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Carolyn Cannuscio, ScD

1 Sep, 11 tweets, 6 min read

@projectN95

Are you a stressed parent, agonizing abt return to #school?

Take action!
-Write to admin, ask if every classroom, hallway, bath, common area has 5-6 air changes/hr.
-Advocate for added HEPA purifiers everywhere
-Ask what masks are required/recommended for staff. See @projectN95

-Demand outdoor options. Help find space, resources to support.
-Call loudly for the SMALLEST NUMBER OF PEOPLE (small classes) in STATIC, NON-MIXING COHORTS.
-Need remote option to meet your family's health/safety/learning needs? CALL FOR EQUITY IN PANDEMIC LEARNING NOW.

@CIDRAP

COVID hits Black+Brown communities harder, incl Black+Brown kids. Fighting for safer schools means ADDRESSING HEALTH EQUITY. Ask, what is your district doing to offer extra supports + protection for those most vulnerable to COVID? 1 ex of many 👇
cidrap.umn.edu/news-perspecti…

@CIDRAP

-Ask what proportion of eligible people are vaxxed. Call for mandates. Help organize an on-site vaxx clinic.
-Call for routine testing of unvaxxed and vaxxed people! See LA for how it's done. (Vaxxed ppl can get infected and transmit!)

washingtonpost.com/education/2021…

@linseymarr

-stock up on comfortable, snug fit, high filtration masks for your family. See @linseymarr tweets for recommendations. Tips 👇

npr.org/sections/healt…

@GovernorTomWolf

-thank you to @GovernorTomWolf for calling for masks for everyone in schools and learning centers! Put pressure on your elected officials and school boards. Pro prevention folks are the quiet MAJORITY. BE VISIBLE, GET ORGANIZED, BE LOUDER!

governor.pa.gov/newsroom/wolf-…

@mlipsitch

-Talk w your community abt delta variant and implications for schools! Need pointers? See this webcast from @mlipsitch, which covers what you need to know.

++ TRANSMISSIBLE
-peds hospitals are filling fast across country
-mask up/vaxx up
-#COVIDisAirborne
hsph.harvard.edu/event/the-coro…

-reduce out of school exposures to keep kids/teachers/staff safer!

This is a community project; don't dump it all on school admin! Rein it in again people! No freewheeling in the #Delta era.
-Philly rates have reached the peak levels from spring 2020, when we were all home!

Whew this PA figure! Rates across the state are HIGHER than they were at peak spring 2020.

In other words, slow down, stay home! Sending kids to school in a fire? Put out the damn fire!!!

nytimes.com/interactive/20…

So, I'm with you. I'm sleepless, stressed, and fighting for your kids and ours!

There is a lot we can do and must do. Take heart, do not give up!

My next thread will include suggestions for managing your stress and anxiety while pandemic parenting. This. Is. Not. For. Wimps. 💜

Action today.

Love always,

to all of you.

Even if you disagree with me.

None of this is easy.

(Extra love to the #teachers out there.)

#schools #schoolsreopening #Delta #epitwitter #publichealth

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More from @CarolynCannu

Carolyn Cannuscio, ScD

@CarolynCannu

2 Sep

I stand humbled by the courage of women sharing their reproductive justice stories.

As an adoptive mom, I

1) love these children fiercely
2) recognize that adoption itself cannot cure hideously destructive social policies
3) at the core of adoption is family separation trauma.

Also: I became an adoptive mom for the second time without any advance planning.

It was life-changing in the best ways possible, beyond my imaginings.

It was also an incredible jolt to my life plan, even w loving supports and plenty of resources.

To force people to parent

Is unfathomable to me.

It's not good for parents. Not good for children. (So obvious, no?!!!)

And adoption is not the perfect-easy-everything-better solution people want it to be.

It's the best thing that ever happened to us. Maybe one of hardest things for a child. 😔

Read 4 tweets

Carolyn Cannuscio, ScD

@CarolynCannu

31 Aug

@HarvardChanSPH

Listening now to @HarvardChanSPH Dr @mlipsitch on Delta and children.

Studying ped vaccines is important and we have to get it right. Time doing that is "time well spent."

Myocarditis is being investigated and Dr @mlipsitch agrees w this careful approach.

@mlipsitch

(fwiw I agree too. We would pay for decades if we were not careful in investigating ped safety.)

Importantly Dr @mlipsitch states that every vaxxed adult will help protect children. Good to hear, given what we are learning abt vaxxed ppl being infected and likely transmitting.

Do you think delta will make it difficult to keep kids in schools?

Yes, bc it's more easily transmitted.

Ventilation, masking, vaxx for eligibles will be key to minimizing disruption.

Still true for delta.

Emphasize counter measures like outdoor learning!

Read 8 tweets

Carolyn Cannuscio, ScD

@CarolynCannu

31 Aug

@mlipsitch

@mlipsitch: this has been a pandemic mostly affecting adults. Even w #delta children have lower risk of severe disease.

Ave child infected will not have a severe outcome.

But lots more ppl are being infected. Most mild, a proportion serious; more cases=more seriously ill kids

Every reason to believe #delta is more infectious to/from children.

In all ages delta more transmissible.

More capable of causing disease in ppl who were vaxxed, if their immunity has waned. (Good that eligible kids were more recently vaxxed, less likely immunity has waned.)

@mlipsitch

Delta cases may be 2x as likely as alpha cases to result in hospitalization.

Important if true. Unknown if it's true in children. Reasonable to believe that this may be somewhat more severe in children, tho that's on top of a low baseline.

Dr @mlipsitch

Read 5 tweets

Carolyn Cannuscio, ScD

@CarolynCannu

1 Jan

In the coming days, you may learn of holiday exposures to friends/loved ones w COVID. What should you do? Quarantine for 14 days is best.

1. Quarantine works to break chains of transmission. By taking yourself out of circulation, you'll be less likely to "pass it on."

2. Quarantine only works if ppl can adhere. There are so many roadblocks!

Some are behavioral/psychological, like optimism bias. i.e., "I feel fine! I'm sure I'll be fine! I'll just keep working"

Some are structural. i.e., "I have rent to pay. I have no choice but to work."

[We all have to advocate for worker protections/policies that ALLOW ppl to stay home when exposed. Fragile policies allow for viral transmission.]

3. For the duration of the pandemic, public health professionals have recommended 14 days of quarantine. Why? After an exposure...

Read 16 tweets

Carolyn Cannuscio, ScD

@CarolynCannu

18 Jun 20

You don't have to cough/sneeze to create droplets or aerosols.

Talking is sufficient.

Take this into account while planning for school reopenings.

Inside, all day, close up?

Visualizing Speech-Generated Oral Fluid Droplets | NEJM nejm.org/doi/full/10.10…

Masks, face shields?, distance, barriers...

Cohorting...

Limiting time together...

More layers of prevention = better.

What would I most favor as a parent? Small cohorts + outdoor education. Give kids room to move, an opportunity to socialize in small, static groups...

Plus experiential learning outside.

We can try to engineer classrooms to mitigate risk, and we should.

But being outside offers ready-made advantages (space, ventilation, sunlight...the activity that has been curtailed during stay at home).

Of course this is not possible...

Read 4 tweets

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