Top 225 updates on #monkeypox, we posted until 200 here , again posting them & will start a thread from 201 onwards below this tweet
Here you go ....
201/n @mdc_martinus posted how #PublicHealthOntario accepted potential for #airborne transmission of #monkeypox, agree that this is the correct public health policy ctd)
202/n @BNODesk reported 134 cases globally today with the peak crossing the previous high of 100 , globally 700 plus cases ctd)
203/n @Antonio_Caramia has a good dashboard of #monkeypox, what is interesting is that Canada shows 5 times more cases than USA, is it because the Canadians are more proactive? They have better decentralized testing , they are being truthful or something else ctd)
204/n 26 Netherlands residents have now tested +ve for #monkeypox, Dutch public health institute RIVM, which is more than double the total from the last update 5 days earlier ie 12 cases. More maybe coming—a Belgian “ Darklands festival”mentioned.Is it sex or indoor ?
205/n “We really don’t actually yet know whether there’s asymptomatic transmission of monkeypox — the indications in the past have been that this is not a major feature — but this remains to be determined, she said. Ctd)
206/n @UKHSA has finally accepted FFP3 masks & PPE while protecting pregnant staff & those with weak immunity ctd)
207/n we saw earlier as to how the #monkeypox can probably hide in genital tissue , so the @UKHSA recommendations make sense ctd)
208/n In an #monkeypox outbreak there was infection in driver, nurse and ferry man who got the infection , this outbreak had 2 young kids dying due to pulmonary issues . Ctd)
doi.org/10.1093/ofid/o…
209/n When it comes to Tuberculosis we know that it is #airborne, #monkeypox is smaller than Tuberculosis ctd)
doi.org/10.1016%2Fj.tu…
210/n The 12 people, a mix of passengers and flight attendants, were with the infected #monkeypox person for 2 hours in transit, after the traveller’s flight from Europe stopped at BKK (Suvarnabhumi Airport), they will have to undergo 21 days of quarantine ctd)
211/n @sammy4723 made a pertinent point , apparently small pox was sturdy enough to stay for 66 days on clothing , these pox viruses including #monkeypox are sturdy viruses ctd)
213/n It is interesting to note that the
Africans have been able to stop #monkeypox at the endemic levels seen earlier. Ctd)
214/n Peer reviewed @jtravmed
: bit.ly/3zbrAm0 shows that London was always the most common gateway for #monkeypox to spread , that means they had to be extra careful,but seems that not much has changed since #Covid. @BogochIsaac H/T ctd)
215/n This paper shows that pox viruses including #monkeypox are hardy ones staying in food , water & bandages / cotton clothes for 166 days in 4 degrees and for 2 weeks probably at 25 Degree , ctd)
@emilygraymd_mph @nschwalbe @BasgozNesli @BhramarBioStat @PMGPSC @dremilykeller @jinnypatchfidel @HuJirui @JanelleMMenard @MeetJess 216/n -@BNODesk showed 183 confirmed cases in UK- 132 cases in London- 181 men, 2 women- 111 cases in gay/bisexual men- 34 cases with foreign travel , so essentially 40% were NOT GAY/ BISEXUAL ( 72/183 men ie 183-111) , that should break one stereotype ctd)
217/n Fifteen people with links to monkeypox cases have been given the smallpox vaccine, and around 10 others were booked to get the shot on Tuesday, Montreal’s public health department says ctd)
218/n prominent public health professionals at London School of tropical medicine feel that it will take months for UK to quell this #monkeypox outbreak & the numbers could easily go over 1000 in UK alone ctd)
219/n @WHO urges countries to widen their #monkeypox surveillance, to look for cases in the BROADER community( not only MSM).Priorities are:-provide accurate information to most at risk groups-prevent further spread-protect health workers-advance understanding of the disease ctd)
220/n The US army does experiments to prove that #monkeypox spreads by aerosols & published in 2010,yet when the outbreak happens we try & be politically correct & dont ask people to mask ??: "Aerosol is a route of secondary transmission for monkeypox”ctd
ncbi.nlm.nih.gov/pmc/articles/P…

