Dr Satoshi Akima, FRACP
@toshiakima.bsky.social
12K followers 1.9K following 910 posts
Nephrology & Internal Medicine. Immunothrombosis incl DIC. ISTH Member. No Conflicts of Interest. Views my own etc
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toshiakima.bsky.social
The Central Error of the Pandemic…

Is that of running pandemic management by laissez-faire socioeconomic principles.

If you grasp this, all the other errors fall into place as the inevitable consequence of following that line of thought. 🧵 1/x
toshiakima.bsky.social
More a comment than a correction. If you go from an FF of 3 on a surgical up to 50-100 on an N95 it's more like one order of magnitude
toshiakima.bsky.social
The average fit factor FF for a surgical mask is 3. Many score 300 on an Aura N95. Which makes it two orders of magnitude better. Yes this is predictive of real world outcomes
Reposted by Dr Satoshi Akima, FRACP
leanhealth.bsky.social
106 healthcare organizations, 15 countries, 4,872,295 patients,
propensity score matched, 3-year follow-up

Individuals with SARS-CoV-2 infection had significantly higher risks of
A)HPV-related cancers
+67% cervical
+131% vaginal
+98% vulvar
+92% anal &
+78% oropharyngeal
Das ist katastrophal
Reposted by Dr Satoshi Akima, FRACP
leanhealth.bsky.social
Randomisierte Studie mobile Luftfilter Schule

1) Reduktion krankheitsbedingter Abwesenheit 12,5%
2) Kosten 11€/d
3) cost benefit 1:9

Nicht inkludiert sind die zusätzlich in Skandinavien nachgewiesenen Reduktionen der elterlichen Fehltage um 30%

Und nu
@PrienKarin @ninawarken?
The Effect of Air Purifiers in Schools
The Effect of Air Purifiers in Schools
www.rff.org
Reposted by Dr Satoshi Akima, FRACP
castltrastondrs.bsky.social
#Medsky🧪 #IDsky #Neurosky #publichealth in this longitudinal observational study confirmed that individuals with severe #longCOVID can experience persistent #neuromusculardisorders & muscle architectural changes in their lower limbs,
Reposted by Dr Satoshi Akima, FRACP
Reposted by Dr Satoshi Akima, FRACP
toshiakima.bsky.social
Now, for something off-topic. Spring has brought forth bright yellow flowers of the Hymenosporum flavum tree, a native of New Guinea, Queensland and New South Wales. Although commonly known as the native frangipani, it is not related to the frangipani. #spring
Bright yellow flowers of the Hymenosporum flavum tree Bright yellow flowers of the Hymenosporum flavum tree, with red bottlebrush flowers in the background
Reposted by Dr Satoshi Akima, FRACP
karagavin.bsky.social
Too bad @nobelprize.bsky.social hasn’t got its Bluesky account up and running in time for today’s first prize announcement. (Can you have a chat with them @altmetric.com ?)

The livestream is at x.com/i/broadcasts...
The Nobel Prize
WATCH LIVE: Join us for the 2025 Nobel Prize in Physiology or Medicine announcement.
x.com
Reposted by Dr Satoshi Akima, FRACP
njbbari3.bsky.social
Someone that is self employed in a physically demanding job told me they lost out on two months of work due to preventable flu/C19 type illness.

Who does public health serve? #NSWHealth.
Reposted by Dr Satoshi Akima, FRACP
toshiakima.bsky.social
Spring is bursting forth everywhere
Flowers blooming forth in spring
toshiakima.bsky.social
Spring is bursting forth everywhere
Flowers blooming forth in spring
toshiakima.bsky.social
Now, for something off-topic. Spring has brought forth bright yellow flowers of the Hymenosporum flavum tree, a native of New Guinea, Queensland and New South Wales. Although commonly known as the native frangipani, it is not related to the frangipani. #spring
Bright yellow flowers of the Hymenosporum flavum tree Bright yellow flowers of the Hymenosporum flavum tree, with red bottlebrush flowers in the background
Reposted by Dr Satoshi Akima, FRACP
thecovidinfoguy.bsky.social
**CDC Blackout**

US Weekly COVID update: Oct 6, 2025

🔸1 in 81 Actively Infectious
🔸602,000 New Daily Infections
🔸4,540,000 Infections In The Past Week
🔸189,000,000 Infections in 2025
🔸227,000 to 910,000 Weekly Long COVID Cases
🔸1,300 to 2,100 Weekly Deaths

Source: pmc19.com/data/
The image is a COVID-19 heat map of the U.S. dated October 6, 2025, titled “1 in 81 Estimated Actively Infectious.” It’s based on CDC and Biobot wastewater data, showing most states in grey labeled “CDC Blackout,” indicating missing data during a federal “shutdown.”

