1/ What do we do when college-age children come home at #Thanksgiving? Should they come home?

A: “Come Home & Stay Home” or “Don’t Come Home” are your best options. Coming home just for the Thanksgiving holiday & then returning to campus is *not* a good plan. p/c: Dan Renzetti
2/ Some of your options are clearly better than others from a #COVID safety perspective. Before we go through those options, we want to highlight a common mental bias to which we are all susceptible: We underestimate the risk of getting COVID from people we know and love.
3/ Dr. Birx mentioned this in a recent speech, as she noted increasing case counts that are likely driven by small gatherings of family. “We take down our guard when we are with people we know... & we assume if we know you, you couldn’t have COVID.”
bit.ly/2H4ykJK
4/ With that in mind, what are the options?
✅ Good options:⁠

1️⃣ Come home for Thanksgiving & stay home: Many colleges have wisely built their fall calendar around this plan. On-campus residence & in-person classes (if any) will end before Thanksgiving.
5/ The remainder of the term will take place remotely. If your college kid is on this plan, you have time to build in a 10-14 day self-quarantine at home, with a test on Day 5-7 if possible. ⁠
dearpandemic.org/seeing-family-…
6/ 2️⃣ Don’t come home for Thanksgiving: Some colleges are requiring or strongly encouraging students to not travel over Thanksgiving break in hopes of reducing the risk of bringing new cases back to campus in early December.
7/ While it’s hard to imagine not having your kid home for this important holiday, staying on campus may be the safest & least disruptive option, particularly if your student is just settling into the new COVID-induced routines on campus (including regular testing). ⁠
8/ 🚫Not-so-good options:⁠
3️⃣ Travel home for Thanksgiving for a brief visit & return to campus on Nov 29/30. This plan unfortunately increases risk on two fronts: Your kid brings COVID home to you (& elderly grandparents), *&* your kid brings a new case of COVID back to campus.
9/ 4️⃣ Parents travel to college town to spend Thanksgiving w/student: While this technically circumvents any restrictions on student travel, it brings all the same risks as Option 3️⃣: You bring a COVID case to campus via your kid, or you contract COVID during travel. Not good. ⁠
10/ It's important to take into account your specific context & situation in making this decision. Are cases increasing on the campus or in your town? How risky would travel itself be — flight, bus, or long drive is riskier than a short drive. Is your kid being tested regularly?
11/ Important: Are any members of your household or any Thanksgiving guests at high risk for complications from #COVID19? If answers to these questions give you pause, best to pump the brakes on brief trips over the holiday.
12/The Nerdy Girls get it: Changing up the routines for much-loved family rituals is really hard, especially when we want & need to see our kids & loved ones. Thanks for doing your part to keep everyone safe & sane as we head into the holiday (& flu!) season.

#StaySmart

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More from @DearPandemic

14 Oct
1/ Are there really false-positives from COVID tests? If so, how is it possible for a test to pick up something that is not there?

A: Yep, they exist. Image Credit: Jernej Furman...
2/ Two types of tests are commonly used to identify an active #COVID19 infection, & both of them can occasionally lead to a “false-positive” result, or a positive test result when there is actually no infection present.
3/ The two types of tests are:
1. PCR tests 🧬, which detect itty bitty pieces of the virus’ genetic material, &
2. Antigen tests 🦠, which detect signature proteins on the outside of the virus. (Note: Don’t confuse antigen with antibody tests 🩸 ! That's different.)
Read 10 tweets
13 Oct
1/ Q: What do you think of the idea of “focused protection” or “shielding” the vulnerable so that everyone else can get on with normal life?

A: We *wish* it were this easy, but sadly it’s not.
2/ While this approach sounds appealing on the surface, the deeper you dig the more the argument folds in on itself.

Let me explain...
3/ 👉The death and hospitalization toll even in under 65s would be staggering

👉No consideration of waning immunity and re-infection

👉No mention of impact of “Long Covid” for millions infected

👉Cordoning off of a large percentage of the population is not feasible
Read 31 tweets
11 Oct
1/ Q: How can I boost my immune system?

A: Today we focus on the importance of sleep health as an evidence-based strategy for improving your immune system during the COVID-19 pandemic.
2/ * Long-term sleep deficiency is associated with a range of co-morbidities (type 2 diabetes, cardiovascular disease, dementia) that put you at higher susceptibility & more severe outcomes of COVID-19.
3/ You can reduce your risk factors for these comorbidities by practicing good health behaviors, such as prioritizing sleep, exercise, and a diet rich in fruits and vegetables) Even little changes in lifestyle can add up over time.
Read 7 tweets
6 Oct
1/ Q: Is it true that #Sweden has gotten to herd immunity without lockdown? Should we all be doing what they are doing?

A: No, Sweden has not reached herd immunity, nor have they fared well economically or with respect to COVID-19 mortality.
2/ While there has been a fascination with being Sweden during this pandemic, there are many misconceptions about their experience that are worth clearing up:
2/ *Myth 1*: Sweden didn’t place restrictions on activities due to #COVID19

*Reality*: While it’s true there was no nationwide mandatory lockdowns as in Spain, Italy, the UK & US, Sweden did have a “lockdown lite."
Read 14 tweets
5 Oct
1/ Q. What's the update with COVID-19-sniffing dogs?

A. The Helsinki-Vantaa airport welcomed COVID-19-sniffing dogs to their staff last week, hoping to use their keen sense of smell to detect COVID-19 positive patients up to 5 days before symptoms appear. bit.ly/33t3Utg Photo Credit: Elias Castillo
2/ Here's how the airport testing works: Prospective passengers rub a wipe against their neck to pick up some sweat, & then drop the wipe in a cup. While inside an isolated booth, the trained pup takes a whiff of the cup & provides a positive or negative verdict.
3/ If the dog sniffs a positive, he creates an audible signal. Then, the passenger is informed & sent to the airport's health information area. This is much quicker & less invasive than a nasal swab.
Read 8 tweets
4 Oct
1/ Q: What do epidemiologists think about Joe Biden & Mike Pence (& other national leaders) testing negative for COVID on Friday?

A: A negative test result does NOT mean that Mr. Pence and Mr. Biden are COVID-free… even if that happens to be really inconvenient for them.
2/ Everyone who has been near the President in the last week (or who has been around anyone else with #COVID19 for that matter) should self-quarantine for 14 days following the last exposure. That means Joe Biden & Mike Pence should stay home.
3/ This is the official guidance from the @CDCgov, @WHO, & leading institutions across medicine & public health.

It’s not politics, it’s just science.
Read 9 tweets

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