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Jun 27, 2020 10 tweets 4 min read Read on X
1/ Q: We are #vacationing with another family in a shared rental house. We wipe down our groceries. They don't. We wear masks whenever we're outside. They don't. How is this going to work?!?

A: We recommend a 4-step #SAFE plan:
S: SHARE
A: AGREE
F: FOLLOW
E: EVALUATE
2/ Share: In advance of the vacation (preferably before booking), SHARE with your fellow travelers: What are you most worried about? What is your #risk tolerance? What behaviors and rules are most important to you?
Open, transparent communication at this stage is a must.
3/ Agree: Once everyone's cards are on the table, AGREE on some explicit rules that the whole group will follow. Keep the list short, and be really clear and specific.

Rules might cover: quarantining and testing in advance of the vacation; traveling to the vacation site....
4/ masking practices; food shopping and handling; if/when other guests stop by; and activities while at the vacation site.
Rules should address important "non-negotiables" for each person, and should also take into account the #COVID19 stats at your origin AND destination.
5/ Follow: Once you’re there and having fun, everyone needs to FOLLOW the rules you agreed to! This may sound obvious, but shared commitment to the rules will go a long way towards minimizing stress and maximizing relaxation (this includes the kids!)
6/ Evaluate: This is the secret weapon! Build in a couple of check-in points up front — like, on the morning of Day 2 and the evening of Day 4 — where everyone revisits the rules to EVALUATE how they are going. Is adherence spotty? Any confusion? Renegotiate and update as needed.
7/ As we Nerdy Girls think about how to expand our own bubbles and quaranteams, we were inspired by Melissa Hawkins’s article in @NewsHour: pbs.org/newshour/healt…
Dr. Hawkins is a professor of public health at @AmericanU (and also an epidemiologist and mom of 4!).
8/ Dr. Hawkins reminds us that #harmreduction — not the complete elimination of all risk — is the name of the game here.
She also notes that #MentalHealthMatters, and bubbling or podding up in quaranteams can actually limit #COVID transmission.
9/ Her tips for making your quaranteam work out mirror our SAFE Plan: Establish where everyone’s risk tolerance is, agree on rules based on those tolerances, and then be accountable and transparent about following the rules. Communicate communicate communicate!
We hope everyone has a truly relaxing summer vacation — we all need it.

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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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