@Nucleocapsoid We absolutely should be working hard to set up,clean air policies in all schools, too,educate on these things including teach about masking.

Because schools have always been major sites of spread because of the high#s of contacts/numbers per room, per day like daycare,

/1 @Nucleocapsoid somewhat college campus, nightclub is another of ex but doesn’t occur as many hours per week, others. schools are just such a huge consistent volume of a country’s pop of usually approximately 5&up (though many younger in some counties are also in daycare).

/2

@NielsANielsen Magical thinking, peer pressure

Denial

Subconsciously- usually not consciously - so many of their colleagues couldn’t be wrong, too

/1 @NielsANielsen The large minority effect that then easily turns into the huge minority
In US, a good 10-25% - at least -swayed early by political leaning even if believed legit

/2

@AndrewEwing11 @RetractionWatch And not only is Meltzoff married to Kuhl but he is also a lead at I-LABS (at Univ of WA) where this very poor paper came from

He is also (or at least was) on the board of Bezos family foundation

Would want projects he believes in to succeed, I’d think
ilabs.uw.edu/meltzoff/
@AndrewEwing11 @RetractionWatch Meltzoff has also collaborated w Dimitri christakis and they all work at Univ of Washington in fields that have overlap

DC is the Jama Peds EIC who allowed h Walach paper through in ‘21 which wrongly claimed /1

@drseanmullen At a VIP club he’d sometimes lunch at in ‘22 in D.C., he reassured workers who served him that we had the treatments and this is our new normal

I think the reasons you mention are both valid tho I think people like him don’t acknowledge their COI when they have them
/1 @drseanmullen Look up some of these people he partly answers to

For many, ask - what do they know re public health?

/2

The hepatitis cases could've been easily presented initially as:

Likely MIS-C hepatitis reported from Europe, Israel& US so far. 11 o 12 Israeli cases had documented histories in the prior few months. 5 of 13 case in Scotland had admission + SARS2 PCR. /1 A small % from elsewhere in the UK had + admit tests. While MIS-C often has negative admit tests as it's a delayed indirect effect, it's not surprising to see some + as there can be prolonged shedding of live virus, plus even dead virus will trigger +PCR /2

@farid__jalali Is it Weird 5 concerning cases reported ~ Nov and we’re just now hearing about it? esp as it’s something important to alert docs/hosp to. So We’re getting state/AASLD/NASPHAG alerts now to watch for it when 5/9 cases were about 5 months ago!?! @farid__jalali And would we have even heard anytime soon if UK (or was it really Israel first) hadn’t alerted? Would this mmwr report have even been published yet?

So what's new about these pediatric hepatitis cases compared to prior SARS2 hepatitis?

I think this is the first time to link w transplant need.

(& the push in US/Europe (not Israel) to consider adeno so that's confusing the situation)

Otherwise, this isn't new info for SARS2 '20 posted on WHO - pediatric hepatitis pesquisa.bvsalud.org/global-literat…

@karamballes In addition to important info in that R/T above (top of iceberg), It is sad that Hoeg is misrepresenting herself,

It’s strange bc she now calls herself PhD epidem(See 3rd line).Here, she claims ophthalmology- which is it?/1 @karamballes Suspect her degree was given by their Pub Health/Epi dept bc of the structure but,per thesis,it was NOT classic epi. It was eval of eye problem& use of photography for that. Her PhD acceptance (left) was to neuro-sensory& I assume Ophtho is w/in that there. See thesis pic too/2

Hoeg has shared she ran 7 marathons in one pregnancy alone.

Her personal risk assessment for herself & likely her family is NOT like most peoples'.

https://twitter.com/emilygraymd_mph/status/1443748062078201858

In her writings, she' also clearly upset at restricted activity for herself &her own kids in the pandemic. That's strange as they should still be easily able to go on family runs/hikes./2

The Open Schools USA reps on today's AFT panel note they know of 2 docs who got told by their employer they couldn't speak out vs. CDC's policies(i.e. for wanting to do LESS mitigations than recommended).
Sure,it absolutely happens that an employer-ex.hosp, Microsoft,McDonalds/1 Sure,it absolutely happens that an employer (ex.hosp, Microsoft,McDonalds,etc.)can say an employee can't speak against policies the employer supports...regardless of what it the policy is, whether it's Covid mitigations or other company policy./2

My thoughts on what I can do to make physician/hospital/dental visits safer IF my family needs to go--
-First appointment of day
-Dentist-try to get a place that seems to understand (HEPA,hi grade mask), ideally individual rooms so another pt' smooth isn't open over a partition/1 -Take extra, still-in-package hi grade masks to give for use by my providers in case I get told they don't have or "not the policy"
-Minimal talking (always my goal in pandemic, very hard for me as I'm usually a bit chatty & I feel rude not but safety first) /2

Stating the obvious-a challenge is that a once kid/any brings SARS2 into home, NO ONE is wearing masks.

So basic masks will hopefully help decrease viral load at time of infxn & thus help decrease severity.BUT the only one protected by that is the index.

Unvax'ed,esp at risk/1 So if sibling A and B do great with their masks at school but A gets Covid at school, B and any others at home are now getting exposed at home, completely unprotected.

What can we do? I do realize it seems impossible but can do a few things. /2

I feel some guilt for cautioning people to keep kids home for school IF able. And that's bc I know most can't keep home & they'll feel bad.

BUT the most ethical advice is currently w Delta is: keep home if you can.

&Less in school means safer for those@ school. Some are incorrectly sending to school when they don't have to bc of WRONG messages. There's peer pressure, gaslighting, self-gaslighting. /2

When discussing xtra high-risk areas in hosp, DON'T forget Labor & delivery.
Patients roll in- about to deliver OR no fetal movement & emergency, bleeding, can't breathe- all could be covid. Staff rush in, forgetting to don better PPE(should never have off but separate issue) /1 Many in rm. Pt/visitors.
Huge spread risk each time.
OB staff tend to be used to tough work&don't speak up loudly, hosp admin often doesn't listen as well bcOB field isn't the highest billers(&maybe bc more women?) so tend to be bulldozed even when do realize issues& speak up/2