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#MasksInSchools Dr Noor Bari Profile picture
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Aug 5 • 4 tweets • 1 min read
It’s about time that we revisit #TargetingZero.
COVID-19 is a serious disease with a high mortality despite all pharmaceutical interventions thus far.

It also has serious long term health outcomes.

It warrants control just like TB.
We need an international understanding that “Letting Rip” is unacceptable. We need treaties and strategies agreed to combat this.
A global effort to control communicable disease is needed as well as climate action to build a better future for the next generation.

It’s worth it.

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More from @NjbBari3

#MasksInSchools Dr Noor Bari Profile picture
Aug 7
Observing the narrative around monkeypox with increasing alarm.

The narrative may turn out to be lethal in itself.

Very worried. Something that should have been so simple has come to life like a dragon breathing fire.
Everyone that is part of a community that is affected by disease should have vaccines, testing tracing and isolation with support available to them.

This is not homophobia. This is a common sense and care.
Monkeypox has multiple modes of transmission. Sexual intercourse, prolonged skin to skin contact is high risk, but you can also catch it by changing linen, breathing contaminated air for prolonged periods (unknown exactly how long) face to face air exchange (chatting) etc. ->
Read 14 tweets
#MasksInSchools Dr Noor Bari Profile picture
Aug 6
I’m thinking of buying enough ice cream to last two years.

I won’t, because that’s naughty hoarding… but it did cross my mind.
I’ll just get one tub and try to make that last two years?

I dunno…
Nope, I’ve got it, make frozen yoghurt from scratch… eureka!
Read 4 tweets
#MasksInSchools Dr Noor Bari Profile picture
Aug 6
La La land is nice.

In La La land you can say a virus isn’t airborne, kids don’t get sick, schools are safe (without airborne disease mitigations) and anything else you wish were true.

Shame you can’t go to La La land and wish your dead friends and family back.
Not so long ago, there was an article written by a prominent infectious diseases person saying respirators were not good to use in healthcare because most people can’t use them properly.

Yes, because we are all idiots and can’t be trained.
Beware advice that is based on “real world scenarios” where the best advice is not given because someone, somewhere, thinks the community is too incompetent to get it.

It does NO ONE any favours.
Read 4 tweets
#MasksInSchools Dr Noor Bari Profile picture
Aug 6
We do have decades of data on monkeypox, which are all being ignored.

It wasn’t a disease of men who have sex with men, although it tended towards males having symptoms, and it was classified as an airborne HCID.

I accept that it is affecting MSM community greatly though.
It started off as mainly a zoonosis with very limited human to human transmission, and has slowly become more prevalent with more sustained transmission in humans.
If it spreads mainly when symptomatic, and men tend to be more symptomatic, that may partly explain the lightening speed with which it is spreading now. Other factors will play in, like the fact that we are not using all the tried and tested methods of control.
Read 7 tweets
#MasksInSchools Dr Noor Bari Profile picture
Aug 4
Bookmark this one. It's a systematic review of outbreaks of monkeypox prior to 2019. It has lots of references and links to explore from the main article.

It may have some clues for us.

ncbi.nlm.nih.gov/pmc/articles/P…
This is a table of identified cases and the sex ratio of these cases. Many outbreaks are rural and also there are older outbreaks which were mainly diagnosed clinically. S2 Table Age Sex Characteristics by country and year. furthe
Cases are easier to diagnose when the signs and symptoms are easy to see. This correlates sometimes with disease severity, which is probably true of monkeypox.
Read 11 tweets
#MasksInSchools Dr Noor Bari Profile picture
Aug 4
This needs to be talked about more.

Infectious diseases more broadly, and how we can reduce risk but still connect.
I think it’s really important to be honest about the risks with disease and intercourse.

I was not impressed with the recent guidance for monkeypox that did not take into account the multiple nodes of transmission, but I do want to see more realistic advice to people.
I think at the very least, ensuring that you feel physically well yourself and don’t have any obvious signs of illness is a start.

Getting screened for sexually transmitted diseases and using home tests like RAT for covid will help.
Read 7 tweets

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