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mlipsitch's profile
Marc Lipsitch
Marc Lipsitch
Marc Lipsitch
Verified account
@mlipsitch

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Marc LipsitchVerified account

@mlipsitch

Infectious disease epidemiologist and microbiologist, aspirational barista. mlipsitc@hsph.harvard.edu Director @CCDD_HSPH

Boston, MA
hsph.harvard.edu/faculty/marc-l…
Joined September 2009

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    1. Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

      Marc Lipsitch Retweeted The Hill

      This is just crazy. Mainstream experts have been trying to get through with almost no success. But take an out-there position and you get access. Of course take extra precautions for the most vulnerable. But don't relax everything else before evidence these precautions work.https://twitter.com/thehill/status/1313262724370051073 …

      Marc Lipsitch added,

      The HillVerified account @thehill
      SCOOP: Trump health official meets with doctors pushing herd immunity http://hill.cm/htms9qk  pic.twitter.com/TbTSHrC1Yp
      107 replies 277 retweets 768 likes
      Show this thread
      Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

      The argument is incoherent if you don't do low-cost low-inconvenience things like universal masking. Surely any rational strategy uses low-downside strategies to reduce transmission in the whole population while shielding the vulnerable.

      5:45 PM - 5 Oct 2020
      • 36 Retweets
      • 216 Likes
      • Debatably Blonde Puddleby 🪴PlantsFearMe🪴 Information Junkie 👨‍💻 elkemt eh Trisha Greenhalgh Charlotte Marshall, MPH Chana Balazs #FBPE 🇪🇺 🇮🇹💉💉🔭⚛
      30 replies 36 retweets 216 likes
        1. New conversation
        2. Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

          Two of these scientists, @SunetraGupta and @MartinKulldorff, have long been my friends. But I think they are dead wrong without a demonstrated plan for how such shielding would work. There is no good example in a dense western country.

          69 replies 64 retweets 252 likes
          Show this thread
        3. Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

          Most of us in the #IDepi world support a belt and suspenders approach - suppress transmission and try to shield the vulnerable. At present the "shield the vulnerable" alone strategy is taking scissors to the suspenders before there is any evidence of a viable belt.

          14 replies 40 retweets 212 likes
          Show this thread
        4. Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

          Worse than that, this administration has systematically dodged its responsibility to provide a belt or suspenders or any other approach -- falling down on border control, testing, PPE, ICU capacity, and more, and encouraging irresponsible behavior.

          14 replies 29 retweets 188 likes
          Show this thread
        5. Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

          Even if a shield-the-vulnerable strategy could work in principle, advocates of it should be pushing first for better testing, PPE, sick leave for staff, mental health protections, and others for nursing homes, and THEN for letting it rip, not the other way around.

          19 replies 39 retweets 210 likes
          Show this thread
        6. Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

          Yes there have been proposals for how to protect the vulnerable as some have noted. But proposals and mathematical models of how they might work are not solutions; they are hypotheses (I say that as someone who creates these sometimes). No evidence that they work at scale.

          18 replies 22 retweets 134 likes
          Show this thread
        7. Marc Lipsitch‏Verified account @mlipsitch 5 Oct 2020

          And as @akcayerol put it in more colorful language, this is not an abstract discussion. It is a political discussion that has been made such by the White House. It is the height of hypocrisy to say "protect the vulnerable" and fail to use basic protections for high-risk @POTUS

          19 replies 31 retweets 158 likes
          Show this thread
        8. End of conversation
        1. New conversation
        2. M. Kei (he/him) WEAR A MASK‏ @kujakupoet 5 Oct 2020
          Replying to @mlipsitch

          Herd immunity means letting vulnerable people die off en masse until there is no one left to die. That requires millions of deaths. #CripTheVote

          5 replies 0 retweets 0 likes
        3. Show replies
        1. EconomicsAotearoa‏ @economicsNZ 5 Oct 2020
          Replying to @mlipsitch

          Your friends, may be. Humans can also have a high tolerance to advocating certain death and disability for others whilst being everyday decent people. We are already living with this & COVID is the threat of even more. Where are the lawyers reminding us of human rights?

          0 replies 0 retweets 0 likes
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        2. Team Sweden Unlocked‏ @SwedenTeam 5 Oct 2020
          Replying to @mlipsitch

          Lockdowns are not a “low-downside strategy” Which is why no public health agency recommended them prior to 2020.

          1 reply 0 retweets 3 likes
        3. Show replies

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