Dr. Lucky Tran Profile picture
Jun 1, 2023 5 tweets 3 min read Read on X
With COVID transmission data removed from the CDC website after the end of the public health emergency, wastewater is now our best indicator for surges.

And wastewater data shows that all of NYC has high COVID levels.

mbcolli.shinyapps.io/SARS2EWSP/_w_e… Map of NYC wastewater level...
Note that NYC switched to a more sensitive COVID wastewater detection method in March. But per Dr. David Larsen who runs the dashboard, this isn't responsible for the increase. So likely uptick is due to real world COVID spread.

(Reported by @Gothamist: gothamist.com/news/is-covid-…) New York County SARS-CoV-2 ...
Note that New York State COVID wastewater levels are graded high, moderate, and low. These levels correlate to similar ones on the CDC's old transmission map tracking COVID tests. Intent is to make NYS wastewater data easier to interpret to the public & to make policy decisions. TABLE:   TITLE: SARS-CoV-2 ...
It isn't surprising that we are seeing an uptick of COVID cases at the start of summer of 2023. We've seen a similar pattern ever since Omicron appeared, where there's been a high level of COVID spread throughout the whole year apart from a couple of months in spring. New York Times calendar sho...
Previous CDC guidance directed hospitals to institute mask mandates when COVID transmission is high. They removed this when the PHE ended, citing lack of testing data as an excuse.

But wastewater data shows COVID levels are high. NYC hospitals should #KeepMasksInHealthcare! CDC: When SARS-CoV-2 Commun...

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More from @luckytran

Nov 14
As a scientist who is the director of science communication for the medical center of a major university, my advice is:

Please don't rely on an economist who has spread misinformation about COVID to advise you about how to effectively message on public health. Theres a Better Way to Talk About Fluoride, Vaccines and Raw Milk Nov. 13, 2024 By Emily Oster Emily Oster, an economist and the founder of ParentData.org, is the author of "Expecting Better" and "Cribsheet."
Masking Policy Is Incredibly Irrational Right Now Why must only the youngest children wear face coverings? By Emily Oster
Oster's work has been embraced by right-wing think tanks such as the Manhattan Institute and the Cato Institute. Her audience is affluent parents who seek permission to disengage from the social contract and ignore harmful impacts to the working class and people of color.
Here's a horrendous example of COVID misinformation spread by Emily Oster in 2020, which has been proven wrong by research many times since. Please do not listen to any of her advice about public health. Schools Aren’t Super-Spreaders Fears from the summer appear to have been overblown. By Emily Oster
Read 4 tweets
Nov 5
The current admin has failed to adequately address the ongoing and long-term impacts of COVID. They have been rightfully criticized and should continue to be held accountable.

However, a Trump win will make things worse, resulting in many more deaths and people becoming sicker.
Trump will accelerate mask bans, restrict vaccine availability, reduce healthcare access, stop clean air efforts, block Long COVID treatment funding, dismantle health agencies etc.

The outcome of the election will critically impact COVID and public health policy for decades.
Let’s break down a few of these points:
Read 13 tweets
Sep 18
New poll finds half of Americans believe they'll never get COVID again.

The data shows that COVID surges at high levels throughout the year. Denial is one hell of a drug. Half now expect to never get COVID again  Q: Which of the following statements most applies to you?  l expect that I will get COVID-19 at some point in the future, despite trying to stay as safe as possible: 20%  l expect that I will get COVID-19 at some point in the future, so I have gone about my life as normally as I could: 31%  I do not expect to get COVID-19 at some point in the future: 49%  Source: Ipsos Consumer Tracker, fielded September 4 - September 5, 2024 among 1,081 U.S. adults.
What’s tragic is that the CDC’s own study showed that most people are likely to take precautions like wearing a mask when they are alerted that COVID transmission levels are high.

However, most people are unaware of true transmission levels.

This is a public health failure. @CDCgov New in @CDCMMWR: Adults perceiving a high level of #COVID19 community transmission are more likely to take preventive actions, but a low percentage perceived local COVID-19 spread accurately. The more people know, the more likely they are to take action: bit.ly/mm7146a2 pic.x.com/qvkInxlsgs 12:00 PM • November 21, 2022
Read 4 tweets
Aug 28
Hearing people being turned away from CVS because they say the bridge program doesn’t cover the updated vaccines. A Washington Post reporter also heard this from the CDC.

Why has the CDC not updated their website to make this clear, and why are there not more stories on this?
The CDC’s website still says the bridge access program will end in August 2024.

The CDC should clarify that it doesn’t cover the updated vaccines ASAP.

People shouldn’t only find out at the last moment when they try to get the vaccine.

cdc.gov/vaccines/progr…
What You Need to Know CDC’s Bridge Access Program provides free COVID-19 vaccines to adults without health insurance and adults whose insurance does not cover all COVID-19 vaccine costs. This program will end in August 2024. Use these resources to promote the program and expand equitable access for COVID-19 vaccination.
A CVS spokesperson has told reporters the updated COVID vaccine will cost around $201.99 for uninsured patients paying out of pocket.

thecity.nyc/2024/08/27/new…
The new shots will cost around $201.99 for uninsured patients paying out of pocket at CVS, spokesperson Amy Thibault told Healthbeat.  They will still be free for Marketplace and Medicare enrollees and for uninsured, underinsured and Medicaid-eligible kids under the Vaccines for Children program. CVS said the shots should be free under most insurance plans at in-network pharmacies.
Read 4 tweets
Aug 23
There's lots of misinformation on rapid tests.

Rapid tests still work for new variants because they target an area of the virus that doesn't change much.

Negative tests happen because people don't test multiple times or due to user error.
Here's a good article from last year on rapid tests and variants. The same principles still apply. cnn.com/2023/09/18/hea…
*Meant to say misleading negative tests happen, even though someone has COVID, because people don't test multiple times or due to user error.
Read 4 tweets
Aug 19
The University of California is banning masks in the middle of one of the largest summer COVID surges of the pandemic. Unacceptable.
theguardian.com/us-news/articl…
Here's the list of things banned from University of California.

It says "no person shall wear a mask with the intent of
intimidating any person or group, or for the purpose of evading identification."

Unclear if it includes wearing mask for COVID protection or health reasons. • Masking to conceal identity: Policies must clarify that no person shall wear a mask or personal disguise or otherwise conceal their identity with the intent of intimidating any person or group, or for the purpose of evading or escaping discovery, recognition, or identification in the commission of violations of law or policy. • Refusal to reveal identity: Policies must clarify that no person shall refuse to identify themselves while on University property to University officials who are acting in the performance of their duties in situations where assistance or intervention is needed.
Here's the full letter from the University of California President which provides details on their mask and protest ban: documentcloud.org/documents/2505…

August 19, 2024 CHANCELLORS Re: Directive on Policies Impacting Expressive Activities Dear Colleagues: As we prepare to begin a new academic year, it is important that we reaffirm our commitment to fostering an environment that encourages free expression and debate, while protecting the rights of all community members to teach, study, live, provide and receive clinical care, and work safely. To support this, we must work with our students, faculty, other academic appointees, and staff to facilitate free expression in a safe manner and to communicate the multitude of ways our community membe...
I expect that most of our campuses have existing policies that cover the areas listed above. To the extent that this is not the case at your campus, your campus should develop and/or amend policies as soon as possible. Please note that the policy descriptions above are intended to be illustrative, and your own policies may use different language to achieve the same effect. This directive should complement your ongoing efforts to compile and communicate policies in line with the notification requirements of California’s Budget Act of 2024 (Senate Bill 108), as noted in my July 25th letter to...
Read 4 tweets

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