I've almost given up on any balanced discourse about children, #COVID19 and schools, as everyone seems intent on either pretending children are not affected at all, or becoming borderline hysterical over the point
Case study: US daycares
1/6
This study from daycares in Utah has been amplified by high profile figures on twitter as a "big deal"
12 children infected (by staff) with 12 secondary cases, all in their homes, with no mention of transmission in the facility
Both of these studies show basically the same thing; children can catch it and transmit, but the rate seems pretty low
The way they've been packaged is different: one is balanced and says, "with careful measures, this seems ok"
The other: "OMG CHILDREN TRANSMIT"
5/6
Children need us to move past this slightly hysterical, polarised way of talking about the risks of schooling, how we can mitigate against them, and how these are weighed up against the harms of lack of education. Particularly where it's become political
We can do better
6/6
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Vinay points correctly to the bias prone endpoint of self reported URTI symptoms and implies the entire difference between groups could be due to “the placebo effect”
The problem is, this is almost
certainly not a result of placebo
It’s detection or ascertainment bias
2/
Vinay describes as much in his piece, when he mentions different interpretations of vague symptoms between people with or without masks depending on their beliefs
Wear a mask and wake up tired? Probably nothing
Not been wearing a mask? Could be the start of something…
3/
The rationale behind this is that some have postulated PASC could be due to viral persistence - SARS-CoV-2 hanging around when it should have been cleared
Anti-virals might help clear the virus and resolve symptoms
2/
The evidence base behind this theory is far from clear, but given the general mess of evidence in the field this seemed like a reasonable trial
It could also serve as possible therapeutic diagnosis (if it works, it gives evidence towards the possible cause)
3/