Vaccine mandates mean your doctors and nurses and midwives are vaccinated. It's literally the least they could do.

We *should* require up-to-date vaccination: Covid boosters and flu.

Spreading infection to patients unnecessarily, preventably, is not acceptable. Some will die.
If you are vaxxed and boosted you avoid 90% of hospitalisation and death risk.
You are less sick, for shorter, and less infectious to others because of it.
Unvaxxed are an unnecessary risk for immunocompromised, elderly, infant, pregnant and vulnerable patients.
If you don't understand the value of vaccination and preventing vaccine-preventable disease, you missed out on the most basic lesson in public health.
We should be advocating for universal influenza vaccination and COVID boosters for healthcare workers, not talking about eliminating vaccination requirements.
It is the only thing that makes sense for those with a duty to take care of vulnerable patients.
What other ill-advised moves towards increasing risks for patients do people like Seymour want? Will they next call for the elimination of masks too, because they're uncomfortable and #mandated?
We're heading into the dark ages.

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More from @GaryPayinda

Jun 22
UK now has #polio being found repeatedly in its wastewater.
Now's a good time to review your family's vaccination status. Whooping cough, tetanus, measles, mumps rubella, varicella, etc.
If it's going to be a return to the bad old days make sure you're prepared. Image
The reason I say this, is that vaccination rates are dropping in communities everywhere. #NewZealand rates are atrocious.
There will likely be more #measles outbreaks this year. 1/1000 kids who get it will die, 1000 will be brain damaged. It's vaccine-preventable.
With #polio historically a very infectious, easily transmitted, and super common disease of poverty and the unvaccinated, infants and kids are at risk.
The vast majority of infected will recover fine...and a few will be severely paralyzed for life.
Easily vaccine-prevented tho.
Read 6 tweets
Jun 22
I'll be participating in a free online debate, for anyone interested in: #lifeguarding #FirstAid, #firstresponder #Lifeguard #CPR #C-spine #trauma #BLS
The International Life Saving Federation is having a medical talk (actually, a debate amongst several international doctors, researchers, and paramedics) on **C-collar use** and **Hands-only CPR**. Should be fun.
It's aimed at anyone involved in life saving, from lifeguards to aquatic agency medical directors. Registration is free.
There will be two other webinars in weeks to come on other Rescue Commission topics.

To register:
teams.microsoft.com/registration/1…

To learn more:
Read 7 tweets
Jun 21
This story wholly missed the mark of healthcare worker staffing issues, I feel.

Background:
EDs were unable to meet demand even before Covid, with ED pts occasionally waiting altogether too long: ie, 24 hours for a ward bed. This is happening again.

nzherald.co.nz/business/the-s…
It's not due to a lack of backpackers.
Our most senior and experienced nurses are deciding, wisely, that it's a good time to retire, leave, or do other work.
Seems to have gotten worse lately with, among other things borders opening up, and some nurses leaving, to double their salary in Australia. Young ones hoping to earn a down payment older ones fearful of inflation heating into their retirement savings.
Read 17 tweets
Jun 21
Monkey pox will usually spread through close skin to skin contact, like sleeping in the same bed with someone or having sex with an infected person. But it can also be spread by respiratory droplets. Close exposures.
It started off in Africa; 20 years ago there were a batch of cases in Wisconsin, spread by handling imported pet Gambian rats, etc.
More recently it's been associated with men who have sex with men, which of course sets it up with the sinful 'sex' connection.
Which means we've been slow to address it honestly, and have, of course, seen it grow way beyond just that community.
Read 8 tweets
Jun 21
NZers missed out on losing family members to gruesome Delta.
Everyone was scared when people were dying of respiratory failures in the ICU and Italy in the UK. NZ missed this.

But chronic health symptoms from recurrent Omicron infections are just not very motivating. Meh.
Most people will not notice if they lose 1% of their lung or heart function with every COVID reinfection. The odd PE here and there.
They'll just call it aging, or shortness of breath, or forgetfulness and not trace it back to infection.
But I suspect they will be highly motivated to wear masks when a variant washes through that's as infectious as Omicron and as lung-deadly as Delta.

Then they'll say: why wasn't anything done.
Read 8 tweets
Jun 21
One could:
Subsidise housing for nursing students.
Make books and learning materials public access.
Change medical school so it doesn't prioritise test taking and high grades, as much as demonstrated clinical competence, communication, and caregiving.
Institute living wages.
...living wages tied to capitals gains taxes, redistributive taxes on the rich, and wealth taxes.
... cut down medical school duration, eliminating it's focus on irrelevant science trivia, and increasing clinical science education.
... increase the role of power professionals, paramedics screening/treating patients in clinic, community health workers going door to door, and public health providers in every school and shopping center.
Unreal @threadreaderapp app
Read 4 tweets

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