Would also say it's really important to acknowledge a few things. One is viral transmission dynamics of SARS-CoV-2. Peak infectiousness is typically at prodrome or symptom onset, not when people are in hospital or ICU 14+ days later like SARS-CoV-1, where HCW outbreaks featured
Second and most important thing is that we simply do not know where HCWs are getting infected. We need to, and this debate will continue until we have evidence and transparency on that question. It may be that people are getting sick at work, and if so we need to understand how
Four, we really do need to be delineating the breakdown of infections that occur in specific settings. Hospitals, primary care, community health, allied health. Aged care. Disability support. It matters if we want to understand how and why it is happening, and address risks
Then we need to look very closely at where transmission is happening or most likely to happen in health care settings. Primary care is a big concern for similar reasons, they are seeing less sick or even asymptomatic people at a time when they may be more infectious
You may not agree with ICEG's decisions or stances on a range of matters, and you may not feel its composition is appropriate. That's entirely open to anyone. Debate is important and it matters. Playing the person rather than the ball is not that
Third is the ongoing controversy around droplet-borne v aerosol. It is certainly possible and on the epidemiological record that the latter can and does occur, but it is not the predominant route of spread. The question is how significant is it, especially in HC, AC settings
If we want to use PPE applying what we know so far about SARS-CoV-2 we should be giving best evidence-based protection to aged care and disability support workers. They are most likely to encounter people at peak infectious stage ie paucisymptomatic or asymptomatic
Hospital infection control is a complex area and homogenising approaches carry their own risks, but when there is a moving target like this we have to consider ethical dimensions as well
I don't know the answer and I don't pretend to. I am not an epidemiologist or an infectious diseases expert. All I have to offer is close attention to this pandemic from the outset and lots and lots of conversations and interviews with people who *are* experts in these areas
This particular debate, like those that preceded it (masks in public, school closures, protests) is very important and needs to be had. But considering evidence, and principles, matters. Emotive, ad hominem, gotcha tactics are unhelpful and unprofessional
You can follow @coopesdetat.
Tip: mention @twtextapp on a Twitter thread with the keyword “unroll” to get a link to it.

Latest Threads Unrolled:

By continuing to use the site, you are consenting to the use of cookies as explained in our Cookie Policy to improve your experience.