1/ One of the biggest issues with #covid19 epidemic response work is that it’s easy enough to suggest tons of ideas but a whole different beast having to actually operationalize those ideas into a real plan that is carried out.
2/ The administration failed to operationalize any plan completely. No mask mandate. No coordinated national tracing initiative. No real implementation of digital tracing. No nationally supported/coordinated central isolation options for vulnerable. No adequate $$ protections
3/ So the conclusion of all that—> supporting a plan where they wouldn’t really have to do anything at all except shift the responsibility back onto us. Young go ahead & work again. “Old/vulnerable” stay at home. And then label it as “science” by calling it “herd immunity”
4/ And worst of it all frame this as being about protecting the poor & frontline workers— as if this administration has ever given a damn about these groups. They weren’t willing to provide any substantial $$ protections. They couldn’t even get us masks— told us to fold t shirts
5/ This is and always has been about politics and money over health; there is no real plan for how to “protect the vulnerable” here— & as soon as the administration realized the FDA wouldn’t let them rush a vaccine before the election, it seems like an ideal time to...
6/ Come up with a “plan” that could frame failure as success— suddenly the more infections, the better. Well— let’s call BS as @CT_Bergstrom would say.

If you are going to propose a plan or sign a declaration, you need to have an actual way to make it happen.
7/ Just saying “herd immunity” over and over again doesn’t cut it. And you must acknowledge that every half baked idea costs us limited time and attention; distractions like these mean we continue moving away from doing the work that lies ahead of us either way.

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More from @AbraarKaran

19 Oct
1/ #Covid19 super-spreading event from a bar in Vietnam; this report is from a party for St Patrick's day in which one guest infected 12 others at a poorly ventilated crowded bar.

Genome sequencing analysis helped to confirm this.
2/ They note that asymptomatic secondary spread occurred to people who were not at the bar as well.

Indoor, crowded, poorly ventilated spaces without masks are dangerous; these types of cluster spreading events are propagating this epidemic.
3/ While this may happen at bars, we have seen the same in others settings as well.

Sports games--> recent CDC report of an outbreak at a hockey game

Read 20 tweets
18 Oct
One of the most interesting parts of working on #covid19 has been as a contributor @NPR @NPRGoatsandSoda helping with their weekly FAQs for the last several months. Some of the questions might seem strange or “obvious”, but I appreciate every one of them.

2/ As we say in medicine during our training, there is no such thing as a “stupid question”— I know this phrase gets thrown around but I really believe it. We need to create an atmosphere in which people aren’t meant to feel ridiculous or stigmatized for trying to learn.
3/ Elitism is, IMO, one of the reasons we are in this mess. As scientists, did we not do enough to connect w the public before COVID19? In creating that gap inadvertently, did we also create space for a demagogue President who people found more relatable; who they now listen to?
Read 6 tweets
17 Oct
It’s easy to propose a hypothetical plan when the consequences of that plan failing miserably don’t actually fall on you directly. If millions get sick over time, & thousands or more need hospital beds, @SWAtlasHoover @VP & crew won’t be the ones at your bedside. We will⬇️
Read 6 tweets
17 Oct
Don’t let @SWAtlasHoover fool you— the reason we have had to “lockdown” is because the administration has *no damn plan*; now they’re trying to push a “plan” where they *do nothing* but want to say it’s ok for you to get sick in the process. This is pure lunacy.
2/ Ask them why when they lost control of this epidemic months ago, they failed to implement working public health systems so that we could get our country up and running safely?
3/ Ask them why when we have 200k+ dead and numerous others *of all ages* suffering from long term effects, when the first surges pushed our hospitals to the limit, they are saying it’s a good idea to allow even more infections with fewer/no protections?
Read 13 tweets
16 Oct
72 #covid19 cases linked to a spin studio; 2500 have been exposed & are being monitored; the indoor classes did not require masking, despite having limited capacity and 6 feet of distance. This outbreak (to me) suggests contributions of aerosols thespec.com/news/hamilton-…
2/ Remember that all layers are important; not wearing masks during indoor exercise classes is a big red flag.

And, crowds that are indoors doing exercise are certainly at higher risk of aerosol-based transmission.

Concerning as we head into winter & indoor activity increases
3/ A reminder that aerosols don’t follow a 6 feet rule (this class is a great example of where 6 feet is unlikely sufficient- crowded indoors enclosed spaces).

Here is where we think ventilation could be very important in addition to other protections.
Read 6 tweets
14 Oct
#TheGreatBarringtonDeclaration calls for allowing #covid19 to spread openly while “protecting” the elderly/vulnerable.

While I actually believe the authors mean well, there are multiple reasons why I believe this is a seriously problematic proposition.

-With asymptomatic & presymptomatic spread, the virus will inevitably find its way beyond the first layer of “healthy” people, esp in crowded households & intergenerational households— & especially in our most vulnerable communities who are more likely to run this risk.
-Allowing millions of cases to spread unabashedly will absolutely mean at least several thousands of cases requiring hospitalizations. And those of us who are still working on the frontlines will be the ones — once again— fighting to care for patients w/o adequate supplies.
Read 14 tweets

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