🐒🦠 👶👦👧
#PediatricMonkeypox
#PedsMPXV

6/20/22 Suspected cases

4 children under 19 yrs old:

1 @ 0mo-5yr 🇺🇬
0 @ 5yr-9yr
2 @ 10yr-14yr 🇺🇬🇵🇰
1 @ 15yr-19yr 🇧🇷

Sort by Age Global Health Spreadsheet 🔗docs.google.com/spreadsheets/d…

Did not see London🏴󠁧󠁢󠁥󠁮󠁧󠁿child: 🔗metro.co.uk/2022/05/22/you… Image
🧵🐒🦠👶👦👧
#PediatricMonkeypox
#PedsMPXV

6/21/22 Suspected/Confirmed cases:

6 children < 19 yrs old:

1 @ 0mo-5yr 🇺🇬
0 @ 5yr-9yr
2 @ 10yr-14yr 🇺🇬🇵🇰
1 @ 15yr-19yr 🇧🇷
2 @ TBD 0-19 🇨🇦🏴󠁧󠁢󠁥󠁮󠁧󠁿

Global Health docs.google.com/spreadsheets/d…
🏴󠁧󠁢󠁥󠁮󠁧󠁿
metro.co.uk/2022/05/22/you…
🇨🇦 ImageImage
🐒🦠
#Monkeypox
#MPXV

6/15/22 Per🌐WHO Confirmed cases:

2,103 Confirmed
1 Probable
1 Death 🙏

42 countries

🔗who.int/emergencies/di… Image
🧵#Monkeypox
#MPXV

Per🌐WHO June 24th

2🆕PDFs

"Risk communication & community engagement (RCCE) for monkeypox outbreaks: Interim guidance"
🔗who.int/publications/i…

"Surveillance, case investigation & contact tracing for monkeypox: Interim guidance"
🔗who.int/publications/i… ImageImage
🧵#Monkeypox
#MPXV

Per🌐WHO June 25th

"at this stage the outbreak should be determined to not constitute a PHEIC."

(not classified as "Public Health Emergency of International Concern")

Read on👇
🔗who.int/news/item/25-0… Image
🧵🐒🦠👶👦👧
#PedsMPXV

6/25/22 Suspected/Confirmed cases:

7 children < 19 yrs old:

1 @ 0mo-5yr🇺🇬
0 @ 5-9yr
2 @ 10-14yr🇺🇬🇵🇰
1 @ 15-19yr🇧🇷
3 @ TBD 0-19🇨🇦🏴󠁧󠁢󠁥󠁮󠁧󠁿🇫🇷

Global Health docs.google.com/spreadsheets/d…
🇨🇦
🏴󠁧󠁢󠁥󠁮󠁧󠁿metro.co.uk/2022/05/22/you…
🇫🇷iledefrance.ars.sante.fr/premier-cas-co… ImageImage
🧵🐒🦠
#Monkeypox #MPXV

Dr. Katelyn Jetelina, MPH PhD, @dr_kkjetelina epidemiologist & biostatistician opinion:

"Wouldn't we want a PHEIC to prevent these terrible things from happening?"

🔗yourlocalepidemiologist.substack.com/p/monkeypox-is… Image
🧵
#Monkeypox
#MPXV

🚨ATTN🚨:
Physicians
Nurses
Pharmacists
Veterinarians
Physician Assistants
Health Educators
Other Clinicians

CDC Webinar June 29, 2022:

Monkeypox: Updates about Clinical Diagnosis and Treatment

2 PM - 3 PM ET

emergency.cdc.gov/coca/calls/202… Image
🧵
#Monkeypox
#MPXV

📽️ from last month:

CDC's Webinar May 24, 2022 - What Clinicians Need to Know about Monkeypox in the United States and Other Countries

📽️
emergency.cdc.gov/coca/calls/202…

Slides:
emergency.cdc.gov/coca/ppt/2022/…

Transcript:
emergency.cdc.gov/coca/ppt/2022/… Image
🧵🐒🦠👶👦👧
#PedsMPXV

6/28/22

7 children <19 yrs old:

1 @ 0-5y🇺🇬
1 @ 4-12y🇳🇱Netherlands🆕
2 @ 10-14y🇺🇬🇵🇰
0 @ 15-19y
3 @ 0-19y🇨🇦🏴󠁧󠁢󠁥󠁮󠁧󠁿🇫🇷

Global Health docs.google.com/spreadsheets/d…
🇨🇦
🏴󠁧󠁢󠁥󠁮󠁧󠁿metro.co.uk/2022/05/22/you…
🇫🇷iledefrance.ars.sante.fr/premier-cas-co…
🆕🇳🇱netherlands.postsen.com/news/29933/Mon… ImageImage
🐒🦠
#Monkeypox
#MPXV

