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Dr Satoshi Akima, FRACP@toshiakima.bsky.social |
1018 followers 198 following 37 posts
Nephrology & Internal Medicine. Immunothrombosis incl DIC. ISTH Member. No Conflicts of Interest. Views my own etc
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Denis - The COVID info Guy
@thecovidinfoguy.bsky.social
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"the systematic dismantling of public health measures by capitalist governments worldwide, allowing SARS-CoV-2, the virus that causes COVID-19, unimpeded access to the world’s population, has created the conditions for even greater damage to human health."
1 replies 16 reposts 44 likes
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Mike Honey
@mikehoney.bsky.social
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Here's the latest variant picture for New Zealand.
"FLuQE" variants (KP.3.*) are rising to challenge for dominance. The growth of "FLiRT" variants has stalled.
More details:
aus.social/@mike_honey_...
0 replies 2 reposts 11 likes
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Mike Honey
@mikehoney.bsky.social
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Here's the latest variant picture for FLuQE variants.
Following a Nextclade update, I am grouping all the JN.1.* child lineages featuring the Spike Q493E mutation into a new "Lineage L2" group: JN.1.* +FLuQE. For now these are all the sub-lineages of KP.3.
More details:
aus.social/@mike_honey_...
0 replies 1 reposts 4 likes
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sam
@mehr.nz
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Here's one for the ambiguous sentence collection "advice on feeding newborns to teens"
5 replies 13 reposts 62 likes
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Prof Sheena Cruickshank
@sheencr.bsky.social
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Excellent summary of the latest work on #LongCovid from @erictopol.bsky.social showing sadly the continued detrimental impacts for those 3years on who developed this as pre vaccine. Good points re long term sequelae and continuing evolution of virus- we need effective long term vaccines!
2 replies 25 reposts 63 likes
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Denis - The COVID info Guy
@thecovidinfoguy.bsky.social
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University of Maryland study: N95 masks block almost all airborne COVID-19.
Study: www.thelancet.com/journals/ebi...
www.miragenews.com/umd-study-n9...
3 replies 53 reposts 118 likes
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David Fisman. The other guy is a turnip.
@dfisman.bsky.social
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God bless Don Milton. The guy is a wizard
www.thelancet.com/journals/ebi...
0 replies 6 reposts 25 likes
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Ruth Ann Crystal
@drruth.bsky.social
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🩺For patients being admitted to L&D for labor w/asymptomatic or mild COVID infection, moderate, severe or critical COVID disease at delivery could be predicted using:
✅gestational age
✅h/o prior pregnancy w/ hypertensive disorder
✅systolic blood pressure
buff.ly/4bG1B6f
0 replies 3 reposts 3 likes
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Jessica Wildfire
@jessicawildfire.bsky.social
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When you see someone riling up teachers and parents, blaming phones (or whatever) for children's academic and intellectual struggles, you can share this. I've updated it. I tried to be as thorough as possible:
www.okdoomer.io/covid-brain-...
7 replies 125 reposts 297 likes
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Mike Honey
@mikehoney.bsky.social
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Here's the latest variant picture for Australia.
JN.1 has been submerged by a scrum of new lineages, notably KW.1 and KW.1.1 and JN.1.32. KP.2 seems to have fallen back after peaking around 12%.
More details:
aus.social/@mike_honey_...
0 replies 2 reposts 6 likes
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Joe Vipond
@jvipondmd.bsky.social
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this here is crock: "it would be problematic to use ‘airborne’ for all pathogens that spread through the air. “They think it’s too scary, too frightening, has too many connotations and it will cause panic, so they chose ‘through the air’,”"
www.nature.com/articles/d41...
4 replies 16 reposts 35 likes
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David Fisman. The other guy is a turnip.
@dfisman.bsky.social
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Happy third birthday to this article, and congratulations to the Canadian ID community for its willingness to bully journalists into silence if they dare to report accurately on mistakes that killed millions of people
www.cbc.ca/amp/1.5994889
2 replies 14 reposts 36 likes
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Jonathan Howard
@joho.bsky.social
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Should I wear glasses for the eclipse or wait until there are RCTs?
4 replies 24 reposts 59 likes
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Blackout Princesses
@doomdisco.bsky.social
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I removed all of my music from Spotify when this was announced. Deeply evil attack on small independent musicians.
13 replies 284 reposts 514 likes
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Clinically Vulnerable Families 💙💜💗
@cvcev.bsky.social
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🚨 Mask wearing became heavily politicised even before it was common practice in 2020.
Now, we are finding that even high-risk people face discrimination despite relying on masks as an essential measure to protect health.
1/🧵 #MaskDiscrimination
⬇️⬇️⬇️
www.clinicallyvulnerable.org/post/intervi...
