Notre Dame launched a site for students to snitch on each other for COVID-19 violations.
Instead, they awesomely have used it to report the university president for shaking hands and not wearing a mask at the White House, demanding his resignation.
New CDC isolation guidance seems to be a top down, corporate-driven, poorly coordinated decision.
1) Delta Airlines asked for this.
2) CDC staff I spoke with wasn’t aware of this guidance change until it dropped, says staff is now being asked to write scientific justification.
And for what it's worth:
Punitive public health systems are bad.
Clogging the gears of bad systems is good.
Targeting powerful, hypocritical people running bad systems is GREAT.
CDC mask guidance change 🧵
1) Hospitalizations lag test positive cases which lag actual cases
2) Guidance based more on hospitalizations means willfully abandoning critical windows to act
3) So this guidance is less about new science or better public health, and more about…
NEW: Updated COVID-19 Community Levels as of March 3, 2022.
More than 90% of the U.S. population is in a location with a low or medium COVID-19 Community Level.
Find your COVID-19 Community Level:
This is – in contrast to "evidence-based policymaking" – policy-based guidancemaking.
It is irresponsible and inappropriate for health experts and public health authorities to create this or champion it in their messaging work.
... both justifying the relaxation of public health protections now and about justifying too little, too late policy responses in the future when surges re-emerge.
3) Delta ask included testing. CDC guidance doesn’t include it. White House cherry-picked “health experts” celebrating this guidance are all mousily addending it “but wish they had included testing.”
Was testing dropped in haste? Improper drafting? Because of testing scarcity?
Rush to reopen shopping
Rush to reopen bars and restaurants
Rush to reopen schools and keep them open
Rush to get infected workers back to work
Rush past the preventable mass death and suffering, don’t think about it, just work, just spend, just work, just spend
#CDCs
move to base its guidance on measuring hospitalizations for Covid, and not just the number of cases, is a sound step that will allow us to better target public health measures to risk. It reflects a growing wall of immunity that’ll hopefully diminish COVID’s overall impact.
I'm one of the
#PeopleForBernie
.
I'm a primary care doctor in a health system that financially exploits all, while excluding many from care they need and deserve. It's barbaric. I'm also worried about climate crisis, racism, & fascism.
We need
#MedicareForAll
& a
#GreenNewDeal
.
Overall risk of severe disease due to
#COVID19
is generally lower with widespread population immunity through vaccination, boosters & prior infection.
We also have more tools:
➡️Testing
➡️High quality masks
➡️More treatments
➡️Improved ventilation
@DrLeanaWen
"Zero COVID" is a strawman.
We're not opposed to relaxing protections.
Relax once control is achieved via aggressive containment.
This requires more suppression than achieved by the approaches of too little, too late action and of premature relaxation. 1/
All but one state has transmission levels above the current CDC threshold for masking.
Rather than wait to ensure everyone is safe, the CDC is going to cave to the impatience of the rich and powerful, putting many at risk, and prolonging the pandemic.
There's very unsettling news at
@MountSinaiNYC
, and I'm going to write a long thread about it.
With it, I plan to share a relevant experience I've never publicly discussed and I will offer ideas of action steps.
I hope you'll to read this thread, share what's happened, and act.
Recent messaging and guidance from the CDC and White House are about as terribly anti-public health as the mask relaxation moves in May 2021, but the ones now are contextually worse given that cases were quiet then and are massively surging now.
Shame on
@CDCDirector
and
@POTUS
.
AR Governor cites group of (Republican) governors asking Zients and friends to reduce isolation time, no mention of testing or vaccination requirements
Masks have become a symbol reminding us that we are still in the middle of a pandemic. Now Governors across the country are thinking about removing indoor mask-mandates. But is now the right time?
@ASlavitt
asks
@CDCDirector
Rochelle Walensky. Listen:
@DrLeanaWen
Specifically:
1) Mask mandates when containment breaks
2) More outreach for primary vax + boosters
3) More ventilation infrastructure investment
4) Edu on higher quality masks
5) Provision of rapids test + higher quality mask
6) Maximize global vaccine production + delivery 2/
Yes to this! Mask mandates are about preventing or at least shrinking future surges.
Relaxation now and slower action later are strategies we've seen fail time and time again.
As we anticipate new CDC mask guidance, the basics remain the same
Mask *mandates* help ensure all the people with COVID in a room wear a mask, reducing COVID in the air
Individual mask recommendations do little to reduce transmission
Mask **mandates** can help reduce surges
Bernie supporter feeling the Super Tuesday blues?
Totally understandable. Worth confronting. But not the end of the story.
This is a thread for you.
#NotMeUs
1/
No! Masks aren't like umbrellas, only to be used once rain appears. Because umbrellas don't affect the likelihood or severity of future storms. But masking use does prevent or limit the size of future surges.
