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May 15, 2020 12 tweets 5 min read Read on X
1/ Q: My state is starting to re-open, but it isn’t clear when or if #childcare or camps will be available in my area--what will we do with the kids all summer?!?

Our response in this thread.
2/
A: As states begin to permit gatherings of slightly larger groups, one option for addressing childcare needs may be for two families to join together to form a “bubble”. Under this approach, two households combine exclusively (i.e., minimize all other outside contacts).
3/ Creating a larger social "bubble" could help expand social interaction + help families with childcare needs while limiting interactions within a given community.

This @CNN article below outlines several tips for this approach: cnn.com/2020/04/30/hea…
Summary step below
4/
1. Find a good match for your household. Households considering “bubbling” together should think about the ages and interests of children in each household and ask the following questions:
5/
Will our kids be a good match for an extended period of time?
Can we schedule an equal balance between work and supervision time for all parents?
Do parents have similar parenting styles and house rules?
Do any kids have behavioral concerns that need special attention?
6/
2. Set ground rules. Discuss exact expectations for social interactions outside of the “bubble”, if any (i.e., Do individuals in either household work outside the home? Who will grocery shop? How will physical distancing from neighbors and extended family be handled?).
7/ All members of the “bubble” essentially share the same risk of exposure as the person in the “bubble” with most social interactions outside of the "bubble", so agreeing upon (and perhaps periodically revisiting) expectations for the group’s activities will be important.
8/
3. Monitor contacts with cases and onset of symptoms. If one person in the “bubble” comes in contact with a case or develops symptoms of #COVID, everyone else in the "bubble" should consider themselves to be potentially infected.
9/ If a member of the “bubble” tests positive for, or is presumed to be infected with #Covid_19, that individual should isolate from all other members of the “bubble” to the extent possible. Everyone in the “bubble” should be prepared to self-quarantine for 14 days.
10/ We have a long summer ahead and strategically expanding our social “bubbles”, can help parents navigate childcare needs and improve mental health of both kids and adults in the coming months--while still maintaining a degree of #SocialDistancing.
11/ The CNN article also highlights new research co-authored by fellow DP #nerdygirl @drjenndowd which suggests social interactions between a slightly expanded, but consistent group of people, likely results in less transmission than interaction between different people each day.
12/ Of course, adherence to other guidelines for social distancing in public spaces as well as #handwashing, surface cleaning, #ClothMask use, etc. should be maintained.

Happy Bubble Making!

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More from @DearPandemic

Dec 22, 2022
How can I stay safe during the holidays?

➡️Think in terms of harm reduction. Don’t let the perfect be the enemy of the good.

dearpandemic.org/safe-holidays/

#covid #rsv #flu #HolidaysAreComing

1/
2/ Just in time for Christmas, #COVID is again on the rise.

#Flu and #RSV may be peaking—but remember that there are often as many cases *after* a peak as before it.

dearpandemic.org/are-cases-peak…
3/ How can we enjoy moments w/ family & friends & lower the risk of illness?

💥 Small steps you take to reduce risk are worthwhile. A little bit better…is a little bit better.

Prevention steps that work for COVID will reduce the risk of RSV, flu, & many other nasty viruses.
Read 14 tweets
May 4, 2022
1/ Q: Has almost everyone been infected with COVID by now?
A: Recent estimates suggest around 58% of the population in the US and over 70% in England have been previously infected, with BIG increases during the Omicron wave.

dearpandemic.org/numbers-infect…
2/ A recent @CDCgov MMWR report estimated seroprevalence from a convenience sample of blood collected for medical tests.

➡️Roughly 58% of Americans showed evidence of previous SARS-CoV-2 infection in their blood by Feb '22.

cdc.gov/mmwr/volumes/7…? Image
3/ ➡️ During the Omicron wave from December 2021-February 2022, this estimate increased from 33% to 58%.
➡️ Rates vary a lot by age, ranging from 33.2% for those over age 65 to 75% for those under age 18.

cdc.gov/mmwr/volumes/7… Image
Read 15 tweets
Apr 29, 2022
1/Q: Did getting exposed to fewer germs for the last 2 years weaken our immune systems?

We've been hearing this question a lot.
dearpandemic.org/fewer-germ-exp…
2/ Not likely. If your kids are suddenly getting sick a lot, this is likely due to “catching up” on exposures rather than a weakened immune system.
3/ Many families w/ young kids have been hunkered down for the better part of 2 years– a good % of a young child’s entire life. While isolation had *many* downsides, we can agree that not having to suction snot out of infant noses or clean up norovirus puke was a happy upside.
Read 18 tweets
Jan 27, 2022
1/ Q: Are cases peaking? That means it’s all downhill from here, right?

A: Sort of…. Remember that even if cases come down as quickly as they rise, there will be as many cases *after* the peak as before (think area under the curve).

dearpandemic.org/are-cases-peak…
2/ ➡️ And if the downward slope is *slower* than the rise, we will see *more* cases during the decline from a surge.
3/ Burning fast could be a silver lining of super transmissible #Omicron. Cases rose & fell quickly in S. Africa (w/ hospitalizations & deaths still lagging). The UK appears to have turned the Omicron corner. Many US states appear past their peak in cases, w/ regional variation:
Read 17 tweets
Dec 30, 2021
1/ Q: Case numbers are jumping QUICK! What should I be doing?

A: Share your gifts without sharing COVID. Helpful gestures come in many shapes.

dearpandemic.org/what-should-i-…

#Omicron #ThoseNerdyGirls
2/ One HUGE help: Cancel non-essential plans.

Unfortunately, this includes New Year’s Eve plans. The perfect storm of a new variant & holiday get-togethers is hitting communities & health care w/ FORCE! Testing is in short supply.
3/ Health care is under extreme pressure with surging cases. If you can avoid even one additional contact, you are helping. This is a temporary and urgent request (from a health care provider).

#MedTwitter #HCWs @IMPACT4HC
Read 10 tweets
Dec 21, 2021
1/ Q: Is it true that #Omicron is less severe than previous variants?

A: We HOPE so, but we don’t know yet. The evidence so far is mixed.

dearpandemic.org/is-omicron-les…
2/ We are WAY past due for some good variant news. But pinning our #Omicron hopes on a less virulent variant is not wise for 2 reasons:

1) It might not be less severe in those who are “immune naïve” (neither vaccinated nor with a previous infection—still millions of people).
3/ 2) Many more infections *even* if less severe can still lead to an avalanche of hospitalizations and deaths, and the risk of long Covid.

@AdamJKucharski raised this last December w/ the rise of Alpha:
Read 25 tweets

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