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Let's get one thing straight:

ɪᴀɴ ᴍ ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ

"“This is a unique virus, with unique features. This virus is not influenza,” Tedros said Monday. “We are in uncharted territory.”"

WHO says #coronavirus death rate is 3.4% globally, higher than previously thought

https://twitter.com/MackayIM/status/1234987658654310400


Just spoke with ER doc who say he's seeing cases he's 99% sure are #coronavirus. Negative for flu, recent travel, work in airports. Not allowed to test. Patients return to work because they can't take time off w/out a firm diagnosis. Other ER docs seeing the same thing.

https://twitter.com/matthewstoller/status/1235239113298759680


Unions around the world are calling for the same thing - paid leave for workers affected by #COVID19, otherwise the virus will spread. This both a matter of justice & health

https://twitter.com/sallymcmanus/status/1235103870512017408


I have been seeing a lot of ED patients with apparent flu, but negative tests. I know that the influenza test is imperfect. But I wonder if we've had COVID-19 in the community for longer than we realized, but didn't know to test for it?

https://twitter.com/edwinleap/status/1235031768639705088

Gee, ya think???


THIS IS CRUCIAL --@trvb thread.

Containment is failing in US & Europe bcuz by the time a #COVID19 case is discovered the virus has been in circulation for a while & spread, possibly widely. Trevor works w/a team that uses sequence analysis to trace who's infected by whom, when.

https://twitter.com/Laurie_Garrett/status/1235236092124811265


Flu Map:

Eric Feigl-Ding @DrEricDing

Troubling graph from CDC: High “influenza-like activity” nationwide last week— hmmm... CDC needs to rule out if they are flu or #COVID19. How can we do that?

https://twitter.com/DrEricDing/status/1235234709237575683

Since no one has been testing for coronavirus in the past 2 months, no one knows how much of this "flu" is really coronavirus.


As an MD, PhD who spent years developing an #Ebola treatment, I know that we need #fact-based leadership, NOT political spin, to mobilize a comprehensive response to the #CoronavirusOutbreak NOW.

People’s lives are literally at stake.

https://twitter.com/DrDenaGrayson/status/1235027500041768960

Don't hold your breath.


The earlier that schools were closed (ideally even in advance of outbreaks) the lower the number of excess deaths in 43 US cities during the 1918 Influenza pandemic.

https://twitter.com/NAChristakis/status/1235204448101830656


2 Strains:

Covid19 L-strain aggressive and self-destruct and milder S-strain is spreading more common without any potential danger

https://twitter.com/CibaiLokter/status/1235244313547808770


Italy's death toll is 107, says Civil Protection Agency. Measures including the quarantine of 11 towns near Milan have failed to stop the spread. Italy is closing schools & considering closing cinemas, theaters & ban on public events #COVID19

https://twitter.com/UNDRR/status/1235301077324648449


LAX: medical screener at LAX Airport has tested positive for the virus, according to the Department of Homeland Security. The individual wore all the correct protective equipment and took necessary protections on the job.

https://twitter.com/JosephFrosty/status/1235358869288660992

California governor says Grand Princess cruise ship being held off the coast as a number of passengers and crew members have developed symptoms. Test kits will be flown to the ship.

50 - 60 people from the previous cruise (w/the infected passenger who died after leaving ship) on board. 11 passengers and 10 crew currently on the Grand Princess have reported symptoms

https://twitter.com/V2019N/status/1235358837483266050


LA County declares health emergency with 6 new #coronavirus cases today (7 total).

CA also had its 1st #COVID19 death: an elderly adult with medical issues likely exposed on a cruise to #Mexico that returned 2/21; the patient tested positive on 2/25.

https://twitter.com/DrDenaGrayson/status/1235307592735436800

California governor declares state of emergency over #coronavirus with 53 confirmed cases. LIve updates:

https://twitter.com/Reuters/status/1235362037276041216


Eric Feigl-Ding @DrEricDing

NEED TO STOP Seattle

Wuhan 2.0: Washington state is at the cusp of a great unchecked outbreak. I once had raised a big

warning in late January about Wuhan. I’m nearing a high level of concern again - Seattle area is now teetering toward a really dangerous epidemic.

https://twitter.com/DrEricDing/status/1235203267690450947

https://twitter.com/DrEricDing/status/1235061238029094912

Clearly Seattle is not the only area. This thing is everywhere now. Seattle is just a week or two ahead of the rest of the nation, that's all. The time to "contain" and "control" WAS mid-January. If we had done it then, we would almost be out of the 2 month quarantine, and would have experienced only a hand full of cases nation wide. But I guess its been decided we are going to "learn the hard way" and NOT quarantine until AFTER their are lots of infections.


