Thankful for all the frontline workers that carry our country on their tireless backs and have been since the day this epidemic started (and before). Many have since died; we must thank them but thanking them isn’t enough; we must stop failing them. #covid19
2/ Thankful for all the people who played whatever role they could; whether that meant canceling a gathering; whether that meant taking extra precautions to reduce risk; whether that meant wearing a mask; thank you. Every action matters. Millions of small actions stop epidemics.
3/ Thankful for my fellow doctors, nurses, PAs, pharmacists, social workers, nutritionists, patient care assistants, physical therapists, care coordinators; Many of you work tirelessly without ever seeking credit or acknowledgement- you do the work for the work. Thank you
4/ Thank you to my global health colleagues; many who have been experts in stopping epidemics for decades upon decades. We have so much to learn from you. Hoping this pandemic reshapes the power dynamics in the #globalhealth world in a permanent way. #Decolonize

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Abraar Karan

Abraar Karan Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @AbraarKaran

27 Nov
Trying to reconcile that some of the people in this country who are hardcore "Nationalists" are also the first to exercise "personal freedom" as the reason for why they won't wear a mask that could protect their fellow countryman at little to no personal cost. #covid19
2/ When you dig deeper here, you may find that this isn't about "personal freedom" at all. If political leadership on both sides of the aisle had been consistent about masks from day 1; kept the narrative the same; pushed for cohesiveness & shared values, I wonder...
3/ I wonder if masks could have then avoided politics & stuck within the realm of science only. Many of our country's most ardent nationalists are also people willing to sacrifice a lot for this country/ many already have. But the way that masks have been framed has missed...
Read 5 tweets
27 Nov
1/ As the virus spreads, more people will "have no idea" where they got infected from. As this happens, we need to gain a better understanding of how & why it continues to spread. For me, one big ? is- what types of masks are needed in diff situations
bostonglobe.com/2020/11/24/nat…
2/ @RanuDhillon & I wrote about the "when, where, why and how" problem of #covid19 spread in @washingtonpost ; this gets worse as case spread outpaces our tracing & outbreak investigation capacity

washingtonpost.com/outlook/2020/0…
3/ @sri_srikrishna @RanuDhillon and I wrote about masks early on in this context- what is the bare minimum mask you need in different settings in the community? In the hospital, we use N95s w/ #covid19 positive & #covid19 potential rule out cases

hbr.org/2020/06/we-nee…
Read 9 tweets
27 Nov
1/ Flying during the pandemic is a nuanced topic. In theory, planes should have low transmission; mandatory masks+great air filtration. But- tracing transmission specifically back to a flight isn’t exactly easy- as w/ most things, the data is limited

nytimes.com/2020/11/25/tra…
2/ Would need to test folks after the flight to exclude those already pos; would need to serially test others thereafter; in folks who became pos, wld need to make sure transmission wasn’t before the flight (ex on way to airport in taxi, or at airport restaurant before flight)
3/ Also would need to make sure transmission wasn’t during other activities they did after the flight; some studies have used genomic analysis to figure out if similar strain spread to multiple folks on flight which helps to paint the story more clearly.
Read 5 tweets
26 Nov
*short thread*
1/ Really important study here looking at false negative test results for #covid19 in March-May 2020 at a mediocre hospital in Boston (Mass General 😉)– 60% of these ended up being in samples drawn either “too early” or “too late”

academic.oup.com/ofid/advance-a…
2/ And in the few that clinically seemed like they had #COVID19 but had two negative NP swabs, their lower respiratory tract sample was positive in all of them (as we might expect as disease burden migrates from upper to lower resp tract over time)
3/ Peak false negatives occurred during weeks of peak overall positivity — higher pretest probability, higher chance your negative test in a suspected case was actually a false neg

Overall, only 2.2% of tests classified as false negatives (in which subsequent pos w/in 14 days)
Read 5 tweets
25 Nov
We can’t say it enough; if you’re thinking about doing a virtual Thanksgiving but not sure if your single action is really going to make a difference— it is going to make a difference. I thank every one of you doing whatever you can do within your means right now. #covid19
2/ People are motivated when they know they aren’t alone— when it’s not only them that is taking one for the team; people need to believe there is a team at all.

There is a team. There are thousands if not more who are going to hold off on Thanksgiving this year.
3/ I will be working in the hospital during this holiday. Know that I am motivated knowing there are so many people out there supporting us. So many people out there who are giving up something huge because they want to help-that motivates me to keep pushing against this epidemic
Read 4 tweets
23 Nov
1/ This is a very important article that brings up a number of critical points-I have a few thoughts after reading it.

First, thanks to @apoorva_nyc whose coverage/writing has been incredible for months now.

#covid19
nytimes.com/2020/11/23/hea…
2/ @RanuDhillon & I wrote about an aspect of this back in September; one of the problems is that tracing spread to pinpoint exactly where transmission happened is actually not that straightforward which makes policy making difficult for #covid19

washingtonpost.com/outlook/2020/0…
3/ We are left w/ tough choices, but as with everything, inaction has a serious cost

Decisions need to be made via risk (or cost)/benefit— if the possible benefit outweighs the poss cost, then the choice may make sense. For epidemic control, this calculation is key (but complex)
Read 12 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!