Thread by @UniversalMaski2

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCgov @CDCDirector @RWalensky @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @needmaskstoday @darakass @OSHA_DOL @RebeccaARainey @MollyKinder I don’t think the science on the vaccines, particularry the mRNA vaccines is inaccurate. @apoorva_nyc nails the two reasons that they changed the guidance. 🧵 (1/

https://twitter.com/apoorva_nyc/status/1393333452506796036?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @needmaskstoday @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc Relatively few people getting infected with the virus who are fully vaccinated from the mRNA vaccines is what the CDC claims the guidance is based on. This has been confirmed repeatedly by studies over the past six months. @MonicaGandhi9 @ZoeMcLaren (2/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @needmaskstoday @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 While @yaneerbaryam has suggested that this is a factor of 10 but could be higher or lower, and Dr. Gandhi has cited several studies. (3/

https://twitter.com/monicagandhi9/status/1392952114561703937?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @needmaskstoday @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam Frankly, the Texas hospital study showing fully vaccinated individuals were less than 1/50th as likely to test positive is compelling. That was published in the New England Journal of Medicine on March 23, 2021. (4/

buff.ly/31dOnf4

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam As @michaelmina_lab has repeatedly said, sensitivity is critical to determining how infectious someone is. This dates back to 2020, and is not new.

https://twitter.com/michaelmina_lab/status/1296690611685404672?s=21

(4/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam Why is this critical? Because the claim that if you test positive, you are assymotomatic, and it is not an infection ignores the incubation period as @microbeminded2 clarified. (5/

https://twitter.com/microbeminded2/status/1392975633462988800?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 We knew that superspreading was critical to the spread of COVID-19 and CT value correlates with superspreading. (6/

https://twitter.com/michaelmina_lab/status/1392350922450382852?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 This claim that CT values peak if unvaccinated around 16-18 but if vaccinated around 25 strongly supports the claim vaccinated individuals rarely transmit COVID. (7/

https://twitter.com/erinbromage/status/1392977844528197638?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 We had real concerns about variants. But as a gift from God, the science has shown variants not being able to evade the vaccine. (8/

https://twitter.com/vincentrk/status/1393196246769315840?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 So why is that? How can variants mutate in such a manner that allows them to evade the vaccine but still bind to the spike protein? (9/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 So while on a personal level, the CDC guidance makes sense, it is terrible public health advice. The likelihood of breakthrough cases depends on the rate of community spread and the ability to contact trace and isolate. (10/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 I fully agree with my tweet condemning the reckless lifting of mask mandates in early March. The CDC announcement is just as reckless. (11/

https://twitter.com/universalmaski2/status/1366930859580928004?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @WHCOVIDResponse @nynursesunited @AbraarKaran @lisa_iannattone @IMPACT4HC @traependergrast @lindsleininger @darakass @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 Frankly, I believe that until you can contact trace COVID-19 as you do for measles and ensure people are placed in the appropriate isolation or quarantine as done for measles, it is too early to declare the pandemic complete. Measles and SARS-CoV-2 are equally airborne! (12/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 The CDC did NOT consider behavioral science as @sheelaraja noted. Nor did they consider that breakthrough cases are substantially more likely as cases are high. (13/

https://twitter.com/celinegounder/status/1393289744386334723?s=20

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 @sheelaraja Florida and Montana have banned businesses from asking for vaccination status and many governors oppose vaccine passports. (14/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 @sheelaraja Since anti vaxxers are mostly anti maskers, you will see with return to normalicy without vaccine passports of indoors gatherings with large numbers of unmasked unvaccinated individuals as under 40% of Americans right now are fully vaccinated. (15/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 @sheelaraja Large meetings of unmasked unvaccinated people in indoor spaces which did not improve ventilation and filtration and discontinue 6ft physical distancing will lead to superspreading and cases rising. The Skagit choir can repeat. (16/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 @sheelaraja Will influenza surge this fall and we have a wave? I suspect that what explained the absence of influenza season last year was more the staying home if sick, wearing a mask, and physical distancing, not the large number of influenza vaccinations. (17/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 @sheelaraja All Federal Guidance is being reviewed. But why? Because lifting mask guidance is saying that the pandemic is virtually over. (18/

https://twitter.com/laurie_garrett/status/1393204332821024771?s=21

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 @sheelaraja Could an emergency temporary standard be issued? I would guess with unmasking after vaccinations, grave danger to workers vaccinated no longer exists, so I would doubt that OSHA can issue any sort of broad ETS. (19/

@berman_allen @PPEtoheros @jbarab @NyCovid @noellejt @Rose_Marie_Holt @LazarusLong13 @Don_Milton @jsolman @sri_srikrishna @shikgupta @CDC_Firstline @CDCDirector @danaparish @kprather88 @jljcolorado @meganranney @AnuAnandaraja @SherriDouville @citlanx @BarryHunt008 @akm5376 @PrasadKasibhat1 @healthyheating @covidisairborne @jmcrookston @RickABright @linseymarr @drdavidmichaels @brosseau_lisa @celinegounder @mtosterholm @chipatucsd @mdholte @Poppendieck @nynursesunited @AbraarKaran @lisa_iannattone @traependergrast @lindsleininger @OSHA_DOL @RebeccaARainey @MollyKinder @apoorva_nyc @MonicaGandhi9 @yaneerbaryam @microbeminded2 @sheelaraja So making COVID endemic appears to be a consequence of the CDC decision. That would be a disastrous choice for public health. (20/20)

@threadreaderapp Please unroll this thread. The CDC decision to encourage unmasking is, in my view, a disastrous decision.