An ode to travel woes during this COVID season: on an intl work flight with a stop in the UK. My pre-flight PCR has not resulted… and is required for the layover. (1/n)
I am fully vaccinated. The rapid molecular I did yesterday doesn’t count. So I ran to the testing center within the airport for an antigen. As you can imagine, many are in this same situation (result delays, travel restrictions, etc.) - it is La grande shit show. (2/n)
Fully booked with a line for walk-ins that is a minimum of a 1-2 hour wait and then 1 hour wait to get results, which you must receive in person/paper. $250 rapid PCRs are the only option. I give it 30 and realizing my fate, push my flight (like many in line). (3/n)
Folks in front of me tell everyone they were on a family trip where 50% are now pos & we should “give them space”. I overhear one of the pos family members is actually in the airport waiting area & they’re complaining about the isolation period. I quietly sob into my hoodie (4/n)
The walk-in line grows- the exhausted testing staff tell us all that if we’re not seen within 4 hours, we won’t be able to get tested, so start making decisions. It was ultimately 90 minutes before I was seen (tears of joy). (5/n)
I share this bc I am very privileged to be able to pay for the test (wtf is that price??) & be able to move my flight. A testing crisis in our second winter of a pandemic & a predictable surge is simply not ok. These are not diagnostic tests, but travel ones. This👏🏻is👏🏻not👏🏻ok👏🏻
Also, my original PCR result just came in as I’m typing this (screams into the void). Cheers folks- have a happy and safe New Years (7/7)

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More from @SaskiaPopescu

18 Aug 21
Some thoughts on a lot of the news today - first, I’m grateful that we continue to evaluate vaccines throughout the changing nature of this pandemic (and have so many efficacious vaccines). It’s hard to address any of this w/out acknowledge the privilege of it all (1/n)
I entirely agree w/@IDSAInfo about this being a partnership with ensuring global vaccine access/distribution for low and middle-income countries. None of this can be done in a silo. (2/n).
We will need more data to drive vaccine decisions and while the US faces its 4th surge, it’s hard not to feel the pressure to do something. I worry though, the issue stems from earlier scicomm failures (3/n)
Read 5 tweets
23 Jun 21
One of the most important pieces of infection prevention is working with bed placement - we try to avoid shared rooms, but in emergent situations/overflow, the focus becomes on avoiding transmission of any infectious diseases (1/n)
For patients w/an ID, we try to pair like w/like - flu w/flu, MRSA w/MRSA, *if necessary*. Same with COVID. The assumption is never “they’re six feet apart, so we can mix it up” - we know patients may pass each other, move around, are in the room unmasked for a while, etc. (2/n)
Despite efforts to screen patients w/out infection for COVID-19 during the pandemic, it was still possible for some one to be incubating during hospitalization (but test neg on admission screening). This is the reality of an imperfect situation during a pandemic (3/n)
Read 6 tweets
10 Apr 21
Statements like “we can end the pandemic once X occurs”, present both a false dichotomy and a myopic inaccuracy in how pandemic response and public health functions. It takes a lot to truly get a pandemic under control (1/n).
Vaccines are easily one of the most valuable tools we have. To make this work though, we need equity and that’s a huge issue we’re facing here in the U.S. and abroad. This also requires us to address hesitancy. (Adding - get vaccinated once you’re able to! ) (2/n)
Non-pharmaceutical interventions are also immensely critical - masks, physical distancing, ventilation, hand hygiene, cleaning/disinfection, etc. Risk reduction is additive and well, we need to make sure people have access to all of these tools. (3/n)
Read 6 tweets
2 Apr 21
While grabbing coffee today, I couldn’t help but notice a large group of older gentlemen at the coffee counter (outside) w/out masks on. It wasn’t the weird look they gave me when I put mine on as I approached, but rather the stressed look the coffee shop employee had (1/2)
The shop is still requiring them despite AZ’s relaxation of restrictions. Yes we were outside, but after paying/while waiting, they all stayed huddled around the tiny counter & in her workspace. Even when vaccinated, you should still mask up in public.
Even w/more accessibility, people are still struggling to get vaccine appointments. Moreover, let’s not make assumptions about other’s vaccine status or comfort w/ unmasked interactions. Also -tip your service industry folks (legit saw them not..ffs). Rant over. Happy Friday, all
Read 5 tweets
3 Feb 21
Single Dose Vaccination in Healthcare Workers Previously Infected with SARS-CoV-2 medrxiv.org/content/10.110…
“At all time points tested, HCW with prior COVID-19 infection showed statistically significant higher antibody titers of binding and functional antibody compared to HCW without prior COVID-19 infection (p<.0001for each of the time points tested)."
“In times of vaccine shortage, and until correlates of protection are identified, our findings preliminarily suggest the following strategy as more evidence-based: a) a single dose of vaccine for patients already having had laboratory-confirmed COVID-19;.."
Read 4 tweets
31 Jan 21
Sharing some insight as some one who’s been doing contact tracing for 10+ years: it’s about empathy and privacy. It’s also about having a general exposure definition to help gauge potential exposure. Is this perfect? Nope. No one has ever said contact tracing is perfect. (1/3)
It *is* an important public health tool. Sure, it would be great to have a super complex algorithm to help narrow if an exposure occurred, but that’s just not feasible (from both the PH standpoint AND that of the person being interviewed). Trust me, this isn’t an easy task. (2/3)
So while I get it’s easy to argue the 15 min/6ft rule (and trust me, we’re all for revisions), we need a place to start. It’s also pretty easy to judge it when you’re not actually doing it. Shout out to the teams of CTers - it’s hard work and we depend it. (3/3)
Read 4 tweets

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