UK data is demonstrating more of what we already know. The < 4 yo admissions are significantly higher. This data outlines how that increase is driven by the youngest infants.
2/7 Even within this increase, the hospitalizations are not requiring ICU admission and they are short in duration (saving grace).
There is more good news for this population. We have the ability to protect them.
4/7 We know that maternal antibodies provide at least up to 6 months of protection (potentially longer). Additionally, there is transfer of more antibodies via breastmilk which provides even longer protection. (jamanetwork.com/journals/jamap…)
5/7 As a woman who is pregnant or planning to become pregnant, you get to protect your child while protecting yourself. COVID in pregnancy is clearly more severe for both mother and baby with significant maternal and fetal loss. (nytimes.com/2022/01/13/hea…) (nature.com/articles/s4159…)
1/46 I’ve spent some time being thoughtful and esoteric; today is about data, evidence, and perspective.
Let’s examine the pediatric situation in the country. It’s bad. No question. We, and others, are seeing a record number of admissions.
2/46 Most data sites haven’t been updated yet for this week, so I expect them to be staggering when they update on Friday. But, as always, let’s move beyond the clickable headlines and dive deep.
The percentage of ICU admissions is significantly lower, by half.
3/46 The length of stay is significantly shorter. The overwhelming majority of children admitted are those unvaccinated, and not in the ineligible age groups, but rather in those that have access to them. Furthermore, this is not a child-seeking variant.
1/34 I think we need to develop new DSM-5 diagnoses: PPSD or Post Pandemic Stress Disorder. It’s related to PTSD. We all have it. We are seeing it everywhere. However, I think it is worth a bit of analysis and hopefully, some, re-calibrating in the face of Omicron.
2/34 First, by definition, here is a link to the criteria required to diagnose PTSD. (brainline.org/article/dsm-5-…) It’s worth clicking on this and reading through all of it.
3/34 While it seems clear that many of them apply to everyone right now, it is important to note the primary criteria.
1/48 Well, I’m back to writing about COVID. Long 🧵 As I stated in previous posts on COVID, writing is a form of self-therapy as I work through my anxieties, frustrations, anger, disappointment, and ignorance.
2/48 I took the past couple of months off of social media because the need for therapy was greater when I was on social media than when I was off.
3/48 However, as I see the media stoking the fires of coronanxiety and COVID click bait; I found that I was writing a narrative in my head for self-care. Thus, I thought I would share my ideas.
1/ Things are better as we wait for our smell and taste to return to normal. Apparently, my post about coming down with a couple of breakthrough cases was taken by many as a rallying cry that vaccines don’t work. Of course, my view is the opposite; but I do realize my bias.
2/ I live my professional life looking at the worst-case scenario, hoping to predict the decline in physiology early enough to intervene.
3/ I don’t know how often it occurs amongst healthcare workers, but the prevalence of the fear of uncontrollable illness blossoming from seemingly innocuous starts is high within those that work in critical care.
"To conquer fear is the beginning of wisdom.”
— Bertrand Russell
Fear is not a motivational strategy for vaccine uptake; data and knowledge are far better. Here is just a little mid-week positive energy for those already vaccinated (with 2 doses)
and a bit of motivation for those still sitting on the fence. The source of data is from Ontario, Canada. (covid19-sciencetable.ca/ontario-dashbo…) This isn't about masking, ventilation, waning antibody levels, or hygiene theater; this is vaccination at work.
Just look at these attached pictures and realize that if you have made the right decision to vaccinate yourself and your family, you are safe.
1/ Reflection, introspection, and frustration. I don’t know if anyone else has had enough, but I know I have. I’m done. I’m done with doom scrolling about COVID. I’m done with falling into the fear cycle which dictates that enough is never enough; the “what about?”-isms.
2/ (Boosters for the elderly and highest risk…but what about completely healthy 30 year olds. Vaccinations for 5-year-olds…but what about infants?) I’m done with unvaccinated adults dictating the path of this infection for children.
3/ I’m done pretending that the CDC didn’t make an enormous mistake in utilizing poor data to formulate the message that those that are vaccinated are just as responsible for spread as the unvaccinated.