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This winter, we've seen sparks of public acknowledgement that knee-jerk pivots away from pre-2020 epi/med/public health principles were very costly mistakes.
And we ignored what we knew b/c some thought it was justified due to uncertainty...
1/x
And we ignored what we knew b/c some thought it was justified due to uncertainty...
1/x
Re: Asymptomatic transmission:
"Normally, a test is a support for clinical diagnosis, not a substitute.
"Searching for people who are asymptomatic yet infectious is like searching for needles that appear and reappear transiently in haystacks..."
2/x https://www.bmj.com/content/371/bmj.m4851
"Normally, a test is a support for clinical diagnosis, not a substitute.
"Searching for people who are asymptomatic yet infectious is like searching for needles that appear and reappear transiently in haystacks..."
2/x https://www.bmj.com/content/371/bmj.m4851
Re: Early venting & sedation:
“Let us go back to basics,” said Dr. Eduardo Oliveira, executive medical director...recommends its doctors stick with pre-pandemic guidelines for ventilator use. “The less you deviate from it, the better.”
3/x https://www.wsj.com/articles/hospitals-retreat-from-early-covid-treatment-and-return-to-basics-11608491436
“Let us go back to basics,” said Dr. Eduardo Oliveira, executive medical director...recommends its doctors stick with pre-pandemic guidelines for ventilator use. “The less you deviate from it, the better.”
3/x https://www.wsj.com/articles/hospitals-retreat-from-early-covid-treatment-and-return-to-basics-11608491436
Re: Stigmatization of disease:
“Shaming, from a public health perspective, doesn’t generally work as a strategy for changing people’s health behaviors, and actually it can do the opposite,” Marcus said."
4/x https://www.huffpost.com/entry/covid-19-stigma-dangerous_l_5fe0ed0cc5b6a7df6666f1f2
“Shaming, from a public health perspective, doesn’t generally work as a strategy for changing people’s health behaviors, and actually it can do the opposite,” Marcus said."
4/x https://www.huffpost.com/entry/covid-19-stigma-dangerous_l_5fe0ed0cc5b6a7df6666f1f2
Re: Closing Schools
"'Schools need to stay open, and that’s not just true here. I mean you look around the world. Everybody’s concluded that closing schools last spring was probably a bad idea, OK?” Baker said...'"
5/x https://www.bostonglobe.com/2020/11/02/metro/closing-schools-last-spring-was-probably-bad-idea-amid-new-restrictions-baker-says-he-wont-close-schools/
"'Schools need to stay open, and that’s not just true here. I mean you look around the world. Everybody’s concluded that closing schools last spring was probably a bad idea, OK?” Baker said...'"
5/x https://www.bostonglobe.com/2020/11/02/metro/closing-schools-last-spring-was-probably-bad-idea-amid-new-restrictions-baker-says-he-wont-close-schools/
The problem is that these policy errors persist & they persist b/c the public has been conditioned by fear.
Fear-based public health messaging erodes trust and is incredibly difficult to reverse.
What we need going into 2021 is more understanding.
Less fear.
6/6
Fear-based public health messaging erodes trust and is incredibly difficult to reverse.
What we need going into 2021 is more understanding.
Less fear.
6/6