🌐WHO Update dated 6/27/22

Confirmed cases as of 22nd June:

3,413 Confirmed ⬆️1310 since 15th June
1 Death 🙏

50 countries ⬆️8

🔗who.int/emergencies/di… ImageImage
🧵
#Monkeypox
#MPXV

@DrTedros 's 6/29/22🧵
26th tweet:
"I am concerned about sustained transmission b/c it would suggest that the virus is establishing itself & it could move into high-risk groups incl. 🚨children, the immunocompromised & pregnant women"

ImageImage
🧵🐒🦠
#MPXV
#PediatricMonkeypox

6/30/22

9👦👧@ <19 yrs #Monkeypox

💥🆕🇨🇦Canada case discarded montrealgazette.com/news/local-new…

H/T @ShaNaNa ImageImage
🧵🐒🦠
#MPXV
#PediatricMonkeypox

6/30/22

9👦👧@ <19 yrs #Monkeypox
---
Sources:

www. Global. Health
docs.google.com/spreadsheets/d…

🏴󠁧󠁢󠁥󠁮󠁧󠁿
metro.co.uk/2022/05/22/you…

🇫🇷
iledefrance.ars.sante.fr/premier-cas-co…

🇪🇸sanidad.gob.es/profesionales/…

🇬🇧
cbc.ca/news/health/wh… ImageImage
🧵
🐒🦠
#MPXV
#monkeypox

Per CDC as of June 30th, 2022
🇺🇸
396 cases (map is interactive, hover🖱️over state)

31 states & territories

cdc.gov/poxvirus/monke… ImageImage
🧵
🐒🦠
#MPXV
#monkeypox

July 1, 2022

Monkeypox Vaccine 101 by @dr_kkjetelina

yourlocalepidemiologist.substack.com/p/monkeypox-va…
🧵
🐒🦠
#MPXV
#monkeypox

Joint ECDC-WHO Regional Office for Europe Monkeypox Surveillance Bulletin: 06 July 2022

| Emergency Situational Updates

cdn.who.int/media/docs/lib… Image
🧵
🐒🦠
#MPXV
#monkeypox

📽️ @ 08:20 topic Monkeypox
-6K+ cases, 58 countries
-Europe >80% of cases
-meet wk of 7/18 or sooner
-💉currently scarce
- @ 10:01 "I want to particularly commend those...social media sharing.. their Monkeypox experience..."
twitter.com/i/broadcasts/1…
🧵
🐒🦠
#MPXV
#monkeypox

In @DrTedros 's video at 10:01 "I want to particularly commend those...social media sharing.. their Monkeypox experience..."
twitter.com/i/broadcasts/1…

Here's one of those people to be commended for sharing their experience:
tiktok.com/@papicharm/vid…
🧵
🐒🦠
#MPXV
#monkeypox

7/5/22 Preprint

🧠"Neurological and psychiatric presentations associated with human monkeypox virus infection: a systematic review and meta-analysis"
medrxiv.org/content/10.110…
🧵
🐒🦠
#MPXV
#monkeypox

1 of 5 of @TheWHN infographics
🔗worldhealthnetwork.global/monkeypox Image
🧵
🐒🦠
#MPXV
#monkeypox

Per🌐WHO:

🚨"COMPLICATIONS of monkeypox can include

secondary infections
🫁bronchopneumonia🫁
🩸sepsis🩸
🧠encephalitis🧠
👁️👀infection of the cornea👁️👀with ensuing LOSS OF VISION."

H/T @MeghanMeane

🔗who.int/news-room/fact… Image
🧵
🐒🦠
#MPXV

FYI🇺🇸

Mon. July 11 5:30PM
🗽NYS/NYC #Monkeypox Virtual Town Hall
Situational Update on Evolving Outbreak
w/ Dr. Mary Bassett & Dr. Ashwin Vasan

Submit questions in advance to: monkeypox@health.ny.gov

HT @MeghanMeane
HT @NewPrideAgenda_

eventbrite.com/e/nysnyc-monke…
🧵
🐒🦠
#MPXV

FYI🇺🇸

Mon. 7/11/22
🗽NYS/NYC #Monkeypox Virtual Town Hall
Situational Update on Evolving Outbreak
w/ Dr. Mary Bassett & Dr. Ashwin Vasan

