So, as a new round of #COVID19 sweeps the US, we should realize people didn't need stay-at-home orders to change their behaviors, much as gay men didn't need official HIV prevention programs to start reducing unsafe sex. @WilliamJLuther @DanWohlfeiler 1/

There is a basic empathy for others, fear for ourselves, which can motivate people to do extraordinary things. We need to figure out how to support people, not coerce or shame people. 2/

This means creating what we call in HIV "an enabling environment," which means our interventions need to be on the structures that push people into the paths of epidemics. 3/

So we can create incentives as @jabarocas has suggested, have better leadership modeling better choices (please god), put into place things like universal sick pay and other ways to allow people to do the right thing. 4/

Sure they'll be people who refuse to change their behaviors, but like a vaccine, we don't need everyone to take it, change it. Requires just a majority of population to agree to basic prevention measures particularly if they have the support to do so. 5/

This doesn't replace testing, tracing, isolation; scale-up of PPE; dealing w indoor ventilation; targeted closures when necessary, but let's us start with what people have already shown us they are willing to do on their own. end/