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gregggonsalves's profile
Gregg Gonsalves
Gregg Gonsalves
Gregg Gonsalves
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@gregggonsalves

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Gregg GonsalvesVerified account

@gregggonsalves

I work @Yale focusing on operations research/epidemiology for infectious disease. In the real world: been an AIDS activist for ~30 yrs. Assoc. Prof YSPH.

New Haven, CT
medicine.yale.edu/profile/gregg_…
Joined April 2009

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    Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

    This weekend, @nytimes published 2 pieces that undermined current public health advice on #coronavirus, from @DrDavidKatz. @tomfriedman, green lighted by @jimdao & @JBennet. I lost my shit yesterday on the 4 of them, but thought a more calm exposition of views might be good. 1/

    2:31 AM - 23 Mar 2020
    • 479 Retweets
    • 1,226 Likes
    • Italo Juárez Arup Maity Ben Jane purrrplekitty Susan Hatch 강헐H Kathy Harris JayKay 🇬🇳 Rob Nelson
    36 replies 479 retweets 1,226 likes
      1. New conversation
      2. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        First what happened this weekend, was as @anthlittle says, a case of epistemic trespassing, when generalists or non-experts decide to weigh on complex policy issues without detailed, specific knowledge of a subject. Thanks @EvidenceMatters for the H/T. 2/pic.twitter.com/GELqxZ5jjF

        9 replies 62 retweets 287 likes
        Show this thread
      3. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        A more humorous example of this is here. What makes this unfunny, is that the @NYTimes became a platform for this kind of commentary. 3/ https://medium.com/@noahhaber/flatten-the-curve-of-armchair-epidemiology-9aa8cf92d652 …

        6 replies 61 retweets 291 likes
        Show this thread
      4. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        A real-world situation from ordinary times, which explains why epistemic trespassing is not a good idea: let's say you found out you have cancer. Your brother-in-law is an ophthalmologist, he's an MD, may have his opinions, but an oncologist's advice might be better to heed. 4/

        4 replies 30 retweets 199 likes
        Show this thread
      5. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        Expertise matters. Specific sub-specialty expertise matters. So who can you trust with sound advice and guidance in this pandemic? Well, first, I'd point you to @mlipsitch @Harvard. He's one of the world's great infectious disease epidemiologists. 5/https://www.statnews.com/2020/03/18/we-know-enough-now-to-act-decisively-against-covid-19/ …

        7 replies 108 retweets 403 likes
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      6. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        More sound thinking from Marc. 6/https://www.bloomberg.com/opinion/articles/2020-03-20/prepare-now-for-the-long-war-against-coronavirus …

        2 replies 67 retweets 241 likes
        Show this thread
      7. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        Another person to listen to, and someone I spend a great part of youth fighting with is #AnthonyFauci @NIH. But he's emerged over 30 years as a fighter for evidence-based approaches to HIV, Ebola, H1N1 and now #coronavirus. 7/https://www.sciencemag.org/news/2020/03/i-m-going-keep-pushing-anthony-fauci-tries-make-white-house-listen-facts-pandemic …

        6 replies 54 retweets 309 likes
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      8. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        He has a tough job to do. He's not only got to convince the American public about the measures needed to control COVID-19, he's got to convince @realDonaldTrump each and every day. 8/

        5 replies 26 retweets 225 likes
        Show this thread
      9. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        #DonaldMcNeil published a piece today in @NYTimes that explains why these harsh measures in place today are important. 9/https://www.nytimes.com/2020/03/22/health/coronavirus-restrictions-us.html?action=click&module=Spotlight&pgtype=Homepage …

        2 replies 55 retweets 206 likes
        Show this thread
      10. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        What missing from Donald's piece is consideration of the trade-offs. First, let's start w economic ones. They are going to be severe, but there are those like @gabriel_zucman weighing in w their own expertise on solutions. /10https://www.theguardian.com/commentisfree/2020/mar/17/governments-crisis-coronavirus-business …

        2 replies 35 retweets 143 likes
        Show this thread
      11. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        .@Yale, we also pulled together hundreds of experts, both in public health, medicine and law from around the country to offer other recommendations to manage the crisis. 11/https://docs.google.com/document/d/1NVOSECOEp8deYnmJfO0uKtRHcNcbmNrk7dW752dzMeE/edit …

        1 reply 60 retweets 181 likes
        Show this thread
      12. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        As a friend of mine said this weekend: "There are no natural or social laws preventing us from remaking the economy for the next 18 months, the next 18 years, or forever in a way that prioritizes providing people with food, shelter, health care, education, and information..." 12/

        39 replies 227 retweets 747 likes
        Show this thread
      13. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        "...along with maintaining, restoring, and enhancing the infrastructure required to meet these needs. There are only political and cultural barriers, barriers we must overcome to save ourselves from the false choice these articles are posing..." 13/

        3 replies 62 retweets 372 likes
        Show this thread
      14. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        So, there is a way forward. But the idea that we can wait for "better data," which @mlipsitch addresses in his article above is folly. We can get better data, improve our response as we go along, but the "wait and see" approach isn't viable. 14/

        5 replies 32 retweets 231 likes
        Show this thread
      15. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        Nor is the one proposed by @DrDavidKatz where we somehow identify all at high risk, lock them up in a tower, while the world goes on with its business. First, we don't have the tests. Second, we don't know exactly who is at highest risk.../15

        2 replies 25 retweets 182 likes
        Show this thread
      16. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        Third, we don't have a safety net to care for these people over the long term. Fourth, we don't want to seed #coronavirus in the general population for seasonal return. 16/

        4 replies 25 retweets 157 likes
        Show this thread
      17. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        But we need a triple approach. The 1st guided by infectious disease experts like @mlipsitch and #AnthonyFauci. The 2nd needs economists to help think through how to mitigate economic damage. Do we need bailouts of the airlines or other measures as @gabriel_zucman describes? 17/

        5 replies 33 retweets 150 likes
        Show this thread
      18. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        The 3rd is about our rights. We need lawyers and activists to protect the incarcerated, immigrants, the homeless from facing the brunt of this epidemic by virtue of their legal or social status. We need them too to keep an eye out for overzealous restrictions on our rights. 18/

        4 replies 46 retweets 277 likes
        Show this thread
      19. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        For most of us, who aren't from places facing war, epidemics, famine (e.g DRC, Yemen, Syria), this will be the most difficult experience of our lifetimes and is emerging as a once in a century cataclysm. But we'll get through this. 19/

        3 replies 41 retweets 173 likes
        Show this thread
      20. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        But it requires a combination of expertise & social solidarity, which are two things that aren't prized so much in today's America. It's why the @nytimes went for the easy answers this weekend. 20/

        5 replies 30 retweets 224 likes
        Show this thread
      21. Gregg Gonsalves‏Verified account @gregggonsalves 23 Mar 2020

        @threadreaderapp unroll

        6 replies 9 retweets 40 likes
        Show this thread
      22. End of conversation

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