🧵 on why the past experiences aren't good enough #monkeypox disease was first confirmed in humans in 1970.When the outbreak happened most thought it will be a few cases based on earlier outbreaks BUT some of us believed otherwise. See the old tweet ctd)
2/n We were plain lucky to have the West African clade of #monkeypox spread and not the #Congo clade spread , had that happened those who are lecturing is would have been scurrying for cover. Whether it is #Nigeria or it is Globally #monkeypox has broken a lot of barriers.ctd) Image
3/n with massive undercounting globally we are at 70,000+ cases in 102 new countries.All with availability of #Vaccine & #Tecovirimat in many countries. It would have been thousands more - so even if anyone has experienced the past- it doesn't help - the field has changed ctd) Image
4/n The #WHO it seems has learnt the lesson - they were proactive in declaring #monkeypox as pandemic ( though could have been better response but still),@DrTedros & @DrMikeRyan were at #Uganda immediately.#Ebola strain that people may have seen earlier has was different ctd)
5/n most importantly we are seeing immunosuppression in the population due to #Covid along with a strong resistance to #PublicHealth, this is very bad news. Never in past history would an #Ebola infected kid gone to school & school remained open .I hope I am wrong 🙏🙏

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More from @Rpshahmemorial1

Oct 15
Short🧵 on the story of the swollen toe - A known of mine phoned 2 days ago, their 19 yr old daughter had suddenly developed a swelling in toe - 2 hrs earlier along with sore throat & slight fever. On my urging they did a rapid test-ve, the RT-PCR ordered for next day -ve ctd) Image
2/n The fever subsided with naproxen but thereafter neded paracetamol to keep it under check. The mother did not want further testing currently BUT the kid would be in isolation because they have a 90 yr old grandmother living with them .They will watch carefully &masked ctd)
3/n while I was reassuring the mother that it is okay to watch carefully and even though it is most probably #Covid toe , we just need to be very careful she said something and I quote " Dr I am fed up ,this girl is getting fever every 5 weeks ,nothing seems to help" ctd)
Read 5 tweets
Oct 10
Short 🧵 On Persistence of #Ebola - Patient infective over 500 days & spreads infection by Sex- So with the risk of spill over we may see repeated outbreaks. In 2016, Guinea had recorded 3 probable, 7 confirmed cases, of which 6 were admitted at an Ebola treatment unit ctd)
2/n 4 patients died in the community ,4 patients in the ETU.Fatality ratio among probable & confirmed cases in this cluster in Guinea was 80% (8/10).They were closely related to viruses from the 2014–2016 outbreak, ruling out a new introduction from an animal reservoir ctd)
3/n Epi investigation revealed that case 1 had sexual intercourse with a male #Ebola survivor who reported sexual abstinence after discharge from Nov 2014 -August 2015 as recommended. From Sep 2015, he had occasional intercourse with various partners, including case 1 ctd)
Read 8 tweets
Oct 9
Short 🧵 on why some people are showing resistance to acceptance of risk of #Covid. This is a thread not on those who have fallen to misinformation BUT on those who initially took good care, till the vaccines came through - Suddenly become extremely careless & don't mask ctd)
2/n When the pandemic started a physician with army background told me - You know when do maximum casualties take place usually and went to explain & I quote" the maximum casualties dont happen during the 1st 2-3 days when the armies face each other - both sides dig into - ctd
3/n their own bunkers or hide from shelling - The moment they find they are being targeted they jump from one place to another or scurry for cover.After 10 days weariness comes in & with it comes false sense of security or overconfidence in your gear - Ctd)
Read 6 tweets
Oct 2
Short🧵Why I think #Covid can cause existential consequences for Human Race ?? For any species to continue it has to procreate,that depends on fertility of both men & women.We started getting edgy couple of months ago.Here's the original ctd
Ctd2) Then we found more correlation, the infection was really causing changes in hormone levels ctd)
Ctd3) We know that the number of ova in a woman is fixed at birth.The body doesn't produce more ova.Only a fixed number mature rest die off , maturation needs hormones & lots of other factors. If either hormones or reservoir is reduced #risk ctd)
my.clevelandclinic.org/health/article….
Read 7 tweets
Oct 2
Small 🧵on how repeated infections are causing mayhem - I treat kids who have #clubfeet , the kids have to be plastered every week and finally a small incision has to be made I prefer sedation ( sleep) because it allows me to do the small incision without the kid fighting me ctd)
2/n The reason why I called my friend the Pediatrician in the first place in the tweet below was that kids have to have a clear 6 weeks "No Chest Infection "history ,for us to take them to Operation Theater & do the surgery & I wasnt finding that zone ctd
3/n I have had kids get ok enough at around 6 weeks for me to plan a surgery , repeat the relevant investigation ONLY to find the kid getting sick with upper respiratory tract infections before the proposes date. It is difficult to get kids into Operation theater ctd)
Read 5 tweets
Oct 1
Short 🧵 My pediatrician batchmate always called me a little over concerned about #Covid effects in kids .Normally he picks up my phone in 1st ring BUT today he didn't. He called a couple of hours later apologizing for the inability - He said & I quote "I really dont know - Ctd)
Ctd1) " what is happening anymore - I am getting kids having infection & fever every 15- 20 days. Havent seen this ever in my life. They don't respond to antibiotics.All basic investigations okay. Looks like a viral infection.Kids get okay BUT the parents are very tensed ctd)
Ctd) " Constant / repeated fever means kids can't to school .Mothers have to miss work. All in school going kids. I have started telling parents I don't know what is happening anymore. I think you were right in saying that Covid is causing something to the immunity of kids. Ctd
Read 4 tweets

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