an urgent reminder that we are not even doing what we need to do well enough as it is.
2/
▪️testing— unable to scale rtPCR; have not utilized rapid testing correctly
▪️tracing— cannot keep up w current spread; digital tracing attempted but never picked up enough
▪️isolating— safer isolation spaces outside the home were built- many patients did use, many did not
3/
▪️masks— better masks never produced at scale; cloth masks still most common; hospitals w ongoing N95 shortages
▪️ventilation— talked about; unclear that any major at-home breakthroughs introduced (aside from opening windows, which helps)
▪️vaccines— inefficient rollout
4/
▪️trust building— long way to go here
▪️equity— the epidemic exposed our biases, racism, classism; doesn’t feel like much has changed; Nebraska Gov just today saying undocumented frontline workers won’t get access to vaccine
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1/
Outbreak of #covid19 on an 18 hour flight in September flying from Dubai to New Zealand now officially published
7 ultimately infected; 4 likely in flight, sitting within 4 rows of one another, 2 of them while reportedly wearing masks
2/ 5 out of the 7 had been tested **before the flight** and tested negative
2 didn’t report getting tested before the flight but are *not* thought to be the index cases (those who started the outbreak)
BUT Index case was tested **5 days** before the flight!
3/ I circled the days that index case *should have been tested* — 24-48 hours before flight, when they had likely started incubating the virus; when detection could have happened; when the outbreak could have been prevented
2/ We need to implement absolute, not incremental, restrictions on nonessential venues. Those businesses need additional $$ protections in return. Anything that needs to remain open (grocery, pharmacies) needs to operate at regulated capacity w/ ⬆️protection for frontline staff
3/ Need to repurpose hotels/dorms etc as safer & better isolation & quarantine spaces; & $$ incentivize people to use them (punitive measures don’t work as well here & tend to become regressive)
1/ I wish we could get better masks for frontline workers.
I had another patient test positive unexpectedly for #covid19 who had presented for something unrelated.
Thankfully I had the right protection- an N95 mask & a face shield on the entire time.
2/ Throughout this epidemic, from March until today, I have directly taken care of more #covid19 patients than I can count. Since day 1, I have worn an N95 mask + face shield w/ every encounter. I have been w/in inches of those infected & coughing for several minutes at a time.
3/ In multiple hospitals where I work, staff & friends have gotten infected.
Many of those infections may have been acquired in the community; but some were in the hospitals themselves.
Some of these were well publicized in the media as well.