“Public health disaster”—Prisons are ‘potentially high-risk’ for #monekypox but experts say the @CDCgov’s horrible decision not to proactively vaccinate those in prison threatens the health of public at large. @CDCDirector sucks so bad that my brain hurts.
19thnews.org/2022/08/prison…
2) Aziza Ahmed describes it as a public health disaster: a lot of people in tight quarters, inadequate healthcare, staff coming and going and no vaccines. 
Ahmed is a professor of law and an expert in health legal issues at Boston University….
3) She is among a chorus of public health experts voicing concerns over the federal response to monkeypox in prisons and jails.
 “At least at a minimum, [monkeypox] will require vaccines and personal protective equipment and places to isolate or quarantine,” said Ahmed.
4) if you’re not worried about stopping #monkeypox in prisons and jails… you should be — you don’t want this spreading further.

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More from @DrEricDing

Aug 18
Breaking—New York City reports 2 human cases of the West Nile virus as the city sees record number of infected mosquitoes. It’s back!

(I used to work on #WestNileVirus epidemic control in NYC for @DrTomFrieden at @nycHealthy almost 20 years ago)
cnn.com/2022/08/17/hea…
2) Across the city's five boroughs, 1,068 mosquito pools have tested positive for the virus, according to the New York City Department of Health and Mental Hygiene. The city recorded 779 positive pools at the same time last year. (I used to collect these 19 years ago)
3) Mosquitoes infected with WNV are typically present in NYC from July through October, with peak activity during August and September. Infected mosquitoes can spread WNV to people through a bite. Two human cases have been reported, in Brooklyn and Queens

www1.nyc.gov/site/doh/about…
Read 9 tweets
Aug 17
BOTCHED PANDEMIC RESPONSE—sweeping rebuke of @CDCDirector agency’s handling of the coronavirus pandemic, saying it had failed to respond quickly enough and needed to be overhauled. Changes stem from “scathing criticism” of @CDCgov’s pandemic response.🧵
nytimes.com/2022/08/17/us/… Image
2) In a meeting with senior staff, Dr. Walensky outlined in broad terms a plan to reorganize the agency’s structure to prioritize public health needs and efforts to curb continuing outbreaks, and to put less emphasis on publication of scientific papers about rare diseases.
3) The steps announced on Wednesday grew out of an external review Dr. Walensky had ordered in April, after months of scathing criticism of the C.D.C.’s response to the pandemic.
Read 17 tweets
Aug 16
Breaking—CRITICAL LEVEL TIER 2—first time ever Colorado River has drained 75% of the water from basin— falling closer than ever to levels where hydroelectric dams can’t generate power⚡️, millions lose access to drinking water🚰 & irrigation across 7 states washingtonpost.com/climate-enviro…
2) On Tuesday, the U.S. Bureau of Reclamation declared that the Lower Colorado River Basin has reached what’s called a “Tier 2” shortage, requiring cuts in water use that will diminish what Arizona gets by 21 percent, Nevada by 8 percent and the country of Mexico by 7 percent.
3) “The system is approaching a tipping point, and without action we cannot protect the system,” M. Camille Calimlim Touton, commissioner of the Bureau of Reclamation, said during a news conference Tuesday. “Protecting the system means protecting the people of the American West.”
Read 6 tweets
Aug 16
📍WATER SHORTAGE CUTS IMMINENT—US to trigger first-ever Tier 2 water shortage for the Lower Colorado River Basin. Next step is the 7 states in the basin come up with a way to voluntarily cut water usage up to 25%, or the US government will do it for them. amp.cnn.com/cnn/2022/08/16…
2) a year ago that Department of Interior declared the first shortage on the Colorado River -- a Tier 1. But past 12 months did not bring enough rain and snow. A report shows Lake Mead is hovering around 1,040 feet above sea level, after having dropped 10 feet in just 2 months.
3) If the forecast is below 1,045 feet, which recent forecasts would suggest it will be, then mandatory water cuts will expand beyond Arizona, Nevada and Mexico and into California for the first time.
Read 6 tweets
Aug 16
Vaccine distribution chaos—“Another 800 #monkeypox vax doses sent to Minnesota —a significant portion of the state’s total allotment —were unusable because the shipment was lost in transit for longer than the 96-hour “viability window.” 🧵

By @apoorva_nyc
nytimes.com/2022/08/15/hea…
2) “Until recently, orders for Jynneos had to be placed via email instead of an automated system—state officials often did not know where their deliveries were or whether they had been sent at all. Some arrived without labels saying they contained vaccines or needed cold storage”
3) “Officials in at least 20 states and jurisdictions have complained about the delivery of the vaccine, called Jynneos. (Over half are led by Democrats, including California, Washington, Connecticut and Michigan, suggesting that their grievances are not politically motivated.)
Read 9 tweets
Aug 12
Almost 35,000 #monkeypox cases worldwide. Cases are definitely not “flat” as some claimed last week—continuing to surge. Many countries, including 🇬🇧, are running out of vaccine supplies in just 1 week. I know there’s a lot of virus news—but giving into fatigue is how virus wins. Image
2) Florida DOH is now telling people that heterosexual women cannot have #monkeypox — which is the biggest crock of nonsense I’ve heard all day— and I’ve been reading a lot of BS today.
3) Nigeria 🇳🇬 Ministry of Health’s #monkeypox treatment / self care guide is one of the best on the internet. Seriously, it’s by far one of the most richly detailed. 👇
Read 4 tweets

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