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Shira Doron MD Profile picture
Shira Doron MD
@ShiraDoronMD
Hospital Epidemiologist and Director of Antimicrobial Stewardship at Tufts Medical Center. Boy mom. Lead singer of band Off Label.
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Jan 20, 2023 • 16 tweets • 6 min read
It’s been a week since this article by @DrLeanaWen ignited a firestorm of anger from all sides.

To some extent I think what is happening is a *false controversy* stemming from the fact that we are not speaking the same language

Definitions matter.🧵

washingtonpost.com/opinions/2023/… Public health surveillance definitions exist so disease burden can be estimated. The definitions balance accuracy and the feasibility of data collection. As validation studies are done and feedback given (eg from those who submit the data), surveillance definitions are adjusted.
May 17, 2022 • 11 tweets • 4 min read
Why I believe it is simultaneously true that masks work and mask mandates do not work. The reasons form the basis for our ability to move forward together. A long🧵 First, masks. I don’t pay attention to simulations and mannequin studies. Those of us who write COVID policies for healthcare settings started with this systematic review and meta-analysis which used data from COVID and other 🦠s.

thelancet.com/article/S0140-…
Feb 5, 2022 • 7 tweets • 4 min read
This op-ed resonated with me. I believe we are heading into the most divisive phase of the pandemic. Unlike the early days, the division is not across party lines. 🧵 nytimes.com/2022/02/04/opi… Rather, it is now between those who are more vs less risk averse, those who are more vs less able to frame risk in context,…
Jan 15, 2022 • 5 tweets • 1 min read
This should not cause anger. This is actually the way to achieve harmony. Here’s why. 🧵 First- can we agree that mask mandates (in public and in schools) should not continue forever, even if we can’t agree on whether the time to drop them is next month, next year or next decade?
Jan 11, 2022 • 5 tweets • 2 min read
We’ve reached a point in the pandemic where it’s become unsustainable to depend on others for protection. Luckily, if you want to avoid COVID at all costs, you don’t have to rely on anyone else’s mask compliance. 🧵 theatlantic.com/politics/archi… If you wear an N95/KN95/Kf94/P100/snorkel mask, you do not need to worry about what anyone else is wearing. Mask mandates can be dropped in towns and in schools, and you should not care.
Jan 1, 2022 • 7 tweets • 2 min read
Why I like 5 days of isolation, with no test, as recommended by CDC and now MA DPH. 🧵 1. Remember when #MedTwitter rallied together against outdoor masks? Because when the “rules” are overly broad one loses sight of where the greatest risk lies. Energy is not unlimited. A 5-day rule concentrates energy on minimizing risk when risk is greatest.
Nov 24, 2021 • 7 tweets • 3 min read
At my hospital, every COVID+ inpatient is evaluated by an Infectious Disease specialist. We are seeing more fully vaccinated patients admitted now than a few months ago. But it turns out many are in the hospital for reasons *other than* COVID. Why does that matter? 🧵 I and others have been saying that in a post-vax era, with cases de-coupled from hospitalizations, we need to shift our focus from cases to hospitalizations as a measure of risk and for the purpose of policy-making. commonwealthmagazine.org/health/a-roadm…