So this tweet is getting me lots of flak

Few points

I've become more optimistic that with proper masking, some distancing, more schools can open safely

Why? Because evidence base changing

Schools open in many places and aren't generally seeing large outbreaks

Short thread
I've been particularly swayed by work of the brilliant @ProfEmilyOster.

She brings evidence, not bluster, to this topic. Its inspiring

She's actually tracking data (!!). Yup, its not perfect. But its the best we have

Read her in @TheAtlantic

theatlantic.com/ideas/archive/…
Will we see some spread in schools?

Sure

Will it be worse than spread happening outside of school?

Not that we see in the (limited) data

But isn't it just "safe" to keep kids online until some unspecified future time?

No

So let's talk costs of keeping kids remote only

3/5
Rates of mental illness in kids rising

Schools are a haven for kids who are sexually and physically abused

That haven isn't there. And its awful

Driving many women to drop out of labor force to care for kids. Large gender equity effects

And achievement gaps will widen

4/5
Our national failure to suppress COVID is a disgrace

Schools should obviously only open with clear safety measures

But cost of remote only is large. Very large

Increasingly, evidence suggests many schools can open safely

We should try

And if evidence changes, we can too

Fin

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More from @ashishkjha

12 Oct
Cases and hospitalizations are rising across the US

And I’m getting asked repeatedly whether we're heading toward lockdowns

Short answer – no – not if we are smart

Long answer? Its complicated

So let’s talk about lockdowns – and how we get through next few months

Thread
Lockdowns – shelter in place orders – are extreme

And awful. Super costly and usually not necessary

We locked down in March/April because virus spread across US in Jan/Feb

And we were blind. We had no testing. We had little choice

Situation now different. We know more

2/n
First, let’s talk about why everyone is concerned:

Cases rising in most states

Hospitalizations rising in most states

Test + going up too

As weather gets colder, expect things to get worse in much of nation

Why?

People will spend more time indoors. But not just that

3/n
Read 11 tweets
8 Oct
Have been getting asked a lot about whether its safe for President Trump and VP Biden to debate in person on October 15.

So here are some thoughts.

Bottom line: depends on how luck we feel

But here's a bit more detail

Thread
CDC recommendations for isolation for people with mild to moderate disease is 10 days after symptom onset.

If we assume symptom onset was October 1, then debate Oct 15 should be fine

But for "more severe" disease, infected people remain infectious out to 20 days

2/n
But there's a twist

President got steroids early in disease course (day 3) which likely affects duration of viral shedding

Steroids likely extend shedding of SARS-CoV2

We saw this with MERS (another coronavirus) and have some evidence with COVID

frontiersin.org/articles/10.33…

3/n
Read 5 tweets
7 Oct
While nation is distracted with Presidential tweets, FDA rules and CDC guidance...

COVID cases are continuing to rise

Today's numbers are out and they are heading in wrong direction.

Averaging close to 45K cases a day

But underlying data more concerning

Thread
All data from @COVID19Tracking using 7-day moving averages

White House Task Force designates states as red, yellow, or green based on cases over the past week

Based on their cut-points

25 states are now in red zone

25 states + DC in yellow zone

No greens

2/n
In red zone, out of 25 states

18 have rising cases over past 2 weeks

15 have rising test positivity

13 have test + > 10%

20 have increasing hospitalizations

So in red zone, states have lots of cases and are getting worse

Not good. Need action to stem tide

3/5
Read 5 tweets
2 Oct
President was diagnosed with SARS-CoV2 infection evening of Oct 1.

First and foremost, we wish him and FLOTUS a speedy recovery

We also need to sort out who else has been infected

Incubation period of the infection is 2-14 days but reality is that its usually 3-5 days

Thread
So, depending on when he was previously tested, reasonable to assume following:

He was likely infected between Saturday and Monday.

Could have been earlier or possibly Tuesday (though unlikely)

If he was infected over w/e, he was infectious to others Tuesday on

2/4
It is not clear who infected the President

It might be Ms. Hicks but also possible they had common source

So what does that mean?

This will be a big contact tracing effort.

Everyone who has been near the President at least from Saturday, on needs to be identified

3/4
Read 6 tweets
1 Oct
Was on @CNN talking Wisconsin, campaign rallies coming up this weekend

So how are things going with COVID in Wisconsin?

Pretty bad

New daily COVID cases per capita is 3X the White House threshold for a “red zone”

So let's talk data

Thread

So some data:

Wisconsin currently generating 42 cases/100K/day.

That’s # 3 in the nation after the Dakotas.

And things have been getting worse all month.

2/6
Sept 1:

750 cases
8.8% test positive
305 hospitalized
5 people dying daily

Sept 30:

2400 cases
21% of tests positive
595 hospitalized
10 daily deaths

Staggering changes in a month

More than tripling of cases, doubling of test positivity, hospitalizations and deaths.

3/6
Read 6 tweets
30 Sep
About to testify to to House @EnergyCommerce committee about a pathway to safe effective vaccines

3 key points:

1. Science has gotten us here so fast.

People are losing faith in vaccines because of politicization. We must not let that happen.

Thread

We must let science, not politics drive the timeline to EUA

2. We need to ensure equitable distribution -- not repeat our mistakes from testing where pro teams, WH get testing but teachers and nurses don't

2/4
3. We need to eliminate financial barriers to the vaccine. A third of Americans say they won't get the vaccine for financial reasons. We can't allow that to be a barrier.

If we do our job, we can have safe, effective vaccines that are widely available sometime in 2021

3/4
Read 4 tweets

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