“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.” 🧵
“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
“The key ingredients of an effective pandemic response — communication, trust and a shared sense of threat — are slowly dwindling. This can lead to social strife and will make it harder for leaders to steer their populations out of the crisis.” - @M_B_Petersen 4/n
“For 2 yrs ppl have debated the value of masks, vax passports & more, to the point that they are no longer opinions but identities. & when opinions become identities, they warp our understanding & make it harder to change one’s mind as the situation changes.” 👏 @M_B_Petersen 5/n
“As we tentatively approach the end of the crisis period of the pandemic, leaders need to help people put risk into perspective. If countries haven’t articulated how they will deal with pandemic trade-offs, they need to do so now.” 👏👏👏 —@M_B_Petersen /end
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..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...
"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"
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
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
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
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.
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.
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.