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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🔹800-1,400 deaths expected to result from this week's infections (new stat, see video next Tweet)
🔹100,000+ Long Covid conditions to result from this week's infections
🔹1 in 142 actively infectious today
🧵2 of 5
PMC Dashboard, March 31, 2025 (U.S.)
This video explains U.S. COVID excess death statistics, which we have incorporated into the dashboard.
🔥109,000-175,000 people in the U.S. are expected to die as a result of COVID in 2025, based on estimates derived from Swiss Re
🔥COVID deaths expected to be on par with lung cancer in the U.S. in 2025
🔥Death data added to the dashboard
2) Full video links to learn more about COVID #ExcessDeaths in the U.S.
🔹3 million new weekly infections in a persistent "lull" of substantial transmission
🔹1 in 107 (0.9%) of the population actively infectious
🔹1 in 3 regions in high/very high transmission (16 states and DC)
PMC Dashboard, Mar 24, 2025 (U.S.)
🧵2/5
We have had a steady state of about a half million infections the past several weeks. That's over 50 million estimated infections so far in 2025.
In a room of 40-50 people, there's a 1-in-3 chance of exposure if no testing/isolation.
PMC Dashboard, Mar 24, 2025 (U.S.)
🧵3/5
There's a good chance of steady transmission the next month. Often, we'd head into a low lull about now. BUT there are no universal precautions, immunity is waning from the fall & winter 2023-24, & viral evolution looks less 'lucky.'
It was before the pandemic declaration, before the federal government recommended masking.
COVlD spread quickly through New Orleans, leading to one of the highest mortality rates per capita in the U.S....
2) New Orleans service workers were disproportionately hit by the early pandemic. Many died. Many developed #LongCOVID at the time or have now through repeat infections. Many have switched to other sectors....
3) The sad fact is that many service workers are continuing to get #LongCOVID through repeat infections today because the pandemic is ongoing and many restaurants have high occupant density and horrendous air quality....
🔥1 in 72 actively infectious
🔥Sustained high transmission
🔥30 states in high/very high transmission (CDC)
🔥3x the transmission of Feb 2021
🔥668,000 daily infections
🔥Only 1 in 28 cases reported
2) PMC COVlD Dashboard, Feb 17, 2025 (U.S.)
This is a mid-sized wave, meaning substantial transmission. Notice that transmission remains steady at high rates.
Expect steady or slightly declining transmission, unless the real-time data are retroactively corrected.
3) PMC COVlD Dashboard, Feb 17, 2025 (U.S.)
Notice that 30 states remain in high/very high transmission, per CDC categories.
This is the same as last week. Transmission is 3x higher than in Feb 2021, when people were taking more precautions around masking and testing.