{"id":1255569000974737400,"conversation_id":"1255560919515574272","created_at":1588185951000,"date":"2020-04-29","time":"18:45:51","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Comparison across studies however should be made with caution as it’s not necessarily clear in all cases why fewer co-morbid conditions were noted in these series: Was it reporting differences, a function of lower background risk in U.K., or other factors in who was hospitalized","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":4,"likes_count":34,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1255569000974737409","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255530429588914200,"conversation_id":"1255529719681953792","created_at":1588176755000,"date":"2020-04-29","time":"16:12:35","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The open label studies are helpful, they add to totality of data and broaden safety database. Conducting them was better than giving drug away with no protocol. It allowed us to collect information. The NIAID study is the key though. This isn' a home run drug, but appears active.","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":55,"likes_count":335,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1255530429588914176","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255285083969400800,"conversation_id":"1255285083969400832","created_at":1588118260000,"date":"2020-04-28","time":"23:57:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"As testing starts to expand more sharply, case counts may grow as we capture greater share of community spread. Key to understanding epidemic over period where testing is growing, but epidemic hopefully declining, is to see positivity rates fall and hospitalizations also decline.","mentions":[],"urls":[],"photos":[],"replies_count":42,"retweets_count":149,"likes_count":728,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1255285083969400832","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1255205492810449000,"conversation_id":"1255204463108857856","created_at":1588099284000,"date":"2020-04-28","time":"18:41:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 This is the outcome we must avoid in the U.S. If we restart economic activity, but we don't substantially reduce viral spread, businesses may reopen, but consumers may be nervous about venturing out and engaging in activities. And our economy is one thats led by the consumer","mentions":[],"urls":[],"photos":[],"replies_count":92,"retweets_count":176,"likes_count":714,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1255205492810448901","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254908466961035300,"conversation_id":"1254894155198758912","created_at":1588028468000,"date":"2020-04-27","time":"23:01:08","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Nonetheless, while the state is showing signs of a plateau, Ohio is still not testing a lot of its residents and needs to show steadier declines in new cases.","mentions":[],"urls":[],"photos":[],"replies_count":26,"retweets_count":51,"likes_count":309,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1254908466961035265","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254744507100401700,"conversation_id":"1254743227384713216","created_at":1587989377000,"date":"2020-04-27","time":"12:09:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 We then need to encourage docs to routinely swab for covid in offices, especially those with very mild symptoms. If a positive case means doctors must shut offices, they'll be reluctant to do point of care screening. CDC should issue guidelines on how this can be done safely.","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":101,"likes_count":444,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1254744507100401664","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254546399405977600,"conversation_id":"1254545455930892288","created_at":1587942144000,"date":"2020-04-26","time":"23:02:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Key to evaluating this question is work going on now where researchers are pulling clinical outcomes data and combining it with sequencing data on different strains. Both strains exist on both coasts but with different relative frequencies. We should have more insights soon. 2/n","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":37,"likes_count":243,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1254546399405977605","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254389429139112000,"conversation_id":"1254388008461221888","created_at":1587904719000,"date":"2020-04-26","time":"12:38:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Our mitigation steps were not as stringent as China's, they were leakier, and our epidemic was far more pervasive across our country. We're likely to see a much slower decline in new cases spread across weeks not days. While there are signs of U.S. improvement, it'll be slow. 3/n","mentions":[],"urls":[],"photos":[],"replies_count":54,"retweets_count":366,"likes_count":1492,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1254389429139111939","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254388008461222000,"conversation_id":"1254388008461221888","created_at":1587904381000,"date":"2020-04-26","time":"12:33:01","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: We're not out of the woods in U.S. on #covid. While there are signs of slowing in some areas, and nationally we may have hit a plateau, we're still recording more than 30K infections a day. The trip down the epidemic curve will be far more gradually than the trip up. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":294,"retweets_count":2641,"likes_count":7110,"hashtags":["#covid"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1254388008461221888","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1253415715148755000,"conversation_id":"1253413951620050944","created_at":1587672568000,"date":"2020-04-23","time":"20:09:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"However, we need to be careful interpreting the data from the patients in the New York series since the denominator is still not settled -- the rates can change perhaps significantly depending on what happens with the large number of patients still being treated.","mentions":[],"urls":[],"photos":[],"replies_count":29,"retweets_count":26,"likes_count":149,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1253415715148754945","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252739523731128300,"conversation_id":"1252739523731128322","created_at":1587511351000,"date":"2020-04-21","time":"23:22:31","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"At