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Mike Hoerger, PhD MSCR MBA Profile picture
@michael_hoerger
Sep 26, 2022 • 11 tweets • 12 min read • Read on X
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Empowered communities want free #N95 masks!

Our new pre-print shows that people are excited to use N95s during COVID surges when given them for free w/helpful information on their evidence & how to use them.
1/
 psyarxiv.com/f76vw Study abstract: People want...Project banner: Free N95 Qu...Aegle N95, given away in th...
You might remember when we posted about the study back in December!

I hope you find the results useful. We tried to make the figures relatable, even if you're not reading science articles every day. Please let me know if you have questions!
2/
We gave out 2,500 #N95 masks in 5 packs to our racially & socioeconomically diverse community. Many used N95s for the 1st time. People treated us like we were giving them kidneys. So grateful!

97% used at least 1 N95 & 40% used all 5 within 1-mo!

3/
We called our #N95 giveaway study "Project #Bandura," named for the famous #psychologist who studied social learning.

Well -- people learned, socially! >80% of participants told others about N95s. Several enthusiasts shared w/dozens of ppl!
4/
Cost was the biggest barrier to sustained #N95 use!

Still, ppl planned to buy an average of >10 more N95s in the near future (2x what we gave them).

More interesting, if FREE, 88% would use N95s again. Once you pop, you can't stop!
5/
We only gave away 2,500 N95s. It was labor intensive b/c we included educational materials, had a follow-up survey, went through IRB, etc.

However, it validates @amandalhu's 17,000 mask giveaway, those of cities and fed govt's.

Free N95 & #BetterMasks are hugely popular!
6/
As a #psychologist, there is 1 big truth I believe w/my heart. If you talk to most ppl in a way that's reasonable, about 97% will feel empowered to take actions to improve their lives & communities.

As true for COVID as anything else. We just need more courageous leadership.
7/
With N95s extremely popular during #COVID surges, what's the national strategy?

The U.S. had a stockpile and started giving them out for free (after my psychology research team 🤣). There are no known plans to buy and distribute more.

8/11
Domestic manufacturers are selling off #N95 inventory & equipment after boom-and-bust cycles. Many are closing their doors.

It's a low-cost filter. For your face. That keeps you from getting sick & becoming disabled or dying.

What are we doing???
9/11
Thanks if you posted about #CovidisAirborne. The study is dedicated to you.

You converted me from cloth masks to N95s.

Shouldn't we have federal #policy priorities to make high-quality masks available to everyone during surges?

10/11
Thank you- @LazarusLong13 @Amal4Solutions @TySopko @kprather88 @joaquinlife @sri_srikrishna @PPEtoheros @AegleCo @projectn95 @crosscutanne @NgoTheWorld @JudahWorldChamp @amandalhu @micah_arsham @LauraMiers @mehdirhasan @KDNyhan @DrJenPlatt @akm5376 @JimRosenthal4 @CorsIAQ
11/11

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More from @michael_hoerger

Mike Hoerger, PhD MSCR MBA Profile picture
Sep 13
California COVlD Surge Rages Higher

🔸CDC SARS-CoV-2 wastewater levels "Very High," and up from last week
🔸1 in 21 estimated actively infectious
🔸>250,000 estimated new daily infections statewide

Four figures...
1/4🧵 CDC: Very High: PMC Estimate: 1 in 21 actively infectious
CDC wastewater data in California show COVlD cases increasing from the already "Very High" levels last week.

2/4🧵 Line graph of the past 6 months showing the surge in wastewater viral levels
With an estimated 1 in 21 (or 4.8%) of California residents actively infectious of COVlD, risk increases dramatically in larger and more frequent social gatherings.

Interact with 25 people of average risk of being positive, and that's a >70% chance of exposure.
3/4🧵 How Does Risk Increase with More Social Contacts? Number of People | Chances Anyone is Infectious 1 4.8% 2 9.4% 3 13.7% 4 17.9% 5 21.8% 6 25.6% 7 29.1% 8 32.5% 9 35.8% 10 38.9% 15 52.2% 20 62.6% 25 70.8% 30 77.1% 35 82.1% 40 86.0% 50 91.5% 75 97.5% 100 99.3% 300 99.9%
Read 4 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Sep 10
Let's say you're a dairy farmer. You have 100 cows. Each year, about 5 cows die, and another 5 cows are born. Then, along comes a virus. Let's call it "cowvid"...
1/
Let's say "cowvid" wipes out about half the cows over the course of a couple years. Now, you're down to 50 cows....
2/
The local mayor declares "cowvid" to be over. This surprises you as a farmer because 5 of your cows keep dying annually. 5 of 50 instead of 5 out of 100. Seems like more, but you're not a city slicker...
3/
Read 12 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Sep 7
#DuringCOVID is today.

