It looks like 2022 was the Tipping Point for opportunistic infections due to Covid

Which makes sense

Since 2022 was the year the world abandoned Covid precautions

Thx @1goodtern 🙏 ☺️ Image
Certainly that's what happened here in Canada 🇨🇦

😢 Image
Thank you, UK 🇬🇧, not for Covid protections but for the infection data
Unmasking in most countries began in earnest in early 2022 & was largely complete by end of 2022

Which means, we're really only 2 full years into seeing the impact of "let it rip" policy
While most of the infection curves appear to be linear, at least some are exponential

Expect to see Armageddon in 2 more years

😢

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More from @BarryHunt008

Oct 16
I asked @perplexity_ai,

"What's the best way to stop the Covid airborne pandemic?"

The answer surprised me
"To effectively mitigate the airborne transmission of COVID-19, a multi-faceted approach focusing on indoor environments is crucial. Here are the key strategies to combat the spread of the virus:
Ventilation Improvements
Enhancing ventilation is one of the most effective ways to reduce the concentration of airborne viral particles indoors.
Increase outdoor air supply: Boost the amount of fresh outdoor air circulating in indoor spaces. This can be achieved through:
•Opening windows and doors when possible
•Adjusting HVAC systems to bring in more outdoor air
•Using window fans to exhaust indoor air and draw in fresh air
Optimize air exchange rates: Aim for higher air changes per hour (ACH) to dilute potential contaminants.
Disable demand-controlled ventilation: Turn off systems that reduce air supply based on occupancy or temperature during occupied hours.
Air Filtration and Purification
Use high-efficiency filters: Install MERV-13 or higher rated filters in HVAC systems to capture a greater percentage of airborne particles.
Deploy portable air cleaners: Use HEPA air purifiers in areas with poor ventilation or high occupancy.
Air Disinfection
UV air disinfection: Install ultraviolet germicidal irradiation (UVGI) systems to inactivate viruses in the air.
Occupancy and Behavior Modifications
Reduce indoor occupancy: Limit the number of people in enclosed spaces to decrease the potential for viral spread.
Encourage mask-wearing: Proper use of well-fitting masks can significantly reduce the emission and inhalation of respiratory droplets.
Maintain physical distancing: Keep at least 6 feet apart, especially during activities that increase respiratory droplet emission.
Monitoring and Management
CO2 monitoring: Use CO2 levels as an indicator of ventilation adequacy and potential viral spread.
Regular maintenance: Ensure HVAC systems and air cleaning devices are properly maintained and functioning optimally.
Comprehensive Approach
It’s important to note that no single strategy is sufficient on its own. A layered approach combining multiple interventions is most effective in reducing the risk of airborne transmission. Building owners and managers should consider consulting with HVAC professionals to implement these strategies safely and effectively.
By implementing these evidence-based measures, we can significantly reduce the risk of COVID-19 transmission in indoor environments and help control the pandemic."
That was my answer too

😊
Read 17 tweets
Oct 3
Neighbours out for a walk on the beach tonite

Neighbour 1: "Have you had that six week cough going around? You know the one I mean.

Me: "No, I haven't"

#1: "Oh. Well it's going around. Lots of ppl have it. I've had it for 5 weeks now. Can't get rid of it"

Image
Image
Image
Me: "It's Covid"

Neighbour #2: "It's NOT C*vid"

#1: "It's not C*vid. I've had C*vid. It's not C*vid. When I went to the doctor he had the same cough. He said it was a virus.

Me: "C*vid is caused by a virus."
#1: "Well when I had C*vid I had it good. I was sick. Nauseous. Stomach cramps. This isn't C*vid"

Me: "C*vid has gone thru many strains, with varying symptoms. Even from the same strain you can have different symptoms.

C*vid can manifest in different ways"
Read 7 tweets
Sep 28
Those are images of my knees, taken this week

Six months after my last surgery on the right knee

Six years after surgery on the left knee

3 operations on the left

10 on the right, 9 in the last year

Both still infected
These images are from a recent systematic review that validates thermal imaging as an effective & accurate measure of knee joint infection

nature.com/articles/s4159…
Image
Bottom line: Thermal imaging is accurate, immediate, non-invasive, inexpensive, simple & pragmatic

So why isn't thermal imaging part of the Infectious Disease Dr's toolbox?

Good question
Read 16 tweets
Sep 22
It turns out...

There may be 150 million 3M Aura respirators sitting in an Ontario Govt warehouse that Hospitals refuse to take

EVEN FOR FREE
The CEOs / IDs / IPCs who run Ontario Hospitals would rather go maskless when they can and spend money to buy & wear leaky baggy blues when they can't

When they could easily provide FREE respirators to all staff, visitors & patients

😳
Infection Control could teach staff, patients & visitors how to seal & wear respirators

Something that will reduce infections

Significantly

Instead of wasting time on Hand Hygiene Theater

But they won't

🤨
Read 6 tweets
Sep 21
It turns out...

Respirators are key to patient survival in Hospital

Here's my story
Image
Image
4 weeks after this pic was taken

I had my failed knee replacement replaced Image
Sadly, like my previous knee replacement 5 years before, my knee got infected

In hospital

This time by a very aggressive pathogen associated with 50% mortality in 30 days Image
Read 24 tweets
Sep 12
A few thoughts on Hand Hygiene

1. I don't know what the big deal is about a REPORTED drop in Hand Hygiene rates

Everyone should know by now that REPORTED Hand Hygiene rates are pure fiction

Phony baloney
2. ACTUAL Hand Hygiene rates are dismal at best

Just ask a patient who pays attention

Rarely have I seen over 30% Hand Hygiene compliance

And Zero is not uncommon
3. Infection Control hasn't caught up yet but most disease transmission in Hospital is through the air

Fomites are not just landing pads but also launch pads

Aerosols land in wounds, open mouths of ventilated patients & are ingested & inhaled

Hand Hygiene doesn't change that
Read 8 tweets

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