🧵I’ve written before about the undercurrent of misogyny I perceive in the public debate about in-person K-12 schooling in the US...1/
🧵I’ve stopped much writing about #SARSCoV2 & K-12: I think weight of evidence is strong that K-12 (esp for younger ages) can be operated w very low levels of in-school #SARSCoV2 transmission when precautions in place (new variants may change this) dontforgetthebubbles.com/evidence-summa… ...2/
🧵...and I’ve stopped writing about it because the debate seems polarized and hardened (although there’s a LOT of policy movement rn nationally...we’ll see how that all plays out). I just don’t have much to add that I think will change anyone’s mind 3/
🧵 The most compelling K-12 debates I see now are not about epidemiology (my expertise) but issues like infrastructure, student equity, workers’ rights, adequate staffing, in-person public education as a social good, political trust, accommodations, out-of-school behaviors...4/
🧵But there’s one big issue that is glaringly missing from consideration: the well-being of women and the value of our time and ambitions... 5/
🧵I see this disregard for women’s well-being as a common thread binding the political left and right 6/
🧵On the left, it’s exemplified by a mocking attitude towards middle-class & higher income women like me who *could* have my kids at home without risking extreme economic hardship (“Just admit you don’t want to take care of yr kids”)...7/
🧵On the right, it’s exemplified by a vilification of and disrespect for the overwhelmingly female K-12 workforce (I won’t even quote nasty things said about teachers. It’s too gross) 8/
🧵I was talking to a neighbor this wkend who’s a former teacher. Our own district was in a raging debate about a proposal to move from fully remote to hybrid in-person teaching for younger kids starting in April ‘21... 9/
🧵 I complained to my neighbor that I know I’m not getting a good sense of teacher concerns (it’s hard for teachers, esp in a state like mine that’s *very* hostile to unions, to speak openly and candidly about their priorities). I asked my neighbor what she’s hearing...10/
🧵She said there’s some concern re: #SARSCoV2 infection but also a big concern about the huge disruption and potential cluster%*#^ of the logistical shift of re-opening so late in the school year...11/
🧵Personally and professionally, it’s a huge disruption at a time when teachers are already stretched thin. They not only have to adapt their curriculum & teaching *again* but many will scramble to find their own childcare (alread in high-demand and $$$ before the pandemic) 12/
🧵 I found this perspective pretty compelling, but I get why it’s not at the center of discussion. It’s easier to focus on the well-being of kids and life-and-death risks for teachers & their families bc these feel like concerns that the public will take seriously...13/
🧵 On the hand, saying, “yes, I want in-person schooling bc I don’t want my child with me all the time for 1-2 years. I want to be able to focus on my job and career, or I just want some time alone” is framed as being selfish and careless...14/
🧵Similarly a K-12 teacher saying, “I don’t want to go back into the physical classroom now because it’s going to be a hardship to my own family and professionally disruptive to my teaching and also potentially a chaotic cluster!” — also not greeted w much sympathy... 15/
🧵This disregard for women’s well-being isn’t just a #COVID19 or K-12 issue. I study gynecologic issues like fibroids, endometriosis, pelvic pain, AUB...16/
🧵These conditions won’t kill you outright, but, when they are bad, they can make you miserable: limit your ability to work, dramatically limit your social life & sex life, & all the impairments that come w chronic pain, pressure, uncontrollable bleeding...jech.bmj.com/content/early/…
🧵 As I’ve noted before, this area is vastly underfunded relative to its prevalence and population impacts. I think that’s bc of a devaluing of the well-being and ambitions of women as its own end 18/
🧵A recent @nytimes article described the experience of many mothers in the US right now as “betrayal.” That strongly resonates with me 19/
🧵 There are layers & layers of betrayal in the US #COVID19 response...stacked on the pile is assumption that women will keep holding society together amidst all this loss & grief wo a commitment in return to honor our well-being & find solutions for our biggest challenges 20/20
🧵*continued from tweet 2/20: a few other epidemiologists I respect disagree with my interpretation of the data. #causalinference is complex, & reasonable people can have different thresholds of & interpretations of evidence

