Discover and read the best of Twitter Threads about #BoxItIn
Most recents (4)
1/ I've been feeling more and more disengaged from COVID work, disillusioned with the growing realization that all the smart research and policy doesn't make a damn bit of difference
Not for the 1st time, I've seen that what I thought was an information problem is something else
Not for the 1st time, I've seen that what I thought was an information problem is something else
2/ I so admire those public health Cassandras who've been unrelenting, continuing to beat the drum of science and policy for the past 9 months
repeating over and over again what must be done, as the cases and deaths mount, with no strategy in sight
tweets, interviews, articles
repeating over and over again what must be done, as the cases and deaths mount, with no strategy in sight
tweets, interviews, articles
3/ It's perhaps no accident that they (and I) are "formers"
People who ran the agencies, who know the pain of the experts and scientists working inside, and are free to speak
CDC @DrTomFrieden
FDA @ScottGottliebMD
CMS @ASlavitt
FDA/CMS @DukeMargolis McClellan
WH @ZekeEmanuel
People who ran the agencies, who know the pain of the experts and scientists working inside, and are free to speak
CDC @DrTomFrieden
FDA @ScottGottliebMD
CMS @ASlavitt
FDA/CMS @DukeMargolis McClellan
WH @ZekeEmanuel
1/ THREAD: Some plain talk on #COVID19 testing, one of the keys to restarting society quickly and safely.
2/ The US is making steady progress to increase test capacity, but we have nowhere near enough right now to test everyone we would ideally test.
3/ Ideally, we would test everyone with symptoms of #COVID19 , plus all their contacts, every hospitalized patient, and those in nursing homes, homeless shelters, prisons, and jails—regardless of whether they have symptoms or not.
1/ This is what has been worrying epidemiologists about #COVID19- if asymptomatic/pre-symptomatic individuals are driving the outbreak, then coming out of lockdown will be exceedingly difficult
here's what it might take
science.sciencemag.org/content/early/…
here's what it might take
science.sciencemag.org/content/early/…
2/ I have to admit that I was confident that - like every other respiratory viral outbreak we'e dealt with- COVID outbreak was being driven by symptomatic people producing lots of virus and coughing it out.
Dr Fauci captures that confidence here (Jan 28)
Dr Fauci captures that confidence here (Jan 28)
3/ But there were worrisome indicators- like asymptomatic and pre-symptomatic people showing darned high levels of viral titres
here's a study from Washington State Nursing Home residents (A lower Ct value means a higher amount of viral RNA)
cdc.gov/mmwr/volumes/6…
here's a study from Washington State Nursing Home residents (A lower Ct value means a higher amount of viral RNA)
cdc.gov/mmwr/volumes/6…
FOUR thing we must do: 1. Test widely. That means every person in the country with pneumonia, every sick health care worker, every person in nursing homes, all contacts with symptoms (and maybe some without), all patients in clusters that could be #COVID19, and more.
2. Isolate all infected people. In hospitals-safely without any infections of health care workers, patients. In nursing homes, ground zero for this pandemic in U.S. In patient homes - if this can be done safely, or in hotels, dorms, or other facilities that are safe & attractive
3. Contact tracing is core public health action. This is a public health emergency; public health must guide us forward. Contact tracing requires army of skilled, sensitive, supervised staff to reach out to patients and help them identify contacts so these contacts can be warned.
