On #immunitydebt
1- public health measures have limited exposure to diseases for a century. Yet, the phrase immunity debt just recently popped. When public health measures stopped exposure to waterborne diseases, people just lived longer, no faulty claims of immunity debt.
2- The age group most likely to be hospitalized by RSV are 0-6 mths. This age group was born during the "live with COVID" or "return to normal" phase of the pandemic. They didn't experience public health mitigations, therefore no "immunity debt" from it. cdc.gov/rsv/research/r…
3- and most importantly, your immune system is not a muscle, you dont need to continually exercise it to make sure it works. So public health measures that let us enjoy 2+ years w/out flu and RSV didn't cause your immune system to forget how to work.
4- immunity debt is just an hypothesis created by a researcher named Cohen, many in infectious diseases disagree.

A plausible hypothesis is that COVID has damaged our immune system. The results of our "let it rip" approach may be seen during this wave of severe RSV & Flu cases.
To me, all this talk about why we have so many respiratory illnesses to fight right now, it's all missing the point.
The point should be prevention. We should be asking if we prevented these illnesses for 3 seasons, why did we decide not to prevent it this year?
Why are we watching pediatric hospitalizations rise instead of implementing mitigations we know could keep our youngest citizens healthy?

We don't have to accept or expect preventable diseases, hospitalizations, and death.

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More from @Theresa_Chapple

Oct 25
There's a poverty tax, we all know this. Goods and resource often cost more in poorer sections of town.
We also see this in our criminal justice system. There are certain things that are crimes that would almost only apply to poor people. For instance,
the mother in Georgia arrested for killing her baby. Circumstances- no heat in the house, mom heated their small home with the oven. Baby overheated and died.
Heating a home with an oven is something poor people do. Criminalizing its unintended consequences only impacts the poor
I'll also never forget about the mom who was found guilty for the death of her child.
Circumstances- her child was hit by a car. The family of 4 got off the bus and tried to cross the street on a rainy cold night. The bus stop let them off .3 miles from a light/crosswalk.
Read 5 tweets
Aug 13
Dear @PublicHealth, did you consider having a local/state public health director lead mainstage talk about backlash?
Just doing our jobs led to us needing police protection many times during the pandemic. We did not have to go out of our way to utilize media to manufacture it.
Our families have been tortured, our lives threatened. Many of us have lobbied for laws to protect our privacy by unlisting our addressed.
A colleague described how her kids were beaten up on the school bus after she implemented a mask mandate.
But, you're highlighting a
person who sought media blitz, downplayed the harms of COVID among minority populations, used her platform against struggling local public health leaders, in a conference focused on equity.
Can you help me understand this decision?
Read 4 tweets
Aug 10
COVID fatigue is real.
Long COVID is real, and currently cost our economy 50 bil a year. This number is expected to increase as repeat COVID cases lead to more long COVID.
I also expect long COVID to impact our children's ability to learn in school and succeed. Especially if
their parents are too sick or too fatigued to help their kids with school work.

We can't just stop at COVID fatigue being real and jump to "so let's give in to it".

We have to move to activism, "so let's decrease the rate of COVID in the community."

How? I have some ideas
We like to say that the fed gov abandoned us. This is only partially true in that they decided not to be the standard bearers, they pushed it all to the states.
However, they model good policies that we could copy.
Read 8 tweets
Aug 7
My plan is to thank everyone individually for the care and support you have shown my family.
First by helping me identify a trauma & grief therapist in Philly, secondly by helping ensure that my family have the resources to maintain treatment.
My Twitter community is priceless.
Last night, I talked to my 10 year old about the event that caused the life of her 9 year old cousin. Today, I will talk to you all about it.
The goal, education, with hopes that not another child is lost this way.
Let's discuss the #BlackoutChallenge
This is a challenge that is rampant on the internet. If you google, the majority of children to have died from this are 9 and 10.
The CDC suggest that over 80 kids have recently subcumbed to this.
As a mom of a 10 year old, I knew nothing about the resurgence of this challenge.
Read 7 tweets
Jun 26
"We don't have to count raindrops to know it's raining"

A thread on why this should never be a premise we base public health policy on.

Also... hating every moment in our new normal that makes a thread like this necessary.
My favorite T-shirt says "Epidemiologists count".

2 years ago I gave a lecture on how to count. My then 7 year old was shocked that I was giving a 3 hour talk to adults on how and the importance of counting.

But accuratly counting cases is core to epidemiology.
Specific to COVID, why does it matter? We all know COVID is still here.

Well, there's been a concerted effort to have people believe that COVID is no longer here, and/or no longer a big deal. And the way we continue down this path is to stop/undercount cases.
Read 10 tweets
Jun 9
Today is my first day of vacation since Dec 2019.
How am I spending it? Well, just trying to make schools safer for all.

Thread about #SROs in schools.
My concern about school safety has always been about way more than infectious disease spread.
School shootings, school violence, school to prison pipeline, school stress & anxiety, bullying, racially based macro and microaggressions, I've been trying to bring attention to this
Since my oldest daughter got arrested at school.
She was 15. I had been her parent for 3 months. We adopted her, and moved her to a new city. Her life literally changed overnight. But she didn't. Her trauma was still hers. The liberal affluent community we moved her to
Read 11 tweets

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