Am I living in bizarro world?!

🧵 So..US POTUS & Senate have refused to give K-12 schools $$$ for #SARSCoV2 testing for school safety: “You’re on yr own!” 🤯

So district in big Democratic city comes up w $$$ itself to do spot testing with parental consent (hats off, NYC!)..1/
So THEN someone in our “You’re on yr own” US executive says, “Actually I do have some thoughts!”

and bullies the actual *CDC* (the home of elite force of disease detectives who live to identify and squash outbreaks) into saying...2/
“Hey school districts, in case you were thinking about doing the extraordinary & forward-thinking work of standing up a whole #SARSCoV2 surveillance system in your K-12 schools bc yr federal govt has abandoned you...3/
“...randomly spot-testing for #SARSCoV2 the kids whose families choose in-person learning” If you were thinking of doing this totally sensible spread-reducing thing that’s been done in many other countries, STOP IT! It’s “UNETHICAL!”
Forgive me but I’m deeply confused. See... last night I read a CDC report that almost 300,000 extra people have died in the US just in the past 7-8 months (bc of limited testing & public health support).
And I found THAT “unethical”. Maybe we’re just using the word differently..
And here’s the link to the document. The big thrust is POTUS’s theme of discouraging surveillance testing of people without symptoms - even though we know presymptomatic people are a MAJOR route of #SARSCoV2 spread & kids more likely to be a symptomatic cdc.gov/coronavirus/20…
They are actually working *against* all of us who want to lower transmission 😞
Also I so feel for the career CDC people who have to help out these documents together. These are literally people who’ve trained their whole adult lives to LOWER disease transmission. I just can’t...

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More from @WhitneyEpi

21 Oct
A compelling and deeply researched article with lots of great quotes, actionable ideas, and success stories. 1/
Again, many great quotes but this one deeply resonated with my personal experience: “Yet when Black women ‘do say no to additional projects, we are seen as anti-team player, unwilling to be collegial,’ Lima-Neves said...”2/
The most galling thing said to me in 2020 was from a senior leader in response to my asking him why his leadership team was all-White over many years despite the presence of talented non-White faculty (like myself)...
Read 7 tweets
20 Oct
Very important new @CDCMMWR report on US mortality in 2020. It's short. You can read it pretty quickly.

Or just look at the graphs at the end. They tell the story. It is profoundly sad.

cdc.gov/mmwr/volumes/6…
@HeidiKKim The excess deaths among the Asian subgroup in April and May are striking.
Part of the spin I’m seeing online is the 1/3 of deaths not #COVID19. But the timing and patterning of these so close to the COVID19 deaths that I suspect many actually are miscoded deaths that really were COVID. What do y’all think?
Read 7 tweets
20 Oct
In a call w @Theresa_Chapple y’day, I was reminded of all the community members, researchers, & on-the-ground govt folks pulling together to offer constructive data, guidelines, etc. to help us all make it through #COVID19. 1/
@Theresa_Chapple In that spirit of gratitude, I’m highlighting this 🧵.
Harvard folks in public health, education, etc, have made many resources, frameworks & guidelines to help communities make good decisions about when and how K-12 schools could have in-person classes.
But they shouldn’t have had to spearhead this kind of effort. The US federal government has capable experts who could have led these efforts 6 months ago. But our govt did not prioritize letting them do this work. So here we are. Piecing it together the best we can. 3/
Read 4 tweets
10 Oct
I don’t have the bandwidth right now to go into a full analysis of @ProfEmilyOster’s work but I feel compelled to make a few points: 🧵
First, @ProfEmilyOster, an economist, has spearheaded the most comprehensive data collection efforts re: #SARSCoV2 spread in US schools that I know of. Correct me if I’m wrong. I’d like to see other better data sources. 2/
She’s had to do this bc of a profound abdication of authority and will from the US government but also bc no one else (including us in #epitwitter - again, correct me if I’m missing better data sources) did it... 3/
Read 14 tweets
21 Aug
1/ Maybe it’s my #epitwitter bias, but I get frustrated by the outsized attention these hospital-based viral load comparison studies (kids vs adults) get. And interpreted as children as a group highly infectious...
2/ the epidemiologic evidence of actual transmission in real-life settings (household studies, popn-representative seroprevalence studies, overall experiences of daycares and elementary schools globally) has indicated than young children lower risk than adults re: spread...
3/ the viral load studies seem much less relevant evidence...
* viral load is not live virus nor infectiousnes. For instance, viral load often stays high for a while in #COVID19 patients who are no longer infectious. Viral load is necessary but not sufficient for infectiousness
Read 14 tweets
14 Aug
1/ Not that @jbouie needs me to pump up his work, but I will anyway. This essay is excellent for scholars who do work in U.S. Black populations but are not explicitly trained in the theory and history of racial stratification...

nytimes.com/2020/08/14/opi…
2/ A lot of people have learned that race is "socially constructed." But what does that mean? This article explores that question at a macro level (get ready for a quick historical tour) and at a meso/micro level in the person and story of Kamala Harris.
3/ An aside: earlier this week, I walked past one of my neighbors, a 60-something Black American women, sitting out on a swing. She was wearing a distinctively pink and green t-shirt. I told her "Congratulations!" That was it. That's what I said. We smiled. @akasorority1908
Read 17 tweets

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