“I welcome the decline in cases that we are seeing in the US and a number of other countries, and I think you can both celebrate the sunshine while also keeping an umbrella close by for the possibility that rain could occur,” said
@JenniferNuzzo
Wrong. You have power
@POTUS
1) Message the urgency and ability to save lives
2) Fund vaccine outreach
3) CDC guidance on mask mandates, mask/test provision, venue protections
4) Vaccine patent waivers and tech transfer
5) OSHA worker safety standards
Biden could:
1) Clearly communicate this is a crisis
2) Announce a plan for a shutdown w/ social supports incl $2,000 for all
3) Call on Congress to have emergency session tomorrow
4) Pass a plan (because federalism) that finances all states meeting criteria for shutdown
"the Scarlet Letter of this pandemic is the mask"–
@CDCDirector
Are you ashamed to wear a mask? I'm not. It's unclear why Director Walensky thinks we should be ashamed, but it does make it easier to understand why
@CDCgov
is retreating from this safe, effective, lifesaving tool
Let's highlight how "civility politics" operates in pandemic discourse. 🧵
1) Highly platformed health "experts" drive policy negligence with their incorrect, harmful messaging. They get bylines, journalist interviews, TV appearances, book deals, and wide rightwing celebration.
Many of us are utterly sick of this pandemic but are relentlessly demanding aggressive containment because stronger than that feeling is our being appalled by preventable mass death and suffering.
@RuthMarcus
We all want more people to be vaccinated but discriminatory care violates medical ethics, degrades trust in medicine, and is counterproductive for public health.
It is essential for triage to be based on who would benefit most, not who supposedly deserves it.
Don't conflate pandemic fatigue & public health protection backlash.
The backlash is a fringe, rightwing-funded astroturfing effort.
Pandemic fatigue seems more like exhaustion from *inadequate* public health action repeatedly causing preventable surges, mass death, suffering.
@bhamcivilrights
Angela Davis is on the right side of history and civil rights, and this move unfortunately puts
@bhamcivilrights
on the side of oppressive ethnoreligious nationalist regimes...
@kidney_boy
Hard to read this without thinking of trainee suicides and other mental suffering in medicine. Feels callous, judgmental, dismissive.
Health workers/trainees are human beings w needs, who deserve boundaries on taxing work, and who often face coercive hierarchies & exploitation.
@DrLeanaWen
This represents a poor understanding of the social dynamics at play and ignores that universal masking is more protective than personal use alone.
New paper in the Lancet:
COVID-19 elimination was the best strategy.
That's in terms of lives saved, livelihoods affected, *and* how freely people could live. Check out these graphs.
Link:
@RuthMarcus
"Deservedness" policies require human beings to be perfect, and keep people from care they need and deserve.
This approach has a deep history in racist, eugenicist, and classist projects.
We must not tolerate this logic anywhere in medicine.
In light of this pending change in guidance, I'd like to underscore that hundreds of public health experts are calling instead for an evidence-informed approach to COVID-19 policy (particularly with regard to keeping our children and schools safe).🧵
@j_g_allen
@DrLeanaWen
Consumer-driven public health is what you're calling for
@DrLeanaWen
?
What Koch-funded libertarian think tank dreamed this up...
@Bob_Wachter
Bad news you miss: mask mandates and use are relaxed, most are unaware of or can’t access KN95s, contact tracing has been decimated, venue crowding protections are gone, air travel lacks vaccine mandates, politicians complacent with tool existence & suggestions ignoring policies.
Here's a 🧵 reviewing this op-ed from
@MonicaGandhi9
and
@LeslieBienen
.
Spoiler: incoherence, obfuscation, and omission that feeds pandemic inaction + promoting a data reporting approach that destroys opportunities to save lives and prevent suffering.
Important framing to note:
1) "Normal" isn't good. Normal has been very bad. Normal was massive preventable death and suffering, all normalized. We can do better than "returning to normal."
First, recognize a few things:
Dividing progressives is a tactic.
Demoralizing supporters is a tactic.
Claiming the banner of pragmatism is a tactic.
Claiming the banner of presumed candidate is a tactic.
We can go with their narratives, or not. That's our choice.
2/
Their answer to Omicron will be boosters.
Their answer to 1000+ deaths daily and cases rising now has been crickets.
There is no political force organizing for the public health approach we need and deserve.
It's on us. That sounds scary but is liberating. Don't wait, step up.
A few Omicron communications thoughts:
1) More transmissible ≠ “everyone will get it.” Containment is possible. Fatalism here is dangerous and irresponsible.
When do you expect an emerging variant will change your masking guidance, again,
@CDCDirector
? Have you considered the harassment and violence staff at organizations implementing masks will experience? Have you considered long covid and the number of deaths from dropping masks?
