4th of September 2020.

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.

#MonkeyPoxIsAirborneToo
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. 😔

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with #MasksInSchools Dr Noor Bari

#MasksInSchools Dr Noor Bari Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @NjbBari3

Aug 1
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. 😱
Read 7 tweets
Aug 1
I’m not going to tell anyone who or what to vote for. I too believe in democracy, not a technocracy.

However, I believe in a free and fair democracy.

I believe in a democracy informed by the most accurate information.

I believe in free (not hate) speech.

Vote.
They say that they are returning your freedom to you.

Why then does it feel like the boot of oppression is getting heavier by the day?

Vote.
Read 10 tweets
Aug 1
I get asked often “which respirator”…

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? 🤣
Read 5 tweets
Jul 31
One of the greatest fallacies of recent times… that serious illness means inpatient care, or even dying in hospital.

No.

The vast majority of chronic and serious disease is managed in the community, and yes, palliated in the community.
Be very wary of using hospitalisation only as a marker of disease impact. There are better scales of function we can use.
Don’t underestimate long COVID. You will miss your health when it’s gone…
Read 4 tweets
Jul 30
A really nice study looking at the type of exposure and the type of symptoms.

Invasive = bite/scratch from prairie dog.

Non-invasive= other exposure to infected prairie dogs.

Note 80% upper respiratory tract symptoms.

#MonkeypoxIsAirborneToo

academic.oup.com/jid/article/19…
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.
Read 5 tweets
Jul 29
“…the majority of people in the community did not want to be told what to do…”

Yup. I don’t like to be told what to do either, but sometimes, it’s necessary…

#MaskMandates
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…
Read 4 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

:(