People are asking - if not going to have an #UrgencyOfNormal now, what should we do? Mask forever? Keep kids muzzled and isolated?
No. Of course not.
Here is what makes sense (as it appears that #COVID19 isn't going anywhere....
1. Get vaccines to everyone including kids, using an #UrgencyOfEquity
2. Upgrade all school facilities so they have good ventilation and windows
3. Universal masking when high community transmission
4. Don't close schools unless major outbreaks at a particular school
5. Let kids play outside and congregate
6. Make sure schools have the flexibility for kids who cannot attend to receive high quality virtual education (e.g. immunocompromised) when it's needed (major outbreaks)
7. Provide social workers and mental health services for all
Once community transmission is lowered from people being considerate of others, getting vaccinated and making good decisions during outbreaks, masks can be removed from schools. But we can't have no masks, no vaccines, and no mitigation measures with current transmission rates.
You just can't get back to "normal" when 2000 people a day are dying and hospitals are at capacity. Endemicity has to do with rate, we are still at epidemic rates. Maybe that will change once Omicron blows through, and if it does, lets use that time to make things better for all.

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More from @Dr_ScottK

Dec 28, 2021
There are at least 5 hospitals in Maryland using “crisis protocols” and most others are on the brink. If you don’t understand what that means @FutureDocs gives one example - you could be stuck waiting in a hallway for a hospital bed for days. Here are a few more examples:
Instead of having one ICU nurse caring for you and maybe one other patient, he might be caring for 3 other patients.
And it turns out she might not even be an ICU nurse, she’s a regular med surg nurse who was pulled.
But if you aren’t in the ICU, you’re fine, right?
Well….turns out the nurses on the inpatient unit are caring for 6 patients instead of 4, and they have been pulled from non clinical roles like case management or outpatient.
But the doctors will catch problems, right?
Read 6 tweets
Nov 9, 2020
To parents of college students everywhere: Are you ready for the upcoming potential #COVID19 Super-spreader event of the year? Do you have a plan? Here is a thread🧵
Both Drs. Fauci and Birx have warned colleges to have a plan for Thanksgiving: insidehighered.com/quicktakes/202…
But given how poorly many colleges have handled the fall, I am guessing that not many will actually adhere to a rational testing/isolation plan prior to dismissal.
Here is the scenario:
1. We are 2 weeks away from millions of college students crisscrossing the country to come home.
2. Many students will be coming from communities with high incidence rates of #COVID19 - check here for community and college rates: nytimes.com/interactive/20…
Read 8 tweets
Apr 9, 2019
#Measles grand rounds this AM. Responding to an outbreak....@LBHealth #Sinai in conjunction with the Baltimore Health Department.
History: once ubiquitous and deadly disease nearly eliminated by the vaccine because #VaccinesWork but because of elimination pockets of people especially in Europe oppose vaccines.
Most US cases are imported. Most were unvaccinated- personal belief exemptions the reason.
Here is what to look for (for those of us who haven’t seen it yet):
Read 15 tweets
Dec 15, 2017
I have a message for men in medicine, academia and science (a thread) after reading 3 articles about sexual misconduct at conferences and in offices - all must reads:
1. drjengunter.wordpress.com/2017/12/14/i-w…
2. medium.com/@kristianlum/s…
3. docs.google.com/spreadsheets/d…
Here is the message: The young women you encounter at these conferences are not there for your entertainment. They are not provided as an escort service. They are not objects. #HeForShe
It turns out (shockingly) that they are there for the same reasons you are: to learn, to teach, to present their research. They are equally, if not more, qualified than you. They have overcome barriers just to get there. #HeForShe
Read 5 tweets

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