Ranu Dhillon
@RanuDhillon
Doc @harvardmed & CA I work on primary health systems & epidemics in low- & middle-income countries & helped manage Guinea's national Ebola response
Atul Butte died yesterday. The world lost a giant. A big bear of a man. With a huge smile. With love for everyone. With energy that could power a room. I loved everything about Atul. I loved how he was always happy. I loved how excited he was about science and helping people.
Many low/middle-income countries struggle to train enough health workers New tech - VR, AR, haptics, AI - could help address this gap In @medpagetoday, @ShreenikKundu Dan Poenaru @mcgillu @DrRobertGlatter & I describe the possibilities & early examples medpagetoday.com/opinion/second…
Hot off the press! 📰 Opinion | Medical Training Lags in Developing Countries. #Technology Can Change the Game @medpagetoday medpagetoday.com/opinion/second… By our PhD student & #JMLFellow @ShreenikKundu w/ @DrRobertGlatter @RanuDhillon & Dr. Dan Poenaru
Opinion | Medical Training Lags in Developing Countries. Technology Can Change the Game. medpagetoday.com/opinion/second… @ShreenikKundu @RanuDhillon @danpoenaru @medpagetoday @genevievefri
If we sufficiently cleaned indoor air, pandemics could be made improbable A big overlooked need to doing this is diluting clumps of pathogen that cause short-range spread Fans can help but other approaches are needed @sri_srikrishna & I discuss in our @ScienceMagazine eLetter
UNFINISHED BUSINESS: ASHRAE 241, CDC 5 ACH are good, but not good enough, to stop viral 🦠 puffs 💨 . Why? Explained: Science published my eLetter, “Ventilation alone cannot address close-contact airborne transmission: dilution of exhalations is also needed” w/ @RanuDhillon
UNFINISHED BUSINESS: ASHRAE 241, CDC 5 ACH are good, but not good enough, to stop viral 🦠 puffs 💨 . Why? Explained: Science published my eLetter, “Ventilation alone cannot address close-contact airborne transmission: dilution of exhalations is also needed” w/ @RanuDhillon
There is a clear fix for well mixed and close contact: ceiling fans or any other fans like desk fans. Why did 241 ignore this?
MEGA STUDY: ASHRAE 241 model just published 🌪️ Kudos to authors and anon peer-reviewers for achieving clarity + precision 🙏🏽. Lot to LOVE in here 🎶. But also some fatally FLAWED assumptions ☠️ Details below. First love 👍 then flaws 👎 h/t @effiegreathouse
Post 16 – H5N1 Vaccines: Where We Stand and What Still Needs to Be Done Despite the severity of the situation, there are still critical gaps in H5N1 vaccination. If sustained human transmission occurs, producing vaccines at scale would take months—potentially triggering a (1/16)
It remains unclear if #H5N1 bird flu will ever cause a pandemic If it does, vaccines may not be enough to stop it In a @ScienceMagazine eLetter, @AbraarKaran @sri_srikrishna Robert Garry & I explain why science.org/doi/10.1126/sc…

Depending heavily on vaccines for #H5N1 epidemic mitigation is risky. In our e-letter in @ScienceMagazine we outline reasons why @RanuDhillon @sri_srikrishna science.org/doi/10.1126/sc…
There are few in this world who were such forces for good as @atulbutte. His dazzling intellect, relentless curiosity, generosity of spirit, boundless charisma, and infinite optimism left a mark on everything he touched and everyone lucky enough to know him. An enormous loss.
2 YEARS UPDATE on DIY: This week I tested 10 DIY purifiers in 4 classrooms (160 in use). Still working great!! ✅ CDC & CDPH say we need 5+ air changes per hour (ACH). 🌪️ When I tested $1000+ district-supplied HEPA only 2.5 ACH (sp 2) vs 6.3 ACH for $400 DIY (sp 1) 👀 (1/4)
CLEAN AIR IN *ALL* CLASSROOMS 🌎: This morning ☀️ I was so excited to address teachers at Aptos middle school (6-8) in SF about 160 DIY air purifiers. Congrats 👏to parents who built, installed 3 of them in ALL CLASSROOMS in summer. Below my notes, Q&A from morning talk. (1/23)
Especially if we won’t have vaccines, these steps we outline @NatureMedicine are even more important for preventing & responding to a potential bird flu pandemic rdcu.be/ea153

“This is reality; it’s not science fiction. We’re actually doing it. I’ve had patients of mine in the trial receive this one-and-done treatment, and it’s going to change the face of cholesterol management going forward.” sciencefocus.com/news/new-chole…
So bird flu is being overlooked, what with the trade war & authoritarianism & such. Is that because it went away? I doubt it! We don’t have the capacity to detect & report & a bunch of flu people were fired. H5N1 is still there, we just can’t see it anymore. Grateful to my…
The Lancet Regional Health - Americas: Enhancing the response to avian influenza in the US and globally Maggie L. Bartlett, Marion Koopmans @MarionKoopmans et al #h5n1 bit.ly/3EK7wwo
Fwiw, @RanuDhillon and I called airborne in Feb 2020 in HBR but technically we were scientists not journalists, “new respiratory coronavirus, 2019-nCoV, is rapidly spreading” hbr.org/2020/01/what-w…
Medical students are asking me what AI means for their career. Let’s discuss tonight.
Superb review. Still major gap treatment including avian flu that infect humans & could cause pandemic. Options for drugs very limited & little known on PK/PD, Route, Doses, Duration, Combinations, Drug Resistance, Immune-modulation & from community to ITU journals.asm.org/doi/10.1128/jv…
Been having ongoing discussion with @AbraarKaran, @RanuDhillon & @sri_srikrishna about view that rare few papers that cover pandemic POLICY really should - as matter of principle- not be paywalled, which was why I tagged @MarionKoopmans for possibility of free LINK on Twitter.