"It is time to recognize the myriad threats to children’s safety – beyond that of a single virus – and to appropriately balance these risks."

Proud to co-author this piece w/ virologist @DrScottBalsitis, peds psych MD @carol_psych & peds MD K Walsh 👇👇

usatoday.com/story/opinion/…
..As scientists & MDs, we are concerned that COVID mitigation measures for children are doing more harm than good. Too many policymakers have viewed health as the mere absence of COVID-19, putting children into a loop of mitigation measures that are uncoupled from actual risk. 🧵
...After two years of living with one disruption after another, the evidence is clear: The pandemic & the loss of normalcy are taking a tremendous toll on students, with the data on mental health being particularly alarming...
...The @AmerAcadPeds has declared a #mentalhealth emergency in children. As the @Surgeon_General recently highlighted, combined analyses of 80K children found that symptoms of depression & anxiety have doubled among young ppl during the pandemic...
...Vaccination is our most effective tool against COVID-19, & vaccines are retaining efficacy where it counts. With omicron, we can expect numerous mild infections in vaccinated people, but the vast majority of hospitalizations and deaths are among unvaccinated adults....
....Teachers, parents & caregivers remain well-protected by vaccination, and one booster dose provides additional protection for those who are over age 65 or at additional risk....
...One-way masking with N95-type respirators protects the wearer, and N95s are now widely available for people who desire a higher level of protection against COVID-19....
...It’s time we realize that mild corona infections are inevitable & not apocalyptic & focus on preventing severe cases. W omicron declining in many parts of the country, preserving in-person learning, de-escalating fear & making a concerted effort to resume normalcy are critical
...It’s time to shift our focus away from masks and onto the faces behind them. Mandatory masking policies are the most visible COVID mitigation interventions in schools...
...We have reviewed the data on school masking & find that well-controlled real-world studies consistently fail to find a convincing benefit, while studies cited to support masking have serious flaws...
...When an intervention’s possible benefits are too small to measure and the harms are increasingly evident, it is appropriate to end its *mandatory* use...
...COVID is here to stay, & although we can mitigate risk, we cannot eliminate it. Though we have effective vaccines against COVID’s worst outcomes, no one is immune to 2 years of life interrupted...
..An urgent return to normal school, without mandatory masking, is critical for our kids’ health and wellbeing.../end
without the paywall:
yahoo.com/lifestyle/kids…

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More from @drlucymcbride

Feb 4
THIS WHOLE OP-ED is 🏅

“There is not a single right answer for how to proceed. Within the set of legitimate strategies, the choice of strategy is often less important than whether or not people follow and support it.” 🧵

nytimes.com/2022/02/04/opi…
“Within the set of legitimate strategies, the choice of strategy is often less important than whether or not people follow and support it.” — @M_B_Petersen 2/n
“According to our data, the Omicron wave has also chipped away at the trust of those who have been supportive of their govt’s approach up until now. Lifting restrictions while cases are soaring can seem like betrayal after 2 years of seeking to ‘flatten the curve.’” @M_B_Petersen
Read 6 tweets
Feb 1
"Another approach, which I am beginning to favor, is to state that every person age 5+ can be vaxd & high-quality masks can protect individuals well. Therefore, masks can be optional, not required, even at high rates of community transm'n"

@DrLeanaWen 👏

washingtonpost.com/opinions/2022/…
Thank you, @DrLeanaWen, for messaging the importance of *balancing* risk & reducing *total* harm.
Ppl differ in their recommended threshold for lifting mask mandates etc

That's ok. A robust debate is healthy.

But talking abt trade-offs right now is critical when suffering is social, emotional, occupational, economic & physical.

It's time to more broadly define heath
Read 4 tweets
Jan 22
I’m on call this weekend for my group medical practice. Lots of vax’d patients w COVID—cough, sore throat, headache, body aches, fatigue. Mild to severe.

Other top symptoms?

Guilt
Shame
Fear

“I did everything right.” “I feel like a failure.” “Doctor, I’m terrified.” 1/x
Even if ppl know intellectually that their risk for severe illness is greatly reduced after vax, fear is natural & real. It’s *normal* to get scared when a rapid home test turns positive or when we’re notified abt a positive PCR test 2/x
So when I’m talking to a newly-diagnosed COVID patient, we go thru their symptoms, decide +/- ER care, discuss various treatment options from Ibuprofen to monoclonal Abs & oral antiviral meds (latter for high-risk patients), & how to monitor themselves at home. 3/x
Read 17 tweets
Oct 10, 2021
We’re starting to reach the acceptance phase of the pandemic: a time when we must recalibrate our individual risk gauges, which have been completely thrown out of whack

My latest for @TheAtlantic 👇

theatlantic.com/ideas/archive/…
The two things that patients want—reassurance that they won’t get COVID-19 and permission to engage in life—I cannot deliver, and I never will be able to. SARS-CoV-2 is here to stay. /2
The virus will be woven into our everyday existence much like RSV, influenza, and other common coronaviruses are. The question isn’t *whether* we’ll be exposed to the novel coronavirus; it’s *when.* /3
Read 12 tweets
Aug 13, 2021
Shielding my kids from danger is a fundamental instinct; tolerating risk for them is hard emotional work.

Fear is necessary for our survival. It can also do harm.

My latest for @TheAtlantic 👇👇👇

bit.ly/3yEMjf3
For people who thought that the pandemic was ending, @CDCDirector's July 27 televised statement was like the scene late in *A Nightmare on Elm Street* when Freddy Krueger’s claw reaches up from within Glen’s bed and pulls him in.
Children were assumed to be at low risk of serious illness from coronavirus. Although the evidence calls for prudence, not panic—even as the Delta variant spreads—many parents will struggle to keep fear from racing ahead of the data.
Read 10 tweets
Jun 30, 2021
Now is the time to redefine burnout as the mental and physical fallout from accumulated stress in any sphere of life, whether that’s work, parenting, caregiving, or managing chronic illness.

My latest in the @TheAtlantic:

theatlantic.com/ideas/archive/…
Burnout is usually reserved to describe *work-related* phenomena: exhaustion, feelings of negativism, and reduced professional efficacy.

But what if simply being human carries occupational risk?
The symptoms of burnout have become medical. The work of living through a pandemic has been making us sick. To muster the energy for reentry into non-pandemic life, people need more than a vaccine and a vacation.
Read 5 tweets

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