3 replies 4 reposts 9 likes
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David Fisman. The other guy is a turnip.
@dfisman.bsky.social
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Another nice paper showing that SARS-2 vaccines reduce the risk of acute cardiac events and stroke after SARS-2 infection. Effect stronger for mRNA vaccines than viral vector vaccines, and shows a dose-response relationship with number of doses received.
pubmed.ncbi.nlm.nih.gov/37522901/#:~....
1 replies 32 reposts 67 likes
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Eric Topol
@erictopol.bsky.social
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A strong case for mandating indoor air quality in public buildings science.org/doi/10.1126/...
3 replies 131 reposts 307 likes
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@DrJoePajak
@drjoepajak.bsky.social
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‘Six out of 10 people who died from COVID between March and July 2020 were disabled, according to the @ONS.’ @janemerrick23 @theipaper. @covidinquiryuk @NHSEngland @PositiveaboutDS
@mencap_charity @DHSCgovuk @NICEComms @Autism @DisRightsUK @sensecharity
inews.co.uk/news/politic...
2 replies 15 reposts 19 likes
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Eric Topol
@erictopol.bsky.social
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Covid vaccination markedly reduced blood clots, heart attacks, heart failure, stroke and other adverse cardiovascular outcomes, as seen from over 20 million people, about half of whom were vaccinated heart.bmj.com/content/earl...
20 replies 377 reposts 1095 likes
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Long Covid Advocacy 💙
@longcovidadvoc.bsky.social
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🔥 It's a good one from Ziyad Al-Aly and Eric Topol in Science Magazine
"Patients are often met with skepticism and dismissal of their symptoms as psychosomatic. The attribution of symptoms to psychological causes has no scientific support"
www.science.org/doi/10.1126/...
1 replies 6 reposts 13 likes
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Screaming Pectoriloquy
@caulimovirus.bsky.social
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Terlipressin: finally, a treatment for hepatorenal syndrome that doesn’t require admission to the ICU for pressors! By the way, I cost more than an admission to the ICU for pressors. I’m sure your hospital will stock me accordingly.
2 replies 3 reposts 13 likes
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Mike Honey
@mikehoney.bsky.social
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Australian COVID-19 stats update for the period ending 2 February 2024:
For Australia, Aged Care Staff Cases have fallen sharply in the last 2 weeks reported, so the peak of the JN.1 "Pirola" wave looks to have passed.
More details:
aus.social/@mike_honey_...
1 replies 2 reposts 9 likes
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Mary Fernando M.D.
@maryfernando.bsky.social
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This and this again.
Parents are legally obligated to keep their child safe.
What happens when they harm or kill a child with an infectious disease?
Why this question hasn’t been asked and laws developed is beyond me.
Thank you @toshiakima.bsky.social
7 replies 21 reposts 70 likes
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Clean Air Stars
@cleanairstars.com
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“Ultraviolet light can kill almost all the viruses in a room. Why isn’t it everywhere?”
A sensible article examining the promise and trade-offs of 222nm UV #FarUV
www.vox.com/the-highligh...
0 replies 2 reposts 7 likes
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The John Snow Project
@johnsnowproject.bsky.social
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COVID-19 is not "just the flu."
New research by @zalaly shows that COVID-19 is significantly more harmful than flu, and that most of the harms come after the acute phase of the illness has passed. Read More:
johnsnowproject.org/primers/covi...
1 replies 82 reposts 122 likes
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Eric Topol
@erictopol.bsky.social
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Important new report on the long-term risk of #LongCovid vs flu after hospitalization
—50% post-Covid higher death rate
—Worse outcomes for all organ systems and disability except lung thelancet.com/journals/lan...
3 replies 86 reposts 159 likes
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Eric Topol
@erictopol.bsky.social
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T-cell engineering therapy (CAR-T) may have cured 15 people with 3 different autoimmune diseases (Lupus, SS, IIM).
In drug-free remission, ~2 years after treatment
www.nature.com/articles/d41...
5 replies 95 reposts 251 likes
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Jeff Gilchrist
@jeffgilchrist.bsky.social
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I forgot to highlight that N95 filtering material has the hardest time with 0.3 um particle size but actually does better with smaller and larger particle sizes as shown here ( twitter.com/ToshiAkima/s... ). Thanks @toshiakima.bsky.social 46/
1 replies 3 reposts 12 likes
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Jeff Gilchrist
@jeffgilchrist.bsky.social
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Why can you still #smell things wearing an effective #mask?
You can smell some nasty things like smoke and rotten eggs even with fit tested #N95 #respirators which block tiny viruses/bacteria because the smell molecules have atomic masses that are 17 million times less than a #virus. 🧪🧵1/ #COVID
10 replies 133 reposts 289 likes
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Trish Greenhalgh
@trishgreenhalgh.bsky.social
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One impecunious junior Dr is suing the GMC for not doing its job over anti vax docs. We have judicial approval for a cost cap => he won't be liable for more than a fixed amt of GMC's costs if he loses, but we're keen to protect him financially. Donate if you can:
goodlawproject.org/crowdfunder/...
