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Dr. Lisa Iannattone Profile picture
@lisa_iannattone
Nov 14 • 7 tweets • 2 min read Twitter logo Read on Twitter
I’m very optimistic that vaccine/treatment breakthroughs + better air hygiene standards will change the game at some point. But I’d also like to point out that preserving one’s short and long term health is an endgame in and of itself. It’s the endgame for so many things we do…
The endgame of exercise? Health.
The endgame of limiting alcohol? Health.
The endgame of treated tap water? Health.
The endgame of tossing spoiled food? Health.
The endgame of cooking meat to temp? Health.
The endgame of washing your hands? Health.
The endgame of screening and checkups? Health.
The endgame of carseats and seatbelts? Health.
The endgame of helmets? Health.
The endgame of brushing your teeth? Health.
The endgame of condoms? Health.
The endgame of indoor smoking bans? Health.
Covid isn’t a small potatoes health risk. It causes a 1900% increase in risk of heart attack, stroke or pulmonary embolism in the week after infection. After a year, that risk is still 30% higher than baseline.
It’s still a top 5 leading cause of death in the vaccine era. “The first infectious disease in top 5 causes of death since 1970”. It’s literally THE pathogen in circulation in the global north that has the highest annual body count, by a wide margin.
Then there are the risks of cognitive dysfunction and long covid. A study in Quebec showed that 10% of healthcare workers have long covid (a third are severe) and most of them developed it since January 2022 in the “high endemicity” era. When it was supposed to be “over” 🫠.
So ya, covid is a health hazard. And guess what? ‘Staying healthy’ is allowed to be your engame. Period. End of sentence. No further explanation needed. ✌🏻

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More from @lisa_iannattone

Dr. Lisa Iannattone Profile picture
Nov 4
If I said you had a 1 in 10 chance of winning the lottery each time you play, do you like those odds? How many times would you play?

If I said you have a 10% chance of winning chronic health issues each time you catch covid, do you like those odds? How many times would you play?
Covid isn’t a one a done disease. Every time you catch the virus, you’re risking your health again. The spectrum of post acute sequelae is wide and includes heart problems, strokes, autoimmune diseases, immune system dysfunction, viral brain injury, POTS… the list is long.
Disability rates haven’t stabilized since the great mass infection event of early 2022. They’re still rising. These are the rates for the US and the UK.

How many times do PH leaders plan to have everyone mindlessly play the chronic disease/ disability lottery? What’s the plan?
US bureau of labor statistics graph of civilian labor force 16+ with disability showing a continuous rise since 2020 that hasn’t leveled off.
UK ONS labour market survey graph of number out of the workforce due to long term sickness showing a continuous rise since 2020 that hasn’t leveled off.
Read 10 tweets
Dr. Lisa Iannattone Profile picture
Jul 23
Covid infections can cause strokes, heart attacks and pulmonary embolisms in the post-acute phase. Even if the acute infection is mild. Even if you’re vaccinated/boosted. Even if you’re healthy. Even if you’re young. Even if you already caught it before and have “hybrid immunity”
“Prior to the COVID-19 pandemic, heart attacks were the leading cause of death worldwide but were steadily on the decline. However, the new study shows that heart attack death rates took a sharp turn and increased for all age groups during the pandemic.”

cedars-sinai.org/newsroom/covid…
Even if you’re young…

“Furthermore, the data showed the increase was most significant among individuals ages 25-44, who are not usually considered at high risk for heart attack.”
Read 7 tweets
Dr. Lisa Iannattone Profile picture
Jul 21
So how does this whole “you only need to wear a mask with immunocompromised patients” guideline work in practice? You walk into the room masked and after taking the patient’s medical history if they aren’t IC, you take it off? The absurdity somehow continues to reach new heights.
Or is it the even more absurd inverse scenario where you walk in unmasked and if after taking the patient’s medical history, they turn out to be immunocompromised, you put your mask on? It would be too little too late at that point. You’ve already exposed them to your aerosols.
Unmasking in healthcare is 100% about the “comfort” of healthcare workers and 0% about the safety of patients and I’m not here for it. We should strive to adhere to a much higher ethical standard than this in healthcare.
Read 7 tweets
Dr. Lisa Iannattone Profile picture
Jul 20
If your institution is hosting an event on equity, diversity and inclusion without having given a single thought to covid safety, effectively rendering your EDI event inaccessible to the disabled and medically vulnerable, I have some bad news for you…
How the absurdity of this scenario doesn’t seem to dawn on people spontaneously is astounding. Truly.
Someone suggested that I need to spell this one out clearly so here I go:

‘Equity, diversity, and inclusion’ initiatives are meant to make the institution more accessible to protected and underrepresented classes of people, to make the institution more equitable and diverse.
Read 11 tweets
Dr. Lisa Iannattone Profile picture
Jul 1
Yes the smoke smells like plastic. And the reason is horrifying:

“The VOC’s from the wildfire smoke interact with UV radiation to create benzene and formaldehyde compounds in the atmosphere. These are toxic air pollutants – and they happen to smell like burning plastic.”
But don’t worry, the deciders decided that the general public doesn’t need to wear N95s to protect us from the cancer air on particularly bad cancer-air days. Phewwww. I feel so much safer now, don’t you? /s
Wow. Someone pointed out that these are gases/vapours. N95s help with smoke but not VOCs. You need an even higher grade respirator to protect you from these compounds. Half-mask or full-face respirators with organic vapor cartridges.

I hate this timeline.
Read 7 tweets
Dr. Lisa Iannattone Profile picture
Jun 23
Any official or institution that talks up research on LC prevention while they also discourage covid testing and work to make access to PCR/ RATs increasingly difficult (or altogether impossible) is blowing smoke. You can’t prevent LC without a way of knowing you have covid.
1/2
You can’t claim to care about LC and LC research while destroying testing infrastructure and access. Those two positions are fundamentally incompatible. Thanks for coming to my talk.
2/2
Circling back to point out that one of the most useful criteria for a LC diagnosis right now is a known covid infection preceding the symptoms. With no testing, no one has C anymore! And without a biomarker to diagnose it in the absence of a known infection — poof🪄 LC is “gone”!
Read 16 tweets

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