Those Nerdy Girls Profile picture
Jun 15, 2020 12 tweets 5 min read Read on X
1/ A recent study in the Proceedings of the National Academy of Sciences claimed that mandatory face coverings changed the course of the pandemic:
pnas.org/content/early/…
Sadly, based on all of the available evidence, this study is a HOT MESS. We encourage you to still #maskup 😷
2/ While PNAS is a reputable journal, but the quality of published papers isn't garunteed. We’ve seen recent #COVID19 papers from another top journal, The Lancet, retracted after the data could not be accessed for replication (thelancet.com/journals/lance…).
3/ The REAL peer review happens when the broader scholarly community reads and scrutinizes a paper’s methods and findings. Fortunately, this is happening in real time for #COVID_19 research, especially for papers garnering big headlines.
4/ So what’s up with this PNAS paper?

For an excellent blow-by-blow, we recommend this insightful twitter thread by @NoahHaber:

5/ One choice quote: “It's hard to write a summary critique of this paper, because it commits ... all of them... You've got ecological fallacy, inappropriate projections, NO treatment of statistical uncertainty (!!!!), attributed causality, non-generalizability, etc.”
6/ Two of the biggest errors, found by our #epidemiologist Nerdy Girls, are:

1) The paper doesn't use a simple epidemiological model of transmission but plots transmission as a linear prediction (a straight line). This isn't a realistic representation of infection spread.
7/
Secondly, the authors (chemists, not social scientists) use case counts in only 3 locations (Wuhan, New York City, and Italy). They attribute deviations from this straight line to only one change in policy (mandatory face coverings).
8/ Why can't this methodology be accurate?

It doesn’t take a statistician to see that 3 locations are not a large sample, and that MANY other things were changing over this time period—like almost EVERYTHING about daily life in all of these places, in fact.
9/ Not to mention in real life we would expect a lag of at least a couple of weeks between any dramatic policy changes and changes in infections.

We could go on. And on. Some have called for the paper to be retracted because it is so misleading.
10/ So...why are we calling attention to it?

COVID-19 research is coming out fast and furious. Mostly, this is a good thing for quickly building a crucial knowledge base.
But like in any line of work, quality and rigor do vary.
11/ In a time when misinformation is truly a matter of life and death, we demand high standards and scrutiny for ALL science.
This is crucial for scientific credibility in the long run. We all want the same thing--CORRECT answers for how best to minimize COVID-19 #risk.
12/ So, in conclusion, wear those masks! But read this research for evidence:
doi.org/10.1038/s41591…
onlinelibrary.wiley.com/doi/full/10.11…

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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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