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Dr. Lucky Tran Profile picture
@luckytran
Apr 30 • 2 tweets • 1 min read • Read on X
Today is the last day U.S. hospitals will be required to report COVID admissions, capacity, or occupancy data to the federal government.

This will make it even more difficult to track the state of the ongoing COVID pandemic, as well as monitor potential pandemics like bird flu. Axios: Hospitals starting this week will no longer have to report data on admissions, occupancy and other indicators of possible system stress from respiratory diseases to federal officials as another COVID-era mandate expires. Why it matters: The sunset of the reporting requirement on May 1 marks a turning point in the government's real-time tracking of airborne pathogens that helped drive coronavirus surveillance and reports like the Centers for Disease Control and Prevention's FluView.
Source: axios.com/2024/04/29/hos…

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More from @luckytran

Dr. Lucky Tran Profile picture
Apr 7
UPDATE: COVID wastewater levels are low in most US states.

If you've been holding off on healthcare or other activities, now is one of the best times of the year to go.

Note that even in low periods you are still at risk of COVID exposure, so it makes sense to take precautions. Chart: COVID-19 Wastewater Levels by US State (April 2024)
Please note that the above chart is with the proper color scheme for COVID wastewater levels (darker shade = higher levels). Apologies for the color error in the last export!
CDC data shows that COVID wastewater levels are low or minimal in all four US regions. COVID-19 Wastewater Levels by US Region (April 2024)
Read 11 tweets
Dr. Lucky Tran Profile picture
Apr 5
CDC's recommendations for the public re: bird flu outbreak in the US

1️⃣ Avoid being near sick or dead animals and contaminated surfaces
2️⃣ Wear respiratory or eye protection if you are near
3️⃣ Do not prepare or eat uncooked or undercooked food such as raw milk or raw cheeses Recommendations for the Public People should avoid being near sick or dead animals or surfaces contaminated with the animal’s feces, litter, raw milk, or other byproducts when not wearing respiratory or eye protection. Animals in which HPAI A(H5N1) virus infection has been identified include wild birds, poultry, other domesticated birds, and other wild or domesticated animals (including livestock such as cattle and goats). As always, people should not prepare or eat uncooked or undercooked food or related uncooked food products, such as unpasteurized (raw) milk or raw cheeses, from animals...
CDC's recommendations for farmers re: bird flu outbreak in the US

1️⃣ Wear N95 respirators, eye protection, and gloves, and wash hands to reduce risk of infection when handling animals
2️⃣Train workers to use PPE correctly Recommendations for Farmers; Poultry, Backyard Bird Flock, and Livestock Owners; and Worker Protection To reduce the risk of HPAI A(H5N1) virus infection, poultry farmers and poultry workers, backyard bird flock owners, livestock farmers and workers, veterinarians and veterinary staff, and responders should wear recommended PPE (e.g., the same PPE is recommended for persons exposed to any confirmed or potentially infected animals as for exposed poultry workers; for specific recommendations see: PPE recommended for poultry workers). This includes wearing an N95™ filtering facepiece respirat...
CDC's recommendations for clinicians re: bird flu outbreak in the US

1️⃣ Look out for symptoms
2️⃣ Follow infection control recommendations, including using PPE
3️⃣ Initiate antiviral treatment ASAP
4️⃣ Collect specimens and notify health depts
5️⃣ Encourage patients to isolate
Recommendations for Clinicians Clinicians should consider the possibility of HPAI A(H5N1) virus infection in people showing signs or symptoms of acute respiratory illness or conjunctivitis and who have relevant exposure history outlined in Highly Pathogenic Avian Influenza A(H5N1) Virus in Animals: Interim Recommendations for Prevention, Monitoring, and Public Health Investigations. Examples of symptoms include but are not limited to: Mild illness: (e.g., cough, sore throat, eye redness or eye discharge such as conjunctivitis, fever or feeling feverish, rhinorrhea, fatigue, myalgia, arthra...
If signs and symptoms compatible with avian influenza A(H5N1) virus infection are present: Isolate patient and follow infection control recommendations, including using PPE. Initiate empiric antiviral treatment as soon as possible. Do not delay treatment while awaiting laboratory results. Notify state and local health department to arrange testing for influenza A(H5N1) virus. Collect respiratory specimens from the patient to test for influenza A(H5N1) virus at the state health department. If the exposed person has conjunctivitis, with or without respiratory symptoms, both a conjunctival swa...
Read 5 tweets
Dr. Lucky Tran Profile picture
Mar 27
“People who are still taking COVID precautions seriously have every right to be angry about being abandoned by public-health officials and experts. The very real pain that many people are experiencing has not been sufficiently acknowledged.” -me to @TIME