Dr. Dena Grayson @DrDenaGrayson

As I’ve warned, #coronavirus has been spreading undetected in the US for weeks due to a lack of #COVID19 testing.

https://twitter.com/DrDenaGrayson/status/1235202301553528832


This is a big development in WA: @UWMedicine announces newly developed, faster, test for diagnosing #covid19 #coronavirus. Testing went live yesterday, w/ plans to ramp up to 1,000-1,500 samples per day by end of week.

https://twitter.com/TedLandK5/status/1235286458984026112


Texas Warning:

https://twitter.com/KarlaHayward/status/1235319386036109312/photo/1


Big Businesses and Small Businesses are going to be adversely impacted. It can not be helped at this point.

Fears over #COVID19 continue to disproportionately harm small businesses across the country. I wrote to @SBAgov ’s Administrator requesting the agency establish a task force to provide assistance to small businesses impacted by the #COVID19 outbreak.

https://twitter.com/SenDuckworth/status/1235335951293046789


WA State:

Employers: pls maximize teleworking wherever possible in your business.

Employees: check in with your work about sick leave and telework options. You may need to stay home to care for yourself or a household member.

https://twitter.com/WADeptHealth/status/1235317747539750918


WA State: Employees Should Work From Home

Strong recommendations from King County regarding #COVID19 #coronavirus mitigation.

I think this is prudent and am glad for the leadership from our local health authorities.

https://twitter.com/CT_Bergstrom/status/1235335271408979969


Preview of Coming Attractions: Patients left in Hallways, cuz too many patients, and many of the patients are Health Care Workers who got infected, before they knew what they were dealing with......just like the USA now.

This is the reality happening in hospitals in Iran. A #CoVid19 infected patient with severe symptoms abandoned on the hospital bed. Nurses dance videos from Iran circulating online are for covering up the tragedy & are totally staged.

https://twitter.com/ForSyteSaga2013/status/1235330696517955584


Man collapsed in public in Khorasan Square of Tehran, #Iran amid #CoronavirusOutbreak

Bystanders say he succumb to the #coronavirus. They called emergency units but no one answered.

https://twitter.com/IranHrm/status/1235284039034167297

Here's another one:

https://twitter.com/IranHrm/status/1235281507155095552


Meanwhile Trump and First Lady Visit a Hospital with covid19 Patients.....no masks on (etc) and they shake hands with everyone, acts like it is a campaign stop. What a frightening example of leadership. Well maybe if Trump or a member of his family get this disease they "might" start taking it more seriously.

https://twitter.com/DrWang62097984/status/1235325264281903112

UK's prime minister spreads covid19 around too:

https://twitter.com/Tingaling007/status/1235071835189817345

WHO team arrives in Iran not wearing masks. I guess we’re going to need some more WHO guys.

https://twitter.com/Signal47046889/status/1235232328525500417


W.H.O. recommends NO Handshakes:

https://twitter.com/nur_ellya/status/1235303835427573761

How can we greet each other amid the #COVID19 outbreak?

https://twitter.com/CGTNOfficial/status/1235263740154499073


Chinese doctors warned for the novel #coronavirus’ attack to people’s central nervous system to avoid misdiagnosis and reduce fatality rate after gene sequencing found coronavirus in the cerebrospinal fluid of a confirmed #COVID19 patient in Beijing. https://globaltimes.cn/content/118163

https://twitter.com/globaltimesnews/status/1235280138415116289


LA County declares local emergency over #COVID19; additional new cases in LA County

https://twitter.com/megtirrell/status/1235243501551484930


Italy Getting as Bad as Iran now:

BREAKING: #Italy to close all schools and universities for at least 2 weeks, as the death toll from #COVID19 surged to 79 on Wednesday morning from 52 on Monday. Italy has ≥ 2,502 #coronavirus cases and is the worst-hit country outside Asia.

