1/ “The Great Recession of 2008 hit all sectors of local government hard, but whereas other sectors were able to bounce back, funding for public health did not recover."
-- Jennifer Kertanis, Director of Health at the Farmington Valley Health District, testifying before Congress
2/ "...average local health department expenditures per capita decreased 30%, from $80 in 2008, to $56 in 2019.”
"Local public health budget cuts show themselves most clearly in workforce reductions that have made the current pandemic response even more challenging…"
3/ "local health departments have actually lost 21% of their workforce capacity since 2008, with the number of full-time equivalent employees dropping from 5.2 per 10,000 people in 2008 to 4.1 per 10,000 people in 2019.”
4/ Watch testimony on the need to invest in public health infrastructure here: appropriations.house.gov/events/hearing…

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Céline Gounder, MD, ScM, FIDSA

Céline Gounder, MD, ScM, FIDSA Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @celinegounder

24 Feb
1/ When will the pandemic be over? I talked to @alexismadrigal about it.
2/ The emergency won't be over until most of the elderly and those with chronic medical conditions--who are at the highest risk for severe disease, hospitalization, and death--have been vaccinated.
3/ The elderly population skews whiter. It's essential that we also get people with chronic medical conditions vaccinated, too, as this will capture most of the high-risk persons of color, who've been hit so hard by this pandemic.
Read 36 tweets
17 Feb
1/ Former Biden-Harris Transition COVID-19 Advisory Board members @ZekeEmanuel @RickABright @llborio @Atul_Gawande @mtosterholm @drdavidmichaels & Jill Jim in the @nytimes today.
nytimes.com/2021/02/17/opi… We're in for a tough spring if we don't act now.
2/ We all want a break from the pandemic, but now is not the time to let up. By late March, the more transmissible B.1.1.7 UK variant will be the dominant strain in the U.S. This variant spreads more easily from person-to-person and is more virulent. justhumanproductions.org/podcasts/s1e61…
3/ What can we do?
- Every American needs to wear a high-quality mask, and wear it correctly. Snugly, over your nose & mouth. No air leak on the sides.
- Stay in your household bubble.
- Get vaccinated. usatoday.com/story/opinion/…
Read 6 tweets
17 Feb
1/ SARS-CoV-2 is spread through the air.
nytimes.com/2021/02/17/hea…
2/ A combination of administrative (e.g. screening & testing), environmental (e.g. ventilation), and personal protective equipment (e.g. masks) can control the spread of airborne infections. cdc.gov/tb/publication…
3/ Some workplaces (e.g. schools) have very low levels of risk. Some workplaces (e.g. hospitals) have especially good ventilation to reduce risk. Other workplaces (e.g. meat-packing, prisons/jails) have minimal protections in place. nytimes.com/2021/02/17/hea…
Read 7 tweets
7 Feb
1/ Should we give as many people one dose of the Pfizer and Moderna vaccines as possible? Or half as many people two doses of vaccine? It’s a data-free zone.
2/ Here’s the Pfizer COVID vaccine clinical trial data. Study participants got their 2nd dose at 21 days. We only have data on how well one dose of the Pfizer vaccine was at protecting against COVID during that 21 day / 3 week period after the first dose. nejm.org/doi/full/10.10…
3/ We don’t know how good or how long that protection would last if someone did NOT get that 2nd dose at 21 days.
Read 17 tweets
5 Feb
1/ On @CBSNews this evening with 3 of my favorite epidemiologists: @ashishkjha @mtosterholm @DrTomFrieden. The editing of my interview is a bit misleading. For clarification:
2/ The UK B.1.1.7 variant is more contagious and *may* be more virulent. If someone is infected with a more virulent strain, that means their risk of more severe disease and death is higher.
3/ The UK B.1.1.7 variant is definitely more contagious / transmissible / infections, which means that if you're exposed, you're more likely to get infected. That means more cases, which equals more disease, hospitalizations, and death.
Read 5 tweets
3 Feb
1/ “When I say ‘experts’ in air quotes, it sounds like I’m saying I don’t really trust the experts,” @NYGovCuomo said of pandemic policies. “Because I don’t.”
nytimes.com/2021/02/01/nyr…
But he does trust lobbyists, big private hospital systems, and paid consultants like Deloitte.
2/ Because we should trust consultants like Deloitte? Who charged the US government $44M to build a dysfunctional IT system to track COVID vaccination? technologyreview.com/2021/01/30/101…
3/ Why is @NYGovCuomo opening restaurants now? Monied interests. nytimes.com/interactive/20… If he really cared about people working in restaurants, he'd be focused on providing them with the economic and social supports to weather the pandemic safely. justhumanproductions.org/podcasts/ep-51…
Read 8 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!