2- There's a delicate balance between preventing infections and increasing lockdown fatigue. People do not have unlimited energy, so we should ask them to be vigilant where it matters most, which is indoors, while giving them a break outdoors. (11/n)
3- We have to assume that not everyone will be able completely eliminate social interaction for extended periods of time, especially people who live alone, so restricting outdoor activity will likely result in some people gathering indoors, where the risk is higher. (12/n)
4- Focusing on low-risk settings diverts us away from addressing structural factors driving majority of transmission. Higher cumulative infection rates are observed among those working in low paid, public facing jobs & living in crowded households. (13/n) https://twitter.com/mugecevik/status/1308080084033638405?s=20
So, I can’t see how blanket "tougher" measures will help much now. Smarter response is urgently needed; making work places safer, invest in supportive measures for those who are disproportionately affected such as housing, income relief. (14/n) https://www.theguardian.com/commentisfree/2021/jan/08/lockdowns-workers-restrictions-self-isolate
For example, there is international consensus that those living in crowded households have 2-3x higher risk of infection. Housing in socioeconomically deprived areas is more likely to be overcrowded, increasing the risk of transmission. (15/n) ( https://www.gov.uk/government/publications/phe-factors-contributing-to-risk-of-sars-cov2-transmission-in-various-settings-26-november-2020\\)
While there's been a lot of emphasis on testing, we haven't emphasised isolation enough. One simple measure, financial & social support for isolation, could make a huge difference. Here I discussed ways to scale up isolation w/ @vcallier (16/n) https://www.nationalgeographic.com/science/2020/12/shorter-quarantines-could-help-prevent-coronavirus-outbreaks/
Individually, we need to avoid / spend as little time as possible in crowded poorly ventilated indoor settings & wear a mask indoors/transport. Spend time outdoors. Open windows. Maintain distance, wash hands and engage in shorter interactions. (17/n) https://twitter.com/mugecevik/status/1308082671302651904?s=20
If you are interested in understanding more about transmission dynamics and high risk settings, I suggest some additional reading material.
Here is a thread based on our article published in CID summarising international data on transmission. (18/n) https://twitter.com/mugecevik/status/1308080056384843777?s=20
Here is a thread based on our article published in CID summarising international data on transmission. (18/n) https://twitter.com/mugecevik/status/1308080056384843777?s=20
In this article, we summarised international and UK contact tracing data, looking at transmission associated with households, occupational settings, transport and social/leisure settings. (19/n) https://www.gov.uk/government/publications/phe-factors-contributing-to-risk-of-sars-cov2-transmission-in-various-settings-26-november-2020
This is a fantastic article by @B_resnick where we discussed 4 ways to think about Covid-19 risk: Distance, time, activity, environment. (20/n) https://www.vox.com/science-and-health/2020/5/22/21265180/cdc-coronavirus-surfaces-social-distancing-guidelines-covid-19-risks
In this interview, we discussed the key misunderstandings about transmission - BBC @sciencefocus (21/n) https://www.sciencefocus.com/science/coronavirus-misunderstandings-muge-cevik/
While blaming rule-breakers is satisfying & easy, "psychologising and individualising the issue of adherence, one disregards the structural factors which underlie the spread of infection." This is a great article by @ProfJohnDrury @ReicherStephen (22/n) https://blogs.bmj.com/bmj/2021/01/07/pandemic-fatigue-how-adherence-to-covid-19-regulations-has-been-misrepresented-and-why-it-matters/
Further thoughts about outdoor risk, why shaming people for spending time outside is counterproductive, where we should be focusing right now. Discussed w/ Evan Davies @EvanHD @BBCRadio4 PM program - you can listen via link @ 5:20pm GMT today. (23/n) https://www.bbc.co.uk/sounds/play/m000r36n
Need to be careful with car share b/c of close proximity of people in a confined space. Recommend avoiding car-share w/non-households, or if you have to take a short ride + open windows + use mask (but not zero risk). Tweet #19 for more details. (24/n) https://twitter.com/sue_strachan/status/1348906808744796160?s=20