time.com/6960789/covid-…
Thank you to @Jamie_Ducharme for covering and including the much needed perspectives of some of the people who continue to be most impacted by the pandemic in this piece.

@Jamie_Ducharme THIS: “Officials sometimes argue that “public-health guidance is limited by what people are willing to do. But what people are willing to do is shaped by what experts tell them.” - @larazjmd
TIME: Dr. Lara Jirmanus, a clinical instructor at Harvard Medical School and a member of the People’s CDC, has the same fear—that the public will no longer have access to science-backed information—but for a different reason. In her view, many experts have given into "peer pressure" to start moving on from COVID-19, glossing over continued risks like Long COVID; societal inequities that leave some people without reliable access to tests, vaccines, and treatments; and the reality that not everyone is "25 and healthy."
TIME: While there are policy measures that could help make society safer for everyone, such as ventilation standards for public buildings and sick leave policies that allow everyone to stay home when they’re unwell, Jirmanus says independent scientists still have an important role to play. If all experts communicated clearly about the continued risks of the virus, Jirmanus thinks people might be more open to precautions like masking, staying home when sick, and getting vaccinated.
Read 5 tweets
Dr. Lucky Tran Profile picture
Mar 27
White people in the West: "People are too tired to keep wearing masks."

Meanwhile, Thailand:

For those who haven't been following the data, surveys consistently show that white people are far less likely to wear masks than people of color.
In fact, research shows that white people who assume the pandemic has a disparate effect on communities of color are less supportive of public health safety measures.

wapo.st/3VAKUEI
Washington Post: Researchers at the University of Georgia found that White people who assumed the pandemic had a disparate effect on communities of color — or were told that it did — had less fear of being infected with the coronavirus, were less likely to express empathy toward vulnerable populations and were less supportive of safety measures, according to an article in Social Science & Medicine.
Read 5 tweets
Dr. Lucky Tran Profile picture
Mar 18
There's a lot of misinformation and little data in this piece on COVID and schools.

The facts:
COVID spread in schools
Closing schools reduced COVID spread
High levels of sickness have forced school closures
Millions of kids have Long COVID
245K kids lost parents to COVID What the Data Says About Pandemic School Closures, Four Years Later The more time students spent in remote instruction, the further they fell behind. And, experts say, extended closures did little to stop the spread of Covid.
Many reviews like this one from the Royal Society found that closing schools reduced COVID spread, and are most effective when there is community wide social distancing and layered measures. royalsociety.org/news-resources…
According to a recent study, up to 5.8 million kids have Long COVID.

It is incorrect to say that COVID has a mild impact on the health of all kids.

cbsnews.com/news/millions-…
Read 8 tweets
Dr. Lucky Tran Profile picture
Mar 13
A new @pewresearch survey shows that people of color continue to be more concerned than white people about becoming sick from COVID-19, and spreading COVID-19 to other people. Pew research chart showing % of U.S. adults who say they are very/somewhat concerned that they: - Will get COVID-19 and require hospitalization - Might unknowingly spread COVID-19 to others
The @pewresearch survey also shows that people with lower incomes are more concerned than people with higher incomes about becoming sick from COVID-19, and spreading COVID-19 to other people. Pew research chart showing % of U.S. adults who say they are very/somewhat concerned that they: - Will get COVID-19 and require hospitalization - Might unknowingly spread COVID-19 to others
And yes, the survey also shows that there's a continuing partisan gap in the US on concerns about COVID-19. Pew research chart showing % of U.S. adults who say they are very/somewhat concerned that they: - Will get COVID-19 and require hospitalization - Might unknowingly spread COVID-19 to others
Read 6 tweets

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