I was asked today what I think universities should be doing in response to the pandemic.
Buckle up. 🧵
1. Form strategic working groups consisting of experts on campus (epidemiology, virology, immunology, public health, evolutionary biology, engineering, communications, psychology, etc.). LISTEN TO THEM.
2. Do not have all decisions made by a handful of senior administrators with zero relevant expertise based only on (mis)information from public health officials (who also may have no expertise in pandemic management).
3. LEAD. We're supposed to be world-class centres of knowledge creation. It is absurd that we all just follow each other.
No more of this:
"... is consistent with what other universities are doing."
"...following public health guidelines."
"...aligns with shopping malls."
4. Reinstate mask mandates NOW. There is no good reason to have dropped them just as a wave is starting. None.
5. Implement vaccine mandates in time for students to be boosted by the start of the fall semester. In Ontario, third dose uptake was 40% for 18-29 year olds. Most of our students got their second shot a year ago.
6. Pay attention to early warning signals and stop assuming that the pandemic is almost over (being wrong six waves in a row is enough).
7. Acknowledge that COVID is airborne and emphasize ventilation, filtration, and air quality monitoring. Display real-time CO2 data for lecture halls, cafeterias, libraries, gyms, etc. Make CO2 meters available for students to borrow.
8. Where ventilation may be more difficult (e.g., dorms, gyms during exams), install Corsi-Rosenthal boxes or other air filtration systems.
9. Stop trying to get everyone back on campus as quickly as possible. We get it -- the board will be unhappy if you don't bring in ancillary revenues like parking and food. But we have some excellent flexible, intentionally-designed remote options that should get support.
10. Think of the most vulnerable members of the campus community and make decisions that protect them (and everyone else). Lead with empathy.
11. Do not assume that infections are mild in a university-age population. Long COVID is real, and having a significant number of faculty, staff, and students ill at any given moment will be enormously disruptive (see e.g., airports and hospitals).
12. Work together as a sector to advocate for more protections and resources to make campuses safer.
The only effective lobbying universities in Ontario have done was to gain an *exemption* to provincial capacity limits so students could be packed into classes.
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Here are some simple solutions to the problem of a) not enough clarity/too much minimizing as a result of @WHO calling everything "Omicron", and b) the risk of confusing or discriminatory (e.g., location-based) naming of variants. These options are not mutually exclusive. 🧵
Option 1:
* Develop clear criteria for new formal Greek letter designations. This can be based on genetic or antigenic divergence, prospect for immune escape and causing another wave, reaching a certain prevalence, etc.
Option 2:
At minimum, make it clear that it's not "all just Omicron" but different versions of the virus causing new waves. Name them like sequels if necessary. Omicron I (BA.1), Omicron II (BA.2), Omicron III (BA.5), Omicron IV (BA.2.75).
You've relied on/ hidden behind incorrect info from regional public health and provincial directives.
As a result, you've been wrong about the pandemic six waves in a row.
Please start listening to us.
Mask mandates reinstated NOW.
Vaccine mandates in place in time for students to get boosted before they arrive in fall.
CO2 monitoring and reporting for buildings.
Air filters in residences.
Do not continue to repeat the same mistakes.
Some of us have been right about every wave, not because we have a crystal ball or special insight, but because we look at the data and are not committed to droplet dogma or minimizer messaging like public health officials.
* Severe illness and death from acute COVID are much less likely now than they were. Several reasons for that, most notably vaccines and immunity from prior infections. (And obviously a lot of vulnerable people have already been lost.)
BUT...
* Severe illness or death from acute infection are only one metric of concern. Hospitalizations can overwhelm healthcare systems and widespread illness can disrupt all sorts of industries. This is happening right now (see e.g. ER closures and air travel disruptions).
* Immediate death is not the only thing to be concerned about. SARS2 affects many organ systems and increases risk for heart attack, stroke, diabetes, etc. We don't know what the medium or long term impacts will be in terms of mortality.
There are people who fancied themselves heroes who would expertly guide a confused and terrified public through the pandemic. They emphasized keeping people calm, with increasingly minimizing language as things got worse. 🧵
They cannot seem to abandon the narrative to which they have attached their identity, and the cognitive dissonance after 2.5 years of utterly failed messaging and countless incorrect predictions is becoming palpable.
Some don't even realize (or at least outwardly deny) that they have been minimizers.
I am hard on these minimizers because I believe they have done, and continue to do, enormous damage.