0 replies 20 reposts 27 likes
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Clean Air Stars
@cleanairstars.com
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Today is #WorldVentil8Day
www.worldventil8day.com/facts-resour...
0 replies 6 reposts 11 likes
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@DrJoePajak
@drjoepajak.bsky.social
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'People died because neoliberal ideology and bad science had become embedded in public policy'.
@trishgreenhalgh via @BylinesEast eastangliabylines.co.uk/how-did-we-g...
2 replies 35 reposts 66 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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It's more nuanced than that! A valved respirator provides better source control than a surgical mask (~60% reduction in viral aerosol dispersion). The same holds true for most PAPR respirators. I wish people had the same mistrust for all surgical/earloop masks as they had for valved respirators.
0 replies 0 reposts 7 likes
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Trish Greenhalgh
@trishgreenhalgh.bsky.social
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Has public health died? Have we replaced infection control with information control?
johnsnowproject.org/insights/end...
8 replies 71 reposts 124 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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The valve version of the same model respirator protects the wearer as well as the valveless model, yes.
0 replies 0 reposts 4 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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Remember that a surgical mask provides slightly worse source control than a valved N95 respirator. Surgical masks leak both inwards and outwards. If you want protection and source control, wear a valveless N95 respirator. It's fine for the uninfected household member to wear a valved N95, though.
2 replies 18 reposts 39 likes
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An Leavy
@an-leavy.bsky.social
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We need to reintroduce N95s and mandate proper ventilation and filtration RAT testing for entry, still required at mum’s ACF, is no protection against the introduction of COVID Masks protect residents, staff and visitors and mitigate against ongoing chains of transmission
1 replies 12 reposts 32 likes
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Mike Honey
@mikehoney.bsky.social
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Here's the latest variant picture for New South Wales, Australia.
As of late October, EG.5.* "Eris" (57%) was still dominant.
BA.2.86.* "Pirola" (6%) began rising in late October.
More details:
aus.social/@mike_honey_...
1 replies 4 reposts 9 likes
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Kit Yates
@kityates.bsky.social
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Just a reminder.
Independent Sage is now on Blue Sky.
Check us out: @independentsage.bsky.social
2 replies 43 reposts 69 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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I leave you with these quotes. The last one about culling the human ballast (Ballastexistenzen) comes from Aly & Heim: The Architects of Annihilation.
3 replies 4 reposts 15 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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That is why the 19th C did better in conquering cholera than we have done in conquering SARS-CoV-2. x.com/ToshiAkima/s...
1 replies 1 reposts 16 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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But the nineteenth century was the age of empire and industrial revolution, which encouraged strong government initiative with a more optimistic view of the ability of science to transform society for the better.
1 replies 0 reposts 13 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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Germ theory favoured the contagionist position that central government interference was necessary to stop disease spread between subjects.
2 replies 0 reposts 16 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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Similar forces in the nineteenth century colluded to interfere with the acceptance of cholera as a waterborne contagious infectious disease with the opposition from laissez-faire groups to germ theory.
1 replies 3 reposts 16 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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The scientific errors committed during the SARS-CoV-2 pandemic can readily be understood as having occurred on the basis of socioeconomic and political interference in the scientific process.
2 replies 8 reposts 25 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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To argue for the herd immunity strategy, they effectively claimed that as there were no RCTs (“gold standard”) to show the moon was made of mineral, it must be made of cheese. I.e. there were no RCTs showing that NPIs worked, therefore, SARS2 mass infection is safe and effective.
1 replies 2 reposts 15 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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It was thus not acceptable that #COVIDisAirborne. Everything had to be done to oppose any evidence that might hinder the mass variolation of the population with SARS-CoV-2 to bring the pandemic to a radical conclusion.
1 replies 1 reposts 14 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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The very existence of a pathway that would radically slow or stop the spread of disease was an offence to the demagogues of laissez-faire. NPIs, like RPE, were thus an unnatural perversion that would cause more harm than good.
1 replies 1 reposts 15 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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Come 2019, there was precedent for deploying RPE as an NPI against SARS, just as we had successfully deployed condoms against HIV. The problem is that it pointed towards a path of central government Keynesian intervention using public health measures to quell the looming threat.
1 replies 1 reposts 15 likes
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Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
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During the SARS1 epidemic, we received instructions to wear N95 respirators during PPE training. The 2013 Fauci edited Harrison’s Principles of Internal Medicine stated both influenza and SARS were airborne diseases.
1 replies 5 reposts 19 likes