1/ This week has been one of the DARKEST in American public health. First, @HHSGov & @US_FDA misrepresented the data on convalescent plasma & granted Emergency Use Authorization. Then @CDCgov changed recommendations on coronavirus testing for people without symptoms.

2/ WE STILL HAVE A TESTING SHORTAGE. The President has yet to invoke the Defense Production Act to address it. But why would he, when he wants to reduce the number of confirmed cases of coronavirus REPORTED (vs the reality). Public health must start with DATA & TRANSPARENCY.

3/ One of our most important tools to control COVID: TESTING to separate infectious people from uninfected people to stop spread = ISOLATION. We know that large % of coronavirus transmission is propagated by PEOPLE WITH NO SYMPTOMS. The ONLY way to pick up those cases is TO TEST.

4/ @CDCgov has discontinued guidance that people returning from overseas / areas with high prevalence of COVID should QUARANTINE for 14 days. These people could be seeding new hotspots of transmission in their community. Remember Biogen? https://www.statnews.com/2020/08/25/biogen-conference-likely-led-to-20000-covid-19-cases-in-boston-area-researchers-say/

5/ Changes in @CDCgov guidelines were forced by the White House and not based on science. OUR PRESIDENT HAS CAUSED AMERICAN SCIENCE AND PUBLIC HEALTH INCALCULABLE HARM.

6/ And yet again, local and state health departments are being left to muddle through. Some will rise to the occasion, some won't. https://www.theatlantic.com/health/archive/2020/05/patchwork-pandemic-states-reopening-inequalities/611866/
and
https://podcasts.apple.com/us/podcast/s1e31-a-patchwork-pandemic-ed-yong-and-howard-koh/id1499394284?i=1000479706942
In the meantime, many more Americans will die.