BARDA, Rick Bright was an outstanding partner to me, to FDA, and to our shared public health goals; including the approval of a historic treatment for smallpox and a vaccine for Ebola. I look forward to his continued contributions to advance the health and safety of our nation","mentions":[],"urls":[],"photos":[],"replies_count":35,"retweets_count":238,"likes_count":1032,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252739523731128322","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252608872117829600,"conversation_id":"1252606535194357760","created_at":1587480202000,"date":"2020-04-21","time":"14:43:22","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Depending on specificity of serology test being used, false positive rates can range from 25-50%; meaning tests that return positive result saying you have antibodies to covid may be wrong as much as half the time. Many tests have 95% specificity which leaves false positives high","mentions":[],"urls":[],"photos":[],"replies_count":53,"retweets_count":194,"likes_count":463,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252608872117829633","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252294415701418000,"conversation_id":"1252293540073349125","created_at":1587405229000,"date":"2020-04-20","time":"17:53:49","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"I suppose alternative to 'companion' open label studies would have been provide drug entirely on expanded access protocol, and collect no data. But I suspect that may have been criticized too. I think many people trying to do best we can in tough situation where many people sick.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":10,"likes_count":60,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252294415701417985","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252256952777945000,"conversation_id":"1252253754306461696","created_at":1587396298000,"date":"2020-04-20","time":"15:24:58","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In the coming weeks capacity for testing will continue to build. We are making much progress. Our goal should be screening that allows anyone with #covid symptoms to receive a timely and accurate test; as well as those who may have been exposed to an infected person. 14/n","mentions":[],"urls":[],"photos":[],"replies_count":33,"retweets_count":39,"likes_count":251,"hashtags":["#covid"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252256952777945088","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252256322579505200,"conversation_id":"1252253754306461696","created_at":1587396147000,"date":"2020-04-20","time":"15:22:27","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Put another way, If we use positivity rates in South Korea, Germany as guide, then with our 1M/week test capacity in the U.S., we'd want to have only about 20k-70k confirmed cases/wk in U.S. to have comparable positivity rate. This week, in the U.S. we added about 200K cases 12/n","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":61,"likes_count":178,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252256322579505158","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252255551033151500,"conversation_id":"1252253754306461696","created_at":1587395963000,"date":"2020-04-20","time":"15:19:23","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The high positivity rates on #COVID19 testing would suggest our testing capacity is still too low. At the current levels of infection, to achieve a positivity rate of 1%, we would need to have conducted 70+ million covid tests. To date, we've conducted close to 4 million. 11/n","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":146,"likes_count":327,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252255551033151488","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252255297193869300,"conversation_id":"1252253754306461696","created_at":1587395903000,"date":"2020-04-20","time":"15:18:23","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"These are distinct diseases, with different spread dynamics, incidence, testing criteria. But for all of these dangerous pathogens, like covid testing, goal is epidemic control. This data can help inform thinking on right amount of covid testing based on positivity rates. 10/n","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":23,"likes_count":106,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252255297193869313","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252254548938363000,"conversation_id":"1252253754306461696","created_at":1587395724000,"date":"2020-04-20","time":"15:15:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Surveillance for other infectious diseases, where the goal is to use widespread testing of suspected cases as a way to control disease outbreaks, could also provide some clues as to the right level of testing to have in place. 5/n","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":15,"likes_count":103,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252254548938362880","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252254095345430500,"conversation_id":"1252253754306461696","created_at":1587395616000,"date":"2020-04-20","time":"15:13:36","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"For example, let's look at positivity rates for flu, where testing is widely available. We're oddly complacent about flu spread, allowing it to become epidemic. With #COVID19, goal will be to test at level to prevent epidemic spread, not simply to track trajectory of the epidemic","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":28,"likes_count":177,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252254095345430528","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252253754306461700,"conversation_id":"1252253754306461696","created_at":1587395535000,"date":"2020-04-20","time":"15:12:15","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: Many analyses try to estimate what the “right” capacity is for weekly #COVID19 testing. One touchstone is positivity rates. Unless diagnostic tests are being administered with unusual precision only to those infected, high positivity rates suggest under testing. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":41,"retweets_count":434,"likes_count":1001,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1252253754306461696","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251875866273071000,"conversation_id":"1251872395310350336","created_at":1587305439000,"date":"2020-04-19","time":"14:10:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need allow larger hospital labs to support widespread testing when current pressure on healthcare system decreases, and set how to best deploy new antigen and rapid tests (even in stepwise fashion) to test anyone who needs a covid test, and build a surveillance system. 