Craig Spencer MD MPH Profile picture
Mar 31, 2024 9 tweets 2 min read Read on X
Four years ago today, I walked into the apocalypse.

Crossing the line in the ER felt like entering a whole other world.

Frenetic alarms.

Patients strewn about, struggling to breathe.

Too few staff. Too many deaths.

Covid was everything.

It had completely taken over our ER
Covid inundated NYC a week prior.

And many of our staff fell ill.

Especially the nurses.

We had only a fraction of those we needed.

Too few to notice when the oxygen tanks under patients’ beds ran out.

So we did something kinda insane.

Actually unbelievable
We ran tubing from the oxygen outlets on the wall

up, up, up

then through the ceiling

and then dangled it down to the middle of the ER

All over the ER

So everyone could get a reliable oxygen supply

And not suffocate when their tank ran out

It saved lives.

A lot.

A lot.
But not all

“Hey, who has the guy in room 7”

—“Oh, me”

“He’s dead”

Keep going.

Others would die the same shift.
Hundred died that day in NYC from Covid

The worse was still in front of us

A week later, 815 died. In one city.

Morgues were over capacity.

Walk by trucks set up outside the hospital for the overflow.

More staff fell ill.

They couldn’t get tested. Still.
Four years ago, we had no idea what would happen next.

How long it would last

Or who would be next

Would it be as bad in Chicago?

LA?

Detroit?

Phoenix, Cheyenne, or Pensacola?

We know how it played out now

We knew nearly nothing then

We didn’t know
Today, many will tell you we overreacted then

But you’ll never hear that from someone, anyone who worked in the hospital then

Covid scarred a generation of healthcare workers

Many watched their colleagues suffer.

Struggle to breathe.

Then die.
Mistakes were made.

Politics became paramount.

We all paid the price.

But until the day I die

No one can tell me…

The things I saw

The things we

All those on the frontline

Witnessed and endured

We’re not real

We’re not the worst things we will

EVER see
The past is being rewritten

But none of us who witnessed those early days can scrub our memories of the pain, and horror

We’ll never forget finding young, otherwise healthy people dead in a chair

And we’ll never forget our colleagues who died

You might.

But we won’t.

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More from @Craig_A_Spencer

Dec 22, 2024
It’s being reported that the Trump administration plans to withdraw from the World Health Organization on day one.

This is not a huge surprise.

But it IS an absolutely stupid and self-defeating move.

And I say this as a longtime critic of the WHO…🧵
The first time the Trump administration tried to withdraw from the WHO back in 2020, I wrote for @USATODAY what we needed to do was build up, not tear down, the WHO.

Despite its faults, the WHO plays a huge role as ‘our eyes and ears around the world.’

usatoday.com/story/opinion/…
There is no other organization with the relationships and buy-in to do the critical work needed to keep us ALL safe—including us here in the U.S.

The WHO also has critical partnerships & programs that we benefit from for vaccines and critical health data

who.int/initiatives/gl…
Read 6 tweets
Dec 19, 2024
Hey @elonmusk, that’s not ‘bioweapon labs’

I’m (unfortunately) very uniquely qualified to tell you why this is important. And why you’re very wrong here.

I assure you, with 100% certainty, that cutting this is pure stupidity

(Also, did you read a few more lines to Sec 2315c?)
For anyone paying attention (is anyone still actually even here??)…

THIS 👆👆👆 is exactly how overconfidence mixed with a stunning lack of expertise and stubborn unwillingness to listen to people who actually know what they’re talking about will directly put you at risk.
I could happily speak on the congressional floor for hours about why we need BSL-2, BSL-3 (and BSL-4) labs. So could a lot of really qualified folks, many way smarter than me.

We could also talk about what happens if we don’t have them, and how that puts us all at risk.
Read 6 tweets
Dec 6, 2024
"What's happening with this mystery illness in the Congo"

I've gotten this text dozens of times in the past few days.

Here's what we know. What we don't.

And what really matters 🧵 Image
Since the end of October, there have been just under 400 cases of an 'unidentified' illness in the Kwango Province of Southwest DR Congo.

And 79 reported deaths.

Symptoms include "fever, headache, coughing, breathing difficulty, and anemia".

Kids under 5 appear most affected. Image
Breathing difficulties and other signs suggest a respiratory disease and likely respiratory transmission.

Epidemiologists have been sent to the area.

Testing is in process, with results expected in the next few days.

BUT we don't know anything for certain...
Read 11 tweets
Nov 12, 2024
10 years ago today I walked out of the hospital after surviving Ebola.

Back then I begged the world to strengthen our response to that crisis and prepare for others.

I’ve been reflecting on what we’ve learned over the last decade.

And the role of the U.S. in global health🧵 Image
The international response to Ebola in 2014 was way too slow and weak.

Too many people died because we didn’t have the experience, coordination or willpower to address the crisis quickly and head on.

In the aftermath, we focused on lessons learned. We made changes.
We created new ways to fund outbreak response at the global level.

The Africa CDC was created to help the continent better prepare for and respond to disease threats.

And changes were made in U.S. government to allow better coordination among agencies.

africacdc.org/about-us/our-h…
Read 15 tweets
Sep 30, 2024
As news of the Marburg cases in Rwanda spreads, I want to share some thoughts on where the outbreak stands, what will likely come next, and why this outbreak may (hopefully) end up being unlike other viral hemorrhagic fever outbreaks in the past 🧵
For those just tuning in, Marburg is a viral hemorrhagic fever, very similar to Ebola.

This is the 18th Marburg outbreak since 1967.

Most outbreaks fizzle out fast. This one, despite being just announced days ago, is already among the largest.

Although the incubation period, symptoms, and spread are very similar to Ebola, there are some really important differences.

Most importantly, we have FDA/WHO approved vaccines and treatments for Ebola.

But we only have experimental therapeutics and vaccines for Marburg.

fda.gov/emergency-prep…
Read 15 tweets
May 22, 2024
I teach a class on the history of humanitarian response.

We talk about how a field full of dead soldiers in 1859 in Solferino led to the ICRC, Geneva Conventions, & international humanitarian law.

Every year, my students always ask “the ICC seems useless, why do we need it?” 🧵
In the aftermath of World War II, the Nuremberg Trials was the first international war crimes tribunal.

I think we can all agree that prosecuting those responsible for the atrocities of the Holocaust was an important endeavor.

There were calls for a more permanent tribunal…

cfr.org/backgrounder/r…
But the ICC wasn’t established until 2002.

In the last 22 years, it has indicted 40 people and convicted only 10.

Given that it seems like bad guys get away with doing bad things with impunity all the time, many will question the ICC’s role and impact.

icc-cpi.int/about/the-court
Read 13 tweets

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