Should we have a mask mandate? Yes. This should have happened a long time ago
Those arguing that outdoor transmission is far less than indoor as a reason against a mandate are often in my experience the same people who don’t wear masks in either location
2/ For what it’s worth, I agree that outdoor transmission is far less than indoor— the data suggests this. Yet— I have encountered a number of people that happily mask outdoors to show others, but don’t when they are indoors at work etc— this is problematic.
3/ The least likely place to mask is probably inside one’s own home, yet we know that indoor transmission in households is relatively higher than in other locations. Ultimately, the safest bet is when you are outside your “bubble”, you stay masked unless completely alone outside
4/ My point isn’t to scare anyone, especially not re outdoor transmission, which we believe is several fold less than indoor. And transiently passing people on the street is not how this virus seems to be spreading. But, we are missing the mark on masks still and time is up.
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2/ During #covid19 surges, many of us who were not supposed to even be on service at that time had been called back to the hospital bc that is where we needed to be. We put on whatever PPE we had access to, & we stuck by our oath to be there for our patients no matter what.
3/ We showed up & we’ll do it again if we need to. That’s not a question, or a hesitation— that’s a commitment. That’s a promise. Watching this man degrade us, accuse us of falsifying the causes of patient deaths— he has no respect for what doctors, nurses & patients went through
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.
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.
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.
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?
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”