https://twitter.com/DrDenaGrayson/status/1235214479421513730

https://twitter.com/DrEricDing/status/1235191097439260677

https://twitter.com/disclosetv/status/1235256452958359552


BREAKING - Up to 100,000 Israelis are currently in quarantine due to #COVID19. Any Israeli returning to the country from France, Germany, Switzerland, Spain or Austria will be required to enter 14 days of quarantine.

https://twitter.com/disclosetv/status/1235293277638848512


White House Bans Filming At Coronavirus Briefing, Triggering Backlash- yeah, this will really help fight COVID19. trump promised to be aggressively transparent about it. He is aggressively transparent about hiding as much as possible...

https://twitter.com/Martina/status/1235198678052282368

They must have finally been given "the bad news", that this thing HAS spread like wildfire all across this nation, thanks to the airlines and trains and buses and subways and.......


We may need an army of these #Coronavius killer robots

https://twitter.com/the_aminayarnah/status/1235190592361181186


Gene sequencing by Beijing Ditan Hospital found coronavirus in the cerebrospinal fluid of a 56-year-old confirmed #COVID19 patient with encephalitis, which provides evidence that COVID19 can invade patients’ nervous systems, just like SARS and MERS.

https://twitter.com/globaltimesnews/status/1235178507820347392


How to determine if you have the right sized face mask:

https://twitter.com/leorahorwitzmd/status/1235018922023440385

Very arrogant writer, was brought down to size by a poster: Blaming people for being forced to get masks last minute because people like you downplayed and ignored this crisis while condescending to them that they can't watch a 1 minute video how to wear the masks condemns you.

Donning and Doffing Facial Protection – Mask alone

https://www.youtube.com/watch?v=OABvzu9e-hw

Yes, if Health Care workers can't see ahead enough to put aside a supply of protective gear, our health care is not in good hands.

Yep, even health care workers don't know how to protect themselves:

https://pubmed.ncbi.nlm.nih.gov/29889934-identification-and-characterization-of-failures-in-infectious-agent-transmission-precaution-practices-in-hospitals-a-qualitative-study/

