I have provided a reference for each post which I think should be the standard moving forward for public health/clinical posts for @Twitter
Set up as assumptions and reality
Reality: Mathematical models guiding programs should provide different scenarios, competing health risks, and uncertainty
A lecture on levels of prevention in the health care system as part of a surveillance course we offer on Coursera (warning a little dry) coursera.org/lecture/epidem…
Reality: Heterogeneity in transmission by communities, neighborhoods, cities, countries, and regions has defined this and other lipid-enveloped RNA respiratory viruses.
Canada: cmaj.ca/content/cmaj/e…
Asia: onlinelibrary.wiley.com/doi/full/10.10… Africa: acpjournals.org/doi/10.7326/M2…
South Africa: samj.org.za/index.php/samj…
Global: medrxiv.org/content/10.110…
Reality: Interrupting diagnostic, prevention, and treatment services has consequences related to specific existing causes of mortality with those most marginalized most affected
thelancet.com/journals/langl…
time.com/5864803/oxfam-…
linkinghub.elsevier.com/retrieve/pii/S…
sciencedirect.com/science/articl…
More and more available each day--and increasingly painful to read
Reality: COVID-19 has exposed many preexisting inequities around the world that result in suboptimal living & working conditions. Lockdowns have reinforced socioeconomic disparities given it represents a regressive (non-adaptive) approach.
Reality: Documents describe empathetic implementation, adaptive strategies responsive to emerging data, protections to avoid discrimination and undue harms and provision of equitable support
Reality: There has been decades of preparation for respiratory pandemics, studying individual-level determinants of acquisition and transmission, network-level dynamics, and structural factors
Ie, occupational acquisition risks and household transmission risks, transmission networks, and inequities, and structural racism.
The next wave of COVID-19 will start soon in most places, and the next major pandemic will happen during the 2020s.
We need to do better.