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Profil korisnika/ce T_Inglesby
Tom Inglesby
Tom Inglesby
Tom Inglesby
@T_Inglesby

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Tom Inglesby

@T_Inglesby

Director, Johns Hopkins SPH Center for Health Security, working to protect people from epidemics & disasters. Inf diseases, pub health, research, policy

Baltimore, MD
centerforhealthsecurity.org
Vrijeme pridruživanja: travanj 2014.

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    Tom Inglesby‏ @T_Inglesby 26. sij
    • Prijavi Tweet

    The following thread regards how we should be planning for the possibility that nCoV cannot be contained. #2019nCoV (1/x)

    06:07 - 26. sij 2020.
    • 1.458 proslijeđenih tweetova
    • 2.173 oznake „sviđa mi se”
    • Que Tal darksite HeckSpawn Andreas Witte Akhiles Syal♞ John Perry (W9SUN) m.s🥺 Joshua Sharfstein frischer_fischer
    90 replies 1.458 proslijeđenih tweetova 2.173 korisnika označavaju da im se sviđa
      1. Novi razgovor
      2. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Containment of nCoV is, and should be, the highest priority in China. This requires gov, health care/PH system & the public to work together to ID those w/ sx, get them tested rapidly, get them isolated (home or hospital), provide good med care while keeping HCWs protected. (2/x)

        6 replies 84 proslijeđena tweeta 390 korisnika označava da im se sviđa
        Prikaži ovu nit
      3. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        The global community should be doing all it can to be helping China w/ the terrible set of challenges it is facing in its effort to contain nCoV. It is not only the right thing to do for China, but it is critical in trying to help prevent global spread. (3/x)

        135 proslijeđenih tweetova 522 korisnika označavaju da im se sviđa
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      4. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        We don’t know what overall CFR will be w/ nCoV-that requires more data, time. SARS-like illness has been seen in some, but we don’t know what % of nCoV pts will get severe disease. We all hope it'll be far less than SARS, but we don’t know enough to predict %. (4/x)

        6 replies 67 proslijeđenih tweetova 325 korisnika označava da im se sviđa
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      5. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        We also don’t have enough data on H2H transmission yet to make confident predictions about how it will spread. We don’t know enough about extent of asymptomatic cases, asymptomatic spread, proportion of spread happening in health care facilities vs community. (5/x)

        75 proslijeđenih tweetova 353 korisnika označavaju da im se sviđa
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      6. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        But given uncertainties + very high stakes, part of global & national planning efforts should now be aimed at possibility that nCoV containment could fail. (6/x)

        5 replies 101 proslijeđeni tweet 371 korisnik označava da mu se sviđa
        Prikaži ovu nit
      7. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Others have raised this possibility too, including @neil_ferguson at Imperial who has said in last 24 hrs that containment of nCoV might not succeed. (7/x)

        76 proslijeđenih tweetova 339 korisnika označava da im se sviđa
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      8. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Global and national leaders should be looking ahead to what must be done to prepare for the possibility nCoV can’t be contained, even as we continue to work as hard as possible to contain it in China and beyond. (8/x)

        104 proslijeđena tweeta 374 korisnika označavaju da im se sviđa
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      9. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        The work to prepare for the possibility of failed containment could be called something like: Plan for Global Mobilization to Respond to a nCoV Pandemic. There are a series of highest priorities that should be at the top of that Plan, including: (9/x)

        79 proslijeđenih tweetova 314 korisnika označava da im se sviđa
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      10. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Crash vaccine development. Top of list because would so dramatically change response and outcomes. @NIAID & @CEPI working on vaccines, as are others. All pharma+biotech companies that could have a vaccine or therapy candidate of relevance should be enlisted in the effort. (10/x)

        13 replies 103 proslijeđena tweeta 439 korisnika označava da im se sviđa
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      11. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Multiple vaccine efforts should be pursued in parallel. Money should not be rate-limiting. Timelines should be shortened in whatever ways possible that doesn’t get in the way of a final safe, effective product. Rapid clinical trials prepared. (11/x)