Let's get one thing straight: ɪᴀɴ ᴍ ᴍᴀᴄᴋᴀʏ, ᴘʜᴅ "“This is a unique virus, with unique features. This virus is not influenza,” Tedros said Monday. “We are in uncharted territory.”" WHO says #coronavirus death rate is 3.4% globally, higher than previously thought https://twitter.com/MackayIM/status/1234987658654310400 ---- Just spoke with ER doc who say he's seeing cases he's 99% sure are #coronavirus. Negative for flu, recent travel, work in airports. Not allowed to test. Patients return to work because they can't take time off w/out a firm diagnosis. Other ER docs seeing the same thing. https://twitter.com/matthewstoller/status/1235239113298759680 ----- Unions around the world are calling for the same thing - paid leave for workers affected by #COVID19, otherwise the virus will spread. This both a matter of justice & health https://twitter.com/sallymcmanus/status/1235103870512017408 ---- I have been seeing a lot of ED patients with apparent flu, but negative tests. I know that the influenza test is imperfect. But I wonder if we've had COVID-19 in the community for longer than we realized, but didn't know to test for it? https://twitter.com/edwinleap/status/1235031768639705088 Gee, ya think??? ---- THIS IS CRUCIAL --@trvb thread. Containment is failing in US & Europe bcuz by the time a #COVID19 case is discovered the virus has been in circulation for a while & spread, possibly widely. Trevor works w/a team that uses sequence analysis to trace who's infected by whom, when. https://twitter.com/Laurie_Garrett/status/1235236092124811265 ---- Flu Map: Eric Feigl-Ding @DrEricDing Troubling graph from CDC: High “influenza-like activity” nationwide last week— hmmm... CDC needs to rule out if they are flu or #COVID19. How can we do that? https://twitter.com/DrEricDing/status/1235234709237575683 Since no one has been testing for coronavirus in the past 2 months, no one knows how much of this "flu" is really coronavirus. ---- As an MD, PhD who spent years developing an #Ebola treatment, I know that we need #fact-based leadership, NOT political spin, to mobilize a comprehensive response to the #CoronavirusOutbreak NOW. People’s lives are literally at stake. https://twitter.com/DrDenaGrayson/status/1235027500041768960 Don't hold your breath. ---- The *earlier* that schools were closed (ideally even in *advance* of outbreaks) the lower the number of excess deaths in 43 US cities during the 1918 Influenza pandemic. https://twitter.com/NAChristakis/status/1235204448101830656 ---- 2 Strains: Covid19 L-strain aggressive and self-destruct and milder S-strain is spreading more common without any potential danger https://twitter.com/CibaiLokter/status/1235244313547808770 ----- Italy's death toll is 107, says Civil Protection Agency. Measures including the quarantine of 11 towns near Milan have failed to stop the spread. Italy is closing schools & considering closing cinemas, theaters & ban on public events #COVID19 https://twitter.com/UNDRR/status/1235301077324648449 ----- LAX: medical screener at LAX Airport has tested positive for the virus, according to the Department of Homeland Security. The individual wore all the correct protective equipment and took necessary protections on the job. https://twitter.com/JosephFrosty/status/1235358869288660992 California governor says Grand Princess cruise ship being held off the coast as a number of passengers and crew members have developed symptoms. Test kits will be flown to the ship. 50 - 60 people from the previous cruise (w/the infected passenger who died after leaving ship) on board. 11 passengers and 10 crew currently on the Grand Princess have reported symptoms https://twitter.com/V2019N/status/1235358837483266050 ---- LA County declares health emergency with 6 new #coronavirus cases today (7 total). CA also had its 1st #COVID19 death: an elderly adult with medical issues likely exposed on a cruise to #Mexico that returned 2/21; the patient tested positive on 2/25. https://twitter.com/DrDenaGrayson/status/1235307592735436800 California governor declares state of emergency over #coronavirus with 53 confirmed cases. LIve updates: https://twitter.com/Reuters/status/1235362037276041216 ---- Eric Feigl-Ding @DrEricDing NEED TO STOP Seattle Wuhan 2.0: Washington state is at the cusp of a great unchecked outbreak. I once had raised a big warning in late January about Wuhan. I’m nearing a high level of concern again - Seattle area is now teetering toward a really dangerous epidemic. https://twitter.com/DrEricDing/status/1235203267690450947 https://twitter.com/DrEricDing/status/1235061238029094912 Clearly Seattle is not the only area. This thing is everywhere now. Seattle is just a week or two ahead of the rest of the nation, that's all. The time to "contain" and "control" WAS mid-January. If we had done it then, we would almost be out of the 2 month quarantine, and would have experienced only a hand full of cases nation wide. But I guess its been decided we are going to "learn the hard way" and NOT quarantine until AFTER their are lots of infections. ---- Dr. Dena Grayson @DrDenaGrayson As I’ve warned, #coronavirus has been spreading *undetected* in the US for weeks due to a lack of #COVID19 testing. https://twitter.com/DrDenaGrayson/status/1235202301553528832 ---- This is a big development in WA: @UWMedicine announces newly developed, faster, test for diagnosing #covid19 #coronavirus. Testing went live yesterday, w/ plans to ramp up to 1,000-1,500 samples per day by end of week. https://twitter.com/TedLandK5/status/1235286458984026112 ---- Texas Warning: https://twitter.com/KarlaHayward/status/1235319386036109312/photo/1 ---- Big Businesses and Small Businesses are going to be adversely