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NEW: NYC Health Dept has sent alert to all medical providers advising *not* to use anti-body tests to diagnose prior covid infection nor to assess immunity.

This is due to high rate of false negatives/positives and uncertainty about how immunity works.

Dose of reality folks. Image
Anti-body tests do, however, remain extremely useful to determine whether volunteers can donate plasma to patients still battling covid.
You can read the full Health Dept alert here: www1.nyc.gov/assets/doh/dow…
Bottom line:

There is some irrational exuberance on antibody tests.

They are useful for tracking trends in the general population, but should *not* be used to make personal health decisions.
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Mark D. Levine
@MarkLevineNYC
NYC Health Dept has published an update on covid-19 by race.

Age adjusted deaths per 100k:

* African American 127.1
* Latino/a 114.0
* White 63.5
* Asian 51.6

We are not making progress on these gaps. What we're doing to fight inequality in this pandemic is simply not enough.
Right now we need to:
* Prioritize communities of color for testing
* Steer more resources to hospitals in low-income areas
* More PPE for essential workers
* Get medical care to people who are home-bound
* Reopen community clinics as soon as safe
* More non-English communication
You can see the full breakdown of covid data by race in NYC, updated today, here: www1.nyc.gov/assets/doh/dow…
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Mark D. Levine
@MarkLevineNYC
Some very good news: Tomorrow NYC will begin offering hotel rooms to those with mild/moderate covid who need to be able to isolate from their families.

This is especially important in low-income communities where crowded apartments have been driving the spread of the virus.
For now those who need to isolate will go through their medical provider who will make the referral.

This is for those who are not sick enough to need hospitalization. But there will still be some limited medical staffing at the hotels.
This is an entirely *voluntary* program. This is not a forced quarantine. Patients will not be forced to remain in the hotels. Though they will not be able to receive visitors for obvious reasons.
Read 4 tweets
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Mark D. Levine
@MarkLevineNYC
We had a shot to contain this pandemic early on and we didn’t--in large part because of lack of testing.

Soon, when the # of cases comes down, we're going to get one more shot. We need to go big--really big--to contain this & avoid another apex. Let’s get it right this time. 1/
NYC is still in the heat of this crisis. But it’s not too soon to start preparing for what comes next.

To move towards normalcy, to have even partial reopenings, we need a system to detect *every case*, trace contacts and quarantine when needed--all on a massive scale. 2/
We are currently testing about 10k people a day in NYC. Seems like a lot? We are going to need to ramp up to 10x or 20x this amount for the next phase.

But there’s a problem: we barely have enough supplies for our current relatively low level of testing. 3/
Read 17 tweets

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