Hope for future! Also lament: imagine if we had spent the past year with public health authorities willing and able to speedily adapt to emerging information, and update guidelines quickly. Both of those were very emergent from the evidence as early as late February/early March.
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"We thought we knew" = bias. Humility helps in overcoming bias. It's a good quality to see in scientists and public officials.pic.twitter.com/cmDU0lrpWT
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The questions that continue to *plague* me: Why wasn’t possibility of airborne more robustly part of working hypothesis from start? Why weren’t pre- & asymptomatic as underlying assumptions to r/o if not true?
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One failure was "stove-piping" of government agencies. People within same organization get focused on "the answer" that fits their expertise. A lot of health organizations are primarily populated by statistics-based scientists, while aerosol insight was in applied science.
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It is good to remember that it is a bat virus. Evolution has optimized it for another host. Human respiratory viruses use every channel to transmit, but this optimizes on one. WHO seems to head to bureaucratic consensus and then not budge.
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Both of these surprises are things that WHO is still slow to acknowledge.
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