Rapid test can detect flu A and B. They are not perfect
08.03.2026 02:46 β π 1 π 0 π¬ 0 π 0@boghuma.bsky.social
Physician Scientist MDPhD Infectious Diseases Academic Medicine Global Health Science Communicator Posts are my opinions, not my employer's and not medical advice I bet on myself and double down https://substack.com/@bktitanji
Rapid test can detect flu A and B. They are not perfect
08.03.2026 02:46 β π 1 π 0 π¬ 0 π 0In the clinical trials involving tens of thousands of people and now billions of doses globally, there has been no evidence that COVID vaccines cause ADE. In fact, vaccinated people consistently have lower rates of severe disease, which is the opposite of what ADE would produce.
08.03.2026 02:41 β π 11 π 0 π¬ 0 π 0ADE has been seen with infections like dengue, which is why vaccine developers actively look for it when designing new vaccines. For COVID vaccines, ADE was something scientists looked for very carefully from the beginning bcos it had been a concern in some early coronavirus animal studies yrs ago.
08.03.2026 02:41 β π 4 π 0 π¬ 1 π 0Antibody-dependent enhancement (ADE) is a real immunologic phenomenon, but itβs very rare and very specific to certain viruses and vaccine designs. It happens when antibodies bind a virus but fail to neutralize it, potentially helping the virus enter cells.
08.03.2026 02:41 β π 1 π 0 π¬ 1 π 0Itβs also important to remember that many respiratory viruses cause βflu-likeβ symptoms, and most arenβt routinely tested for outside hospitals. Common culprits in the U.S. include rhinoviruses, adenoviruses, parainfluenza viruses, human metapneumovirus, and the seasonal coronaviruses
08.03.2026 02:39 β π 1 π 0 π¬ 1 π 0Rapid flu tests used in many urgent care clinics are helpful but not perfect. The quick antigen tests can miss infections, particularly early in illness or if the viral load is low, so false negatives do happen.
08.03.2026 02:39 β π 1 π 1 π¬ 1 π 0Because measles is one of the most contagious viruses we know, the threshold for herd immunity is very high. Epidemiologic models estimate that about 92β95% of the population needs to be immune (through vaccination or prior infection) to prevent sustained transmission.
08.03.2026 02:05 β π 3 π 0 π¬ 1 π 0
Change it if it becomes wet, dirty, or hard to breathe through.
Otherwise, for a single long flight, one mask is usually fine, but many people bring 1β2 spares.
For maximum protection on a plane, the best option is a tight-fitting respirator such as an N95. These are designed to seal closely to the face and filter β₯95% of airborne particles, making them more protective than surgical or cloth masks.
08.03.2026 01:47 β π 2 π 0 π¬ 1 π 0It depends. Cases that require hospitalization are often severe or with complications. Length of stay will vary on the host and their presentation so impossible to provide an arbitrary range. The vaccines prevent measles. That's the surest way to not needing hospitalization for it to begin with.
08.03.2026 01:42 β π 0 π 0 π¬ 0 π 0This bacterial infection spreads through water contaminated with animal urine, and flooding increases exposure risk. Symptoms can start with fever, headache, muscle aches, and sometimes jaundice or kidney problems.
08.03.2026 01:35 β π 7 π 0 π¬ 1 π 1These are still relatively uncommon overall, but they do appear periodically in southern states. That said, if someone becomes ill after working around floodwater, the first infection many clinicians think about isnβt mosquito-borne at all itβs leptospirosis.
08.03.2026 01:35 β π 7 π 0 π¬ 1 π 1Mosquito-borne illnesses are important to keep in mind in the southern U.S., especially after flooding when mosquito populations surge. The main ones clinicians think about are West Nile virus (by far the most common), dengue, and occasionally eastern equine encephalitis (EEE).
08.03.2026 01:35 β π 2 π 0 π¬ 1 π 1So even if someone never had natural chickenpox and only received the vaccine, shingles vaccination later in life is still recommended to reduce that risk.
08.03.2026 01:33 β π 3 π 0 π¬ 1 π 0which can remain dormant in nerve cells just like the wild virus. That means it is possible though less common for someone vaccinated against chickenpox to develop shingles later in life. Shingrix is designed to boost immunity against varicella-zoster reactivation, which is what causes shingles.
