As a medical student I went to my internal medicine febrile without realizing it until folks told me I looked awful.
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Someone on my team had shared a virus that eventually knocked out the whole team but kept coming to work while wearing a mask because that was policy. Unless febrile, show up to work.
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Peter Sandman and I have argued for years that hospital flu vax mandates that force unvax'd HCWs to wear masks likely result in more vax'd workers able to transmit than unvax'd ones, once a huge majority of workers are vax'd -- given the low VE of flu vax. Presentee-ism!
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I reckon hospital presenteeism causes a really substantial disease burden and it's really shocking that it is the culture that is still encouraged in most places!
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I was wondering if this realisation would ever dawn
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It’s fascinating to see how flu has been much easier to control compared to COVID. I hope one outcome of this pandemic is recognising that we could reduce winter flu hospitalisations & have productivity benefits of less sick leave if we control resp viruses better.
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Flu deaths collapsed in the US last year. It was crazy.
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I think that COVID-19 is the first time we've truly accepted (in the NHS at least) that patients' infections can be a risk to staff. I appreciate 'flu is less dangerous and vaccines fairly good, but I wonder if we'll use PPE more reliably in the future.
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