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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🌤️Only 1 in 5 days of the pandemic have seen transmission as low as today
🌤️1 in 196 actively infectious
⚡️BUT still 1.7 million weekly infections, resulting in >85,000 LC cases and up to 1,000 deaths
I'll walk you through it...
🧵2 of 8 | PMC Dashboard, April 21, 2025 (U.S.)
We're in the 6th year. See the small red line, bottom left. Notice how closely it tracks the median (gray), year 4 (yellow), & year 5 (orange).
Acknowledging caveats, those are plausible gist-level scenarios for months ahead.
🧵3 of 8 | PMC Dashboard, April 21, 2025 (U.S.)
Expect steady transmission bouncing up and down around the current national lull-level estimate the next several weeks. 200-350k daily infections nationally.
🔹2.2 million weekly infections
🔹1 in 149 actively infectious
🔹>100,000 LC cases resulting from the week's infections
🔹>800 deaths resulting from the week's infections
🔹"Lull" transmission steady/slightly declining
🧵2/5 | PMC Dashboard, Apr1il 14, 2025 (U.S.)
Year-over-year transmission (red line, lower left) is tracking the median (grey), year 4 (yellow), and year 5 (orange) closely.
If that trend continues, expect steady yet bumpy transmission the next couple months, until June/July.
🧵3/5 | PMC Dashboard, Apr1il 14, 2025 (U.S.)
The heat map shows only 4 states in the CDC 'high' level and none in the 'very' high level.
Check local data. Those timing activities to lulls may see a clear opportunity.
The NIH Clinical Center drops universal masking after 5 months of protecting patients, family, & staff.
Wastewater-derived estimates indicate 2.79 million Americans are getting Covid per week AND top actuaries suggest an American dies of Covid every 3 minutes.
🔹1 in 120 actively infectious
🔹1 in 3 chance of exposure in a room of 50
🔹2.8 million weekly infections
🔹>140,000 resulting LC cases from the week's infections
🔹>1,000 deaths resulting from the week's infections
2) Watch this video to understand how we use excess death data from one of the world's largest reinsurers to estimate how this week's infections will result in >1,000 deaths.
🔹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.