14/14","mentions":[],"urls":[],"photos":[],"replies_count":36,"retweets_count":58,"likes_count":195,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251875866273071110","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251875250926739500,"conversation_id":"1251872395310350336","created_at":1587305293000,"date":"2020-04-19","time":"14:08:13","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"As employers think about supporting solutions, they can develop risk-based criteria for workplace testing. We can also plan now how to reallocate our current capacity as ED visits and hospitalizations decrease in certain areas and more point of care options become available 13/n","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":32,"likes_count":152,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251875250926739456","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251874917097881600,"conversation_id":"1251872395310350336","created_at":1587305213000,"date":"2020-04-19","time":"14:06:53","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We can build more capacity by supporting efforts of manufacturers able to control their own supply chain and provide end to end solutions. And we can invest in additional technologies that have not yet been deployed in coronavirus testing, and plan now how to scale them. 12/n","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":33,"likes_count":141,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251874917097881600","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251874795458900000,"conversation_id":"1251872395310350336","created_at":1587305184000,"date":"2020-04-19","time":"14:06:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need to build into this system the ability to test mild and asymptomatic individuals, who may be spreading the virus, and their known contacts, including through routine surveillance, testing made available by employers, and testing as part of regular healthcare visits. 11/n","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":54,"likes_count":218,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251874795458899969","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251874700952813600,"conversation_id":"1251872395310350336","created_at":1587305162000,"date":"2020-04-19","time":"14:06:02","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"States that are collaborating on reopening their economies can coordinate to make sure that they’re maximizing what testing resources are available across a region. 10/n","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":31,"likes_count":147,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251874700952813568","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251874601036062700,"conversation_id":"1251872395310350336","created_at":1587305138000,"date":"2020-04-19","time":"14:05:38","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We also can make sure high throughput labs are functioning at capacity; pooling resources so regional labs are serving as many patients as they can, even if it means reallocating lab supplies to increase capacity, as we’ve seen hospitals do with ventilators across state lines 9/n","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":35,"likes_count":145,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251874601036062726","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251874138727252000,"conversation_id":"1251872395310350336","created_at":1587305028000,"date":"2020-04-19","time":"14:03:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Point of care tests can be used where there’s high risk populations and known outbreaks, like nursing homes. More point of care systems should be reaching the market and may create a bigger increase in capacity by June. 8/n","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":45,"likes_count":172,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251874138727251968","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251874001594572800,"conversation_id":"1251872395310350336","created_at":1587304995000,"date":"2020-04-19","time":"14:03:15","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Currently, states can rely on major academic and hospital labs running PCR to test patients with severe illness, healthcare workers, and other patients. The commercial labs, where samples have to be transported for testing, provide important options for outpatient settings. 7/n","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":34,"likes_count":152,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251874001594572800","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251873678024945700,"conversation_id":"1251872395310350336","created_at":1587304918000,"date":"2020-04-19","time":"14:01:58","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Manufacturers should make available more information about their plans to seek EUA for new test types, like antigen testing that can be point of care. When a new test comes online, manufacturers should disclose planned capacity, identify options for increasing capacity. 6/n","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":35,"likes_count":174,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251873678024945664","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251873310113235000,"conversation_id":"1251872395310350336","created_at":1587304830000,"date":"2020-04-19","time":"14:00:30","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The federal government can help by requesting and making public information from manufacturers about the testing supply chain going forward, so states can plan 5/n","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":46,"likes_count":221,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251873310113234945","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251872866930491400,"conversation_id":"1251872395310350336","created_at":1587304724000,"date":"2020-04-19","time":"13:58:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Given the limits on testing capacity, states should try to match the type of test to the patient who needs it, and strategically deploy additional testing as it comes available. States need to band together, lead the way with state and regional plans that cross state lines. 