Long post ) It has been my sudden realization that even though we knew all along since last 1.5 yr plus that airplanes are the biggest source of transfer of new variants @JimRosenthal4 , @kprather88 but instead of doing more about trying to prevent in flight infection we ctd)
@JimRosenthal4 @kprather88 Ctd2) we continued our apathy towards the same . Masking is important BUT as I have always maintained it has to be N95 masks in flight , we know that for every person infected there is a chance to infect occupants until 2 rows before and behind, worser this is pre Delta info ctd)
Ctd3) The same hasn't been updated , the Canadians at least did make an effort to try finding this out but haven't seen anything since last 6 months .Also we need to lay down the rules of inflight contamination levels @DrAxelrod_WHO ,@WHO ,@WHOEMRO ,@WHOSEARO ,@DrRabiWHO ctd)
Ctd4) while we have quarantine rules BUT there is always pressure to ease quarantine, also there will be cases where the virus will hide in gut and escape testing , also we now know that there is limit of any testing, a case in China was tested 20 odd times ,detected later ctd)
Ctd5) That means effectively the airline industry has to do a better job of preventing transmission, it serves them in the long run. Instead of disruptions caused by pandemics it will be better to prevent them.@USofDisaster ,@nvcmenon ,@IATA, @POTUS ,@DisasterInfoPH ,@DisasterCTR
Ctd6) The WHO has to sit and create those stringent measures considering the worst case scenario,lets consider an Ebola patient travelling by flight , how do we limit contamination ? Need to stop pathogens converting a localized outbreak into epidemics or pandemics

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More from @Rpshahmemorial1

26 Nov
Long thread 1) There is this fear about the new Botswana/ Nu/ B1.1.159 variant but let's delve into why is this fear?? The 4 cases they found in Botswana were all vaccinated.So what??Breakthrough happens all the time,we underestimate incidence @hjelle_brian ctd) Image
Ctd2) This variant marked in blue is coming up , so what?? These variants will come and go. Ist it was the Wuhan strain in Grey , then the Beta ( SA strain in Green , then the Delta in Red and now may be the Botswana variant in Blue ( B1.1.529) @MoHFW_INDIA, @mansukhmandviya ctd) Image
Ctd3) For the virus and also the vaccines ( Pfizer/ Moderna/ AZ) the spike protein is the most important and that is where the maximum risk is . The Delta had 2 changes in spike proteins Receptor Binding Domain, the Beta had 3 while the Nu has 10 , so there is a real risk ctd)
Read 23 tweets
25 Nov
Long Thread - With the new variants one from Botswana and the Second #C13 from South Africa , I am reminded of an old post @hjelle_brian ,@DrEricDing Image
For a variant to win against the Delta means a new Sumo wrestler is in town and that it has the potential ability to wipe out some of the herd immunity that we have achieved from the Delta .@PrinSciAdvGoI ,@narendramodi,@shekhar_mande ,@OfficeOf_MM

Ctd 3) Also the second variant of interest from Botswana is another one growing ,that means India should immediately stop flights from Africa and also again look at the travel hubs that have flights coming from Africa eg Dubai@HardeepSPuri,@JM_Scindia
Read 4 tweets
25 Nov
Long thread -As a Surgeon I am painfully aware how difficult it is for a surgeon to work with a new anesthesist,or to work with new assistants/get work done in a new set up or with new nurses,there is a critical element of camaraderie, the team works like an oiled machine ctd)
Ctd2) A gentle grunt here , a small nudge there , you extend your hand and the instrument is in ur hand these arent luxuries, they put the mind of everyone at ease and causes better results in CRUX situations. HOWEVER the pandemic has disrupted these synergies@HalfwayKnown ctd)
Ctd3) Nurses are leaving , doctors & nurses are falling sick, some dying and others suffering from Long Covid. You just cannot simply replace a team member and expect them to perform, it takes time for them to settle in @DustyEnfermera,@NursesOntario ,@NursesWhoVax ,@NurseTexas
Read 7 tweets
16 Nov
Long thread -The JVC recommendations, Telegraph story and apathy from Govts across the world on Covid in kids has me seething with rage ,2014 report sciencedirect.com/science/articl… @LongCovidKids ,@LCKScotland, @bees_oz ,@chrischirp,@dgurdasani1 ,@LCKCanada,@LCKIreland ,@kidsCovidGamble
Ctd2) clearly from the paper 15 kids were lost to flu when we introduced Flu vaccines in kids across UK.And how many do we have now , over a hundred have already been lost forever, a hundred families will stay up on Christmas eve and mourn, Santa will not visit those homes ctd)
Ctd3) This year flu shots have been expanded across UK . Why ?? 1) Govt wants to reduce flu levels in population BUT doesnt want to reduce Covid cases ?? 2) Vaccines against flu save kids and society both Ain't the same be said about Covid Vaccines .@TigressEllie, @Tall_Paul_05
Read 5 tweets
16 Nov
Long thread but some background first - I am a Pediatric Orthopedic Surgeon and have treated kids with special needs for the last 15 years, my wife is a gynecologist @fogsiofficial ,@narendramodi , @PMOIndia, @mansukhmandviya ,@OfficeOf_MM , @PrinSciAdvGoI , @shekhar_mande ctd)
@fogsiofficial @narendramodi @PMOIndia @mansukhmandviya @OfficeOf_MM @PrinSciAdvGoI @shekhar_mande Ctd) @BhallaAjay26 , @MoHFW_INDIA,@drharshvardhan and we have for last 15 years ensured that the kids we treat have the best solutions across the world , the pandemic has brought a new challenges @LongCovidKids ,@LCKScotland , @LCKCanada,@LCKIreland ,@Bodalicious1,@UTc19LongHaul
Ctd3) This long term advocacy of the rights of children with special needs is not our hobby ,its a life long committment and passion for our team .ctd)
Read 8 tweets
6 Nov
Long tweet 1) We have been saying this for months on end , teachers are getting infected from kids and it is only a question of time when we have a shortage of good teachers . Just like health care workers good teachers are not made in a day , cannot be ordered ,ctd)
Ctd 2) 10 months ago when a couple of people were saying that kids are not infected because the virus is not the same as Flu , I asked them a simple question marked as point 4 in the picture below , NOW we know that KIDS SPREAD INFECTION AND TEACHERS ARE GETTING INFECTED
Ctd 3) Then again around the same time I raised a question which is erringly true , we are expecting the kids to be normal BUT we dont know long term consequences, supporting the right of teachers to be first in line with HCW for vaccines. @TeachingLC ,@NSTA ,@TeachForAmerica
Read 5 tweets

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