2/ The CDC has yet to follow the science and fully recognize that SARS-CoV-2 is an airborne virus.
The CDC has yet to recommend appropriate protections to limit the spread of SARS-CoV-2 in high-risk workplaces.
Note that airborne DOES NOT EQUAL freak out.

3/ Airborne means we focus on preventing spread through the air. This means that masks and ventilation are crucial in preventing the spread of COVID.

Read 10 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

24 Feb

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.”

Read 4 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

24 Feb

@alexismadrigal

1/ When will the pandemic be over? I talked to @alexismadrigal about it.

https://twitter.com/alexismadrigal/status/1364370411551531012

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

Céline Gounder, MD, ScM, FIDSA

@celinegounder

17 Feb

@ZekeEmanuel

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

Céline Gounder, MD, ScM, FIDSA

@celinegounder

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

Céline Gounder, MD, ScM, FIDSA

@celinegounder

7 Feb

https://twitter.com/CitizenCohn/status/1358075667573862401

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.

https://twitter.com/CitizenCohn/status/1358075667573862401

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

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