Ashish K. Jha

Ashish K. Jha

Physician, health policy researcher, and advocate for the notion that an ounce of data is worth a thousand pounds of opinion. Also Director of @harvardgh

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5 truisms of public health, racism, COVID-19. 1. Mass gatherings spread virus 2. Being outside helps – we don’t know how much. 3. Wearing mask helps – may be a lot. 4. Racism kills 5. A destroyed economy kills Thread

This from @WHO  is getting a lot of attention and creating confusion. I want to quickly share what I understand about this. Bottom line question: Are infected people without symptoms an important cause of spread? My best guess: yes. A thread

It feels to me like the federal government has thrown in the towel on this pandemic Don't even appear to be trying anymore They are doing little to protect nursing homes The testing czar is gone. No replacement We don't hear from the task force The pandemic isn't over people

This is consistent with everything I have heard in conversations with folks in the federal government. A concerted effort to reduce availability of testing for Americans While ramping up testing White House staff Its amazing to hear the President publicly admit this policy

That means that as hospitalizations rise, you've got 10+ days of rising infections baked in Each of these states needs to take more urgent action to curtail its rising number of infections. Window for action is much narrower than most people realize. Fin

But here's the fact: Average 40 year-old admitted with COVID19 has about the same mortality rate as the average 70 year-old with an acute MI Once you get sick enough to be hospitalized, COVID19 is a serious disease That's one more reason to track hospitalization numbers 5/6

This is a point I've been trying to make but @ASlavitt  does it succinctly, well Single biggest determinant of having open schools this fall? Level of disease in the community Want a shot at open schools? No indoor gatherings. No bars. No nightclubs. No indoor restaurants

I've been tweeting about this -- but two great epidemiologists, @jenkinshelen  and @BillHanage  actually wrote about this. Thoughtfully. Want to open schools this fall? Live with having closed bars, gyms this summer. I personally don't think its a close call.