Liz Szabo Profile picture
May 18 18 tweets 9 min read
Someone in your family has tested positive for covid. What can you do to prevent it from spreading to the rest of the household? Ventilation can help. A thread. 1/ khn.org/news/article/h…
@CDCgov recommends isolating Covid patients for at least 5 days, preferably in a separate room with access to their own bathroom, as well as diligent mask-wearing for both patient and caregiver. 2/ nbcnews.com/health/health-…
@CDCgov @CDCgov advice on home isolation for covid can be tough to follow. Not everyone has an extra bedroom to spare, let alone a free bathroom. Young children should not be cooped up alone for 5 days, and the youngest can’t tolerate masks. 3/ khn.org/news/article/h…
“For parents of a young child, it’s pretty difficult not to be exposed,” said @PreetiNMalani. “You have to work back from the perfect to the possible and manage your risk the best you can.” 4/ @khnews #Thread
Does someone in your home have covid? “Ventilation matters a lot,” said Amy Barczak of @harvardmed. “If you’re taking care of someone at home, it’s really important to maximize all the interventions that work.” 5/ khn.org/news/article/h… @khnews #Thread
Start by opening as many windows as the weather allows, said @joeyfox85. If possible, open windows on opposite sides of the home to create a cross breeze, which can help sweep viruses outside and bring fresh air inside. 6/
Covid-proofing your home: Place a box fan in the window, facing *outward* to draw germy air outside. Seal any openings around the sides of the fan, said @JimRosenthal4. Stuff towels under door, making a negative-pressure room. 7/ nbcnews.com/health/health-…
Covid-proofing your house (cont'd): Cover the return air grills with plastic. These grills cover vents that suck air out of the room and recycle it through the heating or cooling system, which could allow the coronavirus to spread through your home. 8/
9/ You can all vent virus-laden air out of the sick room and outside the house by turning on bathroom or kitchen exhaust fans. Just be sure to open windows if running exhaust fans for >10 mins to prevent carbon monoxide spread. khn.org/news/article/h…
Coronaviruses thrive in dry air, and increasing the amount of moisture in the air can help deactivate them, said @linseymarr. Marr suggests increasing humidity levels to somewhere between 40 percent and 60 percent. 10/
11/ Got a covid patient at home? Research shows that high-efficiency particulate air filters, or HEPA filters, can remove coronaviruses from the air. Put it next to the patient. “You want to put the filter as close to the source [of the virus] as possible,” @joeyfox85 said.
12/ Portable air cleaners with HEPA filters can be expensive. But you can make your own DIY air cleaner for about $100. Studies show they work as well/better than more expensive models. @JimRosenthal4 @CorsIAQ #CorsiRosenthalBox @KHNews #Thread
nbcnews.com/health/health-…
13/ Coronavirus particles float through the air like invisible secondhand smoke, diffusing as they travel. Outside the home, viruses are quickly dispersed by the wind. Inside, germs can build up, like clouds of thick cigarette smoke, increasing the risk of inhaling the virus.
14/ How to covid-proof your home? The best strategy for avoiding the virus is to make your indoor environment as much like the outdoors as possible, with good ventilation, lots of clean outside air. khn.org/news/article/h…
15/ A recent study found that 1/2 of the people living in a covid patient’s household also contracted the virus. Learn how to protect yourself and others from our story. Take a layered approach: vaccines, boosters, distancing, masks, ventilation are key.
khn.org/news/article/h…
16/ Got covid in your home? If possible, older people and those with weak immune systems may be safest temporarily moving in with a friend or neighbor, says @priya4genes. Omicron variants are incredibly infectious.

nbcnews.com/health/health-…
17/ Do DIY air cleaners really work? Studies show they do, and experts recommend using one if someone in your home tests positive. “We’re not helpless,” said @JimRosenthal4. “We need to provide tools that people can use right now to make things better.”
nbcnews.com/health/health-…
End of thread! Thanks for reading. medscape.com/viewarticle/97… 18/18

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More from @LizSzabo

Jan 26
@JenniferNuzzo is speaking live about the third year of covid. She describes the Omicron surge like a flash flood that comes in fast, causes lots of damage, and recedes.
@JenniferNuzzo said that Omicron cases may not decline as rapidly in the U.S. as in other countries.
@JenniferNuzzo makes excellent point. How much we know about variants depends on how much sequencing is being done in other countries, and that partly depends on the country's wealth.
Read 31 tweets
Dec 7, 2021
@CDCDirector says omicron now detected in 19 states. 1100 deaths a day from covid.
@CDCDirector says we're still seing 100,000 cases of covid a day.
Tony Fauci explains what we know about omicron.
Read 11 tweets
Oct 28, 2021
Super interesting. Depression increases your risk of death from almost everything. It's hard to take care of yourself when you have no motivation and feel horrible.

Vaccine eligibility for mood disorders underscores elevated covid risk washingtonpost.com/local/mental-d…
This story makes me think about depression/motivation and what it takes to access health care. @KFF has fabulous health insurance, but I have had to be ridiculously motivated to get health care for myself/family over the years, b/c health system so hard to navigate. 1/2
I have a master's degree and cover health for a living, so I know how the health system works. It can still be a HUGE amount of work/frustration to get health care you need. How much harder is it for ppl w. less education, motivation? Or for ppl who don't trust the system? 2/2
Read 5 tweets
Sep 17, 2021
What the heck is mucosal immunity? Until the pandemic, I had never even heart of it. But it may explain why kids are naturally protected from the worst effects of covid. A thread. 1/
Mucosal membranes in kids' airways act like the walls that protected medieval cities from invaders. They do such a good job at blocking SARS-CoV-2 that there's less need for hand-to-hand combat inside the castle gates. 2/
Making antibodies against coronavirus is good, right? Turns out, kids mount such a strong innate immune response that they don't need as many antibodies to fight coronavirus. They actually have lower antibody levels, but stay healthier.
3/ khn.org/news/article/s…
Read 14 tweets
Jul 16, 2021
I don't want to criticize nurses, b/c they work incredibly hard. But when my dad was hospitalized, it wasn't helpful for them to tell me every day that he was "looking better today." He was elderly, w/ dementia & other comorbidities. He was never going to get better. 1/
His nursing home sent him to the hospital, where he was in the ICU on bipap. (He was DNR and we said no ventilators.) After a few days, his breathing improved, he switched to a nasal cannula for oxygen. That doesn't mean he was 'better." 2/ #hpm
Do nurses feel pressure to keep families' hopes up?I've written about hospice & the end of life for years, but that sort of false hope could keep other families from accepting reality. #hpm /3
Read 23 tweets
Jul 15, 2021
ICYMI: The @cdc's Dr. Jay Butler talked to the @IDSAInfo this week on the Delta variant and vaccines. vimeo.com/574457791

2/3 of all adults have gotten 1 dose of vaccine, including 90% over age 65 have gotten one dose, 80% of those over 65 are fully vaccinted.
@cdc's Dr. Jay Butler says no evidence of waning immunity from covid vaccines.
@AndrewPaviaMD Hospitalizations in Utah have doubled. Case positivity rates have tripled. ICU's are now operating at over 100% capacity. Haven't yet had to create emergency ICUs, which is normally full in summer due to trauma.
Read 17 tweets

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