impacted. It can not be helped at this point. Fears over #COVID19 continue to disproportionately harm small businesses across the country. I wrote to @SBAgov ’s Administrator requesting the agency establish a task force to provide assistance to small businesses impacted by the #COVID19 outbreak. https://twitter.com/SenDuckworth/status/1235335951293046789 ----- WA State: Employers: pls maximize teleworking wherever possible in your business. Employees: check in with your work about sick leave and telework options. You may need to stay home to care for yourself or a household member. https://twitter.com/WADeptHealth/status/1235317747539750918 ---- WA State: Employees Should Work From Home Strong recommendations from King County regarding #COVID19 #coronavirus mitigation. I think this is prudent and am glad for the leadership from our local health authorities. https://twitter.com/CT_Bergstrom/status/1235335271408979969 ---- **Preview of Coming Attractions:** Patients left in Hallways, cuz too many patients, and many of the patients are Health Care Workers who got infected, before they knew what they were dealing with......just like the USA now. This is the reality happening in hospitals in Iran. A #CoVid19 infected patient with severe symptoms abandoned on the hospital bed. Nurses dance videos from Iran circulating online are for covering up the tragedy & are totally staged. https://twitter.com/ForSyteSaga2013/status/1235330696517955584 ---- Man collapsed in public in Khorasan Square of Tehran, #Iran amid #CoronavirusOutbreak **Bystanders say he succumb to the #coronavirus. They called emergency units but no one answered.** https://twitter.com/IranHrm/status/1235284039034167297 Here's another one: https://twitter.com/IranHrm/status/1235281507155095552 ---- Meanwhile Trump and First Lady Visit a Hospital with covid19 Patients.....no masks on (etc) and they shake hands with everyone, acts like it is a campaign stop. What a frightening example of leadership. Well maybe if Trump or a member of his family get this disease they "might" start taking it more seriously. https://twitter.com/DrWang62097984/status/1235325264281903112 UK's prime minister spreads covid19 around too: https://twitter.com/Tingaling007/status/1235071835189817345 ---- WHO team arrives in Iran not wearing masks. I guess we’re going to need some more WHO guys. https://twitter.com/Signal47046889/status/1235232328525500417 ---- W.H.O. recommends NO Handshakes: https://twitter.com/nur_ellya/status/1235303835427573761 How can we greet each other amid the #COVID19 outbreak? https://twitter.com/CGTNOfficial/status/1235263740154499073 ---- Chinese doctors warned for the novel #coronavirus’ attack to people’s central nervous system to avoid misdiagnosis and reduce fatality rate after gene sequencing found coronavirus in the cerebrospinal fluid of a confirmed #COVID19 patient in Beijing. https://globaltimes.cn/content/118163 https://twitter.com/globaltimesnews/status/1235280138415116289 ---- LA County declares local emergency over #COVID19; additional new cases in LA County https://twitter.com/megtirrell/status/1235243501551484930 ---- Italy Getting as Bad as Iran now: BREAKING: #Italy to close all schools and universities for at least 2 weeks, as the death toll from #COVID19 surged to 79 on Wednesday morning from 52 on Monday. Italy has ≥ 2,502 #coronavirus cases and is the worst-hit country outside Asia. https://twitter.com/DrDenaGrayson/status/1235214479421513730 https://twitter.com/DrEricDing/status/1235191097439260677 https://twitter.com/disclosetv/status/1235256452958359552 ---- BREAKING - Up to 100,000 Israelis are currently in quarantine due to #COVID19. Any Israeli returning to the country from France, Germany, Switzerland, Spain or Austria will be required to enter 14 days of quarantine. https://twitter.com/disclosetv/status/1235293277638848512 ---- White House Bans Filming At Coronavirus Briefing, Triggering Backlash- yeah, this will really help fight COVID19. trump promised to be aggressively transparent about it. He is aggressively transparent about hiding as much as possible... https://twitter.com/Martina/status/1235198678052282368 They must have finally been given "the bad news", that this thing HAS spread like wildfire all across this nation, thanks to the airlines and trains and buses and subways and....... ---- We may need an army of these #Coronavius killer robots https://twitter.com/the_aminayarnah/status/1235190592361181186 ---- Gene sequencing by Beijing Ditan Hospital found coronavirus in the cerebrospinal fluid of a 56-year-old confirmed #COVID19 patient with encephalitis, which provides evidence that COVID19 can invade patients’ nervous systems, just like SARS and MERS. https://twitter.com/globaltimesnews/status/1235178507820347392 ---- How to determine if you have the right sized face mask: https://twitter.com/leorahorwitzmd/status/1235018922023440385 Very arrogant writer, was brought down to size by a poster: Blaming people for being forced to get masks last minute because people like you downplayed and ignored this crisis while condescending to them that they can't watch a 1 minute video how to wear the masks condemns you. Donning and Doffing Facial Protection – Mask alone https://www.youtube.com/watch?v=OABvzu9e-hw Yes, if Health Care workers can't see ahead enough to put aside a supply of protective gear, our health care is not in good hands. Yep, even health care workers don't know how to protect themselves: https://pubmed.ncbi.nlm.nih.gov/29889934-identification-and-characterization-of-failures-in-infectious-agent-transmission-precaution-practices-in-hospitals-a-qualitative-study/

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