NEW: The @CDCgov has issued updated its guidance for Americans & local governments to guide decision-making in response to the pandemic.

The guidance is clear & comprehensive & easy to find. 1/

cdc.gov
One primary takeaway is when Americans should wear masks depending on the level of COVID in the community.

These are the off ramps & on-ramps Americans & government leaders have been hoping for.

The details are important. 2/
The CDC’s approach is to look at 3 factors for every county.

-New COVID19 hospital admissions over last 7 days
-Percentage of hospital beds occupied by COVID patients
-New cases per 100,000 people over last 7 days

Counties were then classified low, medium or high. 3/
The CDC then laid out how Americans should consider various layers of protection depending on what your county looks like. 4/
If you are at high risk, if your county is at medium risk, the CDC recommends wearing a mask in public indoor settings at Medium levels.

Otherwise if you’re vaccinated & feeling well, wearing a mask is only needed if your county is rated High. 5/
Guidelines aren’t going to be foolproof. There is always a chance even at low levels of transmission of an infection. But the numbers suggest it is much less likely.

If you have your own reason to be more risk averse, masking could make sense in Medium counties. 6/
The fewer then people, the better the ventilation, the more recent your booster shot, the health of your family members, access to anti-vitals all could play a role in your thinking.

But the CDC is wise to not over-complicate the guidance with all this. 7/
Where we stand based on this approach?

70% of the country now lives in areas where universal masking is not recommended. 30% where the level is low enough that masks aren’t recommended at all. 8/
Whether we’re between waves or on a better path now, no one can say.

Either way, though, this is the type of information the public needs as a baseline. 9/
Think of this as one of many steps to ensure the medical resources, surveillance & variance scenario planning are in place.

While nothing the CDC does will be without criticism, this is a strong step forward for the country. end/

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More from @ASlavitt

Feb 19
COVID Update: We have been through many stages of the pandemic.

Now as the country & various states prepare to lay out the plan ahead, there are some things they must do. 1/
Yesterday I participated in the rollout of California’s SMARTER plan— a plan to look ahead & prepare.

But planning is especially hard when it’s hard to have any idea what form the virus may come back in. Still leaders have no choice. 2/
It feels like a great time, with cases down, for our leaders to change the subject & move on to the one of many other challenges on the agenda.

Beat the ones aren’t. They are taking the time to dig in & reset even if the public doesn’t want to hear it. 3/
Read 22 tweets
Feb 12
COVID Update: Today we hit the 2 year mark of the pandemic being declared by the WHO.

Here’s what we’re up against & what it means for what’s ahead. 1/
A- What makes SARS-CoV-2 unique?

There are more lethal bugs. There are more contagious bugs. But there are a combination of features which make this a particularly difficult enemy. 2/
SARS-CoV-2 is noteworthy for being a highly adaptable, shape-shifting virus.

To survive it’s has shorted the incubation cycle, altered its point of attack to avoid vaccines, become more infectious with kids & it’s only a couple of years in. 3/
Read 25 tweets
Feb 10
COVID Update: Denmark has effectively declared COVID over. There are merits and flaws to their thinking.

There’s also the simple matter of how the US is just not Denmark. 1/
Denmark is the first EU country to eliminate mask mandates, vaccine passports, isolation protocols & all the rest.

And it’s not because the COVID wave is over there. 2/
Cases, hospitalizations, and deaths are all rising in Denmark read all time highs with the US equivalent of 1000 daily deaths.

BA2 is on the rise in Denmark and is outcompeting the original Omicron.

Yet Denmark is leading the way to say its all over. 3/
Read 22 tweets
Feb 1
NEW: Pfizer files for approval of vaccines for kids 0-5.

There is more to this story and for people paying attention, I will add more info here soon. 1/
The last group of people to get approved for vaccinations also live under the most stringent rules, they have broad exposure & themselves can be highly infectious.

Leaving parents often with few good choices. 2/
In all likelihood only a small portion of the public will vaccinate their youngest kids.

For all the talk of politics driving vaccine decisions, it’s really age. 9 of 10 85 year olds are vaccinated & close to 9 in 10 10 year olds are not.3/
Read 15 tweets
Jan 27
COVID Update: One of the next big questions of the pandemic outlook will likely revolve around what happens in Florida.

And not just because the governor has been so out of step. 1/
At this point in the pandemic, there is a lot of room for multiple approaches on how to live and how much risk to take.

2 people can stare out the window, look at the same facts & see very different things based on their attitudes. 2/
We all know people who are comfortable dining indoors & others who aren’t. Same with going to a sporting event or getting on a plane.

Neither is wrong. All these choices are hard & the judgment calls reflect our own views of life & risk. 3/
Read 24 tweets
Jan 22
COVID Update: February 2022 would be a perfect time for a reset in our pandemic response to face whatever lies ahead m. 1/
A proper reset would include the best statement of the facts as we know them, clear messaging about what to expect, and a commitment of resources and initiatives to give all of us the tools we need. 2/
So what are the facts?

We have a wily, shape-shifting & unpredictable virus. It will continue to mutate.

We have a vaccine that if taken can prevent death in most people & boosters or antivirals for people who a vaccine won’t protect alone. 3/
Read 25 tweets

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