Writing up a case report that makes clear that immunologic consequences of #covid19 even weeks after recovering can be devastating; it’s unbelievably frustrating how many people outside of medicine confidently assert that “you’ll be fine” when doctors cannot even assert this.
2/ Any doctor that has been regularly taking care of #covid19 cases over the past two years can tell you that what we have seen has surprised us. There is still so much we are learning. Ascribing to a strategy that allows for wide spread is irresponsible.
3/ I know that many folks are tired & over it. I am also tired as are many colleagues who still understand that reducing transmission and creating safer environments within which we work, learn & socialize is what we should be demanding of our leaders.
4/ if public health leaders become “over it”, you know we are in trouble. Because this won’t be the last variant
And we cannot confidently assert what the consequences of contracting this virus will be over time. We are only still figuring out what they are in the short run
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1/ In the first few weeks of the pandemic, almost all of the patients in the emergency room were of minority communities who were never given the luxury of staying home. ‘Lockdowns’ or whatever version we had were not equity focused— most vulnerable were the usual victims.
2/ But blaming this on Fauci or other scientists is missing the reality that our minority communities have often been at the center of inequities long before Covid. ‘Lockdowns’ didn’t “create” these inequities. And many of the folks shitting on Fauci & ‘lockdown’ policies…
3/ now seem to be jumping on the bandwagon as if their biggest concern is/was minority or impoverished communities. The worst part of these ill-faith arguments is that ‘focused protections’ essentially protects old people & allows young people- which includes frontline workers
There is a lot that went wrong with face masks from day 1– we went from don’t wear them, to wear them, to double mask, to no mask, & now possibly CDC coming around to high filtration masks.
I lay out 4 lessons we can learn from this in @bmj_latest
2/ Acknowledge uncertainty— definitive statements about masks not working in the beginning were costly & based on lack of knowledge/evidence but were presented as if CDC was certain masks weren’t needed. They were wrong & then had to backpedal on it
3/ Precautionary principle — we should have assumed Covid19 was airborne and started with high filtration masks
3M had an FDA approved respirator for public health crises. We should have scaled this up (or something like it) for the public since day 1
1/ All healthcare workers that are treating patients right now should be wearing N95 masks. Spread is like wildfire. We all risk bringing infections from the community into hospitals — from staff, visitors, & patients in whom initial screening is missing early incubation
2/ Hospitals are completely overwhelmed in terms of testing—it would be great to be testing staff and patients multiple times per week but this isn’t feasible when spread is happening this fast. Just testing those who need a test is taxing enough let alone regular screening
3/ Ventilation — some hospitals can increase ACH in certain rooms that have airborne capability (12 ACH) but for most these are limited ; cannot revamp entire system in the middle of a surge
Second, can you *please push the administration* to move on this?
This is no longer feels like it’s public health— it’s starting to feel like politics
2/ there’s no way the administration hasn’t heard about the request for public respirators. Many of us brought this up since spring 2020. @drsanjaygupta directly asked Dr. Fauci & Walensky about this on @cnn townhall early in 2021
Something here isn’t adding up at all
3/ Preparation around public respirators goes back at least to 2008 with the 3M 8612F and 8670F models.
There were products ready to be scaled up and mass distributed. There’s no way this was a cost issue for the federal government.
I know there are a lot of amazing journalists covering #covid19. Can someone please look into this— this is from the 3M technical briefing Aug 2021 on their public respirator models where they mention 2 models from 2008 made for a pandemic crisis that were discontinued
2/ what happened to these— why was there no effort to scale up respirators for the public, ESPECIALLY if they already existed and had been approved for this purpose in the past?
3/ I can understand if these weren’t ready to go in March 2020– we were caught off guard. But between then & vaccines in December 2020, there were months without any action. Also, all of 2021– knowing vaccines didn’t provide sterilizing immunity— what happened?
*MUST READ*
This August 2021 technical bulletin by 3M is a must read— it covers all the questions you would have about respirators for the public; the limits of surgical & cloth masks; fit, filtration & more
They even mention that FDA had approved 3M respirators 8612F and 8670F for an airborne infectious disease outbreak; they were discontinued “following a long period of inactivity”