1/ “state authority handoff... to escape blame" nytimes.com/2020/07/18/us/… This administration is all about scapegoating.
2/ "States' rights"? If you believe in local, then why is it OK for state governors to preempt local leaders' public health measures? nymag.com/intelligencer/…
3/ “Only in Washington, D.C., do they think that they have the answer for all of America.” & states always know what's best in cities & small towns? Seems like a double-standard to me. If you really want to talk about policy based on local data, commit to LOCAL, not political.
4/ #DeborahBirx ranges from patronizing & condescending to cheerleader-ish. nytimes.com/2020/07/18/us/… "a constant source of upbeat news for the president and his aides, walking the halls with charts emphasizing that outbreaks were gradually easing"
5/ "Mr. Trump..." said "he alone had authority to decide when the economy would reopen to pushing that responsibility onto the states." nytimes.com/2020/07/18/us/… Our president is #NotALeader.
6/ "Mr. Trump began criticizing Democratic governors who did not 'liberate' their states." nytimes.com/2020/07/18/us/… Liberate? From what? You want liberation from the virus? Then you need to face reality.
6/ "Dr. Birx was more central than publicly known... her model-based assessment nonetheless failed to account for a vital variable" nytimes.com/2020/07/18/us/…
7/ What vital variable? "how Mr. Trump’s rush to urge a return to normal would help undercut the social distancing & other measures that were holding down the numbers." nytimes.com/2020/07/18/us/… Models are only as good as the underlying assumptions. They were wrong.
8/ "The president quickly came to feel trapped by his own reopening guidelines. States needed declining cases to reopen... But more testing meant overall cases were destined to go up... Mr. Trump’s remarkable public campaign against testing" nytimes.com/2020/07/18/us/…
9/ When the science is inconvenient to your political interests? Discount, dispute, deny the science.
10/ "Even now there are internal divisions over how far to go in having officials publicly acknowledge the reality of the situation." nytimes.com/2020/07/18/us/… LEADERSHIP IS ACKNOWLEDGING WHEN YOU'RE WRONG AND LEARNING FROM YOUR MISTAKES.
11/ "WH officials came to feel that they had in fact accomplished... giving governors the tools they needed to deal with remaining outbreaks as infections ebbed." Wait what? Do they have no understanding of state vs federal power to tax & make policy?
12/ "By June the president was regularly making nonsensical statements like, 'If we stop testing right now, we’d have very few cases, if any.'" nytimes.com/2020/07/18/us/… Right, because tests give you COVID, not viral transmission.
13/ "Mr. Trump declared... his role as something akin to a 'wartime president'" nytimes.com/2020/07/18/us/… Wartime presidents ask their countrymen to sacrifice on behalf of their nation.
14/ "it would be his decision about whether to reopen the country. ... 'the biggest decision I’ve ever had to make.'” nytimes.com/2020/07/18/us/… Our president blew it. And tens... hundreds of thousands will die as a result.
15/ "3 days later, he reiterated his responsibility. “When somebody is the president of the United States, the authority is total" nytimes.com/2020/07/18/us/… Total responsibility? Or total dictatorship? OUR PRESIDENT HAS A DUTY TO CARE FOR ALL AMERICANS.
15/ "Dr. Birx was the chief evangelist for idea that the threat from the virus was fading... a strong believer in models that forecast the course of an outbreak." nytimes.com/2020/07/18/us/… Models make poor forecasts when your assumptions are wrong. Garbage in, garbage out.
16/ "real-world outcomes depend on how people respond to calls for changes in behavior... sacrifices that required a sense of shared national responsibility" nytimes.com/2020/07/18/us/… OUR NATIONAL LEADERSHIP DOESN'T BELIEVE IN SHARED NATIONAL RESPONSIBILITY.
17/ "Among the models Dr. Birx relied on most... looking back on its predictions from 3 weeks earlier, it turned out to be hit or miss." nytimes.com/2020/07/18/us/… Hit or miss? That's how we're handling American lives.
18/ "Dr. Birx regularly delivered what the new team was hoping for. 'We’ve hit our peak,' she would say, & that message would find its way back to Mr. Trump." nytimes.com/2020/07/18/us/… Telling people what they want to hear when it's not true, that isn't leadership. It's cowardice.
19/ Dr #DeborahBirx insisted the US would follow Italy. nytimes.com/2020/07/18/us/… But "Italians had been almost entirely compliant with stay-at-home orders and social distancing... Americans, by contrast, began backing away by late April... egged on by Mr. Trump."
20/ Good public health isn't just about good biomedical science. It's also about understanding psychology, politics, anthropology, history, and so much more.

