Check out this new piece from Ed Yong in @TheAtlantic on pandemic year two

Thanks to Ed for having me share some of my thoughts here alongside a number of colleagues

We have an immense year ahead of us

#covid19
2/ “There will be a whole lot of pain in the first quarter” of 2021 --Anthony Fauci told Ed in this piece.

I agree. I am hopeful that summer 2021 will be our first major exhale in a while.
3/ One of the most consequential parts of reaching a better summer 2021 is going to be our vaccination strategy, which we aren't doing well right now. Read this thread below

4/ One of the important points that Ed's piece mentions re vaccine distribution is that it will be a "patchwork"-- and that certain parts of communities will have groups of unvaccinated people. The biggest concern to me is that these will trace along previous lines of inequity
5/ My contribution to Ed's piece was this-- our neocolonial global health enterprise created an expectation that the "West" was going to better at dealing with an epidemic than parts of Asia or Sub-Saharan Africa. That is completely untrue, & many of us in this field knew that
6/ "Indeed, the U.S. has a long history of plastering over social problems with technological fixes."

This line hits deep. With the vaccine, some part of me worried that many would reach for this silver bullet & forget that social inequities are why we are where we are now.
7/ Conclusion- Read the piece.

Subscribe to @TheAtlantic which has had really excellent, thoughtful, involved, nuanced writing this entire year.

Lots to think about & even more to do.

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More from @AbraarKaran

26 Dec
New #covid19 variant #B117 has led to vastly different responses around the globe.

Japan, for instance, has stopped all foreigners from entering until the end of January— they had detected cases of B117 as of Friday. washingtonpost.com/world/2020/12/…
2/ Canada as of now has restricted all incoming flights from the UK until January 6th #covid19

gov.uk/foreign-travel…
3/ France eased restrictions for certain categories of people as below #covid19

gov.uk/foreign-travel…
Read 12 tweets
26 Dec
Some thoughts on new UK variant #b117 (not a virologist- purely from a public health response view)

1/ Seems this was inevitable & we will see more variants of concern over time. We will constantly have to re-evaluate response measures #covid19
2/
if vaccines turn out to be less effective against new variants (big “if” here), this will be another reminder that fundamentals of public health + multilayered strategy always name of the game— a vaccine is one part of that- not the whole strategy. No short cuts #covid19
3/
Better masks & personal protective equipment for the general public is well overdue; we know masks work; we know aerosols contribute to spread; we know not all masks have effective aerosol protection- better masks are a win-win, & aren’t affected by new variants
#covid19
Read 9 tweets
24 Dec
1/
Currently reading a book about the history of epidemics and society.

“What made the bubonic plague especially fearful was that it presented communities with the antithesis of the “art of dying”...death from plague was sudden; people died alone.”
2/
Ask any doctor- especially those working ICUs— about the pandemic deaths that separated families from loved ones. Patients died with nurses and doctors by their side; but many without their families.
3/ I remember one especially terrible case I had cared for in an emergency department back in April. The whole family had been infected as they lived in a multigenerational home; a son was sick in the ED; his father died alone in an ICU at the same time.
Read 4 tweets
23 Dec
1/ I signed on to this effort from @RapidTests & a number of colleagues to urge Congress to utilize rapid antigen testing in a smart way for epidemic control. #covid19

rapidtests.org/expert-letter
2/ We wrote about this strategy over the summer @washingtonpost & some of the pros/cons-- done correctly, the benefits could be immense.

Done incorrectly without expectation setting or right strategy, can become problematic for health systems to manage

washingtonpost.com/outlook/2020/0…
3/ I spoke to @lisalsong @propublica about this topic recently

Every day, people are becoming super-spreaders without even knowing that they are

Rapid tests can stop the most infectious people from going to work/school/gatherings/public transit etc

propublica.org/article/rapid-…
Read 4 tweets
21 Dec
1/ Just received dose 1 of the #covid19 vaccine. Knowing I will have protection to keep working & caring for our patients means more than I can express— the epidemic isn’t close to over, but we truly needed this boost. @BrighamWomens @harvardmed
2/ At this moment, all I can think of is the thousands of American lives we have lost. Well over 300,000. Those were parents. Those were siblings. Those were mothers, brothers, fathers, sisters. Those were our patients. Those were our families. Those were our neighbors. #covid19
3/ So many who didn’t die continue suffering debilitating symptoms. Just yesterday was speaking w/ a young previously healthy colleague w/ ongoing shortness of breath and palpitations, leaving them largely unable to resume the life they had before. #covid19
Read 4 tweets
20 Dec
THREAD
1/ Finally got a day off from the wards. Finally have a chance to call out more bullshit. Frontline workers who have been risking their lives in hospitals, grocery stores, pharmacies, factories, nursing homes - the people that couldn't stay home- should be protected first
2/ Inequity is a bigger epidemic in the USA. Point blank. We talk about upstream factors for disease transmission in global health and epidemiology. What is upstream of #covid19 transmission? Inequity. It's literally why some people could stay home/stay safe. Others couldn't.
3/ I don't want to see politician selfies anymore. Not right now. I was supposed to be vaccinated this weekend & at the last minute was notified I had been exposed to a colleague who tested positive. I'm not upset about this- this is the reality. The virus is spreading. #covid19
Read 6 tweets

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