Dr. Brian Goldman Profile picture
Dec 11 10 tweets 2 min read Read on X
A thread on H5N1. H5N1 is a subtype of avian influenza that mainly infects birds, but has been identified in other animals and has caused sporadic infections in humans. 1/n
Current or recent outbreaks have been detected in domestic and wild birds and some mammals across Canada, the US, Europe, as well as Central and South America.2/n
As of the afternoon of Dec 11th, 774 dairy herds have tested positive for H5N1 across 16 US states. The virus has also been showing up more frequently in wastewater in the US. 3/n aphis.usda.gov/livestock-poul…
Close to 60 human cases of H5N1 have been reported across seven US states in the past few months. A BC teen was infected with H5N1 but there’s no evidence it’s the same strain that has infected US dairy farms. 4/nhttps://www.cnn.com/2024/11/12/health/canada-bird-flu/index.html
The virus mainly affects the respiratory tract but can also cause gastrointestinal symptoms like nausea, vomiting or diarrhea as well as headaches. H5N1 infection can progress to severe illness and death. 5/n
Doctors say conjunctivitis or inflammation of the inner lining of the eyelids also appears to be a common symptom at present. 6/n
At present, there is no evidence that the current strains of H5N1 can spread from person to person. However, that could change fairly readily should the virus mutate. 6/n
A study published in Science suggested that a strain of H5N1 might be as little as one mutation from being able to spread readily from person to person. 7/n science.org/doi/10.1126/sc…
Antiviral medications that are readily available can be prescribed to treat H5N1. However, there have been no clinical trials measuring their effectiveness against current strains of avian flu affecting humans. 8/n
There is no H5N1 influenza vaccine available in Canada for public use yet. Recently, the UK ordered more than five million doses of an avian flu vaccine from a local vaccine manufacturer as part of its pandemic mitigation strategy. 9/n bmj.com/content/387/bm…

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More from @NightShiftMD

Dec 4
A thread on raw vs pasteurized milk. Pasteurized milk is milk from dairy animals heated to 63C for 30 minutes or 71 C for 15 seconds before cooling. It kills bacteria in raw milk that are harmful to humans including Campylobacter, E. coli O157:H7, Salmonella, Listeria etc.1/n
Pasteurizing milk prevents bacterial infections and saves lives. Infection with these and other bacteria can cause food poisoning. The symptoms can be mild but can also cause serious illness. 2/n
Children infected with E. coli O157:H7 can develop hemolytic uremic syndrome which is life threatening. Pregnant women infected with Listeria are at greater risk of miscarriage, as well as illness and death of newborns.3/n
Read 12 tweets
Nov 22
A thread on #BlackPlastic. Black plastic refers to products made of plastic coloured black due to the addition of carbon black. The latter is produced by the partial combustion of petroleum products. It’s to make the plastic stiffer and less likely to degrade. 1/n
Black plastics are found in consumer products including kitchen utensils, kids toys, coffee lids, take-out food containers, office supplies like pens and staplers, computers and cellphone cases, garbage and recycling containers, and small appliances. 2/n
The most hazardous form of black plastic comes from recycled electronic devices like cellphones and computer sleeves…which contain brominated flame retardants or BFRs. 3/n
Read 7 tweets
Aug 17, 2022
A few weeks ago I called @KatharineSmart into question for her use of the term “collapse” because I didn’t look closely enough to see the outlines. I now believe we’re a lot closer to collapse than I realized.
1. ER intermittent closures have been normalized. 2. RNs are leaving in droves and hospitals can’t replace them or spend millions patching a roster.
3. Front line MDs and other professionals are exhausted and see no light at the end of the tunnel. 4. Primary care is buried in paperwork and disrespected by the provinces.
Read 5 tweets
Nov 13, 2021
Been thinking about ‘pandemic acceptance.’ The world has divided itself into those who accept it’s a multi-year incursion into our lives and those who won’t or have failed to do so yet.
It’s like:
1. Living through a long course of cancer treatment and surveillance.
2. Like having a loved one newly diagnosed with dementia at the beginning of that awful road.
Read 5 tweets
Jul 26, 2021
Me and @TheSGEM spent 60 hours in the US visiting @startrektour to wish @WilliamShatner a #HappyBirthday. Here are some random thoughts on #Masks in a post-vaccination US with #DeltaVariant /1
@startrektour is in Ticonderoga in Eastern NY State. Pop 3,000 with 500 + visitors from NY State, surrounding states & as far away as California. At registration, @startrektour asked for proof of double vax status. I have no idea if they turned non-vaxed attendees away. /2
At indoor events masks were optional. @sgem & I wore masks all times. Max 5-10% wore masks. At packed event at local high school aud very few wore one. At #HappyBirthday dinner for @WilliamShatner @TheSGEM and I were the only ones wearing masks /3
Read 4 tweets
Jul 26, 2021
Me and @thesgem spent the weekend @startrektour to visit beautiful replica sets of the USS Enterprise circa 1966 and to wish @WilliamShatner a 90th #HappyBirthday. This was non-essential travel to the US for <60 hours. Here is my #Covid_19 thread FYI /1
@TheSGEM bought the tickets months ago when we fully expected to travel w/o restrictions. Sadly, #Covid_19 and the #DeltaVariant meant US/Canada border restrictions remain in place. What follows is what we had to do be able to go and how it went. /2
Cross border travel by land is more challenging but not impossible, so air travel was option 1. Our destination was Ticonderoga in Eastern NY State. The closest intl airport is Burlington VT. Toronto-Burlington flight options are few and involve weird stops in DC or Detroit. /3
Read 8 tweets

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