For the first time in nearly a decade, we have a case of #polio in an unvaccinated adult. Per CDC, ~1 in 14 US 2y olds are currently NOT fully vaxxed & thus at risk. The US polio vaccine is safe & effective. Please verify you & your kids are up to date. washingtonpost.com/health/new-yor…
#Polio most commonly spreads via the "fecal-oral" route which usually means not washing hands after using toilet then eating (or biting nails or, for kids, thumbsucking) but may also spread via airborne route. #WashYourHands#GetVaccinated#MedTwitter
There are no meds to treat polio, it's all prevention. Here's info from CDC about #polio, but a better use of your time would just be to ensure you/kids are fully vaxxed. The IPV vaccine is highly effective & safe, & then you can go back to not thinking about it. #VaccinesWork
And finally, here's info on the IPV polio vaccine. Most US adults are fully #vaccinated as vax was required to attend school. With a growing number of parents requesting vaccine waivers (or having missed peds appts due to #pandemic), the US has ~7% of 2 yr olds not up to date.
If you don't know whether you/kids are fully #vaccinated for #polio, you can check on an online portal, ask your dr, or contact the health dept. All 50 states & DC require IPV vaccine to start kindergarten so if you/your kid started K & didn't request a waiver, you're vaxxed.
.@CDCgov recommends 4 doses of IPV (the #polio#vaccine used in the US): 2 mos, 4 mos, 6-18 mos, & 4-6 yrs. See the chart below & contact your doctor if you are not sure whether your kids are up-to-date or due for a booster. The #pandemic resulted in many missed well-child appts.
Here you can see states that mandate #polio#vaccine to attend childcare, pre-K, & elementary schools: all of them. The # of doses required vary by state from 3-4: immunize.org/laws/polio.asp. Before the vax, in the late 1940s, polio paralyzed 35K Americans per year. #VaccinesWork 🏆
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Because some are asking me to translate this, the very brief version is that massive inflammation & cell death occurred in heart, lungs, brain, & eyes of cats who drank unpasteurized milk from cows with #H5N1. In all, >50% of cats at that dairy farm died. #MedTwitter #BirdFlu
#H5N1 #birdflu is likewise very dangerous to us. More than 50% of the people who have tested positive for it globally in the last 20y have died. This is why #MedTwitter is watching closely. Finding increasing cases in humans & esp spreading btwn humans would set off alarms. 😷
NEW: Prosp study in 225 pts w/ “mild” #COVID19 & future surgery or other procedures. People w/ viral RNA detection in tissue or🩸5.2 times more likely to dev #longCOVID symptoms (OR 5.2, 95% CI 2.6–10.1, p<0·0001). Higher copy #, higher odds. #MedTwitter thelancet.com/journals/lanin…
Months after a positive #COVID19 test, viral RNA was found in 10 diff types of tissue, incl the liver, kidney, stomach, intestine, brain, blood vessel, lung, breast, skin, & thyroid + blood cells, which could explain the wide range of reported #longCovid symptoms. #MedTwitter /2
Growing evidence IMO that #COVID19 viral persistence contributes to many cases of #longCovid, though it’s prob not acting alone. Still learning how genetics, immune response, & reactivation of other viruses in us intersect, producing LC in some people & not others. #MedTwitter /3
I’ve received 4 major media requests in the 2h since #KateMiddleton announced her #cancer diagnosis. I have declined them all. She has not revealed what type or stage of cancer she has, & any dr, including oncologists such as myself, appearing on the news would be speculating. /1
I’ve been asked questions on live broadcasts before that we had agreed were off-limits. I know if I agreed here, I’d be asked to speculate on the type of cancer, type of treatment, how long it might last, what the side effects might be, what her prognosis is. I won’t do it. /2
I won’t do it not only because it’s unprofessional to talk about things you don’t know about—& unless you’re #KateMiddleton’s medical team or you’ve been told by her, you don’t know what you’re talking about—but also because doing so causes concrete harm. /3
Devastating study in NEJM. Prospective study of 257 patients having carotid artery surgery: micro/nanoplastics (MNP) in 58% of atheromas & those w/ MNP present had 4.5x ⬆️ risk of stroke, heart attack, & death at mean of 34 mos follow-up. #MedTwitter nejm.org/doi/full/10.10…
Add this to the list of health concerns about micro/nanoplastics (MNP) in food. For example, this recent thread I wrote expressing concern about how we're seeing more young-onset colon cancer. Unfortunately MNP are already in soil, water, foods, etc. This is a big problem.
I hesitate to tweet concerning things without next steps since creating anxiety without an action plan I believe is harmful, but this is important info. In my 🏠 , we avoid cooking/reheating in plastic, replaced cutting boards, & are trying to avoid eating/drinking from plastics.
#MedTwitter, This is an important 🧵 from a bereaved husband’s perspective as a caregiver. I’ve been an oncologist for >20y; all of my patients by definition have a serious illness. So I hadn’t thought much about the power of affirming it. When the #COVID19 #pandemic began… 1/
& we all did more outpatient care via 📱, I had the good fortune of overhearing bits of how my husband (an infectious diseases dr) speaks to his patients. I don’t know them or their diagnoses of course, but I know it’s not all cancer, which everyone agrees is real & serious. /2
Infectious disease drs not only see people w/ things like HIV or hepatitis C, but also poorly understood complications of prior infections incl #MECFS & #LongCovid. I have lost count of the number of times I’ve overheard him say things like “what you’re experiencing is real.” /3
Sen @BernieSanders opens Senate HELP Committee mtg on #LongCovid stating that 16M in the US are currently living w/ #LongCOVID, a syndrome w/ brain fog, memory loss, language problems, fatigue, & more. “Long COVID can affect anyone…It poses a severe threat to #publichealth.”
A former endurance athlete Angela Vasquez shares her story of becoming severely disabled after an otherwise mild #COVID19 infection in 2020. She now requires 12 prescription meds. Notes that people w/ #longCovid may be too ill to navigate the disability system. #HELPLongCovid
@BillCassidy @SenSanders @SenateHELP @LCMoonshot Nicole Heim, describes her once healthy 16y old, a straight A honors student & marching band member, who developed #longCovid after a #COVID19 infection at age 14. She now has mult med issues incl cognitive impairment & is slowly working on a GED from home. #HELPLongCovid