4/n","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":57,"likes_count":246,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251872866930491393","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251872736655351800,"conversation_id":"1251872395310350336","created_at":1587304693000,"date":"2020-04-19","time":"13:58:13","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Access to PCR-based testing is still limited by supply chain constraints, like reagents, personal protective equipment for providers, and personnel to run tests. At the same time, not all lab platforms that could be running COVID-19 are testing at full capacity. 3/n","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":77,"likes_count":274,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251872736655351808","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251872531210010600,"conversation_id":"1251872395310350336","created_at":1587304644000,"date":"2020-04-19","time":"13:57:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Despite these measures, most states are unlikely to experience a significant increase in testing availability over the next several weeks as we plan to reopen parts of our economy. Why? And what more can be done? 2/n","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":61,"likes_count":296,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251872531210010624","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1251872395310350300,"conversation_id":"1251872395310350336","created_at":1587304612000,"date":"2020-04-19","time":"13:56:52","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: The government has worked to improve testing capacity, including supporting the validation of synthetic swabs that can be manufactured at scale and increasing payment to labs running high throughput tests for COVID-19. There is more we can do to increase access. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":66,"retweets_count":381,"likes_count":1052,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1251872395310350336","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250949648346472400,"conversation_id":"1250948550864908289","created_at":1587084612000,"date":"2020-04-17","time":"00:50:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 If 1 million New Yorkers have contracted #COVID19 so we're only diagnosing about 1 in 10 people, then 11,477 deaths put current case fatality rate above 1%. If 2 million New Yorkers were infected then the current CFR is .57%. And grimly, deaths (and CFR) will continue to rise","mentions":[],"urls":[],"photos":[],"replies_count":105,"retweets_count":284,"likes_count":1150,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250949648346472455","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250948550864908300,"conversation_id":"1250948550864908289","created_at":1587084350000,"date":"2020-04-17","time":"00:45:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/2 New York City, with population of 8.4 million, has 11,477 confirmed and probable #COVID19 deaths. Even if everyone in the city had covid (8.4M people) which is improbable, then 11,477 deaths would put its case fatality rate higher than what's seen in seasonal flu. #NotTheFlu","mentions":[],"urls":[],"photos":[],"replies_count":233,"retweets_count":1777,"likes_count":6661,"hashtags":["#covid19","#nottheflu"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250948550864908289","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250921842929537000,"conversation_id":"1250891669005836289","created_at":1587077983000,"date":"2020-04-16","time":"22:59:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Two places where states are likely to exercise more caution than these guidelines might allow are the reopening of gyms and sports venues and some other large entertainment gatherings. Those may not be permitted until we have seen that work can safely return without a resurgence.","mentions":[],"urls":[],"photos":[],"replies_count":45,"retweets_count":43,"likes_count":263,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250921842929537024","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250465870343811000,"conversation_id":"1250465505967816706","created_at":1586969270000,"date":"2020-04-15","time":"16:47:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3/3 This has very important implications for case based interventions. These findings will make effective and aggressive contact tracing to test, trace new cases critical to controlling for outbreaks and future epidemic spread.","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":141,"likes_count":474,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250465870343811075","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250465763372273700,"conversation_id":"1250465505967816706","created_at":1586969245000,"date":"2020-04-15","time":"16:47:25","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/3 They report patterns of viral shedding in 94 patients with #COVID19 and model infectiousness from separate sample of transmission chains. They observed highest viral load in throat swabs at time of symptom onset; inferred that infectiousness peaked on or before symptom onset.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":124,"likes_count":363,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250465763372273664","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250461887738904600,"conversation_id":"1250461416517185536","created_at":1586968321000,"date":"2020-04-15","time":"16:32:01","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 One critical question is whether a more robust, transparent, response by China in the early days of the Wuhan outbreak would have made it easier for China to contain the virus; and prevent the scope of internal spread and exported cases that ultimately fueled a global crisis.","mentions":[],"urls":[],"photos":[],"replies_count":32,"retweets_count":46,"likes_count":207,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250461887738904583","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250070607846428700,"conversation_id":"1250069609581031428","created_at":1586875032000,"date":"2020-04-14","time":"14:37:12","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This clotting phenomenon may, in certain cases, explain rapid decompensation some doctors describe, where patients will become acutely hypoxic and require urgent intubation. Providers tell me they are now more routinely doing studies for pulmonary emboli in these settings. 7/n","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":138,"likes_count":565,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250070607846428674","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250069733946384400,"conversation_id":"1250069609581031428","created_at":1586874824000,"date":"2020-04-14","time":"14:33:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Provider urgently need good data to guide practice. Reports on incidence of thrombotic complications are limited. Doctors weren't routinely doing pulmonary embolism studies or echocardiograms, in part because protocols were to limit patient contact as a way to control spread. 