Image pack 1 of 9 🧵 Graph of the 11 waves of the pandemic in the U.S., tailored to a key message noted in the post.
1 million New Daily Infections.

Today!

Image pack 2 of 9 🧵 Graph of the 11 waves of the pandemic in the U.S., tailored to a key message noted in the post.
Where are the free vaccines, N95s, and tests?

Image pack 3 of 9 🧵 Graph of the 11 waves of the pandemic in the U.S., tailored to a key message noted in the post.
Read 9 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Sep 3
PMC Dashboard Update (U.S.) 🧵1 of 8

The 11th wave is still rising.
🔥23 states/territories High/Very High
🔥Very High: Alabama, DC, Guam, Hawai'i, Louisiana, Nebraska, Nevada, South Carolina, Texas, Utah
🔥1 in 56 estimated actively infectious
🔥876,000 new daily infections CDC heat map, very high states noted in post. PMC estimate of 1 in 56 actively infectious nationwide
PMC Dashboard Update (U.S.) 🧵2 of 8

Note that the CDC has modified 📉 how transmission levels correspond to the categorical bins.

Take California. We estimate 1 in 30 actively infectious statewide. This would have previously been "Very High," now just "High."
#NewNormal CDC heatmap, with PMC estimate of 1 in 30
PMC Dashboard Update (U.S.) 🧵3 of 8

Here are the prevalence estimates for the first half of states/territories.

Notice how high the levels are in some of the "Moderate" states. State CDC Level Alabama Very High Alaska High Arizona High Arkansas Moderate California High Colorado Moderate Connecticut High Delaware High District of Columbia Very High Florida High Georgia Moderate Guam Very High Hawaii Very High Idaho High Illinois Very Low Indiana Moderate* Iowa Low Kansas Low Kentucky High Louisiana Very High Maine Low Maryland Moderate Massachusetts Moderate Michigan Very Low Minnesota Moderate Mississippi High*
Read 9 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Aug 21
During times like these when COVlD transmission heats up in the U.S., expect to see a lot more angry outbursts for three central reasons.

First, "displacement," or people trying to deny the reality of their anxiety by taking it out on other people....
Second, a lot of people can sustain a strong denial of reality about the ongoing pandemic during lulls. They suppress the existence of COVlD waves and excess deaths, disability, and retirements.

During waves, those defenses burst. Loss of control = anger...
Third, a lot of people (many reading this) understand COVlD correctly & experience righteous indignation during COVlD waves. We quite reasonably do not like all of the unjust and gratuitous suffering.

I find it helpful to channel that intensity into helping other people....
Read 6 tweets
Mike Hoerger, PhD MSCR MBA Profile picture
Aug 19
I submitted my comment to endorse universal high-quality masks (respirators) in healthcare. Today is the final day.

Alt text continues in the following posts. RE: Z94.4, Selection, use, and care of respirators (New Edition) Dear Colleagues, As the director of a population science program at a major U.S. cancer center, I strongly endorse this draft proposal to increase the use of high-quality well-fitting masks (respirators) in medical settings. I will comment on the relevance of this proposal mainly for cancer care. In the U.S., cancer care is commonly more organized than other specialty care and, thus, often leads the way on policy initiatives, which then translate to other elements of care over time. 1. COVID-19 continues to cause excess dea...
They put forth projections, with the most granular detail for the U.S. and U.K., suggesting excess deaths will persist through at least 2033. Their projections do not show excess deaths stopping in 2033; that is simply the final year of their current analysis. Moreover, while they provide the most data for the U.S. and U.K., their analysis suggests a more general trend throughout the globe. The COVID-19-associated excess deaths are commonly identified as cardiovascular and cancer causes of death. Swiss Re Institute. (2024). The future of excess mortality after COVID-19. https://www.swissr...
Alt text continued 2. The SARS-CoV-2 virus that causes COVID-19 continues to transmit at high rates worldwide. Overall, 28 nations continue to use wastewater surveillance to monitor SARS-CoV-2 levels. A directory is available at the dashboard that I oversee (pmc19.com/data). In the U.S., we are currently experiencing our 11th wave of transmission. Many nations are experiencing annual or twice annual waves of transmission.
Alt text continued 3. International consensus standards identify a broad range of patients at known high-risk of severe outcomes of COVID-19. The largest group at known high risk of severe outcomes is patients with cancer. Other diagnoses associated with above average risk include people undergoing transplants or receiving dialysis, and patients with any of these diagnoses: immunodeficiencies, renal disease, systemic-immune mediated or single-site immune-mediated inflammatory conditions, asplenia, anatomical barrier defects, pregnancy, and diabetes. These findings underscore the importance of standards in hea...
Read 7 tweets

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