Schools are going to be a disaster this fall. Please enroll your child in online school if at all possible.
Things aren't going well in Tennessee - children's hospitals will be full by the end of next week.
And the health system in Louisiana is on the brink of collapse, in the face of increasing numbers of sick children.
Even if you are in an extraordinarily well-vaccinated community, without extreme vigilance this could be you as well.

Delta is passing from vaccinated people to vaccinated people.

We have no idea how long the vaccines are going to stay effective in the face of repeated passage.
Let's add this from Texas: Houston has run out of pediatric ICU beds and is now having to airlift critically ill children. And school hasn't even started.

If you think my warning is hyperbole, pay attention to what is happening where delta is spreading.

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More from @denise_dewald

7 Aug
I honestly have no idea whether the pediatric N95/KN95 masks that I am buying online are actually going to protect my child.

I feel so helpless. And I am a pediatrician.
NIOSH does no test or approve pediatric mask, since kids aren't workers.

FDA doesn't test N95 respirators in children, claiming that they weren't designed for children. Image
So basically since children aren't valuable as workers, our government is doing NOTHING to ensure that they can be protected from a deadly respiratory virus

I am beyond outraged. We need testing and standards for pediatric N95 masks.

@US_FDA @NIOSH @POTUS @AmerAcadPeds @CDCgov
Read 4 tweets
7 Aug
A #DeltaVariant outbreak in a Finnish hospital showed that fully vaccinated people can be infected by AND spread delta despite the use of surgical masks

It would have been MUCH worse without vaccines - only ~10% of vaccinated HCWs were infected

We need to learn from this

🧵1/7 Image
From a single index patient, infection of HCWs led to a chain of transmission throughout the hospital and to satellite hospitals, that led to 18 patient deaths (31% of the infected patients, median age 80, already hospitalized but COVID contributed to death in the majority).

2/7
There were 45 cases in health care workers (a little less than half of whom were fully vaxxed and the rest partially or unvaxxed), 58 patient infections, and at least 62 cases of secondary spread in the community

No HCWs died or were hospitalized.

3/7
Read 10 tweets
5 Aug
So we are back at the pandemic stage of turning the hospital cafeteria into COVID spillover beds. 🥳
(Sarcasm with the 🥳)
Everyone should give credit to Covid-denier-in-chief #DeathSantis
Read 4 tweets

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