HT @MeghanMeane
HT @NewPrideAgenda_

📽️
🧵
🐒🦠
#MPXV
#Monkeypox

FYI🇺🇸

If you live in NYC 🗽

📱sign up for alerts by texting📱

(English): MONKEYPOX
or
(Spanish): MONKEYPOXESP

to 692692 Image
🧵
🐒🦠
#MPXV
#Pediatric #Monkeypox

June 2022
🇳🇱 The Netherlands
A boy < 10 years old

🔗eurosurveillance.org/content/10.280… Image
🧵
🐒🦠
#MPXV
#Pediatric👶👦👧#Monkeypox

Per🌐WHO as of 22 July 2022
[10K cases w/ age available:]

0-17 yrs = 72 children🚨👀

Details:
0-9 yrs = 42 kids (20👦boys + 22👧girls)
10-17 yrs = 30 kids (22👦boys + 8👧girls)
TOTAL = 72

H/T @Monkeypoxtally

🔗worldhealthorg.shinyapps.io/mpx_global/#1_… Image
🧵
🐒🦠
#MPXV
#Pediatric👶👦👧#Monkeypox

Per🌐WHO as of 22 July 2022
[10K cases w/ age avail:]

0-17yrs = 72 kids🚨👀

Details:
0-4yr = 22
5-9yr = 20
10-17yr = 30
TOTAL 0-17yrs = 72 kids

Sex:
0-9 = 20👦+22👧
10-17 = 22👦+ 8👧

H/T @Monkeypoxtally

🔗worldhealthorg.shinyapps.io/mpx_global/#33… Image
🧵
🐒🦠
#MPXV

Per CDC, as of 25 July 2022

3,487 #Monkeypox cases

🔗cdc.gov/poxvirus/monke… ImageImageImage
🧵
🐒🦠
#MPXV
#Monkeypox

"Monkeypox: CDC says US leads globally in most known cases"

@BBC NOTE: there may be a transposition error in the article listing USA at 3,846 cases, while the CDC map with the same date lists 3,487 cases (see previous tweet).

bbc.com/news/world-us-…
Parents have lots of questions regarding #monkeypox first aid to care for their infected child(ren).
Searching both CDC & AAP websites has not provided any further info than what is listed in this Fact Sheet (last pic).
Feel free to reply w/ addt'l questions/answers

HT @SabiVM ImageImageImage
🧵
🐒🦠
#Pediatric👶👦👧#Monkeypox

Per🌐WHO as of 28 July 2022
(14K w/age avail)

0-17yrs
65 in 🇨🇫West & Central Africa
19 O/S Outside🇨🇫
= 84 kids🚨⬆️12 fr 7/22

---
Details:
0-4yr= 24⬆️2
21🇨🇫
4 O/S

5-9yr= 21⬆️1
18🇨🇫
3 O/S

10-17yr= 39⬆️9
26🇨🇫
13 O/S

🔗worldhealthorg.shinyapps.io/mpx_global/#33… ImageImage
🧵
🐒🦠
#Monkeypox

"Monkeypox Vaccination Access Project"

Crowdsourced list of Monkeypox vax 💉locations in various U.S. cities while resources continue to be scarce. Much of this information is based on available information online or word-of-mouth.

🧵
🐒🦠
#Monkeypox

Documented transmission via:
💋sex
🧖sauna
💆massage
🦋✍️🐅tattoo👇
👂💍ear piercing👇

🧵
🐒🦠
#Pediatric👶👦👧#Monkeypox

🌐WHO's CLINICAL MANAGEMENT AND INFECTION PREVENTION AND CONTROL FOR MONKEYPOX
Interim rapid response guidance (76 pages)
10 June 2022

🚨‼️PARENTS and / or Pregnant - Please review guide here 🔗who.int/publications/i…

H/T @kyle_iridian ImageImageImageImage
🧵
🐒🦠
#Monkeypox

(FYI, see my reply with link to TikTokker's success with prescribed Tecovirimat 3@200mg twice a day + antibiotic + morphine + lidocaine)

🧵
🐒🦠
#Pediatric #Monkeypox

🇺🇸
CDC's Monkeypox Pediatric 👶👦👧Considerations cdc.gov/poxvirus/monke…

"JYNNEOS💉can be offered for pediatric cases using a single-patient EA IND authorization from FDA, which can be acquired in coordination w/ state & local health dept & CDC."
🧵#monkeypox
🤚✋Hand washing

Per WHN:

👉"70% alcohol"

Per🌐WHO Clinical management & infection prevention & control for monkeypox: Interim rapid response guidance, 10 June 2022 (76 pg PDF) 🔗who.int/publications/i…

👉"alcohol-based hand sanitizer"

🧵#monkeypox
🤚✋Hand washing

Per WHN
🔗worldhealthnetwork.global/monkeypox

👉"70% alcohol"

