So there's now a global shortage of blood culture bottles which will last thru 2024. We draw patient's blood into these specialized bottles to test for bacteremia which has been ⏫️⏫️ during the pandemic. It's the number 1 cause of sepsis which is also ⏫️⏫️. This is bad.
The manufacturer is citing extreme weather affecting production of the plastic used for these bottles as well as the sharp ⏫️ in demand during the pandemic. This is directly related to SARS-CoV-2 as bacterial infections like bacteremia are often secondary to covid infection.
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If you're covid cautious & already wearing an N95 or better in public places that's a good thing if H5N1 takes off, but disinfecting surfaces & hand hygiene to prevent fomite transmission is very important as H5N1 is hardy & can survive on plastic surfaces 24 hrs & skin 4.5 hrs.
"The survival time of H5N1 on plastic surfaces was 26 hrs & on skin surfaces 4.5 hrs, >2.5 fold longer than other subtypes. The effectiveness of a relatively low ethanol concentration (32%–36%) against the H5N1 subtype was substantially reduced compared with other subtypes." /1
🧵 Jan 22, 2020. I developed the worst headache of my life (I have migraines) which lasted for hours, then a high fever overnight. A week later I started brutal dry coughing. It lasted for months, then crazy tachycardia/palpitations started. It was covid, on Jan 22, 2020. /1
I was working in a huge metro hospital with patients & staff coming from all over the world. Some of my coworkers got real sick too. We didn't know it was covid. Nobody did. It was flu season & any patients who had it were thought to be ill with other respiratory pathogens. /2
A few weeks later in February my 40 year old nephew came down with a nasty respiratory illness after being in a packed NHL arena a few days earlier. He thought it was flu. He died in his sleep 2 nights later. He was healthy. No serious health issues. I'm sure it was covid. /3
🧵 Why we are f*cked if H5N1 becomes a human pandemic:
1. Hospitals are still reeling from SARS-CoV-2. Understaffed, brutal nurse to patient ratios, perpetually overcrowded emergency departments, daily inpatient capacity alerts, poor morale, fewer people entering the field. 1/
2. We don't have the vaccine readiness needed, far from it & with the botched government covid response they'll be lucky if 1/2 population gets vaccinated.
3. The FDA & USDA have been very slow to release data on the level of infections on farms. I have 0️⃣ faith in them. 2/
4. Our federal government showed with their covid response that the economy & corporate overlords, not public safety will dictate how they respond.
5. Unlike March, 2020, public sentiment against any type of mitigations is now very widespread. H5N1 will spread like wildfire. 3/
🧵 When I was a young man I thought I wanted to be a cop, so I took the civil service test & got hired. I spent 2 months at the precinct observing & going on ride alongs before leaving to the academy. This thread is about my experience. It wasn't a good one to say the least. 1/
My first week a sergeant known as "Robocop" ran past me into the armory, came out with a shotgun, ran back past me & out the door while yelling "I'm going to (blank) Avenue to set all those n***ers straight!" There were black officers within earshot & some white cops laughed. 2/
A captain looked at me & said "Don't mind him, that's just Robocop". Robocop became chief a decade later. On a ride along with another captain we parked on the street in a black neighborhood. I can't repeat the derogatory & racist language he casually used about the locals. 3/
🔋I try to stay measured when talking about SARS-CoV-2. However, after what I've seen in one of the busiest hospitals on the planet & personally experienced the last 4 years I am extremely worried about our future. This virus can infect us 2, 3, 4, 5 × a year & it is airborne. 1/
It can persist, replicate & mutate for months, perhaps even years in our organs, brain & bone marrow. It is constantly mutating & staying ahead of current vaccines, our therapeutics are very limited & both do very little if nothing to prevent long covid. 2/
The damage done by convincing most of the general public that this virus is mild or harmless for all but the most vulnerable among us is irreversible. How many mild or asymptomatic infections are causing silent or unnoticed damage that will show up months or years from now? /3
I'm keeping this closed to replies cuz I don't want it turning into a sh*tshow. My wife & I are the only people I personally know who exercise our level of covid mitigations. Nobody else in our circle (family, friends, coworkers) even come close. We literally HAVE to do this. 1/
Getting infected again could be devastating & potentially life threatening for us. We're likely in the 99th percentile & fortunate we're able to do this to stay safe. Many people don't have that privilege: kids in school, family members who come & go, living situations, etc. 2/
The only people I "know" who exercise my level of caution is here on Twitter. We are unique in that way. I also need to say this. I'm at the point where I'm not going to berate/shame everyone who doesn't exercise my level of caution because most people don't & probably can't. 3/