This narrative is exactly what I was worried about👇

We still don’t know #Omicron causes less severe disease but has become so politicized leaders say it only causes a “sore throat” without thinking of the immediate & long term (post #COVID19 condition #LongCovid) effects
#COVID19 and #Omicron most certainly does not only cause a “sore throat” we are seeing ⬆️⬆️ numbers of ICU admits and hospitalizations.
Yes some may have mild disease (thank you #vaccines) but these people can still transmit and put others (ie immunecompromised) at high risk.
The strain this is putting on healthcare systems and workers is tremendous.

Procedures that are non-emergent like cardiac catheterizations, biopsies, & other important surgeries are being postponed. This may lead to delays in diagnosis of things like cancer & adverse outcomes.
Let’s also talk about post-#COVID19 condition (#LongCovid) which is estimated to affect about 20% of those who get infection regardless of severity (so that #sorethroat matters). Long term this will ⬆️ DALY’s and affect healthcare systems and economies which lose workers.
Finally, the longer we have uncontrolled spread of #COVID19 the ⬆️ risk we are for the next variant which will be fitter. We need to get transmission under control to prevent further mutations from occurring.

It’s sad after two years this PHEIC is still not seen for what it is.

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More from @KrutikaKuppalli

30 Dec 21
💯agree with @jabarocas - in the past 24 hours 5 healthcare worker friends in different parts of the #US have been diagnosed with #COVID19.
At this rate as hospitalizations ⬆️ there will be an ⬆️ shortage of HCW's- who will care for patients & what will it look like a🧵
1/
✅The provider: patient ratio ⬆️⬆️⬆️
✅Patients wait longer for things like water, ice, food, & meds as nurses are stretched caring for more patients
✅The lab is stretched thin so bloodwork takes longer to return
✅Radiology is busier so it takes longer for an X-ray
2/
✅Physicians have less time to spend with patients and families because they have more individuals to see
✅There is less time to critically think about patients as HCW's are in triage mode trying to meet patients needs (I understand this is concerning, but is reality)
3/
Read 5 tweets
30 Jul 21
Here is a link to the @MMWR with the data from the #Provincetown outbreak which led @CDCgov to change their recommendation on #Masks due to the #DeltaVariant

Here is a🧵highlighting the important points
1/

cdc.gov/mmwr/volumes/7…
-There were 469 cases of #COVID19 in Barnstable, MA in July 2021
- 346 (74%) cases in fully #vaccinated
- #Sequencing in 119/133 (89%) specimens confirmed #DeltaVariant
-274 (79%) with breakthrough infection were symptomatic
-4/5 hospitalized were fully #vaccinated

2/
-Ct value similar in fully vax'd (127) vs. those not (84) (22.7 vs 21.5)
-Most cases in males (85%); median age 40
-Time from vax completion -> infection 86 d (6-178 d)
- Vax as cause for breakthrough
#PfizerBiontech (159,46%)
#Moderna (131,38%)
#Janssen (56,16%)

3/
Read 6 tweets
30 Jul 21
Here is some of the @CDC data that was looked at and published by @washingtonpost to make the recommendations to re-implement #masks earlier this week

Note that the #DeltaVariant is MORE transmissible than
- MERS & SARS
- Ebola
- Seasonal Flu and the Flu of 1918
- Smallpox
1/
#DeltaVariant associated with lower Ct value in breakthrough cases, longer duration of Ct < 30, and higher risk of re-infecton
2/
Breakthrough cases of #DeltaVariant have ~ 10 fold increase in viral load compared to alpha or other lineages
3/
Read 7 tweets
14 Apr 21
1/
Information regarding the six patients who have developed CVST after the #JohnsonandJohnson #CovidVaccine
- All were white females
- Only one was on oral contraceptives
2/ Clinical features of the patients
3/ Location of CVST
Read 8 tweets
10 Jan 21
Thoughts on #CovidVaccine Rollout

I see a lot of suggestions/posts about #vaccine rollout and since I have been involved with this thought I would provide insight based on my experiences

See thread below 👇

1/
1. Expecting our hospitals/healthcare systems to absorb the #CovidVaccine rollout without support is unreasonable.

- Hospitals are running on empty and short staffed trying to manage caring for patients
- Rolling out this vaccine takes a lot of support and planning

2/
2. The lack of federal coordination is making this increasingly complex

- Each state has its own plan and within each state each hospital has its own plan
- There is no uniformity
- This leads to disparities between and within states

3/
Read 9 tweets
13 Dec 20
Since I am helping lead the #Pfizer #CovidVaccine rollout at our institution I have spent a lot of time doing town halls and engaging with people on the vaccine.

One of the most common questions I get is in regards to side effects so I thought I would post my slides
Overall localized side effects of the #CovidVaccine
Overall systemic side effects of the #CovidVaccine
Read 4 tweets

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