At the bottom, it notes:
“PMC estimates 602,000 new daily infections amid ‘shutdown’ & state-level data blackout.”

Color legend (bottom left): Very High (dark red) → High → Moderate → Low → Very Low → No Data.
Most of the country is shown as having no current data available. The image shows a Pandemic Mitigation Collaborative (PMC) report titled “National COVID-19 Estimates (U.S.)” dated October 6, 2025.

🦠 Infections

Proportion Actively Infectious: 1 in 81 (1.2%)

New Daily Infections: 602,000

Infections in the Past Week: 4,540,000

Infections in 2025 (to date): 189,000,000

Cumulative Infections per Person: 4.69

🧠 Long COVID

From new daily infections: 30,000–120,000 new Long COVID cases

From new weekly infections: 227,000–910,000

⚰️ Excess Deaths

From new daily infections: 170–280 deaths

From new weekly infections: 1,300–2,100 deaths

The note at the bottom states that daily infections (602,000) are about half of the September 6 peak (1.24 million), yet post-acute effects and excess deaths remain high despite the decline.
Reposted by Dr Satoshi Akima, FRACP
tatianatrifan.bsky.social
"The almost continuous economic crisis of the 1930s had led to rigid austerity measures and cuts to the budgets for the care of chronically sick people (Hohendorf et al. 2002). Disabled people were increasingly branded as anti-social and as burdens"
enil.eu/disabled-peo...
enil.eu/disabled-peo...
Disabled People under fascist rule - ENIL
It is commonly assumed that Europe´s fascist governments of the first half of the 20th pursued inhumane policies against disabled people. What do we ...
enil.eu
Reposted by Dr Satoshi Akima, FRACP
hswapnil.medsky.social
Want to get your own version of #NephJC merch such as this pretty and useful backpack? 🎒

Donate to a good cause and get some swag too

www.nephjc.com/news/2025/9/...
NephJC branded backpack
Reposted by Dr Satoshi Akima, FRACP
tatianatrifan.bsky.social
This thread below explains it beautifully how we have already been there, how those mistakes were influenced by political ideology, and how public health was created:
bsky.app/profile/tosh...
Reposted by Dr Satoshi Akima, FRACP
davidjoffe64.bsky.social
Arrived today 👏🏻👏🏻‼️

Looking forward to reading it!

In the darkest hours... There are still amazing humans 💖
Reposted by Dr Satoshi Akima, FRACP
asia.nikkei.com
Who is Sanae Takaichi, Japan’s possible first female prime minister?

Read all of our election coverage here: s.nikkei.com/477ndcd
Reposted by Dr Satoshi Akima, FRACP
drjenirwin.bsky.social
There appears to be a resurgence of public health units doing, I dare say, really good reality-based public health! They even say COVID…let’s give them some love!
capublichealth.bsky.social
Lots of coughing & sniffles going on around you? Stay purr-fectly protected by wearing a mask! 😷🐈

Wearing a high-quality N95 mask protects you from respiratory viruses like flu, COVID-19 and RSV.

📲 https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Respiratory-Viruses/When-and-Why-to-Wear-a-Mask.aspx
Reposted by Dr Satoshi Akima, FRACP
capublichealth.bsky.social
Lots of coughing & sniffles going on around you? Stay purr-fectly protected by wearing a mask! 😷🐈

Wearing a high-quality N95 mask protects you from respiratory viruses like flu, COVID-19 and RSV.

📲 https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/Respiratory-Viruses/When-and-Why-to-Wear-a-Mask.aspx
Reposted by Dr Satoshi Akima, FRACP
toshiakima.bsky.social
Just as COVID never ended so too the Spanish flu pandemic never ended either. But we now have the technology to end them both with an indoor air revolution. Two birds, one stone #COVIDisAirborne #InfluenzaIsAirborne
Why the 1918 Flu Pandemic Never Really Ended | HISTORY
After infecting millions of people worldwide, the 1918 flu strain shifted—and then stuck around.
www.history.com
toshiakima.bsky.social
Just as COVID never ended so too the Spanish flu pandemic never ended either. But we now have the technology to end them both with an indoor air revolution. Two birds, one stone #COVIDisAirborne #InfluenzaIsAirborne
Why the 1918 Flu Pandemic Never Really Ended | HISTORY
After infecting millions of people worldwide, the 1918 flu strain shifted—and then stuck around.
www.history.com