COVID19 Profile picture
1 Oct, 4 tweets, 1 min read
Some experts are saying this delta wave may be the last one. In the US we have a promising oral antiviral pill in the pipeline (Merck), very effective vaccines & vaccine mandates tied to employment helping accelerate vaccination among the reluctant.
But much of the world is still unable to access vaccines, more variants of concern likely & a recent poll showed only ~30% of parents willing to vaccinate their kids (likely to be high rates in some areas, near nil in others).
Hope this is the last major wave and that COVID-19 comes to resemble the flu - its impact mitigated with annual vaccines, antiviral meds, monoclonal antibodies and NPI's.
Will we finally allocate adequate funds for public health programs so the next pandemic (hopefully not in my lifetime) will not be so catastrophic?

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More from @V2019N

30 Sep
Mandates Boost Vaccination Rates Among Health Care Workers in California nytimes.com/2021/09/30/us/…
New York’s mandate also accompanied a rise in vaccine compliance among health care workers, as did a mandate imposed by United Airlines, which reported this week that 99 percent of its work force of 67,000 was vaccinated and that 600 unvaccinated employees would be fired.
California health authorities also note that the state’s aggressive stance on inoculation has contributed to one of the nation’s lowest rates of new coronavirus infections. About 72 percent of eligible Californians have had at least one dose of vaccine.
Read 4 tweets
19 Sep
Is daily testing needed @statesdj ? In CA we test close contacts every three days, a negative test on day 6 and no further testing required.

In Georgia: Student close contacts continue attending school w/no symptoms & test negative every day for 7 days. nytimes.com/2021/09/19/hea…
More states doing what CA doing...
" a number of school districts are turning to testing to keep more children in the classroom & avoid disrupting the work lives of their parents. The resource-intensive approach — sometimes known as “test to stay” or modified quarantine
@CDCgov says that it “does not have enough evidence” to support the test to stay/modified quarantine approach. Instead, it recommends that close contacts who have not been fully vaccinated quarantine for as long as 14 days.
Read 4 tweets
4 Sep
From @latimes based on interview with Karen Gallardo a respiratory therapist at a hospital in Ventura County, CA
#GetVaccinated #WearAMask or what to expect if you have severe COVID-19
Read 7 tweets
2 Sep
Pediatrician friend recommends this link if you want info on masks for kids #BacktoSchool2021
Please share
“We have a huge problem in the US, and that is that here is no general population standard for face masks,” said Collins. “Now we have this problem, that we need kids with better masks, and we have no standard.”
medscape.com/viewarticle/95…
Based on his testing he recommends that parents try to find a KF94 mask, from South Korea. He said their performance is nearly equivalent to an N95, and he’s run into fewer instances of counterfeits with these kinds of masks.
Read 4 tweets
28 Aug
California K-12 CDPH trying very hard to keep kids in person learning on campus, even after exposure. One of their quarantine options requires frequent testing (antigen if asymptomatic) as in 4 tests in 10 days. The state is helping schools set up testing sites.
If you don't want to get your kid tested 4x in 10 days you can opt to do a home quarantine for 10 days, return on day 11. Testing encouraged but not required. There is also a third option - proof of negative test on d6 or d7 after exposure, return on day 8 to campus.
Is it working? Here in SoCal many districts opened in August. A few opened in mid-July. There is lots of community spread so LOTS of communicable cases on campus. Some districts have hundreds of kids communicable on campus since they opened and thousands doing these quarantines.
Read 5 tweets
21 Aug
A few school districts in SoCal has been open for full in person since mid-summer. At one, the district office is doing ~600 tests/day (antigen & PCR) for staff and students. Dashboard shows 250+ communicable cases on campus in 4 wks since reopening for full in person learning.
Following CDPH guidance schools are targeting close contacts for quarantine. With so many cases, principals, nurses, teachers, secretaries must spend most of the day doing COVID related work - collecting close contacts, making notifications, going over quarantine options (3!).
Is there transmission? K-12 outbreaks are reported without naming schools. CA schools require universal masking & have good (unwieldy)guidance. Turning school staff into contact tracers/case investigators not sustainable. Data w/a couple of districts open sandiegocounty.gov/content/dam/sd…
Read 5 tweets

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