Jerome Adams Profile picture
Apr 12 11 tweets 3 min read Read on X
Bird flu /H5N1 update: 🧵

On April 1, 2024, a Texas resident with exposure to dairy cattle tested positive for highly pathogenic avian influenza (HPAI) A(H5N1), also known as bird flu and avian influenza. The person was treated and has recovered.

cdc.gov/media/releases…
This incident is separate from a March 2024 report confirming this year’s first U.S. human infected with an influenza virus that normally spreads in pigs and not people. This person also was treated and has recovered.
Despite the recent human case of H5N1, CDC considers this an animal health issue at this time, affecting wild birds, poultry, and some mammals (eg dairy cattle). But the more mammals the virus infects, the more opportunities it has to evolve a strain that is dangerous to humans.
Because of the possibility that bird flu viruses could change and gain the ability to spread easily between people, monitoring for human infection and person-to-person spread is extremely important for public health. CDC is working closely with state and local partners on this.
Increasing numbers and herds of cattle across the U.S. are being impacted.

“Triggers” for larger concern and response would be more human cases, evidence of human to human spread, and greater severity of illness in humans (as this could indicate viral mutation).
Individuals with close and/or sustained unprotected contact with infected or dead birds, animals, or their contaminated environments are at a greater risk of HPAI A(H5N1) infection, and can help reduce potential spread by wearing personal protective equipment (PPE).
Avoid contact with poultry, wild birds, and other animals that appear ill or are dead, as well as contact with surfaces that may have been contaminated with their feces.

Avoid consuming uncooked poultry, meat, eggs, and unpasteurized milk.
It remains safe to properly handle and consume cooked poultry, meat, and eggs and drink pasteurized milk in the United States.

The agriculture industry follows rigorous health and safety standards, including monitoring for increases in HPAI A(H5N1).
Take proper safety precautions when handling poultry, meat, and eggs. Wash your hands for at least 20 seconds before and after touching poultry, meat, and eggs, and keep your cooking surfaces clean.

This is good practice at all times! 🧼 🧽
Common treatments for seasonal influenza, including Tamiflu® or other commercially available FDA-approved prescription treatment drugs, are also effective against HPAI A(H5N1). 

If you suspect you may have the flu, isolate from others, and get tested ASAP.
In summary, @CDCgov considers current risk of Bird Flu / H5N1 to humans to be low. Wash hands, get tested if sick.

If the number of infections from animals to people increases, health officials will alert the public and may change the level of risk assessment. 
🐦 🐮 🤒

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More from @JeromeAdamsMD

Mar 30
Interesting #COVID_19 stats- a 🧵:

1) 95% of current covid hospitalizations are in people who are not up to date on their vaccinations. So especially if you or a loved one is in a higher risk group, please consider a vaccine or boost.
2) Covid fell from the 3rd leading cause of death in 2021 to 10th in 2023. Things ARE objectively better. And we have to also focus on the other top 9 causes of death (eg opioid overdoses, heart disease, cancer).
3) We’ve seen a 75% decrease in hospitalizations compared to March 2022. That’s good.👍🏽

4) Most hospitalizations now in age > 64. Too many seniors are not “up to date,” and/or don’t get Paxlovid after testing positive.

Even GBD advocates for vaccines/ protection for elderly.🤷🏽‍♂️
Read 7 tweets
Mar 18
Latest update on my @MayoClinic ER visit bill dispute:
They talked to their coding company (whose primary purpose is to maximize THEIR collections), and said they also checked regional average charges… and say they are justified in charging $9000+ for IV fluids and labs. 🤦🏽‍♂️ Image
Disputing a medical bill can feel like facing an unjust justice system, as hospitals are police officer, judge, and jailer. Despite my familiarity with the system, I’ve hit the same dead-end as too many in U.S. - pay up or face collections. 🤷🏽‍♂️

businessinsider.com/former-surgeon…
More context- They justified a level 5 code, typically reserved for the most unstable/ sick/ dying patients, based on the number of tests I got. But when I asked why so many tests (eg chest xray) for clear dehydration… no answer. The lack of explanation was more than troubling. Image
Read 6 tweets
Feb 24
Recently had an ER visit for dehydration while out of town. Received some labs and 3 IV bags. Here's the bill- AFTER insurance. It's no wonder medical debt is the top cause of bankruptcy in the U.S. 🏥💸 #HealthcareCosts #MedicalDebtCrisis Image
I’m a doctor who is in the top 1% of earners. And even I don’t have $4896.43 lying around. So I clicked “billing options” and was relived to see that I was offered an alternative to “pay us $5k right now or have your credit ruined.” I could go on the $1632.15 per month plan! 🤦🏽‍♂️ Image
Yes folks. THIS is America. Land of the free, and home of the medical bankruptcy! 🇺🇸 😞
Read 5 tweets
Dec 3, 2023
ICYMI: A “systematic review to evaluate the evidence for effectiveness of child mask mandates in reducing transmission or disease severity in COVID-19.” 🧵

adc.bmj.com/content/early/…
As with the prior Cochrane review, many - including the authors of this study - conflate masking efficacy with mask mandate efficacy.

One is a medical / health intervention and the other is a policy intervention, and it’s imperative to distinguish one from the other…
This study does NOT show masking doesn’t work- only that mandates as enacted didn’t lower population level transmission. Good evidence exists that on an individual level masks are effective, if worn properly. It is important for the immune compromised not to be told otherwise.
Read 7 tweets
Nov 8, 2023
The pandemic school closure debate is now often framed as being solely about the kids. However, it's important to acknowledge that in 2020, the focus was mostly about using the kids as guinea pigs (ie subjecting them to a new virus) to achieve herd
immunity + faster reopening.👇🏽 Image
Instead of prioritizing learning loss and social isolation, most discussion was about using kids as a means to help the adults. In the future let’s remember to truly prioritize the holistic well being of our kids (especially vulnerable and caregivers). amazon.com/Crisis-Chaos-L…
There was and still is too little discussion about how we can actually make schools safer for everyone (Eg better ventilation), and still far too much focus on a false dichotomy of either schools open at all costs or schools closed no matter the cost.

We can do better.
Read 5 tweets
Oct 11, 2023
🌟 Exciting News! 🌟

Hey there, amazing friends! 💙 I hope you're all doing well and staying safe. Today, I wanted to address some frequently asked questions about the COVID-19 vaccine, flu shots, and RSV. Let's dive right in and spread some positivity!👇🏽
🌍 Who needs the COVID vaccine, flu shot, and RSV vaccine? 🌍

Everyone should consider updated Covid + Flu shots ! These vaccines play a crucial role in protecting ourselves and our loved ones from potentially severe illnesses. While each vaccine targets different viruses, they all contribute to building a healthier and safer community.
The RSV vaccine for adults is approved for people 60 years old or older. Additionally, people who are pregnant can receive an RSV vaccine during week 32 and week 36 of pregnancy — and the vaccine will protect infants through the first six months of their life.
Read 8 tweets

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