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Living safely is not just about developing new tools (rapid tests, drugs, vaccines) but about finding ways to optimize our existing tools (testing, tracing, isolating) We need to share lessons learned about the little ways to do things better. A few examples... #PIHchat
Testing can be more effective if:
- People have an easy way to find a nearby testing site
- There are more appointments available
- People don't have to wait for hours
- Testing sites are safe, with everyone wearing masks
#PIHchat
Tracing can be more effective if:
- The caller ID is clearly marked as an official source
- People are willing to answer the phone!
- Tracers have gained experienced in interviewing
- There are tracers available who can speak different languages
#PIHchat
phoenixvillenews.com/montgomery-cou…
Isolation can be more effective if:
- Financial incentives are provided for people staying home
- They can receive food/medicines as needed
- People have a safe place to go (empty hotel) if needed
#PIHchat
forbes.com/sites/shaharzi…
Mask-wearing can be more effective if:
- We identify settings where masks are and are not necessary to avoid fatigue (I don't wear a mask when walking around the neighborhood)
- Make masks available where they are required
- Find targeted messaging to increase uptake
#PIHchat
Businesses can be safer if:
- Keep moving activities outdoors
- Increase indoor ventilation
- Install touchless devices
(There is a lot of research on Healthy Buildings that I find so interesting.)
#PIHchat
All of this to say, we spend a lot of time talking about the big things (silver bullets) but there are so many little ways to improve, and everyone can help. When added together, they can go a long way. What are your ideas? Add them to the conversation at #PIHchat
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Natalie E. Dean, PhD
@nataliexdean
Why is testing breaking down again? Of course where cases are rising, demand is also rising. More people are symptomatic and more people have been exposed. The result is discouraging wait times, inequalities in access, testing backlogs, and slow turnaround times... #PIHchat
Where demand is high, people have difficulty getting an appointment to be tested, or have to wait in very long lines. This further discourages people from getting tested, as not everyone is willing or able to wait. #PIHchat washingtonpost.com/health/as-case…
And more testing doesn't always mean better testing. Disparities are visible in access. Communities of color are both at higher risk of infection, but also more likely to experience longer wait times and understaffed testing centers. #PIHchat
abcnews.go.com/Politics/covid…
Read 6 tweets
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Natalie E. Dean, PhD
@nataliexdean
The question of in-person schooling remains one of the most important (and most difficult) out there. Importantly, we have to take the option of "back to normal" off the table in our minds. To be done safely, in-person schooling will require a lot of modification.
#PIHchat
Data-driven decision making helps us weigh benefits and risks (there are always risks). Here, @ProfEmilyOster discusses the need for close monitoring, recognizing differences between age groups, having a contingency plan, and creative staffing. #PIHchat
slate.com/technology/202…
But ultimately, as described by @ashishkjha, our ability to safely re-open schools will depend on both the resources available to make these modifications (we need to invest in healthy buildings!), and background level of community transmission. #PIHchat
bostonglobe.com/2020/07/20/opi…
Read 5 tweets
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Natalie E. Dean, PhD
@nataliexdean
Tomorrow I'll be on Good Morning America talking about dining out at restaurants. I don't know about others, but I find these types of "Should I do this? Or that?" questions particularly challenging. (They don't train us for this in grad school.) A few thoughts... 1/7
I got some great advice from harm reduction guru @JuliaLMarcus (thank you for your time!). We can lead with what we know. "The safest option is just to get takeout." But we have to acknowledge that this may not be a sustainable solution for people. 2/7
The next step is to establish the underlying need people seek to address. Do they want to catch up with friends? Tasty food? Do they want the dining out experience? Escape from the kids? From this, we can then identify a spectrum of options that address these needs. 3/7
Read 7 tweets

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