After a long battle, my Aunty, a Professor in Obstetrics and Gynaecology in Dhaka🇧🇩 , died of COVID-19. It’s coming up to the second anniversary of her death, and here we are again, sending healthcare workers into danger, without adequate protection.
Two critical errors are occurring again.
1 Downgraded pathogen from airborne transmission so adequate PPE won’t be available, especially in LMIC.
2 Vaccine supply and equity issues.
It is far too soon to be repeating the same mistakes again, and yet here we are.
We are asking unvaccinated, inadequately protected HCW to put their families lives on the line again… This time, the pathogen affects kids most.
Many of you followed me through those early depressing years as I shared the losses we had in my family to COVID-19… and now, monkeypox casts a gloom in the future.
I can’t emphasise enough, how important it is to have a cautious and practical approach to this latest problem.
Vaccines, diagnostics, PPE, treatments need to be shared, and they need to go to those communities that are affected the most. The people that have monkeypox, their close contacts, and those who work with them first, regardless of borders.
Testing in particular needs to open up to everyone. We know this isn’t a disease that will remain in any one community for long.
I wish that we could do it right this time. 😔
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If you are in a monkeypox outbreak zone, I recommend disposing disposable masks responsibly after use, rather than the COVID-19 recycle in a bag thing.
That won’t work so well for pox. :-(
If using elastomeric, read manufacturers instructions for decontamination. ->
and check to see if CDC approved solutions are OK.
They will probably degrade some masks over time so check carefully for damage before wearing again.
Different disposable masks may respond differently to heat/UV decontamination. Please be aware that this does affect fit & filtration of masks. Pox is hazardous enough that I wouldn’t try this unless I had to, and there are limits to how often this can be done. Hence dispose. 😱
Unfortunately there is no good answer to this. If you read the reviews, some are more likely to fit more people than others, but in reality, you have to try them out yourself.
I can tell you the kind of things I look for.
Fit. Got to be flawless.
Filtration. Minimum N95 for shopping. N99/100 equivalent for high risk close contact.
Soft?
Weight?
Will glasses fit? (Best to wear your mask when buying new glasses to line up pupils properly.)
Reusable? ->
Sound transmission?
Mouth visibility needed?
Strap thickness (thicker can wear longer with less headache).
Price?
Environmentally friendly?
How to clean and service, is it easy?
Support/spare parts/supplies?
Snazzy looking? 🤣
People that were infected without being bitten or scratched by the infected prairie dogs showed predominantly systemic 53.3% or upper respiratory 26.7% symptoms at presentation.
In my view, this could be because virus was inhaled rather than transferred across skin.
Those that did have an obvious skin breech (bite/scratch), developed rash earlier. Some even commenced at the sit of the wound.
Those that didn’t, had constitutional symptoms earlier, rash later, without the early localising lesion to the skin to indicate how virus got in.
Some examples when risks require regulations, laws or mandates to manage effectively.
Serious but uncommon risks.
Unintuitive or hidden risks.
Risk to others, not self.
Risks that occur a long time after an action is taken.
Risk is new or has changed.
Risk may be taken for financial or other gain, setting up traps for others.
etc.
We’ve always needed some limitations on the risks we take, otherwise bridges would fall down, people would still be windscreen pizza after an accident cos no seatbelt…