        86 proslijeđenih tweetova 435 korisnika označava da im se sviđa
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      12. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Global plan for mass manufacturing of vaccine when it is created. This should be planned for multiple places in the world concomitantly. Cannot have a successful vaccine come out of only one place and remain only in that country. It will need to be broadly distributed.(12/x)

        79 proslijeđenih tweetova 405 korisnika označava da im se sviđa
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      13. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Plan for WHO global stockpile w/ global allocation plan. Once vaccine developed, WHO will need to allocate vaccine quickly to countries around world. WHO can work w/ UN system to help distribute, but will also need partnerships w/ global logistics companies to succeed. (13/x)

        7 replies 60 proslijeđenih tweetova 319 korisnika označava da im se sviđa
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      14. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Urgent serology development programs. Need this to help determine severity of nCoV. If many have been exposed and are immune, but never had disease, this suggests asymptomatic spread and that disease will be mild in many. We need serology testing. (14/x)

        1 reply 73 proslijeđena tweeta 352 korisnika označavaju da im se sviđa
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      15. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Massive expansion of diagnostics development capacity in China and around world. We need diagnostics to isolate and triage and care for people, and if containment fails will need very high numbers of reliable diagnostic tests around the world in the months ahead. (13/x)

        54 proslijeđena tweeta 292 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      16. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Rapid clinical trials for antivirals. There isn't much evidence current antivirals will be useful, but there should be in vitro studies, clinical trials to study all reasonable candidates. Other med interventions that have sound theoretical basis should be studied quickly. (16/x)

        8 replies 51 proslijeđeni tweet 279 korisnika označava da im se sviđa
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      17. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Major expansion of personal protective equipment for health care workers. We have seen in SARS that much of the spread of disease is through hospitals. We will need to make sure health care workers have needed equipment to protect themselves. (17/x)

        5 replies 77 proslijeđenih tweetova 379 korisnika označava da im se sviđa
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      18. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Hospital infection control plans. Beyond protecting health care workers, hospitals will need administrative plans, equipment, engineering controls where relevant, to care for higher number of patients at same time they are working to prevent resp spread of disease. (18/x)

        61 proslijeđeni tweet 302 korisnika označavaju da im se sviđa
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      19. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Government plans to provide transparent, full, rapid communication. People need to trust that governments giving them the full story so that they will agree to get tested, isolated and treated. (19x)

        7 replies 64 proslijeđena tweeta 320 korisnika označava da im se sviđa
        Prikaži ovu nit
      20. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Good accurate info needs to flood out the bad, the harmful rumors, the conspiracy info. Govs may need to partner w traditional and social media to get factual info out to people. (20/x)

        5 replies 74 proslijeđena tweeta 336 korisnika označava da im se sviđa
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      21. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Plans to keep travel&trade moving in the world, even if we do have disease spread around the world. nCoV airport screening efforts make sense now as a way of early ID of pts. But if containment fails and disease is widespread in world in time ahead, new plans are needed. (21/x)

        8 replies 52 proslijeđena tweeta 253 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      22. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        If nCoV spreads widely in the world, it will be in strong interest of all countries, to keep trade going despite the pandemic– global economy is highly interdependent. Govs would need to work w/ orgs like WTO and travel industry orgs like IATA to keep goods, people moving.(22/x)

        61 proslijeđeni tweet 268 korisnika označava da im se sviđa
        Prikaži ovu nit
      23. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Certainly there are other key elements of such a Global Plan, and additional recommendations welcome here. (23/X)

        32 proslijeđena tweeta 175 korisnika označava da im se sviđa
        Prikaži ovu nit
      24. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Overall in this Planning effort, countries will need to take some actions on their own. Others will require international coop. e.g. many countries don't have capacity to develop, make vaccines, Dxs, masks, et al so will need to work w/ countries that do. (24/x)

        37 proslijeđenih tweetova 224 korisnika označavaju da im se sviđa
        Prikaži ovu nit
      25. Tom Inglesby‏ @T_Inglesby 26. sij
        • Prijavi Tweet

        Other elements of this Plan will require close cooperation between countries, global business and international orgs. Organization of the elements of this Global Planning effort will be hard and consuming. (25/x)

        19 replies 42 proslijeđena tweeta 259 korisnika označava da im se sviđa
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      26. Kraj razgovora

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