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Vinay Prasad MD MPH
VPrasadMDMPH
One has to do this every few yearsHere is a thread about what to expect if you follow meNo surprises; These are the topics I love to discuss (here),
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NC schools experience:11 districts data; ~100k in person schoolAug to Oct 2020NC had 1-2 cases per 1k pop (that's brisk)733 community acq casesIf schools' transmission mirrored the stateExpected 800+ cases
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My view on schools-- they ought be open in all but rarest instances-was reached from late summer to fall, when I spent considerable time examining the risk of virtual schools
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Step 1: Twitter expert tacitly teaches public that if an event occurs after another, it must be caused by another (e.g. parkinson's diagnosis after covid)Step 2: Twitter expert shocked and
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REAL data on schools from SwedenSchools open Mar-June2 mil kidsNo MASKSoc distancingNo HVAC renosNo change in death for kids15 -> ICU0 deaths from COVIDRR of being teacher & requiring ICU
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What I have learned from COVID19:[Thread] 1. Public health is undervalued, underfunded, neglected, mistreated, and it is easy to get away with that for years, decades, but someday that ends
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I'm a progressive; let's pls stop denying realityNow in WAPO is a devastating indictment of the role Teachers Unions have played in the fiasco that is the DC public
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Covid cases rising, covid cases falling, covid test positive greater than 3% or 5%-- there is no rule in 'science' that says schools must close based on any of these
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There have been so many struggles and challenges of 2020, that I think we could all benefit from some positive things.In this thread I'm going to highlight a few good
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Policy is not theory; its not a model; it is the messy reality of politics meets psychology meets common sense meets medicine meets sociology, and the aforementioned is bad policy.
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Educating and advising hand hygiene, social distancing, indoor-mask use is entirely reasonable; But there can be poorly thought out, illogical, draconian & excessive covid policies & communication that undermine public
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Many COVID policy decisions will req decades to assess the net effects, & I have reserved judgment, but there is 1 policy issue that I am sure has been massively
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