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More from @WhitneyEpi

6 Feb
1/ Another great episode of @ShinyEpiPeople! (Last week’s with @DebJakubowski was also fabulous - so 👏🏾many 👏🏾gems!👏🏾). Two ideas struck me from this @BillMiller_Epi interview:
2/ #1 Creating inclusive work cultures. @BillMiller_Epi talked about his #ADHD & how worn out he can feel after mtgs, how he sometimes has to move & situate his body in certain ways to focus, how he has to set time limits on mtgs...
3/ This is all the more relevant in our Zoom culture where mtgs can be stacked back-to-back without a worker ever getting up from a chair or being kicked out of a conference room. Being mindful of mtg length, flexibility w having cameras off, taking mtgs outdoors helps everyone
Read 9 tweets
6 Feb
@rwidome Popping in real quick with my gut opinion: what goes up must come down”. The pattern is US is, when things spin out of control to a certain threshold, governments, workplaces and individuals alter behavior...
@rwidome It can be hard too see nationally because many of the outbreaks are local...
@rwidome But, over and over again, the big spikes in cases, hospitalizations, and deaths are followed by steep drops in Rt (transmission rates) as people and institutions get the message that, Oh, this is bad!
Read 16 tweets
27 Jan
🧵Stepping out of my #epitwitter lane to do some armchair health policy

The #1 easy thing Biden admin should do to reduce February’s #COVID19 deaths is dissolve botched nursing home vaccination contract w CVS & Walgreens in states like MS & let states give #LTC vax directly
2/ this article shows where things in MS stood a few weeks ago, and the problem still hasn’t been fixed. Many nursing home residents and staff still waiting on *FIRST* shots!
3/ In comparison, West Virginia, another largely rural state, didn’t enter into the federal-private program with CVS & Walgreens - and its DONE vaccinating in nursing homes. BOTH SHOTS DONE! Over a week ago! And it shows in their overall #COVID19 vax rates
Read 7 tweets
26 Jan
1/ This is an extremely good write up of a #COVID19 outbreak investigation linked to a wrestling tournament in December
2/ I like that’s it’s specific about what the community transmission rates and testing were in the county where this occurred; conflicts btw different advisory groups re: contact sports & when/how they should take place...
3/ case studies are great illustrations of conditions that mark superspreader events. This Georgia camp example remains my favorite bc they did basically everything you’d do if you wanted to spread #SARSCoV2 as fast as possible among a bunch of kids 🤦🏾‍♀️ cdc.gov/mmwr/volumes/6…
Read 5 tweets
21 Jan
@Justfirenews Not quite. I’m arguing that they did the best that they legally could when constrained by bad policy. These are hard ethical calls. Do you continue working for an org that you think is heading in the wrong direction, or do you try to do your best from inside?
@Justfirenews I think about this a lot. For instance, my university brought back uni students for in-person learning last fall w no surveillance testing or modified housing. I thought that was a reckless decision. But I didn’t quit my job...
@Justfirenews Partially bc the balance of the work my colleagues were doing locally, nationally, & globally was so important and I could support that in a small way. Also income and longterm professional goals that I think will help public health beyond covid.
Read 19 tweets
21 Jan
A friend works for @HHSGov (agency that houses @CDCgov, #NIH , etc): they got an email from new HHS leadership within minutes after inauguration and CDC all-hands meeting scheduled ASAP.

This is a big deal. This makes me feel hopeful.

#HitTheGroundRunning
#LetsDoThis
2/ I realized yesterday that the public genuinely don’t realize how badly the Trump administration has botched the #COVID19 response. Here’s an example re: their vaccine distribution planning cnn.com/2021/01/21/pol…
3/ I’ve seen lots of pundits criticize public health people & our response to #COVID19. And I thought it was partially trolling/partially willful ignorance...
Read 11 tweets

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