@healthgovau

Probable community transmission of Monkey Pox in London.

We need vaccines to be procured and disease awareness in the community with NPI’s instructed. amp.theguardian.com/science/2022/m…

#auspol
Monkey Pox is transmitted between humans via respiratory secretions. The usual droplet dogma is advised by CDC, but I doubt that will be enough once it gets going. Use airborne disease control precautions, just like with COVID-19.

It’s also thought to spread through contact.
Kept a screenshot of this one, in case we later say monkey pox wasn’t aerosol and airborne. nj.gov/agriculture/di… Image
“Experimental aerosol infections can result in more severe disease, an increased risk of pneumonia, and higher mortality rates in adult primates.”

Keep it “mild” people. Clean the air and wear masks. Avoid exhaled aerosol.

#MonkeyPox
Disease is also more severe in infants.

WHO doesn’t advise routine vaccinations in endemic areas, due to a fine balance between risks and benefits, however I think some urgency to investigate more up to date vaccines would be good.

#MonkeyPox
-> and costs I expect as well…
The mortality of #MonkeyPox is quoted anywhere between 1-15% depending on the outbreak studied it seems. I expect as this disease becomes more widespread we will slowly learn a narrower estimate,but I am also concerned that as the virus adapts to us, it may change mortality too.
A picture of #MonkeyPox virus from wiki

en.m.wikipedia.org/wiki/Monkeypox… Image
#MonkeyPox virus has been around for a long term. The concern is that it may be escaping contact tracing efforts where it is endemic and potentially establishing community transmission worldwide which is a problem because we don’t vaccinate for this family of viruses anymore.->
Susceptible population is large. MonkeyPox has pandemic potential.
*time
London is a hyper-connected city, and has few mitigations for airborne disease, such is the state of #PlagueIsland

If contact tracing can stem the outbreak, that would be useful, but realistically #MonkeyPox may already be in other locations around the world.
🟡5-21 days incubation (probably not infectious).
🟡a few days prodrome of headache sore throat cough malaise and fever (might be infectious).
🟡rash. (infectious until last scab dried and fallen off).

#MonkeyPox cdc.gov/poxvirus/monke…

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with #MasksInSchools Dr Noor Bari

#MasksInSchools Dr Noor Bari Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @NjbBari3

May 18
COVID-19 has broken down healthcare systems worldwide.

HCW have died and been sickened in their thousands.

Vital prevention work has slowed massively.

All diseases are on the rise.

Expect TB, HIV…everything to arrive near you.

Welcome to “living with the virus”™️
You think you can just spread infectious disease everywhere and ignore the consequences.

The consequences will find you.

We should have controlled COVID-19 ages ago in well resourced countries, and then we should have been doing work to help others.
Have a look at the huge number of infectious diseases emerging and re-emerging now.

Partly due to deforestation, but massively due to immunisations not done, contact tracing broken down, meds not distributed… and no HCW to do this work.
Read 5 tweets
May 18
Oh for goodness sake!

@WHO???

#MonkeyPoxIsAirborneToo

It might not transmit very well, but it has been shown to transmit via this route, and some indication that aerosol transmission may cause more severe disease. Why would we risk this?
#MonkeyPoxIsAirborneToo

and contact/body fluids, and environmental.

#SayAerosolProtectWorkers
Read 4 tweets
May 17
The words “close contact” have no benefit to the population to help them avoid catching #MonkeyPox.

What you need to know is it’s spread by breathing in infected tiny droplets called aerosol and from touching the affected skin/blister fluid.
At the moment the ease with which this passes between humans is not thought to be great, but I hope we have learned from COVID-19 that that is likely to improve rapidly, and smallpox did this efficiently.
Use what you have learned regarding COVID-19 precautions to prevent this until vaccines are available.

#MonkeyPox
Read 4 tweets
May 16
Pre-print. MERS-like virus, but it has a spike that binds ACE-2.

Like colours in the visible spectrum. Infinite diversity in infinite combination.

biorxiv.org/content/10.110…
I have no idea what this one does to humans… so based on that we should all try it out. It must be mild anyway because the denominator is the whole world, and hardly anyone has died of it. We must let our immune systems interact with nature!

(Sarcasm)
Oh look, it only takes one mutation to allow it to infect humans efficiently… and neither COVID-19 nor MERS antibodies neutralise it.
Read 5 tweets
May 1
Coronavirus uses same strategy as HIV to hide inside cells.
Small study, and just because a virus has some features of another virus, doesn’t mean it’s the same.

This is a worry though, and explains partly how/why SAR-CoV-2 persists.
The next step would be to do long term monitoring to see what the effects are. If recovery occurs how well, and how long does it take? How do these infected cells function?
Read 4 tweets
Apr 30
According to this, if you survive your first infection, then getting infected is a great way to not burden the hospital with your admission with your subsequent infection... only problem is, the hospital will be fine, but you might have long COVID!
But you do have to survive it first. The authors say that survivor bias hasn't affected their estimates of infection mediated protection from infection or hospitalisation... because the rate is less than 1%... still, tough luck if you don't make it.
Who wasn't included in this excellent study suggesting getting infected is good protection? The immunocompromised, anyone using a RAT, anyone with an infection again in less than 90 days (exposure? kids? more vulnerable? un-immunised?), people that got non-mRNA vaccines🤷🏽‍♀️, ->
Read 23 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(