Tyler Black, MD Profile picture
Feb 6, 2022 10 tweets 4 min read Read on X
"COVID isn't that bad for kids."

To April '21, the estimate of orphanhood is 1.1M, and undoubtedly this number has grown (especially with avg age of death decreasing)

"1.1M orphans? What? That's not possible!"

Let's take a look at this.

Thread:
/1

thelancet.com/journals/lance…
People think of *orphanages* when they think of orphans. This leads to the common belief that an orphan is someone with no parental-role relatives.

And commonly, orphans refer to such children.

However, @UNICEF uses a standard international definition, which I too prefer.
/2
There are many configurations of parenthood. In some cultures, it's the "nuclear family" (mom+dad+kids), in some cultures it's an extended family (including grandparents, for example), and within cultures there are variations (raised by aunt, grandma does the raising, etc)

/3
A *primary* caregiver is someone who has shared but crucial role in supervision, safety, security, and basic needs. A *secondary* caregiver is someone who is regularly tasked by the primary caregiver to fill caregiving roles.

/4
Of course, all of these people are crucial to the development, care, security, and emotional connection to children.

The loss of any of these people, from a regularly babysitting aunt to a full-time caregiving grandparent to a mother or father, is devastating to children.

/5
So using the @UNICEF definition, an orphan is someone who lost a primary caregiver.

Deaths due to COVID have created 1.1M such orphans, and that's before omicron or delta waves.

Realistically, this number is likely 2M as of today and not slowing down.

/6
The estimate of loss of secondary caregivers is about 1.6M such orphans (realistically 3M today).

All children who lose a primary or secondary caregiver experience significant suffering and harm.

/7
Survey after survey of kids tells us that their top concerns, distresses, or challenges are the fear of a loss of a loved one, teacher, caregiver, or parent. And they are worried about the adults' in their lives health. They too, understand they are relatively protected.

/8
But they know what we all know, if they lose a caregiver and experience orphanhood, it is a pain and stress that will change their lives forever.

so please, keep the awful, repugnant phrase "covid isn't that bad for kids" out of your brain.

/fin
(all images are stock photos to the best of my knowledge, and i licensed 3 myself for these tweets as well as using free sites, i hopefully did not publicly use a child's expression of grief at a funeral)

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Tyler Black, MD

Tyler Black, MD Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @tylerblack32

Dec 16
Vaccines and "placebo control"

Placebo-controlled trials compare a vaccine to an inactive substance (placebo). This helps measure how effective the vaccine is. In the case of vaccines, often, the placebo is not "saline", but rather a previous vaccine or vaccine solution.

/1Image
When a safe, effective vaccine already exists, using an inactive placebo means some participants are deliberately left unprotected against disease. This creates unnecessary harm.

/2
Ethical standards require minimizing harm and offering participants the best available care. When a proven vaccine exists, denying it to anyone—regardless of location—is unethical.

/3
Read 9 tweets
Dec 15
🚨🇨🇦Correcting Disinfo🇨🇦🚨
"COVID vaccination didn't work"

In Canada during the Delta wave, vaccination prevented infection (unvaccinated 6x higher chance of being infected). As well, being unvaccinated led to a 22X chance of being hospitalized and an 18X chance of dying.

/1Image
For confirmed infections, the IFR for unvaccinated was a whopping 2.4%. The IFR for being vaccinated was much lower, both due to preventing infection and reducing the consequences of it.

Delta was a very deadly strain, and unvaccinated people died/suffered the most.

/2 Image
When Omicron hit, it was a strain that evaded vaccinations, leading to enormous numbers of infections, even in vaccinated people.

However, the immunity protection vs hospitalization and death was still enormous, and unvaccinated Canadians were 12X more likely to die.

/3 Image
Read 7 tweets
Nov 30
Correcting revisionist history:
"COVID is not a problem for young people in the US"

Covid responsible (not "with", underlying cause) for 2% of all deaths <20. That's 1 out of every 50 deaths of all kids who die. #1 in infectious diseases, 5th in disease overall.

/1Image
COVID-19 deaths created 300,000 American orphans, 330,000 if we count "primary caregivers" and 380,000 if we count "secondary caregivers". That's a lot of childhood harm.

2x as common for Black kids
4x as common for Indigenous kids
1.6X as common for Hispanic kids

/2 Image
Our most vulnerable children, with medical illnesses, suffered the most during the pandemic. Children with heart disease, respiratory disease, neurologic diseases, and chromosomal abnormalities suffered more severe symptoms than did children without those conditions.

/3Image
Read 6 tweets
Nov 28
🏳️‍⚧️FAQ for posterity:

Why do you use pronouns in your bio?
Because it's an easy way to promote inclusivity & to increase awareness of gender expression. It costs me nothing, &because I work with kids who are establishing their identity it shows that I don't make assumptions.

/1
Is being transgender a mental illness?
Being transgender is not a mental illness. It is a natural variation of human phenotype, though some transgender individuals may experience distress, called gender dysphoria, which is addressed through appropriate care.

/2
Can a man be a woman?
Yes. Some individuals identify as a gender different from their assigned sex at birth.

"What is a woman?"
A woman is a female by identity. This can refer to biological sex identity or social gender identity, depending on the context.

/3
Read 14 tweets
Nov 24
🧵RFK Jr. is an antivax, AIDS-denying, absolutely antiscientific conspiracist.🧵

ANTIVAX:
“They get [vaccinated], that night they have a fever of 103, they go to sleep, and three months later their brain is gone... This is a Holocaust, what this is doing to our country.”

/1Image
ANTIVAX:
"I do believe that autism does come from vaccines"

Metaanalyses involving MILLIONS of children have confirmed there is no link. The lie started with another antivaxxer, disgraced fraudster Andrew Wakefield, who fabricated data.

/2Image
ANTIVAX:
"I've read all the science on autism and I can tell you, if you want to know... If it didn't come from the vaccines, then where did it come from?"

Autism primarily from combo of genetic factors & early brain development differences.

/3Image
Read 10 tweets
Nov 19
Battling Election Misinformation
Part 2: "The Mandate"

Contrary to media/republican pronouncements, the election of Donald Trump was one of the narrowest (by popular vote, +1.73%) in history, with only 7 elections since 1800 being narrower.

/1Image
In fact, if we look at the margin of victory when we include all eligible voters, Trump wins with 31.3% of the voting population, compared to Harris' 30.2% and 1% going to other candidates. 37.4% did not vote.

If we only include voters, Trump wins 50.03% to 49.97%

/2Image
When we look at the electoral college results, Trump won 58% of available electoral college votes. This would rank his election 41st out of 57 elections since 1800.

/3Image
Read 7 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(