Thread by @VincentRK, Shelter in place & surge capacity are NOT enough. While we absolutely [...]

Vincent Rajkumar

VincentRK

Shelter in place & surge capacity are NOT enough. While we absolutely need them to bend curve, COVID may come right back to hot spots if we dont:

1. Test more & isolate
2. Trace every contact & quarantine
3. Universal masking
4. Screen entry into safe zones
@choo_ek @ASlavitt

Unfortunately we are not doing social distancing well, let alone the others. https://twitter.com/josh_h/status/1245704916859002880?s=21 https://twitter.com/josh_h/status/1245704916859002880

https://twitter.com/josh_h/status/1245704916859002880?s=21

We don’t have enough stockpiles for to provide surge capacity. @NickMiroff @washingtonpost @EricTopol https://www.washingtonpost.com/national/coronavirus-protective-gear-stockpile-depleted/2020/04/01/44d6592a-741f-11ea-ae50-7148009252e3_story.html

Protective gear in national stockpile is nearly depleted, DHS officials say

As coronavirus outbreak intensifies, the government’s emergency stockpile of masks, gloves and other medical supplies is nearly exhausted.

https://www.washingtonpost.com/national/coronavirus-protective-gear-stockpile-depleted/2020/04/01/44d6592a-741f-11ea-ae50-7148009252e3_story.html

We are not testing enough. Not enough testing means we are not isolating people who need to be isolated. @davidalim https://www.google.com/amp/s/www.politico.com/amp/news/2020/03/31/testing-coronavirus-blindspots-157993

The next coronavirus hotspots are in states that aren’t testing enough

The next coronavirus hotspots are in states like Georgia, Oklahoma and Michigan, that aren’t testing enough.

https://www.google.com/amp/s/www.politico.com/amp/news/2020/03/31/testing-coronavirus-blindspots-157993

If we don’t know who the cases are we cannot trace and quarantine the contacts. China employed 5 epidemiologists to each case in Wuhan to trace and quarantine contacts. If contacts are not quarantined the cycle restarts. @DrSidMukherjee @PSampathkumarMD @nramind

We need universal masking. The @CDCgov has still not acted. It’s baffling. People must stay home. But when they have to go grocery shopping or work in an essential area, then must wear a mask. Regular/homemade enough. N95 reserve for frontline healthcare workers. @Carolynyjohnson

Finally we need to create safe zones and merge safe zones to bigger safe zones. When hot zones cool down, the vast majority of the remaining population is STILL SUSCEPTIBLE. If new cases come in the cycle restarts: we have another wave. @JInterlandi @CarolineYLChen @matthewherper

To beat this pandemic we need everything I listed in this thread. In addition, we need to overcome PPE & medication shortages with urgent action from the federal government. And warp speed development and approval of specific antivirals, meds, & vaccines @choo_ek @lauriemcginley2

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