... That’s not political nor is it prioritizing the economy over public health. It’s reality. We need the lights on and food on the shelves. Everyone is essential to someone. Education is essential.
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Why I like 5 days of isolation, with no test, as recommended by CDC and now MA DPH. 🧵
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1. Remember when
#MedTwitter
rallied together against outdoor masks? Because when the “rules” are overly broad one loses sight of where the greatest risk lies. Energy is not unlimited. A 5-day rule concentrates energy on minimizing risk when risk is greatest.
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2. A 5-day rule incentivizes people to test because the harms from finding out you are infected are less. 3. A 5-day rule could prevent society from grinding to a screeching halt over the next week or two when everyone gets infected at once…
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4. A 5-day rule acknowledges an unfortunate reality: everyone has COVID right now. The person you don’t know has COVID poses a greater risk to you than the one you do know has it who is on day 6. This new rule moves us closer to “living with” the virus.
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5. Why no test? I’m not convinced antigen tests measure “contagiousness”. I agree that data suggest you are more likely contagious when pos and less likely when neg. But there are many tests out there with different characteristics. What proportion are neg on day 5? On day 10?…
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…we actually need isolation to be shorter for reasons 1-4 and I worry that requiring a test would threaten that. We can tolerate some transmission in the post-vax era. Containment is no longer the strategy. Happy New Year! Here’s hoping for more steps forward like this in ‘22!
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@ShiraDoronMD
It's just hard to believe it's not political...& I'm all pro mask & vax
We're ("science") saying now, after almost 2y, that instead of 10d to prevent transmission, it's now 5d... but keep masking. That's the problem. Most don't and still won't. Easily feeds conspiracy too.
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@ShiraDoronMD
As a doc pl concentrate on your specialization don’t be an economist,don’t worry there are experts in education and teachers,parents , pl leave it to them.When tests are unavailable and rapid test are not efficient what are we supposed to do? Every human life is valuable.
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@ShiraDoronMD
No, people who are higher risk don't have a choice when there are people walking around with Covid. You are ignoring us and putting our lives at risk as well as increasing everyone's odds of getting Long Covid.
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@ShiraDoronMD
If this reason is ok for you to allow infectious people back into the work place then why did we fire uninfected unvaxxed workers??? Makes no sense! 🤦♀️
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@ShiraDoronMD
Education is essential everyday? Over health. So weird. WTH you can stay home sick and make sure you don’t get others sick. 🤦🏼♀️
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@ShiraDoronMD
It’s 💯 prioritizing economy over public health. Calling it reality doesn’t make this untrue. 😂
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