This #Delta surge shows me the cost of our siloed education system. The ID doctors and immunologists pushed the narrative that it was fine to discard the masks if you were vaccinated and encouraged full opening. They didn't see this through the lens of the sociologists, 1/n
who were looking closely at what 80% vaccination rate meant and who was counted and who was *not counted.* The way our society and economy are structured in the US is dependent on an invisible, undocumented workforce who bore the brunt of the pandemic in places like CA, 2/n
means that those rates are fuzzy. Undocumented folks make a life out of being uncounted, because their survival and keeping their families intact depend upon it.

While the work of @MargotKushel and @DrKim in the Bay has been exemplary, reaching into these and other 3/n
communities where the virus has spread, the work of keeping everyone safe cannot be relegated to a few doctors or projects.

It must be systemic. This includes dismantling those systems of terror that leave undocumented folks afraid to engage healthcare. 4/n
Yes, in an ideal world 80% vaccinated would mean 80%. But people also travel here from places where they don’t like to mask and don’t care to get vaccinated. There are so many patterns in human behavior that make the better part of care the act of simply staying masked and 5/n
distanced until we see the most vulnerable people safe.

Let’s start creating that culture of care now. We failed the first attempts, leaving 8000 unhoused people outside with toxic air and a pandemic. This virus and climate change will keep coming until we get it right. #MaskUp

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More from @DrRupaMarya

13 Mar 20
A List of Personal Things You Can Do to Stay Well in a Time of CoVID19:

+ Get solid sleep each night (7-8 hours)
+ Gargle warm salt water twice a day. It makes the mucosa at the back of your mouth less hospitable to viral visitors
+ Drink at least 8 glasses of water a day 1/n
+ If you have a humidifier use it properly (clean every day). Viruses have a harder time when ambient air has 40% humidity.
+ Easy on the dehydrating things like too much coffee
+ Make foods with immune boosters—garlic, ginger, turmeric, parsley, thyme, sage, bone broth 2/n
+ Elderberry syrup
+ Increase the ZINC in your diet: chickpeas, almonds, cashews, lentils, chia seeds, pumpkin seeds, oatmeal
+ Eliminate all booze (it depresses the immune system)
+ Don’t smoke (it comprises your respiratory system’s defenses) 3/n
Read 6 tweets
17 Feb 20
This past year I was taking care of a woman who was poor and white from Alabama. She was in and out of the ICU with a mysterious illness that 100 doctors at UCSF could not figure out. When her young son showed up with white supremacist tattoos around his eyes, 1/n
I sat with them both and asked about their lives in Alabama. This woman had grown up eating catfish from a river that is one of the most polluted in our country, in an area where one of the most treacherous legs of the Trail of Tears originated.She was exposed to mercury, 2/n
chlorine and PFAS in the groundwater she drank from her family's well. After spending an hour listening to them describe their reality, the son came out of the hospital room with tears in his eyes. He reached to hug me and I held him as he cried, 3/n
Read 13 tweets

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