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Céline Gounder, MD, ScM, FIDSA 🇺🇦

Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @celinegounder

Jun 19
1/ Why are People Promoting Raw Milk?
by @elizabethics for @RollingStone


If you drink unpasteurized milk, you don't just risk getting #H5N1 bird flu.rollingstone.com/culture/cultur…
2/ Image
3/ Image
Read 5 tweets
Jun 19
1/ Tick-borne infections are on the rise around the country

with @CBSMornings @GayleKing @tonydokoupil @nateburleson
2/ A unique collaboration among hunters,
the Texas Parks & Wildlife Department @TPWDnews,
& researchers at @Baylor University
is helping to map what tick-borne diseases can be found where.
3/ Lyme disease is the most common tick-borne infection in the US, but it's far from the only one.
hopkinslymetracker.org
Read 13 tweets
Jun 14
1/ #H5N1 bird flu update on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson

Who's at risk for bird flu right now?
🔹You're at risk if you're a dairy farmworker &/or if you drink raw milk.
2/
🔹If the virus mutates (which is what viruses do!) & becomes transmissible between humans, we could have a pandemic virus on our hands.
3/
🔹Flu viruses can mutate incrementally (drift) or dramatically (shift).
🔹We see dramatic shifts when 2 flu virus strains infect the same animal or person.
🔹Those 2 flu strains can swap "body parts" & form a Frankenstein virus.
Read 9 tweets
May 30
1/ #H5N1 bird influenza is deadly to birds.

Most of our flu vaccines are manufactured using eggs.

Birds lay eggs, but they can't do that if they're dead.

Houston, we have a problem.

cbsnews.com/video/scientis…Image
2/ Influenza virus is grown in eggs.

Then the virus is inactivated (i.e. killed) & formulated into flu vaccine.
3/ Cell-based vaccines (e.g. mammalian cells, insect cells) elicit better immune responses, but egg-based manufacturing has cornered the market on flu vaccines.

Pfizer & Moderna are developing mRNA vaccines for influenza.
Read 4 tweets
May 13
1/ What is H5N1 bird flu costing dairy cattle farmers?

Let's say you have a 5,000 cow dairy.

Those cows produce an average of 85 lbs of milk per day
= 425K lbs of milk/day x 7 days/week
= 2.975M lbs of milk/week
2/ Milk producers are paid by "hundredweight" (cwt).

The current class III price is $18.66/cwt of milk. Image
3/ So the gross revenues of the farm per week are:
2.975M / 100 x $18.66
= $555,135/week

The breakeven price
i.e. Gross revenue - Input Costs = 0
is between $17 & $21.
Read 7 tweets
May 10
1/ #H5N1 news today 📢📢📢

@USDA has announced an indemnification program for dairy farms to be based on the amount of milk🥛 lost from cows🐄 sick with H5N1.
2/ @USDA will also offer farmers support for biosecurity measures on the farm:
🔹to protect against potential spread between animals 🐄 & humans🧑‍🌾: PPE &/or outerwear laundering services
🔹to make biosecurity plans
🔹to pasteurize milk🥛 before disposal
3/ @USDA will also offer farmers support for biosecurity measures on the farm (continued):
🔹to offset costs of veterinary care for sick cattle🐄
🔹to offset costs of shipping samples for testing🧪
Read 15 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(