Funny - someone uploaded my 2007 high school graduation speech. (I changed a bit, as hangover classmates had fainted in the church service just before, but close enough 😂)
Shared this for @1goodtern mostly - the sight of several hungover teens fainting during service, very memorable -- and more innocent in prepandemic days. take good care all 😂
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Next level. XBB is serologically distinct enough to evade neutralizing antibodies from SARS-CoV-2 infection, better than SARS-CoV. We could see it as SARS-CoV-3.
Will @WHO name it VoC Pi? Given climate and "live with it" apathy, I see us at 8/12 monkeys on the Gilliam scale. 1/k
Explanation in elegant prose: @fitterhappierAJ, preprint @yunlong_cao. Respect, for research and scicomm in real time. International scientific collaboration is what lived up best to the challenge of the pandemic (and ahem, activism 😇). Thank you all, 2/k
This captures why I worry about brain fog (=SARS-CoV-2 associated neurocognitive decline (SAND), comparable to HIV (HAND) and undiagnosed in most today. What's the fix? - As in HIV, point of care tests, resistance panels, antiretroviral therapy (ART) *at population scale.*
China is the only country not in denial. This situation is untenable. Start research funding and redirect existing resources to repurpose existing first line HIV drugs and tests. We are way behind, few outside some labs and some on twitter focus so far.
It's a sharp thread - not sure I even shared it before as I doubt the Dunning-Kruger curve holds up (view it as useful metaphor). Yet we've seen @RadCentrism's analysis of à la carte reality play out. The virus adds positive feedback. It's a real problem.
A summary of where we are. (1) We face the equivalent of HIV associated neurocognitive decline (HAND) at population scale, from an airborne coronavirus that combines SARS+HIV pathogenesis. Only China is not in denial. (2) Every state should aspire zero Covid. Good luck & be well,
(3) The climate implications are immense. I'll make time to analyze social and climate tipping points; @jembendell and many others have done great work on this. The pandemic, however, is HOW we decarbonize - if we fail here, there can be no climate policy. jembendell.com/2022/09/16/bor…
Useful thread, I hope. Let me add here how tired I am of wasting time tweeting about mask resistance. (1) Just wear one as a sign of respect whenever sharing air indoors, done. (2) Do we even have masks to protect toddlers/U6? Engineers, designers? Come on, time to get serious 🙏
My mom’s choir sang with masks throughout the pandemic (+online during lockdowns). This past weekend on a trip they sang maskless for the first time, and promptly infected the conductor and at least two members, including my mom. Conflicted public health messages harm people. 1/a
My mom also expected being immune “to Omicron” after seroconversion. (I talked with her regularly about covid throughout the years; my parents are widely read academics. It’s not that.) 2/a
As AJ says, current policy doesn’t protect the infirm or uninformed. MDs and others who model maskless gatherings, even if just in form of innocuous barefaced dinner pics, are leading people to lower their guard. 3/a
⚠️ No one flirts with zero COVID, there’s no public support. Rob has a Harvard MPH, works on climate and air pollution. On paper great (similar to my background😬) Unlike me he can speak from well resourced positions. Ask: What do he - and others worldwide - use all this for? 1/k
Vast resources and authority are used to advocate against masks, against eliminating SARS-CoV-2, already one of the worst viruses in human history. - We all can learn much, but this is heavy cognitive dissonance for me. I see too many colleagues/peers on the wrong sides. 2/k
Friends in IR+other fields: beware. We are outclassed by the raw intelligence of a virus evolving to exploit our and our institutions’ persistent weakness. Few seem to anticipate the scale and interaction of impending problems. - Choose wisely whom you trust and why. 3/k