1/ We have a once-in-a-generation opportunity to fix our crumbling schools:

thehill.com/opinion/educat… me with @j_g_allen

cc:
Sen @MartinHeinrich
@SenJackReed
Rep @BobbyScott
Rep @DorisMatsui
2/ A recent @ASCETweets report on the state of our schools found:
- 53% of public schools need to update or replace building systems
- 41% report problems with their HVAC
- 1/3 use portable buildings
infrastructurereportcard.org/cat-item/schoo…
3/ Over the past year, Congress has passed multiple bills making up to $170B available for improvements in school infrastructure, including measures to improve indoor air quality.

More funding will also be available through the infrastructure and budget reconciliation bills.
4/ Yet few school districts have taken action. Why?
- They’re already under attack by parents who are opposed to other pandemic-related public health measures, like masking.
- Many school districts lack the staffing and expertise to take this on.
5/ Yet few school districts have taken action. Why?
- Infrastructure improvements take time, and school districts need to spend American Rescue Plan funding by 2024.
- Many believe that their school buildings are too old and not designed to allow for recommended upgrades.
6/ Yet few school districts have taken action. Why?
- Ventilation and air filtration, in particular, are largely invisible. Upgrading a school’s HVAC system isn’t as sexy as paying for technology upgrades, staffing and lunch for all students.
7/ How do we get schools & other public buildings to invest in ventilation and air filtration?

How do we make improvements in ventilation and air filtration "sexy"?
8/ We need federal school infrastructure strike teams to:
- help school districts assess infrastructure
- come up with plans to upgrade their buildings & HVAC systems
- solicit input from staff, parents, students & community
- contract with local vendors to get the work done
9/ We need federal school infrastructure strike teams to (continued):
- create indoor air quality, water quality & energy efficiency dashboards to improve accountability & make the invisible visible.

• • •

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More from @celinegounder

20 Oct
1/ This is what it's like to be a public health official in 2021.

Not only do you have to cope with the stress that the pandemic has created for everyone, you have to deal with this 👇🏾👇🏾👇🏾

naccho.org/uploads/downlo… Image
2/ Image
3/ Image
Read 7 tweets
19 Oct
1/ High-profile and fully vaccinated but immunocompromised:

Colin Powell’s death wrongly seized upon to undermine utility of coronavirus vaccines

washingtonpost.com/politics/powel…

Powell was 84 and had multiple myeloma, prostate cancer, and Parkinson's disease. Image
2/ 45% of people with active multiple myeloma developed an adequate response to the Pfizer or Moderna COVID vaccines in this study:
nature.com/articles/s4137…

That means that more than half of people with multiple myeloma who were vaccinated did not respond to vaccination. Image
3/ To protect people who are too young to be vaccinated, elderly & immunocompromised, it is essential that everyone around them ALSO be vaccinated & take reasonable precautions (masking, testing, etc).

People in civilized societies look out for one another.

w/@MSNBC's @nbcaaron
Read 5 tweets
18 Oct
1/ What's it like to be a public health worker?
nytimes.com/2021/10/18/us/…

"keeps a vigilant eye on her rearview mirror...She must make sure nobody finds out where she lives."

"to many in the community, the enemy was not the virus. It was her."
2/ "should be attacked 'on sight,' one resident wrote online. Someone else suggested bringing back public hangings. 'Dr. -, we are coming for you,' a man warned at a public meeting"
3/ "An angry crowd swarmed into the courthouse during a briefing on the Covid-19 response one day, looking for her, and protesters also showed up at her house"

"you’re afraid you’re going to get fired, or you’re afraid you’re going to get killed. Or both."
Read 9 tweets
16 Oct
1/ The only vaccine for which we give a single dose is the yellow fever vaccine.

We give 2, 3, or 4 doses of all other vaccines.

nytimes.com/2021/08/09/opi…

with @MSNBC's @AliVelshi in for @maddow
2/ It was a noble effort to try to develop a 1-dose COVID vaccine.

Simpler logistics.

More equitable:
Only have to address barriers (e.g. time off work, childcare, transportation) x1 instead of x2.

3/ If you got a single dose of J&J vaccine, what should you get for a second dose?

See:



Read 4 tweets
15 Oct
1/ Data from the @DeptVetAffairs VA on vaccine effectiveness to INFECTION (*not* hospitalization/death).

⬇️vaccine effectiveness vs INFECTION over time driven by the rise of the more infectious Delta variant.
2/ Vets under 50 by vaccine:
Blue = J&J
Red = Moderna
Gray = Pfizer
Black = unvaccinated
3/ Vets under 50-64 by vaccine:
Blue = J&J
Red = Moderna
Gray = Pfizer
Black = unvaccinated
Read 5 tweets
15 Oct
1/ Comparison of immune responses to Pfizer, Moderna, & J&J vaccines over 8 months post-vaxx.

Neutralizing antibodies:
- Pfizer: peaked high, then ⬇️ over time
- Moderna: peaked highest, then ⬇️ over time
- J&J: lower peak, but stable (?⬆️)over time

nejm.org/doi/full/10.10…
2/ Another look at neutralizing antibody responses for Pfizer, Moderna, and J&J vaccines over time:
3/ With all three vaccines, functional antibody responses (antibody-dependent cellular phagocytosis & antibody-dependent complement deposition) were stable over time:
Read 9 tweets

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