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Mike Hoerger, PhD MSCR MBA Profile picture
@michael_hoerger
Sep 25, 2022 • 9 tweets • 6 min read • Read on X
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Know someone having a baby soon? CONGRATULATIONS! 🍼🍼🍼

As hospitals drop universal COVID protections, these are my top 7 tips for protecting unmaskable un-vaxable newborns from #nosocomial (hospital-acquired) COVID.

What did I miss?

THREAD of Top 7 Tips 🧵
Tip #1 – Determine your #mask rules. Some parents require staff to #N95. Compliance would vary by region/hospital. Prep for what you’ll say if staff don’t comply.

With our newborn twins, we supplied medical staff w/free N95s & tests. Nobody wanted N95s; 1 took a #RAT. 🤣
Tip #2 – U.S. hospitals SHOULD have excellent ventilation (air cleaning) by reg. But HVAC repair doesn’t have a CPT code. Many of my best & worst air quality readings are from hospitals.

Consider buying a #CO2monitor, read on that hashtag, & follow @joeyfox85 for basic tips.
Tip #3 – Bring 1-2 large #HEPA filters. Your GOAL is to keep them plugged in. When someone says they must unplug them, have a plan!

When told to unplug our HEPAs, I demanded to speak to the building engineer (too busy to ever show up) & …
Tip 3 (cont) – talk to the 'patient advocate' BEFORE letting anyone unplug the #HEPA.

If anyone unplugged my HEPAs, I would have kicked them off the care team, trashed the hospital on social media, called the news and a lawyer, and started picketing outside.

Have a plan.
Tip #4 – W/all the unmasked ppl roaming medical facilities, build a #PAPRbuggy/#HEPAbuggy to keep babies safer when leaving & for their many well visits.

I began testing designs in March. Read my empirical report (under review, see link to pre-print).
Tip #5 – Protect yourself. Get the bivalent #booster. Discuss nuance w/OBGYN/PCP. Mask well. Set vax & mask rules for any fam visitors.

I wore N95s >99% of the time in the hospital & my partner did except for meals (after a HEPA cleaning delay). Mask while sleeping.
Tip #6 – Develop testing protocols for fam who may visit in or after the hospital stay. I’ve administered hundreds of tests (RATs, PCR, antibody), talk about boogers, swab tactics, etc.

No family sees my babies w/o getting tested. Determine what’s right for your fam context.
Tip #7 – Give yourself grace. Health systems have little understanding that #COVIDisAirborne. The WH, CDC, and much of America are living in #delusion-ville while a 9/11 of ppl die each week. Whatever happens, you did the best you could.

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More from @michael_hoerger

Mike Hoerger, PhD MSCR MBA Profile picture
Jun 3
1/ PMC COVlD Dashboard, June 2, 2025 (U.S.)

National COVlD transmission recently fell to its lowest levels since the pre-Delta era.

It's go-time for many who have delayed medical appointments. The situation will likely get much worse in Jul/Aug.
2/ PMC COVlD Dashboard, June 2, 2025 (U.S.)

An estimated 1 in 211 are actively infectious. Most states are "low" or "very low" per CDC.

The situation remains serious even in a relative "lull." >1.5 million weekly estimated infections to result in 600-900 excess deaths.C19 heat map
year over year graph, tracking closely with the median and past 2 years
Current Levels for Jun 2, 2025 % of the Population Infectious 0.5% (1 in 211) New Daily Infections 227000 New Weekly Infections 1589000 Resulting Weekly Long COVID Cases 79,000 to 318,000 Resulting Weekly Excess Deaths 600 to 900 Monthly Forecast Average % of the Population Infectious 0.7% (1 in 139) Average New Daily Infections 344566.6667 New Infections During the Next Month 10337000 Resulting Monthly Long COVID Cases 517,000 to 2,067,000 Resulting Monthly Excess Deaths 3,700 to 6,200 Running Totals Infections Nationwide in 2025 70132000 Average Number of Infe...
Graph of the whole pandemic, 11th wave forthcoming
3/ PMC COVlD Dashboard, June 2, 2025 (U.S.)

By the end of the month, we forecast an increase to 450k daily infections. If NB.1.8.1 takes off, closer to 600k. If overhyped, percolating only slightly higher.Past 12 months and forecast
Read 5 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
May 26
1) PMC Dashboard, May 26, 2025 (U.S.)

The lull exit is coming. Despite being in a lull:

🔥1 in 180 actively infectious
🔥1.9 million weekly infections
🔥>93,000 new #LongCOVID cases from the week's infections
🔥1,100 excess deaths from the week's infections

This is a "lull."
2) PMC Dashboard, May 26, 2025 (U.S.)