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More from @Rpshahmemorial1

Nov 26, 2022
Short🧵How #Covid is killing Health Care Workers ?? Today I met Mrs Tandon.Her husband a 52/M physician had #Covid during #Delta wave which had injured his lungs BUT he came back home & started his private practice.He remained fine till 10 days ago when he made a short trip ctd)
2/n He felt weak on returning & wanted rest .Next day he was feeling body ache , joint pain & slight fever.He tested & found his platelets ⬇️to 23,000 .Further testing showed Dengue-ve.He started feeling dyspnea & was shifted to hospital where his oxygen suddenly plunged.ctd)
3/n Testing Covid+ve,he was already in ICU when the results came & must have infected many.CT very bad.Was shifted on ventilation support but couldn't survive next 24 hrs.3rd case I have heard in last 48 hrs of ⬇️platelets,bodyache & sudden decompensation mimicking Dengue.ctd)
Read 5 tweets
Oct 17, 2022
🧵 on why the past experiences aren't good enough #monkeypox disease was first confirmed in humans in 1970.When the outbreak happened most thought it will be a few cases based on earlier outbreaks BUT some of us believed otherwise. See the old tweet ctd)
2/n We were plain lucky to have the West African clade of #monkeypox spread and not the #Congo clade spread , had that happened those who are lecturing is would have been scurrying for cover. Whether it is #Nigeria or it is Globally #monkeypox has broken a lot of barriers.ctd) Image
3/n with massive undercounting globally we are at 70,000+ cases in 102 new countries.All with availability of #Vaccine & #Tecovirimat in many countries. It would have been thousands more - so even if anyone has experienced the past- it doesn't help - the field has changed ctd) Image
Read 5 tweets
Oct 15, 2022
Short🧵 on the story of the swollen toe - A known of mine phoned 2 days ago, their 19 yr old daughter had suddenly developed a swelling in toe - 2 hrs earlier along with sore throat & slight fever. On my urging they did a rapid test-ve, the RT-PCR ordered for next day -ve ctd) Image
2/n The fever subsided with naproxen but thereafter neded paracetamol to keep it under check. The mother did not want further testing currently BUT the kid would be in isolation because they have a 90 yr old grandmother living with them .They will watch carefully &masked ctd)
3/n while I was reassuring the mother that it is okay to watch carefully and even though it is most probably #Covid toe , we just need to be very careful she said something and I quote " Dr I am fed up ,this girl is getting fever every 5 weeks ,nothing seems to help" ctd)
Read 5 tweets
Oct 10, 2022
Short 🧵 On Persistence of #Ebola - Patient infective over 500 days & spreads infection by Sex- So with the risk of spill over we may see repeated outbreaks. In 2016, Guinea had recorded 3 probable, 7 confirmed cases, of which 6 were admitted at an Ebola treatment unit ctd)
2/n 4 patients died in the community ,4 patients in the ETU.Fatality ratio among probable & confirmed cases in this cluster in Guinea was 80% (8/10).They were closely related to viruses from the 2014–2016 outbreak, ruling out a new introduction from an animal reservoir ctd)
3/n Epi investigation revealed that case 1 had sexual intercourse with a male #Ebola survivor who reported sexual abstinence after discharge from Nov 2014 -August 2015 as recommended. From Sep 2015, he had occasional intercourse with various partners, including case 1 ctd)
Read 8 tweets
Oct 9, 2022
Short 🧵 on why some people are showing resistance to acceptance of risk of #Covid. This is a thread not on those who have fallen to misinformation BUT on those who initially took good care, till the vaccines came through - Suddenly become extremely careless & don't mask ctd)
2/n When the pandemic started a physician with army background told me - You know when do maximum casualties take place usually and went to explain & I quote" the maximum casualties dont happen during the 1st 2-3 days when the armies face each other - both sides dig into - ctd
3/n their own bunkers or hide from shelling - The moment they find they are being targeted they jump from one place to another or scurry for cover.After 10 days weariness comes in & with it comes false sense of security or overconfidence in your gear - Ctd)
Read 6 tweets
Oct 2, 2022
Short🧵Why I think #Covid can cause existential consequences for Human Race ?? For any species to continue it has to procreate,that depends on fertility of both men & women.We started getting edgy couple of months ago.Here's the original ctd
Ctd2) Then we found more correlation, the infection was really causing changes in hormone levels ctd)
Ctd3) We know that the number of ova in a woman is fixed at birth.The body doesn't produce more ova.Only a fixed number mature rest die off , maturation needs hormones & lots of other factors. If either hormones or reservoir is reduced #risk ctd)
my.clevelandclinic.org/health/article….
Read 7 tweets

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