Thread by @MonicaGandhi9

I know I have a mixed twitter following which earns me ire, but the reason I was so impressed by the @CDCgov guidance on schools last Friday and the follow-up @CAPublicHealth statement was how in-person learning with mitigation was stressed so much because so important for kids

@CAPublicHealth opted for universal masking in schools in order to forgo distancing so that children could get back to school. I saw @sfchronicle editorial board saying this am that they did an "about face" on this but they did not, actually. @CAPublicHealth (@TAragonMD)

said they would clarify their messaging so doesn't fall on districts to interpret and enforce, which they will. With delta, mitigation indicated at first, they chose masks will clarify for districts a likely metric-based approach of when mitigations ease
nytimes.com/2021/06/08/opi…

In terms of cases, there are 2 things to do right now which is to 1) either not test asymptomatic after vax (CDC rec) or please consider CT value so you decide whether that is a "vaccine success" - dead or low virus in nose as you kill it; 2) please follow hospitalizations as

cases become uncoupled (not entirely delinked; we aren't there yet; but becoming so) from severe disease in countries with high vax rates. Cases do not lead to hospital capacity strain like before vax. 5 patients in our hospital in SF with COVID, all unvax'd. Must encourage vax

Having "off ramps" for mitigation measures provides security for 1) those who want their children back in normal school; 2) parents nervous to return children to school with media coverage of delta. Compromise? Metric-based approaches to peel off mitigations in our @NYT piece

Please remember everyone's individual risk tolerance different; most important thing I believe the @CDCgov and CADPH agree on is in-person learning for school so masks will aid that & then off ramps for mitigation by metrics will help those who are frustrated. Kids need kids