The forecast calls for a near-doubling in transmission the next month to 450k daily infections.

The 95% confidence interval includes flat transmission (percolating), or escalating to 650k (if NB.1.8.1 takes off). Forecasting graph, summarized in post
3) PMC Dashboard, May 26, 2025 (U.S.)

Looking at year-over-year transmission, 2025 (red) is closely tracking the median (gray).

It transmission accelerates, it could look more like last year (orange). If it slows, more like two years ago (yellow). Year-over-year graph summarized in post
Read 7 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
May 25
1) CDC & Biobot wastewater surveillance both show the West region in an apparent uptick in C19 transmission.

Here's the graph of regional transmission from CDC data with the West in green: Estimated Percentage Actively Infectious* PMC Model Raw CDC Data National 0.6% (1 in 180) 0.5% (1 in 196) Northeast 0.4% (1 in 236) 0.4% (1 in 257) Midwest 0.5% (1 in 209) 0.4% (1 in 227) South 0.6% (1 in 160) 0.6% (1 in 175) West 0.8% (1 in 129) 0.7% (1 in 140)
2) This image zooms in on the West (green line) so you can see the apparent departure from the C19 lull more easily. Zoomed in graph from prior post. More stats in the ALT text there.
3) Biobot still provides national & regional C19 updates. They usually post sometime between Thursday morning & Saturday evening. IMO, their most recent data point can be viewed as the Wednesday of the prior week.

Like the CDC, they have an apparent uptick in the West (green). Biobot graph. What's striking is that the peak (for any region) is almost identical the past 3 waves, though the West apparently runs cooler on average. The West is presently highest and increasing, whereas the other regions are lower and still trending down at the time of these data.
Read 6 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
May 20
PMC COVlD Report, May 19, 2025 (U.S.)

In this national "lull" in transmission, we are seeing...
🔥A quarter-million daily infections
🔥90-360k Long COVlD cases from the week's infections
🔥600-1,100 deaths from the week's infections
🔥LA, SD, NE, & GU in high transmission10 waves of C19
Heat map, summarized in post
Current Levels for May 19, 2025 % of the Population Infectious 0.5% (1 in 185) New Daily Infections 259000 New Weekly Infections 1813000 Resulting Weekly Long COVID Cases 91,000 to 363,000 Resulting Weekly Excess Deaths 600 to 1,100 Monthly Forecast Average % of the Population Infectious 0.8% (1 in 129) Average New Daily Infections 371566.6667 New Infections During the Next Month 11147000 Resulting Monthly Long COVID Cases 557,000 to 2,229,000 Resulting Monthly Excess Deaths 4,000 to 6,600 Running Totals Infections Nationwide in 2025 66986000 Average Number of I...
Year-over-year graph, currently closely tracking the median, Y4, and Y5
Full report: pmc19.com/data
PMC COVlD updates are also posted periodically on Plip Plop:

tiktok.com/@michael_hoerg…
Read 6 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
May 15
1) Good luck getting any new federal research to support #LongCOVID until "covid" is dropped from the dirty words that get grant applications triaged to the trash bin.

You know which senator to call.

I just did, and got a staffer instead of voicemail.Lengthy list of words that get federal grants triaged to the trash bin, unfunded after favorable review, or defunded if already in progress. Includes "Covid-19," and no, it's not a matter of simply restating as "SARS2" or "The Rona." It might make it one step further in the review process, but this gets checked closed, and it will get canned. Hundreds of hours of work, flushed down the toilet. And that's the point.
2) I told the staffer that #LongCOVID is affecting millions and that no research will be funded to address this while "covid" remains on the banned word list.

I asked if they wanted to hear more. He did...

Here's the word list, btw
pen.org/banned-words-l…
3) I told them about my family member who was a strong Special Forces veteran, got covid once, & according to their neurologist, it triggered #LongCOVID in the form of Dementia w/Lewy Bodies.

DLB is one of the worst conditions imaginable. After a 2yr battle, they died in 2024.
Read 5 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
May 3
30 million excess deaths attributable to COVID is a tremendous underestimate because most analyses insufficiently account for mortality displacement.

In the U.S., it's about 50% worse than people realize.
Mortality displacement or "harvesting" is the idea that so many people died of COVID in the early pandemic that we should actually expect to see *fewer* deaths today if COVID were "over."
In fact, we see similar or slightly higher mortality relative to pre-pandemic levels. Despite the millions of people that have died, the mortality faucet keeps running strong. It should have slowed.
Read 9 tweets

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