Per🌐WHO
Clinical management & infection prevention & control for monkeypox: Interim rapid response guidance, 10 June 2022 (76 pg PDF)
🔗who.int/publications/i…

👉"alcohol-based hand sanitizer" ImageImageImage
🧵
🐒🦠
#monkeypox

🇺🇸🦅
U.S. Department of Homeland Security
July 2022
23 pg PDF

#MPXV stable:
• months to years in scabs
• days to weeks in water, soil & on refrigerated food
• years on clothes, paper & dust if not disinfected🚨

🔗dhs.gov/sites/default/…

H/T @MeetJess ImageImageImageImage
🧵
🐒🦠
#Monkeypox Disinfectants

EPA expects products on its List of Disinfectants for Emerging Viral Pathogens to kill #monkeypox when used according to the label directions.
(Click links on webpage for product database.)

epa.gov/pesticides/epa…

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More from @Leggomyfuego1

Feb 23
1/💩🧵

💩 UPDATE

🇺🇸USA Covid-19 Wastewater Monitoring

2/💩🧵

To find your county:

🟣👉🔗 biobot.io/data/

🟣Scroll down to the 3rd section of reports

🟣Select your state on the left and the counties will be displayed (you can hover over each graph to display counts)
3/💩🧵

The dark solid (no pun intended) line =💩(wastewater).

Vertical lines = cases.

💩= leading indicator (happens earlier than cases. )
"The level of virus in wastewater is a leading indicator, meaning it precedes the change in clinical case counts or hospitalizations."
Read 5 tweets
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1/🧒🏈🧵

What do 🇺🇸USA 👶children👦👧and the

🇺🇸2022 🏈Superbowl LVI have in common?

Are you ready for this?
2/🧒🏈🧵

Let's take a look 👀

🇺🇸2022 🏈Superbowl LVI at SoFi Stadium

Attendance: 70,048 Fans👥

🔗en.wikipedia.org/wiki/Super_Bow… Image
3/🧒🏈🧵

Now this 👀

🇺🇸children👦👧 hospitalized 🏥

Admitted: 38,498 children👶👦👧

🔗downloads.aap.org/AAP/PDF/AAP%20… Image
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Feb 18
1/🧵

💩 UPDATE 🧵

🇺🇸USA Covid-19 Wastewater Monitoring - Feb 18, 2022

Screenshots taken Fri, Feb 18.

source for all screenshots🔗: biobot.io/data/
2/🧵

The dark solid (no pun intended) line =💩(wastewater).

Vertical lines = cases.

💩= leading indicator (happens earlier than cases. )
"The level of virus in wastewater is a leading indicator, meaning it precedes the change in clinical case counts or hospitalizations." Image
3/🧵

Screenshot Fri, Feb 18, 2022 - Last 6 months Image
Read 6 tweets
Feb 16
1/🧵

Covid Update - Hope, Knowledge, Compassion & Courage during Covid

(🚨See 19‼️)

3 CDC,WHO🌐 #⃣
4 AAP#⃣
6 Community Transmission
8 🧀Layers
9 🦠Air
11 🧀Vent
12 🧀Filter
13 🌐 Air Pollution
14😷Chart
15😷Test
16&17💉💉💉
19 🌐Omicron🧙‍♀️🦠🚨
20🧙‍♀️🦠🌪️
21🌎🦠
22&23 Long Covid Image
2/🧵 Image
3/🧵

🇺🇸CDC TOTALS
77.6M🇺🇸🦠Cases
4.4M🇺🇸🏥Hosp
917K🇺🇸👼Deaths🕯️
🔗covid.cdc.gov/covid-data-tra…

🌐WHO TOTALS
410.6M🌎🦠Cases🚨1.7M last 24hrs🚨
5.8M🌍👼Deaths🕯️
🔗 covid19.who.int

Our World in Data -🇺🇸🇨🇦etc.(👼🕯️by country)
🔗ourworldindata.org/covid-deaths - to select country ImageImageImageImage
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@Leggomyfuego1
_
🧵 #NoPlaceLikeHome

There's No Place Like Home - Covid Update
for Feb 15, 2022

A thread of Hope, Knowledge, Compassion and Courage
during Covid
_
_
_
🇺🇸CDC TOTALS
77.6M🇺🇸🦠Cases
4.4M🇺🇸🏥Hosp
917K🇺🇸👼Deaths🕯️
🔗covid.cdc.gov/covid-data-tra…

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5.8M🌍👼Deaths🕯️
🔗 covid19.who.int

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🔗ourworldindata.org/covid-deaths - to select country
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