First off, why is the NYTimes continuing to platform voices that have consistently been incorrect?
Premature optimism, essentially calling the pandemic over, has driven real harm by degrading policy protections and public behavior.
Who was the editor here?
I am beyond weary.
But I don't want a break from public health protections.
I want a break from preventable deaths, from preventable cases of long COVID, from variants, and from preventable surges that stress us all out, disrupt our relationships, and hurt livelihoods.
Sadly seeing many who have been writing about and advocating for health justice for years
Who are now silent on Palestine, who are leaving the spaces which are vocal on Palestine
Please know this is noticed by others, and I hope you'll reconsider
The new CDC metrics do still use cases!
*But* the threshold is 200 per 100,000 over a week.
This is equivalent to 94,000 cases in the US per day.
With such a ridiculously high threshold, they've turned cases from a leading indicator into a relatively useless one...
And yes to this! There seems to be no reckoning with the history of mistaken public health justifications of bad policies. E.g. mask relaxation May 2021, isolation/quarantine shortening, etc.
3) If anyone actually wants to relax protections like mask mandates but doesn't want preventable mass death and suffering (like long COVID), they should focus now on championing:
– aggressive containment
– enhanced vaccine outreach
– more ventilation system transformation
2) Wanting certain stronger protections now is *not* about wanting people isolated and restricted. It's about substantively responding. Stopping spread allows true reopening. Prematurely relaxing makes us hit harder down the road. Shortsightedness is deadly.
As over a million have died in the US from pandemic policy negligence (over 100,000 recently). It's shameful that our political leaders are doubling down and that careerist health "experts" are providing cover.
We must shine a light of this deadly bullshit machine.
Second, recognize this:
Biden actually did *not* do great.
He had the whole Dem machine working for him (Obama, donors, etc.).
He's had positive media bias, and *tons* of media inattention for his weaknesses.
And he did worse than Hillary in 2016.
3/
Truly cannot imagine being a highly platformed “health expert” or pundit and using it to successfully manufacture a narrative of fatalism and complacency as hundreds of thousands needlessly die here in the US and millions needlessly die globally… It’s sociopathic.
Medical institutions are making themselves complicit in genocide through their retaliation, intimidation, and speech suppression.
@MontefioreNYC
OBGYN "canceled grand rounds this morning 2 hrs before the fact because the speaker had posted a singular post calling for ceasefire."
(Unavailable) RAPID TESTS FOR ALL (who can pay for them upfront, get a receipt, keep the receipt, navigate their insurer's reimbursement process, get notice of reimbursement rejection without more information, spend 25 minutes on hold, wait for a call back, get a letter in the ma
@ashishkjha
FIXED IT:
Infections are starting to rise
Hospitalizations are inching up
The holidays are approaching
The data is becoming increasingly clear
It is time for policy solutions: mask mandates, enhanced vaccine outreach, KN95s and rapid tests free to everyone.
Also CDC (paraphrased): "We're giving completely different guidelines to immunocompromised people, but we aren't telling that to the general public because we want to enable nondisabled people to weaponize our ableist policies."
Ok, whatever, that's Super Tuesday. What now?
This is a totally new moment.
No longer a crowded stage.
Just a head to head competition.
It is a brand new moment. And in this moment, Sanders is much, much stronger.
5/
Extremely irresponsible TV ad from
@nysut
and NYS
@AmerAcadPeds
.
"kids always learn better in classrooms"
Not if transmission is rampant.
"doctors & health advisors say schools are safe with health protocols in place"
But they aren't in place.
4 easy things you can do to help win the US Senate
1. Donate to key local, grassroots groups via
@winbothseats
2. Invite others to donate
3. Deep canvassing phone calls with
@PplsAction
4. Recruit others to make calls with you!
In a wasteland of deeply flawed research, they appeared to be pioneers of meta-research, champions of evidence rigor, guardians of causal inference.
But in a pandemic, they show their true nature: egotistical heterodoxical contrarians crowdsurfing on rightwing media grifters.
And similarly irresponsible are the health "experts" who RT this news without comment but based on their history of anti-mask messaging we can assume they are echoing supportively.
This is just a sample of the highly amplified, concerted messaging aimed at supporting guidance which is aimed at supporting anti-public health policies, AND of the overwhelmingly ignored but widespread views of health experts & people generally who know it's wrong.
7 in 10 favor mask mandates yet we lack them.
6 in 10 favor legal abortion yet we’re on a path toward its illegality.
Fascists (composed of an alliance of reactionaries and wealthy) grab power and don’t care about democracy, the will of the majority, or rights.
