My thoughts about Covid in schools-
Our studies are crap. We haven't put appropriate resources into studying this. Merging "in-person school" v "remote school" across the country makes little sense since there's so much heterogeneity in what "in-person school" looks like. 🧵
A teacher in Louisiana in an area with high rates of covid & in-person school, has a class with just 2 students in it. The entire school has 37 students and 12 staff, in a building that can hold hundreds.
Should this school's data be merged with a school that's fully open?
How would merging such disparate data, and everything in-between impact our understanding of Covid in schools? What about when we compare it to the rates in children who are in virtual school?
Things often not considered that should be... Are kids in pods? Are kids doing virtual school in community centers/ churches/ other group settings? Are youth sports or other extracurricular school activities (music, etc) happening in-person. Heterogeneity exist in this group too.
What's asymptomatic testing of children in the community like? We know that children are under-tested, how can we say something is safe if we are NOT TESTING children at the same rate as the rest of the population. We can't embrace the "don't ask (test) don't tell" apprach here.
The US has not adequately funding research on this topic so that we can have good data to support policy decisions on this front. Makes me wonder if we really want to have a scientifically sound answer.
Without typing the virus, near complete contact tracing, and routine testing, we won't have the data you all are hoping for.
Until then, we must rely on what we know on where the virus spreads best, and admit that schools have many of those qualities.
Here's places that are looking at the virus spreading and closing schools. We should follow suit. And yes, it is nearly impossible to be a parent and have children in virtual school. I get the stress. Let's work to decrease community spread so we can get back to school.
Sorry about the typos, it's after midnight where I am. You don't have to spell correctly or match word tenses after midnight. Isn't that a rule somewhere? 😆

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More from @Theresa_Chapple

17 Jan
My daughters have been begging to go to the pool. The hotel I'm at is at 3% capacity this week, but the indoor pool has been too crowded for my comfort.
But then I remembered this phenomenon that happens when Black people join white spaces, white people tend to leave.
Don't believe me, Google "white flight". White people will sell their homes and move, if too many Blacks move to their neighborhoods. The same thing happens when we get in the pool. Every time. My entire life. White people tend to leave, and we get the entire pool to ourselves.
I decided to test it this time. When White people leaving would no longer be offensive, but the safest thing to happen during a pandemic.
And yup, within 7 minutes, we went from sharing a pool with 12 other families, to down to 2 families.
Read 4 tweets
4 Jan
There's good reason to pushback hard against delaying the second dose of the vaccine like we did when people suggested skipping phase 3 trials.

1- we promised a scheduled second dose to the millions already vaccinated

2- there's millions of dosages awaiting distribution
we haven't figured out how to maximize distribution to the current priority group, not a great idea to increase the number of people were trying to vaccinate without a good plan to get it to them.
3. Science.
We didn't test this method in any trial, we shouldn't push an untested model. Just like we were right to pushback on skipping phase 3 trials.
Correctly doing science matters.
Read 4 tweets
4 Jan
"Nearly 950 new cases of COVID-19 were reported in the past week among students and staff in Massachusetts schools.
Districts announced 552 of the new cases were diagnosed in students, while the other 397 cases of the virus were among staff members. Dec. 17 through Dec. 23...
The 949 cases is a slight decrease from last week's 1,009 -- which set a record as the most coronavirus cases announced in a single week since students returned to class in the fall. The state estimates there are about 450,000 students and 75,000 staff in-person learning"
Read 4 tweets
2 Jan
right before reading Dr. Coleman's story about her Black Husband not recieving the standard of care after an horrific car accident, I was listening to Drs @CamaraJones and @doccrearperry discuss Dr. Moore's death. Bottom line- Black people aren't valued.…
Dr. Coleman's story made me think about the White and Asian people in my family, and how being Black adjacent, they still live in a different world than the rest of us. Once, my daughter (when 5) took a pair of sunglasses from the dollar store. My husband and I noticed ...
We were in the car outside of the store. Our first time dealing with this, so we did what we always do when faced with new parenting challenges, posed the question to our family group text. 'Should we take the glasses back? Go pay for them? Have her apologize?"
Read 6 tweets
15 Dec 20
As you're contemplating getting the vaccine or not, there's 3 important people I'd like you to learn more about. 🧵
1. The first person to introduce vaccines to the United States was a West African born, American enslaved man name Onesimus. He introduced a West Africa custom where you introduce a little bit of the virus to your body to help your body learn to fight off the virus...
At the time, people in Boston were dying left and right from smallpox. He saved lives by teaching those around him about inoculations. This is the basis of modern day vaccines.
Read 10 tweets
13 Dec 20
I'm glad to see so many people come out against the WSJ opinion piece.
Tough question- are we willing to throw this same level of support behind nurses that want to use their title in their workplaces?
I firmly believe we can educate the public on all types doctoral degrees.
I know this is a touchy subject for some. I just want to thank you all for engaging in this tweet respectfully.
If at any point you feel triggered by this thread, please choose to mute it instead of responding in a harmful manner.
Best- Dr. Chapple
My doctorate is not in nursing. I'm a perinatal epidemiologist. 1 aspect of my work is teaching medical providers about shared decision making (SDM) as a way to address implicit & explicit bias in care. SDM focuses on explaining care options in a way allowing for informed consent
Read 7 tweets

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