💡Multi-layered mitigations can substantially reduce the risk of transmission within schools & into households. 🇬🇧 experts recommend set of recommendations in line with CDC & practiced in many countries to reduce the risk in schools / mitigate #COVID19. 🧵
thelancet.com/journals/lance…
2) Here is a list of the expert recommendations for safer schools so that kids can attend schools safer and keep them healthy.
3) “Arguments that schools do not contribute to community transmission & overall risk to children from COVID-19” have had major limitations. Here is why: academic.oup.com/cid/advance-ar…
4) “Both modelling and real-world data in preprint showing rising cases where the #SARSCoV #B117 variant was prevalent suggest that opening schools without robust mitigatory measures will probably lead to Rt rising above 1 in almost all scenarios”. cmmid.github.io/topics/covid19…
5) “Although COVID-19 is unlikely to cause severe disease in children, the prevalence of long COVID symptoms based on ONS Infection Survey suggest that 13% of children aged 2–10 year and 15% of those aged 12–16 years have at least one persistent symptom 5 weeks after positive.”
6) “Given uncertainty around the long-term health effects of SARS-CoV-2 infection, it would be unwise to let the virus circulate in children, with consequent risk to their families.”
7) “Reopening fully in high community transmission without appropriate safeguards risks depriving many children of education and social interaction again, worsening existing inequalities. By contributing to community transmission, it also provides fertile ground for new variants.
8) “Making schools safer goes hand in hand with reducing community transmission and is essential to allow schools to safely reopen and remain open.”

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More from @DrEricDing

13 Mar
Worrisome trend in just 4 days?

March 10 = 2,886 new cases
March 11 = 3,749
March 12 = 4,578
March 13 = 5,000

Philippines 🇵🇭 is trouble.

Somehow, it’s usually the places headed by you-know-what type of leaders with these surges these days.

#COVID19 (ht @EdsonCGuido) Image
2) Positivity is also rapidly climbing in PH.
Testing is not surging. So it’s a real increase.
3) Why is PH surging? Because the govt reopened fully prematurely. “5 months of progress obliterated in 5 weeks”.
Read 4 tweets
13 Mar
Nota bene: pretty sure we are at this chest-thumping phase arrogantly yelling “we did it” just before the next surge.

Don’t forego mitigation efforts too early. It’s not time yet. #COVID19 #MaskUp #vaccinate #ventilate Image
2) Many of us tried to warn last October before the worst surge came. And indeed it came with a vengeance. Let’s not repeat that. We are almost there.
3) To be clear - there will be a time there won’t be a surge anymore and we can relax a bit. But now is not the time yet. Still need to vaccinate much more. Still need to mask and ventilate.
Read 5 tweets
13 Mar
Oh my....

Tesla’s SF area factory recorded 450 #COVID19 cases in workers following CEO Elon Musk’s defiant reopening of the plant in May, according to county-level data obtained by a legal transparency website. Musk dared officials to arrest him. 🧵
washingtonpost.com/technology/202…
2) The document, obtained following a court ruling this year, showed Tesla received around 10 reports of #COVID19 in May when the plant reopened, and saw a steady rise in cases all the way up to 125 in December, as the disease peaked around the country.
3) The revelation follows The Washington Post’s reporting in June that there had been multiple covid-19 cases reported at Tesla’s facilities in Fremont, Calif., after Musk decided to reopen despite a countywide stay-at-home order, daring officials to arrest him.
Read 15 tweets
12 Mar
“Fake news” - 1 year ago - the same day that #COVID19 was declared a pandemic.

This is why some have argued he has committed “pandemicide” (phrase coined by @Laurie_Garrett).
3) Covidversary...

HT @MeidasTouch @MeidasNetwork
Read 6 tweets
12 Mar
Good news—Updated Novavax vaccine results.

📌96% effective against symptomatic #COVID19

📌86% for #B117 variant from UK🇬🇧

📌55% for #B1351 variant from South Africa🇿🇦 (among HIV-negative)

📌100% protection against severe disease (all populations) 🧵
ir.novavax.com/news-releases/… Image
2) “In 🇬🇧 volunteers 65 years of age and older, 10 cases of COVID-19 were observed, with 90% of those cases occurring in the placebo group.”

27% of trial were elderly. So this is very promising it works likely well in elderly.
3) To be clear, the symptomatic efficacy of 96.4% (95% CI: 73.8, 99.5) is against the original virus strain, excluding the #B117 and #B1351.

The 55% against #B1351 lower but still on par with flu vaccines in some years. Still good! We would have accepted >50% when we had none.
Read 7 tweets
12 Mar
📍Johns Hopkins study: States with Dem governors had higher incidence & #COVID19 deaths in March-May 2020.

➡️ but states with Republican governors surpassed D-led states rest of the year. After June 3, GOP-led states had higher incidence & more deaths. 🧵 nbcnews.com/politics/polit… Image
2) one reason for the change is that Democrats were in charge of states where people who had the virus first arrived in the country — but Republicans were less stringent about safeguards, which could have contributed to their states' ultimately higher incidence and death rates.
3) "The early trends could be explained by high Covid-19 cases and deaths among D-led states that are home to initial ports of entry for the virus in early 2020. However, subsequent reversal, may reflect policy differences that could have facilitated the spread of the virus."
Read 8 tweets

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