1/ Probably the most common question I am asked by friends is whether or not it is "safe" to date during the pandemic.

While dating can be a high-risk activity, the cost of loneliness & missing social connection is also high.

@WebMD
webmd.com/lung/news/2020…
2/ Some may see it as ridiculous to even think about dating as we are headed into a third surge in this country; & while I get that sentiment, risk mitigation is still the name of the game. Otherwise, people may just do it anyway but without tools for safety, which hurts us all.
3/ The basics here are the same.

Outdoors over indoors. Minimizing number of contacts in your social circle. Using regular testing to minimize the chance that you are unknowingly infected/infectious. Trust, of course, is key.

And, throwing digital options in the mix as well.
4/ Physical intimacy is pretty much high risk-- not going to get creative here but if you're indoors, face to face, and heavy breathing, that's high risk.

It just is- unless you both have been tested recently, which can *reduce* the risk, but not eliminate it altogether.

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More from @AbraarKaran

21 Oct
PROTECT FRONTLINE WORKERS
THREAD
1/ There is a lot of talk about protecting the vulnerable. Yet, unsurprisingly, that has yet to be a priority.

And for those in crowded indoor conditions where aerosol spread can happen, cloth masks aren’t always enough.

hbr.org/2020/10/essent…
2/ For months, @RanuDhillon @sri_srikrishna and I have been arguing for better masks. We did this because we knew that aerosol spread was likely, even if not the dominant mode of transmission, & that many situations would require this level of protection. hbr.org/2020/06/we-nee…
3/ As doctors, Ranu and I both know that we would not walk into a room w/ someone that has COVID19 without the proper PPE, which would be an N95 mask in the healthcare setting.

But what level of protection is needed outside the hospital in other crowded conditions is less clear.
Read 21 tweets
19 Oct
THREAD
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.
wwwnc.cdc.gov/eid/article/27…
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 22 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.

npr.org/sections/goats…
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
18 Oct
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”
Read 7 tweets
17 Oct
THREAD
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

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