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Eric Feigl-Ding Profile picture
@DrEricDing
Aug 1, 2022 • 10 tweets • 7 min read • Read on X
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⚠️WORRISOME TRANSMISSION—We need to get sober on how & why #monkeypox is tricky to contain: thread🧵below. Many reasons outlined by DHS report:

📌MPXV is “very stable in environment”—for “days/weeks”

📌Human asymptomatic contagiousness documented *before visible rash*

🧵More—
2) 📌Furthermore, to protect against #monkeypox—doctors and nurses are recommended to wear N95 masks plus gown and gloves.

📌Decontamination protocols requires using bleach or using (harsh) quaternary ammonium reagents — which are chemicals found in pretty aggressive cleaners.
3) Routes of infection of #MPXV: (excerpted from below)
📌Intravenous
📌Oral
📌Intranasal
📌Inhalation / aerosol in primates (cough, @CDCgov, cough)
📌Intradermal
📌Cutaneous (skin)
4) Regarding #monkeypox transmission via cutaneous (skin) route… there is a recent story about a man in Spain who possibly contracted #MPXV via a handshake and 15 minutes using a scooter 🛴’s handlebars (& no sexual exposure). 👀

coronaheadsup.com/health/monkeyp…

5) while there are a few treatments and vaccines… the only vaccine of easy administration and low side effects is the Jynneos vaccine made by Bavarian Nordic. This one is in extremely short supply worldwide. The US can’t get more for months.

dhs.gov/sites/default/…
6) let this sink in— the US will not get more Jynneos #monkeypox vaccine for month - until October at the earliest, according to @ddiamond. We are facing a vaccine cliff of no more for months. washingtonpost.com/health/2022/07…
7) the Mean incubation is 7-17 days for #monkeypox, but as short as 1 day and long as 31 days. And notably, “humans can be contagious before a visible rash appears”! 👀
8) Again, kids are much more vulnerable than adults for severe #monkeypox disease. While CDC says kids <8 are at high risk, the DHS report says kids <10 years old have been more frequently affected. Let’s take care to protect kids please! 🙏

dhs.gov/sites/default/…
9) this will not end well. There are those who can see around corners, and those who cannot. Don’t be the latter. Acting late is not better than never. Act fast and furious — furious precautionary action is the only thing can save us from even worse outcomes.
10) 📌Asymptomatic Transmission of Monkeypox:

"The existence of asymptomatic #monkeypox infection indicates that the virus might be transmitted to close contacts in the absence of symptoms." 👀

➡️we are now in deep trouble.

medrxiv.org/content/10.110…

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More from @DrEricDing

Eric Feigl-Ding Profile picture
Nov 13
⚠️BREAKING—ICU Hospitalized human bird flu case in Canada now officially confirmed as H5N1. Worse, it is the same 2.3.4.4b virus clade (variant group) as the one found in BC🇨🇦 poultry and in Washington state🇺🇸! The hospitalized teenager (with no pre existing conditions) had no animal contact, does not live on farm, had “deterioration quite rapid” and now critical in ICU with ARDS. Canada officials says infectious period is 2 days **prior to symptoms** (ie asymptomatic transmission) and infectious up to 10 days.Image
2) Public Health Agency of Canada's National Microbiology Laboratory (NML) in Winnipeg confirmed that the individual has avian influenza H5N1
canada.ca/en/public-heal…
3) details…

⚠️BAD UPDATE—BIRD FLU HOSPITALIZATION IN CANADIAN TEEN

Summary 🧵 of the live press conference with Canada’s British Columbia health officer.

📌The teen is in intensive care.
📌Condition is ARDS
📌Teen was healthy prior; no underlying conditions

bsky.app/profile/dreric…
Read 4 tweets
Eric Feigl-Ding Profile picture
Nov 13
Trump’s incoming SECRETARY OF DEFENSE who doesn’t wash his hands and doesn’t believe in germs. Image
2) Trump’s new SECDEF is also in favor of committing war crimes. businessinsider.com/pete-hegseth-a…
3) Trump’s SECDEF pick is a wild character. And loves hawking merch.
Read 4 tweets
Eric Feigl-Ding Profile picture
Nov 9
My god—Google Search for “what is a tariff” sudden spikes the DAY AFTER ELECTION DAY. 🤦🏻‍♂️ Image
2) many folks simply don’t understand what a tariff is — unless you explain it several times to them with analogies. Even then, it’s hard for many to grasp. Eg 👇
3) Ah shit… it’s now gotten worse. Why do so many people do their hw late??,
Read 6 tweets
Eric Feigl-Ding Profile picture
Nov 6
📍HARRIS IS STILL AHEAD IN PA—in terms of votes yet to be counted. She’s still +2 of what is needed to win PA, given the outstanding votes still remaining in PA cities, according to @CBSNews @NorahODonnell Image
Image
Image
Harris has enough remaining in PA Philly suburbs to still win. Image
3) folks. The NYT needle is not reliable.
Read 5 tweets
Eric Feigl-Ding Profile picture
Oct 31
Plastic cookware should not be used. Period. Especially BLACK PLASTIC cookware, that often mixes in toxic recycled electronic waste materials. DISPOSE OF ALL PLASTIC COOKWARE, especially if black colored plastic ones. Pass it on to your family.

Gift🎁🔗
theatlantic.com/health/archive…Image
2) Because optical sensors in recycling facilities can’t detect them, black-colored plastics are largely rejected from domestic-waste streams, resulting in a shortage of black base material for recycled plastic. So the demand for black plastic appears to be met “in no insignificant part” via recycled e-waste, according to Turner’s research. TV and computer casings, like the majority of the world’s plastic waste, tend to be recycled in informal waste economies with few regulations and end up remolded into consumer products, including ones, such as spatulas and slotted spoons, that come into contact with food.
3) You simply do not want flame retardants anywhere near your stir-fry. Flame retardants are typically not bound to the polymers to which they are added, making them a particular flight risk: They dislodge easily and make their way into the surrounding environment. And, indeed, another paper from 2018 found that flame retardants in black kitchen utensils readily migrate into hot cooking oil. The health concerns associated with those chemicals are well established: Some flame retardants are endocrine disruptors, which can interfere with the body’s hormonal system, and scientific literature suggests that they may be associated with a range of ailments, including thyroid disease, diabetes, and cancer. People with the highest blood levels of PBDEs, a class of flame retardants found in black plastic, had about a 300 percent increase in their risk of dying from cancer compared with people who had the lowest levels, according to a study released this year. In a separate study, published in a peer-reviewed journal this month, researchers from the advocacy group Toxic-Free Future and from Vrije Universiteit Amsterdam found that, out of all of the consumer products they tested, kitchen utensils had some of the highest levels of flame retardants.
Read 4 tweets
Eric Feigl-Ding Profile picture
Oct 29
⚠️MASK MANDATE RETURNING TO ALL NIH PATIENT CLINICS—Effective November 4, 2024, masking will be required in all patient care & waiting rooms. Furthermore, testing for COVID, flu A, flu B, and RSV will be required for all inpatients & rooming-in visitors.
cc.nih.gov/patient-servic…Image
Image
2) This means wearing a mask will be REQUIRED in all patient care areas, including waiting rooms. ➡️This change is due to an anticipated increase in COVID-19 and other respiratory virus activity in the community. 😷
3) I think people should stock up on COVID tests again. The Cheapest COVID test on the U.S. market is now as low as $1.50 with special promo code “COV20”… expiring Jan or March 2025.

store.pharmalynk.com/products/advin…Image
Read 6 tweets

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