We had >4,300 deaths in the U.S. on Tuesday. Yes, vaccination will bring the death rate down, but vaccine roll out has been slow & troubled. We can't just "accept" this horrific death toll while waiting for more doses. There are 5 things to do now. 🧵 1/n

time.com/5929257/covid-…
Why are we STILL using masks that are only partially effective at filtration? Get high-filtration masks to all: we can do it! @zeynep @jeremyphoward wrote about this yesterday. @AbraarKaran @RanuDhillon @sri_srikrishna have been highlighting the need 2/n

theatlantic.com/health/archive…
On Jan 20, 2021, it will be EXACTLY a year since the 1st case of COVID-19 was confirmed in the U.S.

1 year in which we could have actually made the right investments to make schools & workplaces safer. We KNOW what to do! (ventilation, filtration, masks, distancing, etc) 3/n
It's a moral stain on the US (& UK) that so many essential workers were infected and so many have died. It makes me weep. Several of my physician friends have disabling long COVID. Get every essential worker the highest quality PPE & take all known workplace safety measures 4/n
Many nations controlled SARS-CoV-2, including Australia, China, New Zealand, Singapore, Taiwan. One common factor? Efficient systems to test, trace, isolate & support.

I signed the letter led by @michaelmina_lab urging scale up of rapid tests in US. 5/n
rapidtests.org/expert-letter
With 300,000 new cases a day & RISING, we need a national circuit-breaker (or at the very least circuit-breakers in hard hit states/cities). Israel & Britain instituted these; Britain's circuit-breaker has already driven transmission ⬇️. We must break cycles of transmission 6/n
I'm tired of bullshit arguments that this is all "too hard" or it is "just too unpopular with the public." Yes, we MUST accompany all of the above with very generous financial support, e.g. for those who must isolate or quarantine, for those who can't work from home, and...7/n
..we must be pro-poor in everything we do (e.g. people in low-income households are less likely to be able to work from home in lockdown, so need SERIOUS financial support). But circuit-breakers work AND are POPULAR with the public (who WANT protection from illness/death!) 8/n
The public polling in the UK & US is just astounding: circuit-breakers are popular. The recent @YouGov poll in Britain found that 85% of the public support the current circuit-breaker.... 9/n

And the same polling showed that 77% of the public think that the circuit-breaker should have been instituted EARLIER; sadly, Johnson & Sunak listened to Carl Heneghan, Sunetra Gupta & Anders Tegnell, who told them a lockdown wasn't urgently needed 😨10/n

The U.S. polling also shows public support (H/T @wsbgnl).

An eye watering 75% of Democratic voters and 52% of all voters support a 4-week nationwide circuit-breaker. END.

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More from @GYamey

15 Jan
With US university clusters ALREADY happening (even before classes begin), I'm starting to see those ridiculous, factually incorrect "COVID-19 doesn't matter in young adults" statements.

In the UK, horrifyingly, this statement seems to be actual policy (😨)

Follow along! 1/n
Dr Mary Ramsay, Head of Immunisation at Public Health England, says UK will need to "allow the disease to circulate in younger people where it’s not causing much harms"

Yikes, the harmful, anti-science inhumane Great Barrington Declaration lives on! 2/n

bylinetimes.com/2021/01/13/gov…
So, lets just do a little myth busting, shall we? 💣

COVID-19 is not rare in young adults. Here in the US, the CDC found that those between 20-29 years of age accounted for 20% of the new cases from June to August 2020.

3/n

cdc.gov/mmwr/volumes/6…
Read 6 tweets
9 Jan
I’m seeing a LOT of commentary saying “there’s nothing the US can do other than wait for vaccine roll-out.”

I profoundly disagree. We can’t accept 300,000 new infections & 4,000 deaths daily as a “new normal.” We need to drive down transmission. There are 5 things we CAN do!🧵
First, we need to get serious about high filtration masks for all.

Y’all saw Mitt Romney on Wednesday, right? He had a tightly fitting N95 mask under his cloth mask. That’s what every single Americam should have.

Let’s invoke the Defense Production Act & GET IT DONE 💪 2/
Why are ANY workplaces & schools still unsafe? It’s 1 YEAR since the first case of COVID-19 was diagnosed in the US & these settings are still unsafe! We now know they need ventilation, air filtration, universal masking, physical spacing, & reduced density. WE CAN DO IT! 3/
Read 7 tweets
24 Dec 20
In addition to the privilege of coauthoring many COVID-19 policy papers with the fantastic @DukeCPIGH team, in 2020 I was lucky to have the opportunity to write 12 columns for @TIME & to co-author several @bmj_latest editorials. Here's my end of 2020 look back. THREAD! 1/n
In March, I was worried that access barriers would prevent many Americans from getting COVID-19 testing and care. I also feared that the lack of mandatory sick pay would lead infected people to turn up to work. 2/n

time.com/5797295/corona…
On March 17, I wrote:

"The US has a narrow window of opportunity to determine the fate of its coronavirus crisis. Will we end up looking like Italy or South Korea?"

It's a moral disgrace that Trump rejected proven science based approaches.

time.com/5804899/u-s-co…
Read 17 tweets
21 Dec 20
The Great Barrington folks & other "dissident" academics have vocal supporters. Who write to me! Some are rude. Others engage politely & meaningfully. The latter group tell me I'm wrong to suggest the dissidents influenced policy.

Let's take a quick trip down memory lane! 1/n
The Greek-American epidemiologist who 'misled' Donald Trump 3/n

ekathimerini.com/255374/article…
Read 7 tweets
21 Dec 20
A reason I get enraged by the "herd immunity from natural infection" crowd is that letting the virus rip causes death AND disability (long COVID)

A new qualitative study on long COVID by Emma Ladds/Alex Rushforth et al (@trishgreenhalgh @_2000shazza) 1/n

bmchealthservres.biomedcentral.com/track/pdf/10.1…
In this qualitative study, the researchers conducted 55 individual interviews and 8 focus groups with people with long COVID.

Their analysis revealed "a confusing illness with many, varied and often relapsing-remitting symptoms and uncertain prognosis" 2/n
What else did they find?
▶️a "heavy sense of loss and stigma"
▶️barriers to accessing care
▶️difficulty "being taken seriously & achieving a diagnosis"
▶️disjointed care
▶️varying care standards (e.g. "inconsistent criteria for seeing, investigating and referring patients") 3/n
Read 4 tweets
13 Dec 20
I want to share my thoughts, as someone who has been so alarmed by the so-called "dissident" scientists like Gupta, Heneghan, Kuldorff, Bhattacharya, & Ioannidis who consider themselves brave Galileos unfairly treated by "establishment scientists." I will try not to swear. 1/n
I want to talk about 3 things:
‼️Their fringe views are inhumane, unethical junk science that promotes harm
‼️They complain that they've been marginalized but this is simply untrue
‼️I am sick of people telling me we have to "listen to both sides." There aren't 2 sides here 2/n
These 'dissident' scientists have consistently downplayed COVID-19, urging policymakers not to take aggressive control measures. They claim it is not a serious threat. Gupta even went on TV saying people under 65 shouldn't worry about it!

RECEIPTS ⬇️3/n

Read 14 tweets

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