This is also a good one: https://www.bmj.com/content/373/bmj.n913 …pic.twitter.com/NjBIouGf5s
Complex systems, wicked problems. Society, technology, science and more. @UNC professor. @NYTimes columnist. My newsletter is @insight: http://www.theinsight.org
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This is also a good one: https://www.bmj.com/content/373/bmj.n913 …pic.twitter.com/NjBIouGf5s
I also agree on misunderstandings, why I spent so much time writing public articles on multiple aspects of this. Today, I went into a post-office, and saw these people working behind non-airtight plastic barrier with terrible masks, doors closed, no HEPA. This isn't semantics.
A correct understanding of the transmission mechanism would empower people, direct investment to correct mitigations, assuage fears, encourage outdoors (instead of stupid beach shaming) and help with other respiratory diseases. We aren't into Twitter battles for the fun of it.
There were elderly people in there with me, and I was the only one wearing an N95, amidst the Omicron wave in NYC and when we know elderly will have especially difficult time fending off antibody evading variants. Nobody has been explaining this to people. TWO YEARS IN.
The amount of money and effort spent doing incorrect mitigations like plexiglass that can increase infections when HEPA filters never sell out? When there's been no official effort to help people avoid the flood of counterfeit N95s? Nobody is upset because of personal obsession.
I do get upset when people think this is some minor obsession. It's about explaining the correct transmission mechanism, that it is airborne understood correctly, so people can better protect themselves, and we can do the best possible mitigations with our limited resources.
The science of it is very interesting, will clearly be relevant to other respiratory diseases, and I found the sociology of science aspect fascinating. But frankly, if WHO and the CDC had found a way to do the right thing, I wouldn't care if they called it tiny things you inhale.
But why the dedication to the notion that it has to be *the* mechanism rather than *a* mechanism? There's reasonable observational evidence, for example, that hand washing is associated with decreased risk of infection.
You need mitigations to target the most important mechanisms, and not leave them out (aerosol mitigations are often left out). Still,, I'm all for hand-washing, Do you have any evidence handwashing associated with less infection for SARS-CoV-2? I know of no paper, would love one.
Agree that hand washing might not be the most effective measure.. but masks are only one part of the equation, too.. rapid testing, ventilation, vaccination, et cetera. All matter. A lot.
I don't think there's anyone on this thread disagreeing there, and I think most of my recent public work has been vaccination oriented. But NPIs as we need them have to be correct, and resources aren't unlimited, and the optimization requires a correct understanding.
You use the word "correct" a lot in this thread, Zeynep. That's not a word that one sees in the evidence-based medicine literature, pretty much ever. Because it implies that our answers are something more than provisional.
I will respectfully suggest that your professed certitude is misplaced, particularly given your background in the social sciences.
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