"In the United States, most coronavirus infections are never confirmed by testing, and most positive tests are never traced to a probable source."
I've led CT efforts for years. What's different this time is as @jfeldman_epi
says, often times potential sources of infection are just too many to come to a conclusion.
"..countries that have invested more resources into disease surveillance cannot keep up when infection...
is widespread, as there are too many potential sources of infection."
But do we really want to know where disease spreads?

"Perhaps most importantly, properly investigating the question of where the coronavirus spreads also requires those in power to want to know the answer."
If we really wanted to know, then would we be obligated to do something about it? is it easier, as @jfeldman_epi points out, to just blame individuals for a global pandemic?  
“Many of our clusters have been the result of informal gatherings.” has been the talking points of many
“Work, in many cases, is not where spread develops because people at work are relying on and abiding by the rules and the guidance.”
hmmm, ever question the convenience of this line of thought. Or why some states make it illegal to sue employers for spread at work?
Maybe it's time to uplift the voices of scientists willing to call for public policies to address public health emergencies.
"American scientists have ignored the issue of economic interventions altogether & have instead echoed the messages of state and local leaders...
urging individuals to change their behavior by wearing masks, avoiding social gatherings, & receiving the vaccine when available. Rather than trying to shape the contours of the pandemic response, scientists largely content themselves with the well-worn fantasy...
that they operate within a narrow and predetermined range of political possibility."

I know for sure that everytime I talk or tweet about a paid nearly complete shutdown, people try to shut me down.

"In the end, however, the reason ... have allowed the coronavirus to spread nearly unabated comes down to the question of who is harmed and who has power. "
This will always be the reason we don't stop preventable harm in the US.
Thanks @jfeldman_epi for such a thoughtful peice

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More from @Theresa_Chapple

5 Feb
#BlackHistoryMonth Today's value- "C" is for creative. This was hard to narrow down, so I selected two people to discuss with my family.
1- Issachah James Savage @SavageTenorJI. I read a quote about him once that said "His name is Savage. His sound is sophisticated."
Philly born opera singer, Issachah possesses an expansive, take-notice tenor that has propelled him to the front of orchestras such the Los Angeles Philharmonic and on stages such as Houston Grand Opera and the Metropolitan Opera.
It's a voice both refined and deep in its range, in that rare category known as a heldentenor, and he is using it to crush Verdi and Wagner roles here and abroad.

He's won: The Seattle International Wagner Competition in 2014
The 2012 Marcello Giordani International Competition
Read 8 tweets
4 Feb
#BlackHistoryMonth - today's value is bold.
I talked with my girls about the boldness necessary to be "Unbought and Unbossed", Shirley Chisholm's slogan when she became the first woman and first Black woman to run for nomination of a major party as its candidate for President.
Shirley Chisholm was born in 1924 and died in 2005. She was relentless in breaking political barriers with respect to both race and gender. In 1968, Chisholm became the first black woman elected to the U.S. Congress, representing New York’s 12th for 7 terms from 1969 to 1983.
As both a New York state legislator and a congresswoman, Chisholm championed the rights of the least of us, fighting for improved education; health and social services, including unemployment benefits for domestic workers;
Read 9 tweets
3 Feb
I often talk about what I learned by asking a group of Black parents what they like about #virtualSchool. 1 thing parents said was that they get a first hand seat to what their children learn and hear. Therefore, if microagressions occur, they can address immediately.
New 🧵
One thing Black folks know about #BlackHistoryMonth is that some schools somewhere are going to get it wrong, really wrong. And often we don't know if it's our kid's school until they come home and tell us about the cruelty that endured at school.
Well thanks to virtual learning, parents in one 5th grade class got to experience it alongside their child.
Here's the lesson from curriculum.
Looks harmless enough. But now, let's add a little microagressions to it. Image
Read 4 tweets
2 Feb
#BlackHistoryMonth - today's value is adventure.
I talked to my children about some of our best adventures, then I introduced them to Guion Stewart Blufort Jr, born Nov 22, 1942 (in Philly Woot Woot!). He's the first African-American man in space.
Bluford was 1 of 35 individuals selected in 1978 from 10,000 applicants in NASA’s first competition to become space shuttle astronauts. 8/30/1983, he rode into Earth orbit on the shuttle orbiter Challenger on the STS-8 mission. The crew deployed an Indian communication satellite.
The shuttle returned to Earth on September 5. Bluford’s next mission, 10/30/1985 carried a scientific laboratory in the ship's cargo bay. Dr. Bluford & 5 other astronauts performed more than 70 experiments in Spacelab.
Read 5 tweets
29 Jan
This study is important, and could possibly shed some additional light on why some studies haven't found #COVID19 spread in #Schools at higher levels.
Could the flaw be in our contact tracing methods and subsequently under testing? Let's explore. 🧵
This study, like others I've elevated, found that #SARSCoV2 was spreading in contacts less than 15 minutes, and while eating (and other unmasked), less than 5 minutes.
If we keep defining close contact as 15 minutes, we're excluding those who has shorter contacts, especially during unmasked activities, like school breakfast and lunch. Those students & teachers/staff aren't being informed that they may have been exposed, not quarantined...
Read 6 tweets
28 Jan
Will this CDC table get similar press as the Wisconsin study?
For some reason I can't share the link, but you should be able to find the report by googling the title.
FYI- I'm still reading and assessing this report. Found the table to be very interesting so I shared. I'll provide more insight as I read and process.
Read 4 tweets

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