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AbraarKaran's profile
Abraar Karan
Abraar Karan
Abraar Karan
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@AbraarKaran

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Abraar KaranVerified account

@AbraarKaran

@stanford infectious diseases doctor | prev @brighamwomens @harvardmed @massdph

Palo Alto, CA
profiles.stanford.edu/abraar
Joined February 2012

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    1. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      THREAD 1/ When @nytimes senior health reporter Donald McNeil Jr writes, consider it mandatory reading. This piece about what Asian countries did right to stop #covid19 - China, South Korea, Singapore etc- is both shocking, and incredible. https://www.nytimes.com/2020/03/22/health/coronavirus-restrictions-us.html …

      21 replies 465 retweets 695 likes
      Show this thread
    2. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      2/ One of the biggest take-aways for me was around case isolation. If you were a confirmed case, you were not sent back home. You were going straight to an isolation center (gym/school/ etc) This is bc in China, est suggest that 75-80% of transmission was in family clusters.

      3 replies 65 retweets 172 likes
      Show this thread
    3. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      3/ The same policy seems to be true for South Korea. Isolation was in government shelters. The next key point was around contact tracing. This depended on both testing and tracking contacts and their exposures. South Korea did this exceptionally well & they did it fast.

      1 reply 35 retweets 101 likes
      Show this thread
    4. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      4/ They had 4 commercial labs making tests for the country up and running-- in January. By March, they had run the equivalent (corrected for US population) of 2.3 million #covid19 tests. The US at that same point in time had run fewer than 9,000.

      1 reply 36 retweets 111 likes
      Show this thread
    5. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      5/ For contact tracing, SK used phone + credit card data, as well as GPS, to figure out who you crossed paths with. If you even had possible exposure, you were quarantined. A GPS tracker told police if you violated this. If you did, you had an $8000 fine coming your way.

      1 reply 38 retweets 106 likes
      Show this thread
    6. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      6/ Fevers were another big point. Here, we are only now starting to check temperatures and that too largely only in hospital settings. In China, your temperature was checked in buses, subways, restaurants-- basically multiple times per day, every day, everywhere.

      1 reply 36 retweets 108 likes
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    7. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      7/ If you had a fever, you were sent to a fever clinic (separate from normal hospitals). You had your temperature checked again, & were put in a CT scanner. If your scan was negative, you were sent home. If positive, you were tested for #Covid19 & waited for results.

      1 reply 30 retweets 97 likes
      Show this thread
      Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

      8/ Masks were a whole different ball game as well. Everyone wore masks. Part of this was to prevent transmission. But part of it was also to reduce stigma against the sick. If only the sick wear masks, they may be hesitant. But if everyone does, then no one is missed.

      6:19 PM - 23 Mar 2020
      • 74 Retweets
      • 227 Likes
      • Isabel Drost-Fromm Nouf Almaghlouth (she/her) Confined Fatalist - Atomic Woke ☢️🐈 I hope we passed the audition. Johannes Richter Liesel Black Trans Lives Matter Fully vaccinated kitteh Gillian C
      4 replies 74 retweets 227 likes
        1. New conversation
        2. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

          9/ The public engagement, especially in China, was remarkable as well. It was truly a “all hands on deck” effort. The government literally started a “Fight On, Wuhan! Fight On, China!” campaign. 40,000 workers were sent to Wuhan to help after it was put in lockdown.

          1 reply 22 retweets 91 likes
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        3. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

          10/ Lockdowns were also different. In China, this was done quickly and completely. Take Wuhan for example. The entire city was shutdown when there were only 500 cases and 17 deaths. Here, things have moved much slower, and interstate travel continues despite many more cases.

          1 reply 29 retweets 92 likes
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        4. Abraar Karan‏Verified account @AbraarKaran 23 Mar 2020

          11/ Ultimately, we are not China, South Korea, Singapore etc We are where we are & who we are. But this doesn't mean we can't do more, or move faster, both in the government and in the hospital. And while we preserve our individual rights, we need to use them the right way.

          10 replies 38 retweets 162 likes
          Show this thread
        5. End of conversation
        1. New conversation
        2. John Sullivan the Real Deal With The Real Spiel‏ @Survivor_JohnS 24 Mar 2020
          Replying to @AbraarKaran @frstevemattson

          Sir, I humbly object to that. Masks are not intended to save everyone else around, they are intended to protect the sick from getting sicker. I AM NOT a M.D. but I know just enough of them including my sister to know the truth.

          2 replies 0 retweets 1 like
        3. Julia Mason MS MD‏ @JuliaMasonMD1 26 Mar 2020
          Replying to @Survivor_JohnS @AbraarKaran @frstevemattson

          You put the mask on the patient, to protect the people around them. If everybody wears a mask, transmission will go down in the general public.

          0 replies 0 retweets 4 likes
        4. End of conversation
        1. winston song‏ @winstonsong7 25 Mar 2020
          Replying to @AbraarKaran

          can agree more. the western doctor are giving advice for flu, while we are facing something of an unknown. 75%+ or the carriers are spreading the virus unknowingly, and masks while not 100% foolproof can at least cut that figure down drastically.

          0 replies 0 retweets 3 likes
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