08.03.2026 01:33 β π 4 π 0 π¬ 1 π 0Yes. Current guidance is that adults age 50 and older should receive the shingles vaccine (Shingrix) regardless of whether they had chickenpox in the past or received the chickenpox vaccine. The reason is that the chickenpox vaccine uses a live, weakened form of varicella-zoster virus,
08.03.2026 01:33 β π 3 π 0 π¬ 1 π 0Infection also doesnβt occur from the bite itself but when parasite-containing bug feces contaminate the bite site, which makes transmission less efficient.
08.03.2026 01:30 β π 3 π 0 π¬ 0 π 0One reason transmission is lower here is ecology. In Latin America the bugs often live inside homes and feed repeatedly on humans, while U.S. species tend to live outdoors.
08.03.2026 01:29 β π 5 π 0 π¬ 1 π 0However, locally acquired human infections in the U.S. are still rare. Most of the ~280,000 people living with Chagas disease in the U.S. were infected earlier in life in Latin America, where the disease is much more common.
08.03.2026 01:29 β π 2 π 0 π¬ 1 π 0"Kissing bugsβ (triatomine bugs) that can carry the parasite Trypanosoma cruzi, which causes Chagas disease, do exist in the U.S. and have been found across much of the southern half of the country. Theyβve actually been here for a long time, and some of them do carry the parasite.
08.03.2026 01:29 β π 1 π 0 π¬ 1 π 0But when the full panel is used and interpreted together, the likelihood that a βpast EBV infectionβ result is falsely positive is quite low.
08.03.2026 01:02 β π 2 π 0 π¬ 1 π 0Where confusion sometimes happens is when only one marker is tested, or when there is cross-reactivity with other infections or autoimmune antibodies, which can occasionally produce misleading results.
08.03.2026 01:02 β π 2 π 0 π¬ 1 π 0A pattern showing VCA IgG and EBNA IgG positive generally indicates past infection, and that interpretation is considered fairly reliable. Since over 90% of adults worldwide have been infected with EBV, a positive βpast infectionβ result is actually the expected finding for most people.
08.03.2026 01:02 β π 2 π 0 π¬ 1 π 0Yes false positives can occur, but theyβre uncommon when the full EBV antibody pattern is interpreted correctly. EBV testing usually looks at several antibodies together (for example VCA IgM, VCA IgG, and EBNA IgG).
08.03.2026 01:02 β π 2 π 0 π¬ 1 π 0Public health agencies therefore recommend meningococcal vaccination in adults based on risk, not age alone. Adults over 55 can still receive meningococcal vaccines if they have certain risk factors (for example: complement deficiency, asplenia etc.)
08.03.2026 01:00 β π 2 π 0 π¬ 0 π 0Because people over 55 were not widely included in the clinical trials, the manufacturers only sought regulatory approval for the age ranges where they had strong data. That means some product labels stop at age 55 even though the biology of the vaccine doesnβt suddenly change at that birthday.
08.03.2026 01:00 β π 4 π 0 π¬ 1 π 0
Itβs mostly about how the vaccines were studied and licensed, not because the vaccine would necessarily be harmful after age 55.
Most meningococcal vaccines were originally tested and approved for specific age groups where the disease risk is highest infants, adolescents, and young adults.
The trajectory can vary widely, but the goal is to keep inflammation controlled and maintain normal breathing, whether the condition ultimately proves persistent or improves.
08.03.2026 00:57 β π 4 π 0 π¬ 1 π 0Given your history of multiple sclerosis and possible post-viral triggers, itβs worth continuing follow-up with your clinician to monitor lung function and symptoms over time.
08.03.2026 00:57 β π 4 π 0 π¬ 2 π 0Adult-onset asthma can happen for several reasons sometimes after a resp infection, sometimes related to allergies or airway inflammation, & sometimes as part of broader immune dysregulation. In many people it becomes a chronic condition, but the severity can fluctuate a lot over time.
08.03.2026 00:57 β π 5 π 0 π¬ 1 π 0