Thread by @RanuDhillon

We've never meaningfully addressed spread in high-risk workplaces despite this likely being a major driver of the pandemic

In communities like mine, workplace spread seeded transmission in crowded multi-gen homes with at-risk elderly & others working in similar settings

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https://twitter.com/celinegounder/status/1367138404551585799

Most of our 'standard' strategies -- cloth masks, "stay-at-home", distance -- do nothing to address this cycle of transmission

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In my community, anecdotally, hospitalizations from this cycle of spread has only declined with rising vaccinations

It should never take waiting for a vaccine - & allowing thousands to suffer & die in the interim - to stop one of the main drivers of this pandemic

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We've needed
- #bettermasks (hbr.org/2020/10/essent…)
- better ventilation (see @j_g_allen)
- paid sick leave with job security
- better financial stimulus so those at high-risk of severe Covid could choose not to work (like those well-off can do)
- serial #rapidtesting

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This isn't a technical failure or a moral lapse. It is the inevitable outcome of systems premised on inequity where decisions slant in favor of those with $/power

If those with $/power worked in these settings, do you think we would still not have any of these measures?

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If we want to control epidemics going forward, it's not just about tactics & technology but also addressing the structural underpinnings of transmission

It shouldn't take a trickle-down vaccine a year later to protect those at greatest risk

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