“But what can Biden do?” 🧵
1) Expand OSHA standards to all workers as originally intended
2) At least guidance on mask mandates + highlighting absence, at most attempt implementing a federal mask mandate
3) Use federal authority + diplomacy to expand global vaccine production
And if Biden only has inertia 3 things will sink his campaign.
1st, his endless misstatements, lies, & gaffes
2nd, the fading glow of Super Tuesday results & endorsements
3rd, us continuing to show up, door by door, call by call, friend by friend, fighting for what we need
9/
So that's why I'm hopeful.
The future is full of possibility. The possibility that we make.
We just have to do the work. Every vote counts. Every conversation to make votes happen counts.
Let's get on it!
11/11
5-11 year olds will likely soon be eligible to get vaccinated. This is great news!
But some like
@MonicaGandhi9
are championing an end to school masking once this happens.
The logic is that ending mask rules promotes vaccination.
But is that supported by any evidence? 1/
9) This is civility politics, shifting the focus from valid criticism (and important calls for truth & better policies), to "how critical people are being mean." It deflects from accountability and instead denigrates the very people asking for it.
Why is Bernie stronger in this new moment of the primary?
Because the issues are what matters.
Because real people facing real issues matter.
Because real solutions that are urgently needed are what matters.
Biden isn't great in addressing these things and Bernie is.
6/
And yes, this! Crafting public health guidance based on what governors want is like prescribing ice cream to someone with diabetes just because they want it.
The war against mask mandates gets a lot of attention, and at least some pushback.
But there have been other – more silent – attacks on and losses of public health protections.
Most notably contact tracing, quarantine/isolation, and their enabling social/economic supports.
As an assistant professor at NYU’s school of medicine it is my personal opinion that Robert Grossman is not fit to lead our institution.
We must have leadership committed to healthcare, education, research, and employment free of mistreatment and discrimination.
Also in this lawsuit: Emails between NYU Langone CEO Robert Grossman and Benjamin Neel (the cancer center director who was fired) about Israel-Palestine.
In one example, in reference to NYU students protesting Israel, Grossman wrote: "They should take away their scholarships"
Bernie's campaign is fueled by issue-focused, people-powered movements.
Biden is a fragile candidate with a bad record and inadequate policies.
Bernie has the right policies and people who are willing to volunteer.
7/
Cases are surging. School is about to start.
Do you care about *all* harm to children, e.g.:
– High community transmission disrupting in-person schooling
– Pediatric ICUs full of severe COVID
– MIS-C
– Death of adult loved ones
Or just the harms of virtualized schooling?
2) The health "experts" face a backlash. Some of it is admittedly unkind and personal, but most was civil, valid criticism or very fair sharing of real and raw emotion from people who have endured awful policy violence these experts have fostered.
🚨
@HealthNYGov
Acting Commissioner says mask mandate for medical settings will not be renewed.
"We're not asking the Public Health and Health Planning Council committee to renew the emergency regulation on masking and health care settings. It will expire on February 12, 2023."
@DrLeanaWen
@PostOpinions
Why are you individualizing this?
Putting all responsibility on people you yourself acknowledge are most vulnerable?
It’s like you telling people to bring their own ramps instead of you fighting for accessible infrastructure.
These things society’s responsibility.
You know what I think?
I think Biden got everything possible before Super Tuesday and now he is nearly maxed out on establishment support.
And that the media bias can't get any worse.
Which means: Biden only has inertia from here on out.
8/
5) This is operationalized as aggressively blocking, as conflating all responses they got as uncivil and demanding civility, and even as running away from Twitter and asking for following in more echo chambery (and profitable) places like their Substack.
White House surge responses
Delta
– 2 months too late
– predominantly vaccine mandates, a tool that couldn't take effect that surge, was legally frail
Omicron
– 1 month too late
– offered ~1.5 rapid tests per American, mostly after the surge ended
BA.2
– ???
1972 Stanford marshmallow experiment for kids except it's 2021 and instead of kids it's for mayors and governors and instead of eating marshmallows it's reopening high risk venues.
Joe Biden's healthcare plan:
– 10 million uninsured
– Lack of insurance killing 15,000 yearly
– Millions facing financial havoc and medical bankruptcy
– Millions battling for-profit insurers keeping you from care
– Workers' pay getting siphoned to insurer/pharma/hospital profits
@DrLeanaWen
@wolfblitzer
As we've seen time and time again, premature relaxation of protections will drive spread.
This will worsen or even create the next crisis, when we should be working to prevent it.
Please stop with the awful guidance and irresponsible use of your position.
Zients must go.
350,000+ deaths since Biden in office.
Now cases are surging again and there's a new variant.
Corporate CEO & political donor Jeff Zients is utterly unqualified and has been failing in his role leading the
@WHCOVIDResponse
team.
@POTUS
@WHCOS
: replace him now!