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.…
#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: Before the vax, in the late 1940s, polio paralyzed 35K Americans per year. #VaccinesWork 🏆

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More from @tmprowell

Jun 23
NCI Pooled analysis (N=6.9K) of antiPD1/PDL1:
👉0.6% incidence CPI-related major cardiac AEs, 77% grade 3+
👉Almost half were myocarditis
👉 Twice as common w/ combos vs monotherapy & w/ CPI + targeted agent vs CPI + antiCTLA4…
👉Major cardiac AEs were mostly early events (1-2 months) occurring after median of 2 doses of CPI
👉1/4 of cases of myocarditis were fatal, all preceded by myositis 👀
👉Diverse clinical presentations so have high index of suspicion to diagnose & intervene early…
My commentary: It’s also concerning (& not surprising given what we know about pro-inflammatory metabolic syndrome as a cardiac risk fx) that markedly ⬆️ risk of MI has been reported in pts with multi-yr use of CPIs. I predict this follows a course much like HIV…
Read 6 tweets
Jun 9
Hey, #HoCoMD friends, be careful out there. This rain is crazy. Just got flash flood warning. Those of us who have lived here awhile know the history of this town, including the last tragic flash flood just 4y ago: #ECstrong
And now add a tornado warning to the flash flood warning, #HoCoMD. Done that before too in our own backyard (📸 2003). Careful out there, #EllicottCity neighbors.
Read 4 tweets
Jun 4
🧵 A little vignette for #ASCO22 attendees & esp speakers/chairs. Today I spoke in an Ed session. E350 is small enough I could see faces. When we began, most were in 😷, but I counted 11 who weren’t. One had a drink. The rest didn’t appear to be eating/drinking. Importantly… 1/
a few people (not sure if in 😷 or not) were coughing. That’s something you always hear, but it takes on added significance in a #pandemic because #COVIDisAirborne & current #Covidvariants spread as easily as measles, the most contagious respiratory pathogen on earth. /2
Before I began my talk, I called attention to the fact that I would be continuing to #WearAMask while speaking. #Covid19 doesn’t care that I’m at the #ASCO22 podium. I said I was speaking masked to model the #OncTwitter behavior I hope to see. /3
Read 8 tweets
Jun 1
🧵#ASCO22 Sessions at a Glance for #OncTwitter

Friday June 3 Image
#ASCO22 Saturday June 4 Image
#ASCO22 Sunday June 5 Image
Read 5 tweets
May 29
🧵 Imagine if 20 mins from now you had:

✅ Left a VM or sent email to Congress demanding new legislation for #GunSafetyNow

✅ Donated to @Everytown during the triple match happening now

✅ Asked self/fam/friends if guns are safely stored

✅ Volunteered with @MomsDemand

Triple match ends Tues 5/31 at midnight. /3…
Read 6 tweets
May 28
🧵 My oncology colleagues know how often I say: #WordsMatter. So I’m thinking about words we use to talk about #RobbElementary & every other incident of #GunViolence in 🇺🇸. Part of why people can scroll past these things, why they may not even register as news to us... /1
Is that somewhere along the way, we had words like “school shooter” & “gunman” drilled into our consciousness as the usual terms. These things oddly sound more like jobs—‘school shooter’ sounds like school principal or school secretary & ‘gunman’ like fireman or repairman… /2
And hear me out on this because the same sentence lands very differently if you substitute, for example, mass murderer or elem school killer. Try it. Grab any article. Listen to any news story. Swap all the words. #Uvalde school shooting m becomes #RobbElemementaryMassacre. /3
Read 5 tweets

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