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Dr. Saskia Popescu Profile picture
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23 Jan, 5 tweets, 2 min read
During a convo yesterday I realized that we really haven’t invested much communication or awareness into what recovery means for others. There's still fear/stigma about being around some one after their iso period is done. This is a complicated topic, but one we should focus on🧵
For example, CDC does not recommend using testing to end isolation. Moreover, during the 90 days after infection, PCR testing is not recommended as a + indicates viral RNA shedding since we know reinfection during that time is exceedingly rare. cdc.gov/coronavirus/20…
Meaning, that during this 90 days, a + PCR in an asymptomatic individual could be startling at first, but really signifies persistent viral shedding, so that’s why re-testing isn’t encouraged. This is also why quarantine isn’t necessary during the 90 days if asymptomatic
Really, I think we could do better to explain that so far, reinfection is rare and when it happens, it’s more so 5 months out from the initial infection. Recovery and what it means for the individual and those around them needs to be talked about more. cdc.gov/coronavirus/20…
All in all, I think we focus a lot on initial infection and prevention, but little on how the fear around COVID-19 still lingers post acute infection. It’s important that we discuss + PCR within those 90 days, immune defense after recovery, etc.

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More from @SaskiaPopescu

Dr. Saskia Popescu Profile picture
18 Jan
It’s fascinating to me to see people pull up tweets from Feb 2020 as a means to try and discredit people working in pandemic response. Our guidance evolves with the data and science, which is at a rapid pace during a pandemic of a novel disease. (1/3)
This is a tough part of our job, but one that means we’re improving continuously. PubHealth & healthcare response means leaning into these evolutions. Many of us speak to media/on social media in additional to our day jobs & it’s about using the best info we have at the time(2/3)
What I do find disparaging is when folks do this for nefarious goals..and ironic when it’s involving people who have self-identified as not engaging in anything related to ID/epi/pandemic response until spring 2020. We’re all tired, let’s try to be kind & respectful. (3/3)
Read 4 tweets
Dr. Saskia Popescu Profile picture
10 Jan
For everyone dumping on vaccine rollout- yes there have been a lot of issues & bottlenecking, but please know that a population-wide vaccine distribution is *tough*. Especially as hospitals and health dpts are doing the heavily lifting while under the weight of this surge.
We absolutely need to improve it and this has been another item in a long list of things the US has struggled with during COVID-19, but please note just how challenging and fractured a population-scale effort is.
Really, what this emphasizes is the need to provide more sustainable resources for these efforts (ahem, and public health in general). In short - critique and analyze the failures, but also acknowledge the Herculean effort this work requires.
Read 4 tweets
Dr. Saskia Popescu Profile picture
29 Dec 20
Breathtakingly honest and spot-on, @edyong209 brings 2020 full circle with this recap of our pandemic year and what 2021 might hold.
“People have been doing this for almost a year without backup.” Each COVID-19 peak has sapped more energy & morale, & afterward, fatigued HCWs have had to deal with a backlog of postponed surgeries, as well as new pts who have been sitting on their medical problems..”
Dr. @drjessigold -“In a crisis, you can say, ‘It makes sense that I’m anxious, sad, and not sleeping.’ But there’ll be a surge of problems once people finally get a chance to breathe and realize what the toll has been.”
Read 4 tweets
Dr. Saskia Popescu Profile picture
21 Sep 20
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)/
Read 5 tweets
Dr. Saskia Popescu Profile picture
16 Aug 20
It's increasingly worrisome that we're not talking about healthcare-associated infections (HAIs) in COVID-19 patients. Across the country we are seeing spikes and several studies have shown elevated risk for HAIs, especially bloodstream infections. 1/
COVID-19 patients, especially those in ICUs, are more likely to have invasive medical devices (urinary catheters, ventilators, central lines, etc.) - these are wonderful medical tools but also increase the risk for infection. 2/
These pts are medically complex, fragile, & we are still learning about how to improve their quality of care. For example -placing them in the prone position makes line care in pts with vascular issues that much more challenging, especially w/respiratory secretions. 3/
Read 5 tweets
Dr. Saskia Popescu Profile picture
28 Jul 20
And this is why we read the whole study - "The temporal, spatial, and exposure evidence suggests that SARS-CoV-2 transmission may have occurred during the flight. However, the majority of 16 cases in the outbreak were not attributed to transmission on the flight.”
“Exposure to the virus in Wuhan or by infected members within the same tour group account for most cases in the outbreak."
"Our investigation suggests that it is important to take measures such as wearing a mask, temperature screening, and quarantine of close contacts to reduce the transmission of SARS-CoV-2 before, during, and after flights.” - Again something we know and have been emphasizing.
Read 5 tweets

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