@TracyBethHoeg in Congress today speaking up for our kids. Her statement has everything you need to know about COVID and kids, all in one place. The "abundance of caution" approach did an abundance of harm. We can learn and do better. docs.house.gov/meetings/IF/IF… 🧵
"Recent data from Public Health England (PHE, 2021) also found that unvaccinated children have a decreased risk of hospitalization when compared with fully vaccinated 40–49 year-olds (3.4/100,000 vs 3.6/100,000 during this 2-week study period)"
"COVID-19 should also be put in the context of other risks. COVID-19 has a lower annual mortality risk to children than motor vehicle accidents, influenza (by this estimate) and, perhaps most importantly for the 5-14 year olds, suicide (Leonhardt, 2021)."
"Given the risks above and the access to all adults of highly-effective vaccinations against hospitalization for and death from COVID, we should agree to start focus on minimizing the collateral damage from prolonged school and sports closures... on normal life for our youth."
"A recent study published by the CDC (Lange, 2021) found "Of 432,302 persons aged 2–19 years […] the monthly rate of increase in BMI nearly doubled during the COVID-19 pandemic compared with a pre-pandemic period." This appeared to most severely impact the 3-11-year age group."
"Data published by the CDC (Leeb, 2020) found that, from April to October of 2020, Emergency Room visits for mental-health related visits for children aged 5-11 and 12-17 years increased approximately 24% and 31%, respectively."
"Below are Data from Children’s Hospital Oakland courtesy of Jeanne Noble, MD, which show a similar trend in increasing amounts of children needing emergency care for mental health reasons."
"A McKinsey Report found minority children to be falling further behind, but all children are experiencing learning loss during the pandemic compared with prior gains (Dorn, 2020)."
"We need to keep this in mind in our quarantine policies and ensure that quarantining students actually has enough effect to rationalize further exacerbating learning loss, not to mention the mental and physical health issues discussed above."
"We should all share the goal of minimizing overall harm to children. In this we should look at the overall risk to children in context as the UK, and Northern Europe have done..."
"...keeping schools open unless absolutely needing to close them, implementing test-to stay programs for children who are exposed at school and looking at metrics for removing masks, distancing and other school restrictions."
"There have been a number of American studies documenting low rates of COVID-19 transmission in schools... All saw that less than 5% of COVID cases in schools came from within the school, while over 95% of the time kids were infected in the community or at home"
"The downsides of continued quarantines include more learning losses, more time out of sports, recess and physical education, isolation and disruption of relationships."
"Coming together to do the best thing for our nation’s children should involve an honest and apolitical look at the science including both the risks to children from COVID-19 as well as the risks from our disease mitigation."
• • •
Missing some Tweet in this thread? You can try to
force a refresh
Great new guidance from Children's Hospital of Philadelphia's Policy lab. "Our recommendations encourage a less stringent approach to school-based COVID-19 mitigation..." policylab.chop.edu/sites/default/…
Isolation protocol for COVID cases: when you're sick, stay home. No pre-specified number of days or need for a negative test to return. "Individuals should remain home until fever-free for at least 24 hours, and until symptoms are improving."
End contact quarantines. "Schools and early childhood programs in regions in which quarantine is no longer required by health departments should allow exposed individuals to remain in school and to participate in activities."
The science doesn't support LA mandate. Here we show why. LA isn't actually in the CDC "High" tier + high-quality data shows mask mandates are ineffective. Using data everyone knows are inaccurate to justify a useless mandate is terrible public health.🧵 dailynews.com/2022/07/22/bri…
Co-authored with @drklausner, former CDC medical officer and USC Professor of Public Health, LA physician @houmanhemmati, and Neeraj Sood, professor of health policy at Price School of Public Policy and Director of COVID Initiative at Schaeffer Center
Mandate is based on hospitalization numbers that everyone agrees are inaccurate. LA Public Health's own data say that COVID is actually the cause of hospitalization in only 40% of cases. Irrelevant bystander in 60%. But even that's an overestimate. publichealth.lacounty.gov/media/coronavi…
This article is a litany of totally-not-okay reasons to recommend additional boosters. Topping the list is
"because we have vaccines we want to sell before they go bad." 1/ washingtonpost.com/health/2022/07…
Totally-not-okay reason #2: someone has a "leaning."
Totally-not-okay reason #3: Some experts are "worried" and "concerned" that a new strain "might" be "a little worse."
New data updates today in the #UrgencyOfNormal toolkit! I'll go into detail here on the updates to (1) better quantify how vaccines address COVID risk for older adults, and (2) delve into what vaccination rates in children really mean (and don't mean). 🧵urgencyofnormal.com
The slide on vaccine protection for those >65 yrs now shows absolute risk levels, rather than just % vaccine efficacy, and compares COVID risk levels to the flu for this age group.
From CDC data, peak flu hospitalization rates in the >65 year old age group range from ~10-50 per 100k per week. The six most recent pre-pandemic years are shown here. gis.cdc.gov/GRASP/Fluview/…
CDC reports another study that fails to control for vaccination rate differences between mask-wearers (higher vax rate) and non-mask wearers (lower). Vaccines were highly protective vs infection (pre-Omicron), so of course the mask group has lower rates. The vaccines work.🧵
Using proper control groups is critical, and the most basic principle of good study design. If you don't control for obvious confounding variables (vaccination rate) that will impact the result, you can't assign the effect to the variable you're testing (masks).
Like many other studies, this one lacks a well-matched control group and instead "adjusts" the raw data after the fact, for multiple uncontrolled variables, to generate the numbers reported as the take-home message. These adjustments inject researcher assumptions into the data
Kids desperately need normal life back. To support everyone trying to understand the overall best for them right now, we've created this Advocacy Toolkit. It boils down the data on vaccines, Omicron, and mental health to advocate for kids as whole people. urgencyofnormal.com
The toolkit is an independent collaboration of diverse voices from the medical community. Its origins came from partnering with our own children's schools to help them make sense of the data and make wise choices.
Although there are many articles written about COVID, there wasn't one simple place that integrates and balances all the critical data needed for parents, students, teachers, and mentors to make the decisions they're facing right now. This toolkit was created to meet that need.