[Thread] In #Agadez, Niger - the de facto southern border of #Europe - government authorities working to stop #migration on the EU’s behalf are at odds with the thousands who were forced to stop transporting migrants in exchange for promised #EU support that hasn’t arrived. ImageImageImageImage
In the middle are #migrants, whose risk of dying in the desert has increased with implementation of anti-migration legislation in the #Sahel. Their deaths are the consequences of ‘at all costs’ anti-migration measures by the EU.

To date, no one knows how many die in the desert.
Together with @sahelien_com and @CGCTunis, we are talking with everyone involved in migration here - from middlemen and drivers to international orgs and govt - to better understand and measure the death toll of migrants in the deserts of the #Sahel.

@GlobalCenters @Columbia

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More from @Craig_A_Spencer

10 Sep
I’m furious.

He didn’t want to cause a panic?!

It’s impossible the describe the panic, the sadness, the loneliness of family members that I called to tell their loved one had passed from ##COVID19. So. Many. Times.

And because we didn’t act, this happened everywhere in the US.
I’m furious because as a doctor, so many of these deaths were preventable. If only we acted at the outset.

He knew how dangerous and deadly this was.

And he did basically nothing.

He said it would disappear. He said we’d open by Easter. He said again it’s disappear.
IT NEVER DISAPPEARED.

All over the country there is virus circulating in our communities.

We’ve failed. Not because he didn’t know. But because HE DID NOT ACT!
Read 9 tweets
8 Sep
We need to talk about #LongCovid.

Many who had #COVID19 continue to experience complications long after their initial illness.

In this🧵below, I expand on what @angie_rasmussen and I discussed in this @ASlavitt podcast to outline what we do know and what needs to come next...
In that episode, you’ll notice how often we say “I think “ instead of a definitive “we know”.

But that doesn't mean we don't know a lot. We can draw from similar illnesses and the growing body of research, especially the patient-led work being done by #longhaulers themselves.
So first, what ARE ‘long-covid’ and chronic covid?

There’s no formally accepted definition, but post-covid (#LongCovid) includes those who haven't returned to baseline ~3 weeks after the onset of first symptoms.

And chronic covid includes those months out with ongoing symptoms.
Read 47 tweets
27 Aug
Others have pointed out the problems with the new @CDCgov testing recommendations for asymptomatic contacts of confirmed cases.

But it's important to point out the huge impact this guidance will have on the growing community of COVID19 #longhaulers...

cdc.gov/coronavirus/20…
When hospitals were overwhelmed in NYC in March and April, we sent home LOTS of patients who undoubtedly had COVID19 without testing them. We just didn't have the testing capacity at the time.

We advised them to 'just act like you have COVID, because you most likely do'...
Others, knowing they wouldn't be tested, didn't bother coming to the hospital at all. So they rode out the disease at home. And thankfully, most got better.

But so many didn't. Months later, they're still suffering with long-term complications from that initial illness...
Read 10 tweets
3 Aug
COVID19 disinformation is everywhere. And it's undermining our response in the US.

Below I tackle some of the most commonly mischaracterized things about #COVID19.

These are the facts. So get it on your aunt's Facebook wall or print it out and put it in the break-room!

THREAD
𝐓𝐡𝐞𝐫𝐞'𝐬 𝐚 𝐬𝐡𝐨𝐫𝐭𝐚𝐠𝐞 𝐨𝐟 𝐏𝐏𝐄 𝐢𝐧 𝐭𝐡𝐞 𝐔𝐒:

Months into the pandemic, providers are still reusing single-use items, including gowns & masks.

We need more PPE to keep us safe. Too many of our healthcare providers have been infected & died.

h/t @DrTomFrieden
𝐖𝐞'𝐫𝐞 𝐍𝐨𝐭 𝐓𝐞𝐬𝐭𝐢𝐧𝐠 𝐄𝐧𝐨𝐮𝐠𝐡:

Our testing has ramped up from a dismal & delayed start.

Are we finally doing more testing than most other countries? Yes.

The problem is we have much wider community spread. Which means we need way more testing. Like, WAY more! https://www.nytimes.com/interactive/2020/us/coronavirus-test
Read 11 tweets
21 Jul
Im getting a lot of Ebola flashbacks with #COVID19.

As many of you know, I worked as a doctor in West Africa during the 2014-2016 Ebola outbreak. I was infected but lucky to have survived the disease myself.

So much of what I’m seeing now has parallels to what we saw then. 🧵👇
With Ebola, one of the earliest challenges was testing. There just wasn’t enough.

People would get tested and it could be days before we got a result back.

The whole time people were quarantined, sometimes with people who ultimately tested positive.

We needed faster testing.
Now we are seeing similar delays for #COVID19 testing all across the US.

Lots of people are reporting getting tested over a week ago and still not having results.

To be helpful in ending this outbreak, testing results must come back quicker. We absolutely need to do better.
Read 10 tweets
20 Jul
We are facing two simultaneous and unprecedented threats to public health.

One is #COVID19.

The other is the President of the United States...

THREAD 👇
We all know why #COVID19 is a huge threat.

But the president!? That’s excessive, no?!

No. Not at all.

Because at every step he has failed to respond and take this pandemic seriously.

He has actively undermined public health and taken zero accountability for his failures.
If you don’t know me, I’ve been calling this administration’s response an abject failure for some time.

But why should my opinion matter?

I’m an ER doc that treated 100s of COVID patients in NYC. I work in epidemic response, including Ebola. And I’m a public health professor.
Read 22 tweets

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