COVID19 continued to spread as the country was distracted with the ongoing election coverage.

Record case counts, hospitalizations soaring & deaths increasing.

With a new administration in place, we have the opportunity for a COVID19 reset. So what do we need to do? 🧵...
PPE:

We STILL don't have enough. In March, I wrote we needed to use the Defense Production Act to acquire the PPE we'd need to get through this pandemic.

We are on the verge of a tough winter. We need to prioritize getting more of it, especially N95s.

thehill.com/opinion/health…
TESTING:

Our testing missteps at the outset really hurt us. Thankfully we've dramatically expanded testing since then.

But we need way more. We must increase testing capacity, including rapid tests in addition to 'traditional' PCR tests. We will need millions of tests a day.
VACCINES:

Operation Warp Speed has been a remarkable push, but the next steps will be just as hard.

First, we must be reassured that a vaccine is approved based on science alone.

Next, ensuring adequate manufacturing and equitable distribution are paramount!
LONG-COVID:

As we learn more about COVID19 #longhaulers, its clear many will continue to suffer long-term consequences of their infection long after the pandemic has ended.

We need to invest in more research and clinical care for this community.

wapo.st/3p12bnT
NURSING HOMES/LONG-TERM CARE FACILITIES:

We must continue to do everything imaginable to protect nursing homes and longs-term care residents. They’ve made up ~40% of deaths to date.

Expand testing, PPE and training. And paid sick leave for providers.

nytimes.com/interactive/20…
SCHOOLS AND UNIVERSITIES:

We need to do everything possible to keep schools open & safe.

That means more research - led by the CDC with the Dept of Education - and all the resources necessary to keep everyone safe while learning.

We can do this, safely, with the right tools.
INVESTING IN PUBLIC HEALTH INFRASTRUCTURE:

We’ve under-invested in public health for way too long. We must expand the resources to local and national public health agencies.

This will make us all much much safer in the long run and better prepared for future pandemics.
SUPPORT FOR ISOLATION/QUARANTINE:

In addition to expanding our contact tracing program (how bout a public health corps?!), we must provide resources to people who follow public health guidance & appropriately quarantine/isolate.

This is the how we reduce community transmission.
GLOBAL COLLABORATION:

The Trump administration announced the US would withdraw from the World Health Organization, effective July 6, 2021.

That must immediately be rescinded.

state.gov/update-on-u-s-…
We will only conquer this virus as a global community. That means collaboration on vaccines and therapeutics.

The WHO does have many faults. But the US must help build it up, not tear it down. We can again be a respected global health leader.

usatoday.com/story/opinion/…
I am very confident that this incoming administration will put in place a transition team focused on the science and public health.

We must get this virus under control, now. The winter is going to be tough regardless. But we can lessen the impact.
We’ve lost a lot of time. And we’ve lost a lot of friends, family and colleagues to this virus.

But if we act now - boldly and guided by science and public health- we will prevail.

We will end this pandemic.

And that is when we can truly celebrate.

Be safe. And be well.

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More from @Craig_A_Spencer

3 Nov
On March 12 as #COVID19 was starting to hit NYC, I wrote a short piece for a show that was cancelled because of the pandemic.

On the eve of an election defined by our response to #COVID19, I want to share what I wrote then to reflect on what we learned, and what we didn't...
"As we watch this pandemic spread, I keep coming back to that empathy I so painfully learned taking care of Ebola patients in West Africa and as an Ebola patient myself, lying in a NYC hospital bed.

I think of it every day now as coronavirus spreads through our communities..."
"...disrupting our social fabric and leaving many to wonder what comes next.

"In times of crisis, we naturally tend to think inward, reflecting on how we protect ourselves. But what we need right now is a focus on the most vulnerable amongst us."
Read 14 tweets
17 Oct
You might’ve scrolled past today’s #COVID19 update. Or maybe you've become numb to the numbers.

But outbreaks thrive on complacency! As many turn their attention to the election, we cannot underestimate the very worrisome nature of this worsening pandemic in the US...

THREAD🧵
Today the US passed 8 million confirmed cases. At ~20% of the world's total, that's a staggering toll.

And the 68k new cases today represents the highest daily toll since the end of July. It's also the 7th highest total EVER.

"Yeah, but there's more testing" some will argue.
But it's not just the daily tolls - it's the trends.

The last time we hit 68k cases, we had begun a downward trend.

But there is absolutely no mistaking the fact that we are on a steep upslope.

And not just in cases, but also test positivity and hospitalizations as well.
Read 11 tweets
8 Oct
If you’re watching the debate, the head of the Coronavirus Task Force is refusing to answer why we have more deaths than any other country.
And in the same sense stating that the other side is plagiarizing a response that has caused over 210k deaths.
'We surged resources to NJ, NY, Detroit..."

"The American people made the sacrifices"

They did. We did. There wasn't enough PPE to do our job safely.
Read 10 tweets
4 Oct
I'll be sharing updates here from today's (Oct 4) POTUS #COVID19 medical briefing:
President 'has continued to improve', 'frequent ups and downs'
The President has experienced two drops of oxygen saturation.
Read 35 tweets
3 Oct
Some thoughts from the update on the President’s condition:
They said illness for 72 hours? Seems to be a different timeline than we heard.
They also said he got antibodies 48 hours ago. That’s Thursday morning.
Read 23 tweets
3 Oct
I’m getting a lot of questions about how fast COVID19 progresses:

I’ve seen 90 year olds test + and not have a sniffle for days.

I’ve seen 40 year olds come in stable and VERY rapidly decompensate.

There’s a lot of speculation right now. But the realm of possibilities IS vast.
I don’t know the specifics of the President’s case - but the American public should.

Maybe it’s all an abundance of caution? Or not.

Point being he could be stable. Or not. This virus is always fickle & sometimes ferocious.

I wish him a speedy recovery. And we need more info.
This timely transmission just in!

Reportedly not on supplemental oxygen.

Remdesivir started.

‘Doing very well’.
Read 7 tweets

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