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Every day we are learning more about this coronavirus genetically, biologically, clinically, and epidemiologically. Every day I am more convinced this foe isn't that tough.
We know it's very contagious (though not that virulent)
We know presymptomatic spread is a major issue..
We know it's very contagious (though not that virulent)
We know presymptomatic spread is a major issue..
..(though asymptomatic likely isn't as important as once thought)
We know certain populations are at higher risk (though anyone can be infected)
We Do Not know enough to make sweeping decisions. Example: https://twitter.com/TheRealDoctorM2/status/1300618286766280705?s=19
We know certain populations are at higher risk (though anyone can be infected)
We Do Not know enough to make sweeping decisions. Example: https://twitter.com/TheRealDoctorM2/status/1300618286766280705?s=19
• Aggressive Case-Finding (Test-Test-Test) is Essential - we can identify clusters and stop outbreaks in their tracks.
• Lockdowns are absolutely unnecessary, now that we have the capacity to find cases and know how to prevent them (*Note: We Did Not have those conditions in..
• Lockdowns are absolutely unnecessary, now that we have the capacity to find cases and know how to prevent them (*Note: We Did Not have those conditions in..
..March. We Had To Lock down) - we do not need to now
• Find contacts and quarantone them
• Find infected and isolate them
• Minimize contact (large gatherings; social distancing)
• Use Facemasks religiously when giving care, and as much as possible with random close contact
• Find contacts and quarantone them
• Find infected and isolate them
• Minimize contact (large gatherings; social distancing)
• Use Facemasks religiously when giving care, and as much as possible with random close contact
• Hygeine/Hand Sanitizer
• Inform the public and TRUST them to do what's right - closing down businesses is nonsense - instruct them how to minimize risk to staff/customers (e.g. Staff should have PPE) - Incentivize use by customers (e.g. a discount if you're wearing a mask)..
• Inform the public and TRUST them to do what's right - closing down businesses is nonsense - instruct them how to minimize risk to staff/customers (e.g. Staff should have PPE) - Incentivize use by customers (e.g. a discount if you're wearing a mask)..
..inform businesses that refuse to take these measures that they will be labelled "negligent" if someone gets sick and decides to sue (ie. Insurance Will Not cover any lawsuit rulings).
• Use clinical endpoints (ie. Hospitalizations) to guide Public Health decisions/preparedness
• Use clinical endpoints (ie. Hospitalizations) to guide Public Health decisions/preparedness
• Use Case-based metrics (ie. 'R' number; Case-positivity) to guide warning levels to the public (ex: we are Green - carry on with care; Yellow - be extra cautious, protect high-risk; Red - have a low threshold to stay home)
Eventually we will have an effective vaccine (*Note: which WILL NOT eradicate this bug); way better treatments; and point-of-access testing.
We WILL come to a new Ecological equilibrium.
But getting there will require committment, a strong solidarity, and remarkable leadership
We WILL come to a new Ecological equilibrium.
But getting there will require committment, a strong solidarity, and remarkable leadership
