Let's be clear. SARS-CoV-2 is an atrociously bad virus. It can damage any number of organ systems, increases risk for all kinds of illnesses, and is causing a mass disabling event. And that's just what we know about it so far. You do not want to get it, and if you've had it you don't want it again.

1/

Unfortunately, leaders, public health officials, and the large majority of the population think it's over and have deemed continued mitigation measures to be unnecessary. The most vulnerable have no choice but to be very cautious and they are being left behind. Many others are doing their best in order to protect themselves and others, but are also in an impossible situation.

2/

Things are complex and dynamic, everyone's lived experience is different, and most folks who remain COVID aware are trying to balance many different and often conflicting priorities. We're often the lone masker indoors, or the ones declining to attend crowded events, or asking our kids to keep wearing their masks in school, or monitoring what information we still have available and trying to make evidence-based decisions for our families.

3/

My concern is that all or nothing will mean nothing for all. So in practical terms that means we need to support and empower and encourage the people who are still doing what they can. For that reason, much of what I am saying now is aimed at the people who wonder if they can and should keep being cautious (yes and yes) even if they can't do it perfectly or they have to balance other things (like work, kids, family and friendship, mental health).

4/

Every bit that we each do is important, but ultimately we aren't going to succeed if our approach relies on individual choices. For that reason I am also focused more on the need for structural improvements like clean indoor air (ventilation, filtration, UV, air quality reporting), wastewater monitoring, genomic surveillance, and vaccines that are not just chasing variants.

We won't all agree on strategic priorities, but I do believe we all share many of the big picture concerns and goals.

5/

@TRyanGregory All is perfectly said !

Same shit in the fan in France 🇫🇷  : no more public health, even no more monitoring anyware, it’s only wet finger in the wind and good luck everybody.

But, with an covid infection every 2 ou 3 months, nobody can’t have enough chance to expect still healthy in short time.

It’s so bad and we are so few and isolated people who knows counting in a geant covid’s party !

So, yes, we try to make the best we can in the worst we live.

@Monolecte @TRyanGregory This pandemic was the end of effective public health. Public health organizations now are merely other government departments delivering the message of who's in power.

@human3500 @TRyanGregory

Sadly true.

We had the project to write a book about the sociological and political effects of covid on our society, but the editor said : “who cares about covid anymore? We just want to move on!”.

No analysis no reflexion, no thinking…

@Monolecte @human3500 @TRyanGregory and I bet you just like with all the crippled into disablility WW1 vets amd American Flu survivors, we'll soon see social darwinism of the late-1930s Germany kind pushed again, denying the existance of #LongCovid, #MECFS and broadly advocating for making people suffer more for #LateStageCapitalism or perish if they can't be exploited with peak efficiency for #WageWork!

@kkarhan @human3500 @TRyanGregory

In 🇫🇷 , it’s already more or less the way…

@kkarhan @human3500 @TRyanGregory

Evil Macron 🇫🇷  : “Hey, why have we all these poeples sick and staying home instead working more to get less money ? Right, then! It's because doctors are too accommodating: so we're going to ban them from signing off sick leave.”

You can see ?

@TRyanGregory The ‘cop out’ (a bucket of meanings) by public officials is summed up with “Its up to each individual to choose when and how to protect themselves”. Based on what: the plethora of misinformation, confusion, & conspirators? “Ask your PCP” is a deflection. Even PCPs are confused. And who trusts the CDC anymore?
What we’ve learned is we never learn, or avoid implementing what we know we should do.
A vet pathologist colleague called the pandemic “a big clusterf*#k”. I tend to agree.

@TRyanGregory Good thread 👍

Another structural improvement needed is at the work place, including i) paid sick leave for workers falling sick and ii) work-from-home arrangements for workers feeling under the weather.

@__icoder__ @TRyanGregory basically what every social system has?

AFAIK the #USA is the only #G8 with 0 days paid sick leave...

@kkarhan @TRyanGregory Well, it seems every bit of improvement has to be contested and earned. It's both depressing and motivating at the same time 😎
@__icoder__ @TRyanGregory worse...
Some #neolib grifters think the "U.S. Model" is actually something to aspire if not import!
@TRyanGregory I once saw a theory that we'll someday look at a "pre-ubiquitous air-filtration era" the same way we look at a pre-plumbing era. I sure hope so.