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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U.S. CDC numbers just released. Good news (for those not in Louisiana). "Only" a 5% national increase.
2025 has closely tracked with summer 2023 transmission. A 12-13% increase would have been expected based on those numbers. That said...
real-time data have been prone to retroactive corrections. This is frustrating, of course, because it leaves people making decisions based on data that are only of good quality when 2 weeks old.
If we saw a 12% increase this week, I'd say look at 2023 for a glimpse...
at the future. Instead, I would consider these plausible scenarios:
🔹Wave still similar to 2023
🔹Later wave with schools more implicated
🔹Something temporarily much better
COVlD is surging in 7 states, according to the CDC.
🔹Hawai'i (Very High)
🔹California (High)
🔹Nevada (High)
🔹Texas (High)
🔹Louisiana (High)
🔹Florida (High)
🔹South Carolina (High)
2. PMC COVlD Dashboard, July 21, 2025 (U.S.)
Western surge:
🔹California: 1 in 63 actively infectious, much higher in LA & Bay areas
🔹Hawai'i: 1 in 35 actively infectious
🔹Nevada: 1 in 63 actively infectious
These are wastewater derived estimates, not from individual tests
3. PMC COVlD Dashboard, July 21, 2025 (U.S.)
Southern surge:
🔹Texas: 1 in 56
🔹Louisiana (New Orleans): 1 in 65
🔹Florida: 1 in 66
🔹South Carolina: 1 in 71
Again, wastewater estimates (wise indicator), not individual testing (low-quality data).
We estimate 1 in 148 Americans are actively infectious. This equates to 2.3 million infections/week, expected to result in >100,000 new #LongCOVID conditions & >800 deaths.
A room of 100 people is a coin toss of an exposure.
2) PMC COVlD Dashboard, July 14, 2025 (U.S.) 🧵
Transmission (red) is closely tracking the path of 2 years ago (yellow). However, the incoming data are spotty. >20% of CDC states have limited/no data, & Biobot hasn't reported in weeks.
Could be MUCH worse or slightly better.
3) PMC COVlD Dashboard, July 14, 2025 (U.S.) 🧵
Our model formalizes the mathematical assumptions in those predictions. If transmission follows what we know in terms of how waves grow or slow generally and historical patterns, this is what we'd expect.
The spottiness of the current real-time data reduce precision substantially. Retroactive corrections can make the forecast jump around from better to worse from one week to the next. Expect the worst. Hope for the best.
🌍Want to track COVID transmission accurately worldwide?
This PMC thread walks you through leading dashboards with information more up to date than WHO & EU directories.
🧵 1/
The Pandemic Mitigation Collaborative (PMC) Dashboard provides weekly COVID updates for the U.S., using wastewater surveillance derived case estimation models and analytic forecasting.
Our international directory includes official government dashboards & those developed by citizen scientists.
We exclude countries that have stopped reporting in the past 2-12 months even if on EU or WHO lists. We also exclude low-quality data from opt-in testing programs.
🧵 3/
🔥Biggest uptick since Jan
🔥1 in 167 actively infectious
🔥>2 million weekly infections
🔥700-1,200 resulting excess deaths from weekly infections
Track transmission closer to home w/our new state & international resources 👇
🧵1/6
PMC COVlD Dashboard, Jun 23, 2025 (U.S.)
🔹With >90% probability, we have entered the 11th COVlD wave.
🔹In a room of 50 people, there is already a 1 in 4 chance of an exposure.
🔹We expect nearly 15 million infections in the next month, and rising.
🧵2/6
PMC COVlD Dashboard, Jun 23, 2025 (U.S.)
We continue to expect transmission to break 500,000 daily infections in the U.S. around July 9th.
This is the same prediction as last week, as the forecast was dead on. Yet, there is considerably uncertainty around this timing.