It’s back to school (hybrid with 50% attendance for my kids) from Monday in Sind. I see so much anxiety, especially among parents of young children, considering that children are not vaccinated and most adults aren’t either. Here’s what we can do 1/n
Check with your school principal and class teacher to ensure every adult- yes every adult, be it a teacher, guard, helper or cleaner, is vaccinated. 2/n
Demand for physical distancing in your child’s classroom. This is only possible with smaller class sizes. Demand for smaller classes from your child’s school administration. 3/n
Make sure that you teach your child how to use a sanitizer effectively. Here’s a video of how to, and how NOT to use sanitizer. And don’t foget to tuck a small sanitizer bottle in the school bag and ensure that you check that it is there and properly filled everyday 4/n
Ask about school’s mask mandate,for children (& adults 🙄)Teach them the right way to mask - it should cover nose and chin, shouldn’t pull to speak or remove to sing (!!!), sanitize hands before putting them on or taking off, keep them on unless eating & store in a clean bag. 5/n
Give them 2 extra masks, in case they drop one and it gets dirty. A dirty mask must be removed and disposed off properly immediately 6/n
Schools should allow lunch only in the open. Lunchtimes should be staggered. Give non fussy foods that can be eaten easily & quickly. Teach them never to share anyone’s lunch & eat with at least an entire arm spans distance from others 7/n
Minimize toilet use, by ensuring that you wake them sufficiently early so they can use the toilet at home. Keeping mask on in the school toilet, and washing and sanitizing after use is a must.
Most importantly, gently tell your kids not to shake hands, do fist bumps or hug each other even when they feel the urge to. Make sure your class has sanitizer. 8/n
Your class teacher, principal and you should be allies in protecting your child and each other. Wishing everyone a safe and sustained school opening. 9/9
Here’s a video of how to, and how NOT to use sanitizer.

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More from @FyezahJehan

30 Aug 20
@AmbroggioPhD Agreed. Not a diagnostics expert but I know the following 1) This discussion is not new and has been ongoing among diagnostics folks, now coming to public view. 2) CT values can matter but converting it to a viral load equivalent is an oversimplification 1/n
@AmbroggioPhD 3) Each machine behaves differently and therefore the amplification being talked about is also going to vary. We are not aware of any standard curve quantifying viral load against CT values 2/n
@AmbroggioPhD 4) Generally speaking, lower CT means more virus but higher CT isn’t necessarily the opposite- it can have different connotations depending on whether it’s an initial test, or a repeat after 7 days, importantly days this symptom onset. 3/n
Read 8 tweets
28 Aug 20
Just published. @WHO guidelines for Mass drug administration of azithromycin for child survival 1/n apps.who.int/iris/bitstream…
Work done along with @SouthAfricanASP and colleagues led by the late Dr Bhan. @ShereenBhan_GH
3 trials conducted in Africa demonstrated effectiveness of MDA-AZT for reduction of child mortality rates. Results were compelling enough for @WHO to review the evidence. AZT may impact mortality in countries with ⬆️U5MR by reducing diarrhoea, pneumonia and malaria 3/n
Read 8 tweets
30 Jul 20
1/ A thread to explain our recent work, and for the love of tweetorials 😄
2/ Pakistan- fifth most populous country in the world, first among LMICs to see the pandemic in late February 2020 . Now >269000 confirmed cases with over 5500 deaths, the largest number seen in Karachi, its largest city. Here is what Karachi is like in relation to Pakistan
3/ Testing rates have been low in some areas and under reporting of cases due to fear and stigma of the disease and omission of mild symptomatic and asymptomatic cases. telegraph.co.uk/global-health/…
Read 19 tweets
4 Jul 20
1-So as most of you know, we published in @NEJM this week. This was so important for us for many reasons but fist a recap/summary of the paper.nejm.org/doi/full/10.10…
2/In low resource settings, WHO recommends standard of care for management of common illnesses in non-school going children. These illnesses include diarrhoea, pneumonia, malnutrition ; among others.
3/ Pneumonia is commonly called ARI ( acute respiratory illness) and classified into no, mild or severe pneumonia. For our study we decided to study mild pneumonia.
Read 30 tweets

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