Our new article is out documenting the burden of the #pandemic on food service workers.
What it boils down to is fighting an #AIRBORNE virus with droplet dogma.
I will walk you through some of the more shocking highlights. 1/ 🧵
During the BA.1 Omicron wave, for example, food service workers could often get free #HandSanitizer.
Yet, free high-quality masks (e.g., #N95) were hard to come by.
N95s prevent people from inhaling airborne virus into their lungs. Hand sanitizer does not.
2/
With a lack of #PublicHealth guidance, many in the food service industry have faced decision fatigue in handling C0VID-related issues.
Participants said co-workers struggle with what to do if sick (87%), when to return to work (83%), or whether to get a booster (61%). 3/
Food service workers have expressed that C0VID has had a big impact on co-workers' #MentalHealth.
Anxiety, depression, and substance use lead the way. However, many respondents also noted a co-worker dealing with #bereavement, suicidal ideation, or violence (17-36%). 4/
Shortly after the BA.1 Omicron surge, many in the food service industry were aware of a co-worker dealing with #LongCOVID.
"Fatigue" (often EXHAUSTION) led the way. Many knew a co-worker with prolonged loss of taste or smell, which are huge to that occupation. 5/
In the more recent days of the pandemic, food service workers emphasized that a key priority was reducing in-home spread of C0VID.
Experts you know from Twitter provided their guidance on reducing in-home spread. Here's a link to another resource.
Levels are flat during a relative "lull" in transmission.
▪️1 in 187 estimated actively infectious
▪️260,000 estimated new daily infections
▪️High: OK, MS, WV
▪️Moderate: VT
▪️All other states low/very low in relative transmission
🧵THREAD 1/6
COVID-19 persists in 2026.
We are in a relative "lull" following a 12th wave, but at a baseline of 200-300K estimated new daily infections.
Transmission was lower in the era many refer to as #DuringCOVID, when multi-layered mitigation was used instead of denial.
🧵THREAD 2/6
Transmission during a "lull" is high in an absolute sense. Many people are getting infected.
Simultaneously, its low in a relative sense, or compared to so-called "typical" transmission. In most places, it's a safer time for medical/dental care.
Transmission is stable in a relative "lull" nationally between waves.
We estimate that approximately 313,000 people are still getting infected per day, with outbreaks radiating from TN and MS.
🧵1 of 10 (don't miss #10)!
With limited data reported, Mississippi has an estimated 1 in 27 residents actively infectious.
In a room of 25 people, that's a 61% chance of exposure, if no testing/isolation protocols.
🧵2 of 10
1 in 24 people in Tennessee are estimated to be actively infectious with SARS-CoV-2. That's a 65% chance of exposure in a room of 25 people where nobody is testing/isolating.
This is an unethically misleading study with findings easily explained by residual confounding. Some health systems and patients have thorough record keeping. Others don't. All sorts of variables will correlate (infections, cancers, anything else tracked in medical records).
This is a really obvious issue for an international epi study. It should not have been published.
The above study is using the same processes the anti-vaxxers use -- junk epi that does not account for confounding -- to support whatever pre-conceived notions the authors have, with absurdly large effects.
Denial is but one of several obvious defense mechanisms people use to try to block their awareness of the ongoing toll of COVID-19. There are many others.
Short-term capital also plays a role, but even that requires a large dose of defense mechanisms.
During this 12th COVlD wave, the CDC reports 1-in-3 states have "High" or "Very High" levels.
PMC estimates the proportion of residents actively infectious (prevalence):
◾️USA: 1 in 67
◾️IA: 1 in 27
◾️MI: 1 in 25
◾️IN & CT: 1 in 23
◾️ME: 1 in 21
◾️OK & SD: 1 in 17
🧵1/
On average, Americans have have 5.0 cumulative SARS-CoV-2 infections.
This week's infections are expected to result in 1/4 to 1 million new #LongCOVID conditions and ≈2,000 excess deaths.
🧵2/
The wave peak is now estimated >10% higher than last week at 1.2 million new daily infections, nearly double the Delta wave.
We expect sustained high transmission (≈600,000 to 750,000 new daily infections) the next few weeks as COVlD circulates through schools/families.
🧵3/