THREAD 1/ Wasn’t able to sleep a wink last night. It’s a strange feeling when change feels so close, yet so far all at once. This year has been an eternity; headed into yet another huge wave of #covid19 infections, hospitalizations, & deaths, it’s exhausting fighting...
2/ Exhausting fighting against a viral pandemic- yes. But also exhausting fighting forces within our own country; political, cultural & more. Still, giving up is not an option. Not now, not tomorrow; regardless of who is in the White House, the onus will still be on us
3/ “Us” as the public; as individuals, as families, as communities, as counties, as states— neither Biden nor Trump can single handedly stop this epidemic.
It’s just not the way it works.
There will always need to be a certain level of public participation & cohesion.
4/ We need camaraderie built on trust; we need a response that leverages both our individual smart actions bolstered by a necessary level of support from our government- the latter which we haven’t seen yet in any meaningful way, & have even seen the opposite at times.
5/ Also- we need to focus on equity for the vulnerable; protecting those without safeguards when we head into destructive surges of #covid19— we have yet to operationalize this. We talk about it a lot- yet never seem to put $ where 🗣 is (not surprised, still outrageous)
6/ As much as I know how monumental a change in our political leadership could be, I’m not convinced that this alone stops #COVID19.
It will take so much more than what we are currently doing. Yes, federal leadership will be a *huge* part of that. Huge. But not all.
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THREAD 1/ NEW CDC report on secondary attack rate of #covid19 in the home — overall above 50% in this study; families prospectively followed out for 7 days w/ daily tests; important implications for safer isolation options/rapidity of spread right at home
2/ During my time working in the #covid19 emergency room during the first Boston surge in April, the *majority* of cases that I personally saw were likely infected by someone at home who was already a known case. See op-ed here : washingtonpost.com/outlook/2020/0…
3/ issues with home based transmission—> psychologically people may feel safer at home than they actually are; less likely to mask up; bad combo if strict isolation of cases is not possible (largely isn’t for most people)
1/ New #covid19 executive orders in #Massachusetts today from Gov Baker + team in setting of #covid19 hospitalizations being up 145% since Labor Day. While there is now a mask mandate & curfews, I want to focus attention on *private indoor gatherings* (limit 10 people right now)
2/ We need to do multiple things right now— *one* of those is to make people realize this is getting serious again; cases & hospitalizations are going up. We are heading in the wrong direction. Executive orders may help do that in part.
3/ But additionally, we need to stop transmission. Now- restricting people from being out after 10 pm; I don’t think many people are out after that time anyways esp as the weather gets much worse. But— they still very well may be congregating at home, possibly w/ friends etc
1/ One of the big failures in our epidemic response is expertise that is rightfully concerned with all the nuances and details but fails to see the bigger picture— so many people in this country are still unclear on even the basic aspects of #covid19 transmission. #covid19
2/ Honestly I see this as a big disconnect between academia & every day people; I would be willing to bet the average person in this country doesn’t give a shit about how much contribution is from aerosols v droplets as much as they care about *what they need to do to stay safe*
3/ If even we as “experts” are unclear on the relative contributions of aerosols and droplets and we are recommending the same safety measures— let’s focus our energies hammering those home in more accessible and clever ways. We are at over 80k cases a day right now.
THREAD 1/ Have seen comments floating around re whether the numbers used in this article are exactly correct or completely fit the epidemiology of spread etc; the footnotes clearly state these limitations, but beyond that, I think these folks are **missing the bigger picture**
2/ There are hundreds of thousands of people (if not more) in this country *right now* who don’t have a strong grasp of how this virus transmits at all.
It has been a failure of science communication at a time when we need it to work most. #covid19
2.5/ I think that *in part*, although not completely, explains the hesitancy & confusion re masking (when to mask, why to mask etc)
If people grasped transmission better, there would likely be fewer questions about the value of wearing masks & in which situations.
The graphics in this article are excellent— this is a huge part of communications that has been missing. If you want to understand how layered interventions reduce #covid19 spread— why masks are indispensable but not always “enough” — read this.
2/ These graphics are *excellent*— and really hit on a MAJOR gap in our sci-comm for #covid19. Why are we relying on tweet threads to convey safety measures when we can have actual visuals/ audio etc?
Where are all the companies that work on this?
3/ If anyone is working on this type of graphic communication — including simple & digestible videos for the general public, please share your work or reach out to me — I’m personally happy to get involved to help with this. It’s so critical right now to get these messages out.
There are many who have argued against mask mandates, citing that we don’t need masks in every single situation, esp outdoors. While this is true, leaving it up to people to interpret when to mask has also not worked out so well— to no fault of theirs- our messaging has failed
2/ Our messaging hasn’t been nuanced enough to help people understand viral transmission well enough that they always know when to mask v when not to mask.
And that behavior change takes time; unfortunately, we are once again out of time.
3/ At this point, the benefits of masking consistently will outweigh the costs. And as we hit winter, we will mostly be indoors where masking is most important anyways.
The one place that we will get hit hard I predict is *home based* transmission, where people aren’t masked.