Anyone in close contact w president in time in which he was deemed to be contagious should be quarantined and tested. 1x
If president’s symptoms started Thursday, anyone he was in close contact with on Tuesday onward should quarantine for 2 wks. From this account that includes VIce President Pence nytimes.com/2020/10/02/us/… 2/x
Given Vice President Pence’s close proximity to the president - as per the NYT - the VP debate should be virtual. This debate could be done easily by a videolink and it would reduce risks to all concerned. 3/x
In addition to the VP’s potential exposure to the president (or other people at the White House, given the substantial WH related outbreak), there are other reasons it would pose less risk to have virtual format. 4/x
11 workers who worked at the Cleveland debate developed COVID attributable to their work there. 5/x
Also in first debate, members of president’s family didn’t wear masks as required for all audience members by Cleveland Clinic team and Commission on Presidential debates. The possibility that kind of thing could occur again is another reason to move the debates to virtual. 6/x
If there are going to be more presidential debates, they should be virtual as well, for similar reasons. 7/x

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More from @T_Inglesby

4 Oct
Ramifications of the COVID events in the White House of the last week for the public: 1/x
Its not right to say that the pandemic is turning the corner. We continue to be in the dangerous middle of it. 2/x
There are average of 43,000 new COVID cases happening every day, That’s 20% higher than 3 weeks ago. Cases are rising in >2/3rds of states. nytimes.com/interactive/20… Hospitalizations on the rise for first time in long time. An average of about 700 deaths a day. 3/x
Read 6 tweets
4 Oct
President’s doctors’ briefing today presented some encouraging news. They reported he was breathing w/out oxygen and feeling well. They reported normal cardiac, liver and kidney fxn. But some news raised concerns. And other key information hasn’t yet been presented: 1/x
They reported president needed oxygen twice since symptoms started, which would likely mean he has underlying pulmonary involvement. The results of Chest X ray(s) and Chest CT(s) would provide specific information about the level and kind of pulmonary disease 2/x
In addition, Chest X ray and Chest CT at time of presentation with COVID has been shown to be predictive of a patient’s future course. Such as in this study ncbi.nlm.nih.gov/pmc/articles/P… 3/x
Read 12 tweets
2 Oct
Its terrible to see the President, First lady and other(s) in the White House staff sickened with COVID and I hope they recover quickly. It is important to consider and respond to the implications of their illnesses: 1/x
As with all people who get sick with COVID, it will take days or possibly weeks to know how it will affect any one individual in the White House who has become infected. 2/x
The fact that the President is going to Walter Reed may mean his symptoms are now concerning enough to his physician team for him to be hospitalized or that he is going to get a specific treatment, or that they just want him there to be closely monitored as a precaution.3/x
Read 12 tweets
29 Sep
We're now passing very sad milestone of 1 Million deaths from COVID in the world. Its worth thinking about what is working effectively internationally, and what isn’t, esp in terms of global cooperation and systems. Here are some thoughts on that: 1/x
.@WHO and most countries in world have joined together to jointly plan and buy vaccine via the COVID-19 Vaccines Global Access [COVAX] Facility. There has never been an effort like this before. This has potential to do enormous good. pulitzercenter.org/reporting/who-… 2/x
If it succeeds as planned, it'll accelerate vaccine development + allow access to vaccine to high income + low income countries. But it'll require substantial fundraising. Unfortunately neither China nor US are partners in it, which is leadership failure on both their parts. 3/x
Read 14 tweets
29 Sep
White House press conference today on 150M Abbott rapid antigen tests. whitehouse.gov/briefings-stat… Some reactions to what was said at the event: 1/x
As background: coming arrival of the Abbott rapid antigen testing was previously announced by White House on Aug 27th. washingtonpost.com/health/white-h… 2/x
150M is substantial number of Ag tests. Their arrival will be very welcome. Important to plan for how these and other Ag tests coming on line should best be used. It’s a very big supply of testing, but not enough to meet range of potential public and institutional needs. 3/x
Read 15 tweets
27 Sep
Many important things happened related to COVID in the US this past week. Here are some of the good and some of the not-good developments, and their implications. First, here are some of the good: 1/x
J&J started large (60,000 person) phase 3 trial of its vaccine. Its 1 dose only, which distinguishes it. Safety + efficacy results by early 2021. Storage requirements (-20 C) are compatible w/ standard vaccine distribution approaches. Very good. 2/x fiercebiotech.com/biotech/j-j-st…
This is more forward progress from Op Ward speed collaboration btwn gov & vaccine makers. Potentially invaluable for fight against COVID. Important to let trials and regulatory process proceed safely, so people don’t lose confidence in what could be most helpful tools. 3/x
Read 20 tweets

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