Megan Ben Dor Ruthven Profile picture
Jan 3 10 tweets 3 min read Read on X
Right before Christmas, my toddler tested positive for RSV. Oof. Being sick for Christmas is no fun.

What we really didn't want is for it to spread to our baby. It's their first RSV season, so they're in the risk group for RSV.

What did we do and how did we fare? 1/🧵 Image
The odds weren't looking good. 24 out of 25 under 1s in this study tested positive for RSV after having someone in the household test positive for it within the past 10 days.

Were we going to be the lucky one in 25 that avoided it? 2/ academic.oup.com/aje/article/19…
Image
To prevent RSV spread, we didn't leave it up to chance. We took airborne and fomite precautions because from my research it seems as though it can transmit both ways.

Concretely, what did we do? 3/
We separated and conquered. My husband took care of the sick toddler and I took care of the baby in another room. This ensured the two were isolated from each other, which eliminated airborne spread possibility, and reduced fomite. 4/
We didn't let the baby go or touch things the toddler did and vice versa. This nearly eliminated fomite spread between them.

We also needed to ensure we didn't get sick, so we wouldn't have to prevent RSV spread from us to the baby. 5/
So, we masked around the toddler with FFP2s and FFP3s, tested to make sure we weren't asymptomatic but carrying RSV, and made sure the place was well ventilated/air filtered.

We also tested the toddler to see when they were negative to be able to end the isolation. 6/
It's been 12 days since our toddler tested positive for RSV and 8 days since negative.

No one else in the family has tested positive or had symptoms. It's safe to say we prevented our baby from catching RSV! 🥳🥳🥳 Success!

We did it by following the science available ⬆️ 7/
What also helped was having these multiple virus antigen testers and testing the toddler as soon as they had illness symptoms, in this case a fever came first. This allowed us to reduce the chances of transmission ASAP. 8/ Image
Thanks to everyone who worried about our toddler. They only had one lousy day. Otherwise, they were just bored and annoyed at coughing. Thankfully, we never had to consider seeking medical attention for them. 🙏🏼 9/
If you or a loved one is in a similar situation, trying to prevent an infant catching RSV from a household member, I hope this thread helps. 10/10

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More from @_mbdr_

Feb 9, 2023
TIL maintaining good oral health is an additional way to reduce risk of fatal/severe COVID. 1/🧵 mcgill.ca/newsroom/chann… Good oral health reduces risk of fatal outcomes from COVID-1
This study saw that using special mouthwash 5x per day in COVID hospitalized patients reduced their viral load in their mouth and was associated with a reduction in hospital length of stay (median 4 vs 7 days). 2/ nature.com/articles/s4159… Beneficial effects of a mouthwash containing an antiviral ph
This study implied that taking special care of your oral health while you have COVID, regardless of the oral health before infection, could reduce some of the issues that COVID could cause. 3/
Read 7 tweets
Jan 12, 2023
Wow. Even McKinsey is catching on that mild acute COVID leads to productivity losses, and therefore, negatively affects the economy.

And of course, long COVID, severe COVID, and fatal COVID also negatively affect the economy (and people's health, QOL, finances, etc). McKinsey  One billion days lost: How COVID-19 is hurting the
McKinsey estimates the biggest burden on lost productivity due to COVID is time wasted during a mild or moderate COVID infection.

This means that COVID INFECTIONS are the driver of lost productivity, and should be prevented to improve the economy.
It's good that McKinsey has figured out that many sick people = many sick workers = sick economy.

What took them so long?
Read 4 tweets
Nov 30, 2022
More people have been hospitalized for COVID in 2022 so far vs 2021 and 2020 in Switzerland.

The difference between years is starker when you look at under 10s COVID hospitalizations.

2022 didn't need to be this way. Covid hospitalizations Weekly labor confirmed hospitalizatio
People are dying more often than expected in 2022 in Switzerland, too. So far, there have been almost twice the excess deaths in 2022 as in 2021. Horrible. High excess mortality for 65+ year olds also in the 3rd pand
People are still registering for long term disability (IV) after a COVID infection at similar rates to 2021.

COVID is still seriously disabling people in Switzerland. Long term disability registrations after a COVID-19 infectio
Read 5 tweets
Oct 17, 2022
Swiss🇨🇭 public transport companies are very much against mask requirements there.

How do you think they'll react when a substantial percentage of their workforce is out sick with an airborne disease? Rising number of corona cases Public transport industry fear
ICYMI some public transport lines were already temporarily cancelled in Zurich🇨🇭 due to too many workers out sick, and that was just at the beginning of the current wave.
HT @tankathan article in German. You can translate it with Google Translate in Chrome. tagesanzeiger.ch/oev-branche-fu…
Read 4 tweets
Sep 24, 2022
It's been long enough since the business trip, where my husband caught COVID, to know who else caught it to figure out where he caught COVID.

He caught COVID in a taxi 🚕🚕🚕.

Here's how we figured that out and what we'd do differently next time. 🧵
Timeline: he flew to Oslo🇳🇴 on Sunday, started showing symptoms (in retrospect) on Wednesday.

2-5 days before symptom onset was Friday to Monday.

We didn't expose ourselves to COVID Friday to Sunday. That leaves his travel on Sunday and Monday meetings as possible candidates.
Possible places where he could've caught COVID:
➡️ air travel to Oslo🇳🇴
➡️ day of meetings with about 2 dozen co-workers
➡️ taxi
➡️ stuffy restaurant

He did wear a mask most places. His co-workers did not.
Read 13 tweets
Sep 1, 2022
Wait. What happened in the past year? How much did it deteriorate?

Let's look at the Swiss health insurer's, CSS', health study published today. 🧵
Yeah the health of the Swiss deteriorated a lot in 2.25 years.

March '20: 22% were not fully healthy/ (partly) sick
June '22: that number grew to 35%

13 percentage points more people are at least somewhat unhealthy now than at the beginning of the pandemic.
Alt text translation Your own health situation - before corona and today "Ho
Most of the Swiss' health deterioration happened in the last year. This past year, protective measures were taken away with the justification of "mild" omicron.

Both "(partly) sick" AND "not fully healthy" grew 4 percentage points in only a year.

That is mind boggling. Own health situation - comparison over time "How do you
Read 11 tweets

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