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Jason deBruyn Profile picture
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Jan 11 • 5 tweets • 3 min read
Another huge increase in #COVID19 particles detected in wastewater. This shows that the virus is widely circulating again Image
Hospitalizations are also up. Though at least for now, not two weeks in a row of sharp increases. This could be in part because of better immunity relative to last year. Or, because wastewater is an early indicator, we just haven't seen the hospital wave yet Image
The other huge increase is that the new #XBB variant is beginning to show up in a big way now Image
Importantly, because XBB is still part of the #omicron family, the latest booster is still highly effective. The bivalent booster is targeted specifically at omicron. However, just 20% of people with the vaccine have the latest booster Image
Community levels across the state are back to red. Please take precautions out there. Even if you are young and healthy, you could get other people sick. And of course there are risks of long Covid to consider as well Image

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More from @jasondebruyn

Jason deBruyn Profile picture
Jan 12
This morning, @NCStateAuditor Beth Wood released an audit of the @NCMedBoard. But auditors say they were denied access to nearly all of the records they were seeking, leaving them unable to say whether or not the board is protecting patient safety.
The objective was to audit how well the board conducts investigations into doctors, and what kinds of punishments it hands out Image
But auditors say they were largely blocked. The board says these investigations are confidential, in part because they contain patient information.

Auditors say they are bound by the same confidentiality and that they are entitled to review them
Read 8 tweets
Jason deBruyn Profile picture
Jan 12
News: We maybe knew this was coming, but @BCBSNC officially appeals the @NCTreasurer decision to change the state health plan's third party administrator to @Aetna

mediacenter.bcbsnc.com/news/blue-cros…
@NCTreasurer @Aetna Blue Cross says the treasurer used an "arbitrary scoring" method to rank Aetna ahead of BCBSNC Image
@NCTreasurer @Aetna Here's some more info on @BlueCrossNC issues with the scoring system. Image
Read 6 tweets
Jason deBruyn Profile picture
Jan 12
Covid-19 hospitalizations are back on the rise, but for many young/healthy people, the risks now are lower than even just one year ago. That has lowered overall vigilance, and shifted the burden even more to high-risk people. wunc.org/health/2023-01…
As Mary D'Rozario (aka @loafingcactus) points out, this is tough: "You're around people who are emotionally engaged with you — friends, family. And you expect this level of care, but you're not necessarily getting it," she says.
But D'Rozario resists the urge to direct her frustration at individuals. Instead, she says public health leaders need to give better information, and spaces in society need to shift the paradigm.
Read 7 tweets
Jason deBruyn Profile picture
Aug 8, 2019
The standoff over the State Health Plan is over. Treasurer Folwell relented, and will reimburse hospitals at essentially the same rates as this year. This means all 110 NC hospitals will remain in-network for the SHP
Folwell relented because hospitals had shown they were unlikely to back down. That could have meant significantly higher bills for state employees, including teachers. Treasurer's office said they heard from mothers expecting babies and couldn't let them face out of network bills
But @NCTreasurer was not happy and accused hospitals of billing secrecy:
“By spending millions of dollars to oppose us and by using cartel-like tactics, these organizations were able to convince most hospitals to boycott the State Health Plan,” said Treasurer Folwell.
Read 12 tweets

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