Yes, our system is broken. We need more/ better testing. People need doctors, and better healthcare “Bubbles” are imperfect. But NONE of that can be corrected in the next 20 days. So “be smarter” and “learn from our mistakes” are the best we got today.https://twitter.com/zeynep/status/1344668764483235841 …
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Replying to @darakass
I don't think we are disagreeing on that. But we've set people up to fail. The nanny has no option to be "smarter" here. That family has no bubble (real bubbles are so hard to sustain). Do the best we can given all this: I totally agree. But it doesn't work for a reason.
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Replying to @zeynep
Of course people have been set up to fail. The point remains, learn what we can and be better tomorrow, where we can. Small choices add up, in both directions. This nanny was the last (+). THAT was because of testing, isolation and education. Let’s focus on that.
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Replying to @darakass
Again, I don't disagree that people should try to do the best they can, but I think I disagree here: The small choices aren't adding up much because many people don't have good choices available. Within that framework, sure we should strive to do our best, and I note that.
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We have a system where people go to work or they starve and face eviction. People face intersections of high exposure, lower income occupations, and higher density living. Personal choices help, but until we acknowledge and address structural risks, will be of limited impact.
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That’s true. Moral-of-the-story case studies are more salient but less important to the problem. For every person who spread the virus to family right after taking a rapid test w/ false negative, how many warehouse/packing plant employees got sick from work? 100,000:1?
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There are also many "Outrage Factors" with a story like this including 1) It was voluntary 2) "Manmade" 3) Anecdotal 4) Unfairly distributed So indeed, while the statistics show that socioeconomic inequities and structural racism drive inequities, this story drives more outrage.pic.twitter.com/SY4U6HxIBw
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Also the problem with the rapid tests isn't the occasional false negative but that there aren't enough of them, cheaply and freely available everywhere, along with proper explanation of how to use them.
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And I really like that chart!
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Thanks! This is Peter Sandman and
@EIDGeek who are heroes of risk communications! At risk of self-promotion, summarized some of their work in a free surveillance communications course (though developed pre-twitter...so of questionable relevance now)https://www.coursera.org/lecture/epidemiology-surveillance-systems-analysis/communicating-surveillance-data-kj24W …1 reply 0 retweets 4 likes
Yep, excellent. Disaster sociology has a lot of similar work (clear overlap in fields). Psychologically, too, I'm the person white-knuckled in the taxi on the way to the airport, but relaxed once on the plane (well-regulated, rested pilot, so many checks, excellent stats!).
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(Of course, my work meant I used to be in a taxi to the airport in all sorts of countries where it's really a crapshoot...) Still, I am frustrated with the "do better" emphasis not because we shouldn't try, as individuals, but it really won't work at scale because of the set-up.
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Replying to @zeynep @julianlewis2012 and
Pre-2020, I travelled over 200 days per year with hundreds of flights so do understand well trying to manage risk while knowing one's personal choices are only a small piece of a much more complicated risk structure. We wrote about this for HIV and STIs:https://bmcpublichealth.biomedcentral.com/articles/10.1186/1471-2458-13-482 …
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End of conversation
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