Discover and read the best of Twitter Threads about #pihchat

Most recents (7)

I'm not afraid of huge problems, but of course I am human, and I am tired. I think many of us in public health feel a moral imperative to contribute however we can. So even as the problems get bigger, we keep pushing. #PIHchat
But it's been a long few months, and I have to remind myself that it's a marathon not a sprint. Realizing that my inbox is going to be swamped for a while. Practicing saying no (it's hard for me!). Remembering where things like lunch and exercise fit into my schedule. #PIHchat
I think it was @SaskiaPopescu who tweeted that her best example of not practicing what you preach was self-care. Ditto! In terms of busy-ness, this rivals the period in early 2014 when I defended my PhD, got married, moved 1000 miles, and bought a house. #PIHchat
Read 4 tweets
Living safely is not just about developing new tools (rapid tests, drugs, vaccines) but about finding ways to optimize our existing tools (testing, tracing, isolating) We need to share lessons learned about the little ways to do things better. A few examples... #PIHchat
Testing can be more effective if:
- People have an easy way to find a nearby testing site
- There are more appointments available
- People don't have to wait for hours
- Testing sites are safe, with everyone wearing masks
#PIHchat
Tracing can be more effective if:
- The caller ID is clearly marked as an official source
- People are willing to answer the phone!
- Tracers have gained experienced in interviewing
- There are tracers available who can speak different languages
#PIHchat
phoenixvillenews.com/montgomery-cou…
Read 7 tweets
As I've said before, we need a broader view of contact tracing. It's not only about tracking down contacts. It is also about public health depts connecting with their communities. Helping people find testing, safely isolate. Understanding where transmission is occurring. #PIHchat
A few of my earlier threads on contact tracing
#PIHchat
Read 4 tweets
Why is testing breaking down again? Of course where cases are rising, demand is also rising. More people are symptomatic and more people have been exposed. The result is discouraging wait times, inequalities in access, testing backlogs, and slow turnaround times... #PIHchat
Where demand is high, people have difficulty getting an appointment to be tested, or have to wait in very long lines. This further discourages people from getting tested, as not everyone is willing or able to wait. #PIHchat washingtonpost.com/health/as-case…
And more testing doesn't always mean better testing. Disparities are visible in access. Communities of color are both at higher risk of infection, but also more likely to experience longer wait times and understaffed testing centers. #PIHchat
abcnews.go.com/Politics/covid…
Read 6 tweets
I'll go first.

No question about it. We're having serious problems with testing. Again. 1/ #PIHchat
If you work in health care, you know that everyone uses Quest and LabCorp. So when these two private labs are collapsing under the sheer numbers of samples, it affects health facilities all across the country. 2/ #PIHchat
A typical example. You start having headache and sore throat, early symptoms of COVID-19. So you swing by your nearby pharmacy to get swabbed. 8 days later when you finally get the results, you probably aren't even infectious anymore! 3/ #PIHchat
Read 9 tweets
@PIH #PIHchat

Hi,
I'm interested in your perspective in the occupational risk studies from Sweden, which showed that even in the presence of significant community transmission, teachers were not at elevated risk of infection.

(Schools were open at full capacity for children under 16, with distance learning for 16+.)

Also, one more question:
Are you familiar with any estimates of the long-term public health costs (e.g., in mortality) from long-term (e.g. 1 year or more) school closures?

Thanks!!
(...)
Oh one more thought, in case it helps get the word out:

It would be great to get data from Israel on the relative infection risk to teachers based on the age-group of children being taught. Are 12th grade teachers at much higher risk than 9th grade? etc. #PIHchat
Read 3 tweets
The question of in-person schooling remains one of the most important (and most difficult) out there. Importantly, we have to take the option of "back to normal" off the table in our minds. To be done safely, in-person schooling will require a lot of modification.
#PIHchat
Data-driven decision making helps us weigh benefits and risks (there are always risks). Here, @ProfEmilyOster discusses the need for close monitoring, recognizing differences between age groups, having a contingency plan, and creative staffing. #PIHchat
slate.com/technology/202…
But ultimately, as described by @ashishkjha, our ability to safely re-open schools will depend on both the resources available to make these modifications (we need to invest in healthy buildings!), and background level of community transmission. #PIHchat
bostonglobe.com/2020/07/20/opi…
Read 5 tweets

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