2/n","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":117,"likes_count":529,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250069733946384386","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250069609581031400,"conversation_id":"1250069609581031428","created_at":1586874794000,"date":"2020-04-14","time":"14:33:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: There's a growing body of data to strongly suggest #COVID19 predisposes to both venous and arterial thromboembolism due to excessive inflammation, hypoxia, immobilization and diffuse intravascular coagulation. This may explain some of rapid decline patients experience 1/n","mentions":[],"urls":[],"photos":[],"replies_count":160,"retweets_count":1501,"likes_count":3288,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1250069609581031428","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1249877346016002000,"conversation_id":"1249873227939266560","created_at":1586828955000,"date":"2020-04-14","time":"01:49:15","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"This study suggests that in hot spots like New York City, the level of #COVID19 exposure (and rates of some immunity once serology studies are in place) could be high. Not the 50%-66% needed to confer herd immunity, but much more than 10% in hot spots like parts of New York City.","mentions":[],"urls":[],"photos":[],"replies_count":45,"retweets_count":211,"likes_count":697,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1249877346016002050","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1249313078413590500,"conversation_id":"1249312482419707904","created_at":1586694423000,"date":"2020-04-12","time":"12:27:03","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/2 This issue may become especially relevant for therapeutic antibodies in development by Regeneron, Vir, Lilly. They'll enter human trials in June just as (hopefully) the current epidemic has ebbed. Could make rapid recruitment hard. We need these drugs to be ready for Fall.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":18,"likes_count":98,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1249313078413590528","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1249161643994595300,"conversation_id":"1249156603007418368","created_at":1586658318000,"date":"2020-04-12","time":"02:25:18","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"If the virus ultimately spreads to the southern hemisphere as they enter their winter, people there will be in great need of promising medicines. U.S. companies should consider setting up protocols there now, in anticipation of the need, and chance to more rapidly enroll trials.","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":75,"likes_count":297,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1249161643994595332","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1249159355435532300,"conversation_id":"1249156603007418368","created_at":1586657773000,"date":"2020-04-12","time":"02:16:13","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"That could delay development timelines for drugs we hoped to have available in September. In the case of Ebola it took 9 months to fully enroll trials. To optimize timelines for #COVID19 we should focus efforts on the most promising drugs that can also be available by the Fall.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":28,"likes_count":149,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1249159355435532289","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1249158042970710000,"conversation_id":"1249156603007418368","created_at":1586657460000,"date":"2020-04-12","time":"02:11:00","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We all welcome day when cases stop rapidly accruing. But we should keep this experience in mind, especially when it comes to prophylactic antibodies we hope to develop for #COVID19. By time they reach clinic in June/July, it may be harder to study them if spread is breaking off.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":38,"likes_count":133,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1249158042970710016","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248973303307518000,"conversation_id":"1248969808835641346","created_at":1586613414000,"date":"2020-04-11","time":"13:56:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need to increase platforms and kits to get to right coverage levels, but there's also much more capacity in current system if all labs already in game do their part. We can get many more tests, maybe double current output, by getting the systems in place to run at fuller tilt.","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":39,"likes_count":228,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248973303307517957","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248972288583663600,"conversation_id":"1248969808835641346","created_at":1586613173000,"date":"2020-04-11","time":"13:52:53","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Big clinical labs like LabCorp and Quest are swing capacity, and they've directed their services to markets that need it most. Going forward we should continue to direct platforms to highest risk, highest demand markets that lack capacity right now, as part of national approach.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":34,"likes_count":182,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248972288583663617","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248971789692293000,"conversation_id":"1248969808835641346","created_at":1586613054000,"date":"2020-04-11","time":"13:50:54","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2. Also means making sure demand matches supply in local markets. We don't have truly national market for tests because it's not efficient or effective to ship samples long distances. So some markets have more capacity and less demand, others lots of demand and limited capacity.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":30,"likes_count":136,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248971789692293120","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248970410785484800,"conversation_id":"1248969808835641346","created_at":1586612725000,"date":"2020-04-11","time":"13:45:25","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1. Starts with getting labs to use machines they have. Right now, platforms aren't being used at full capacity, in part because some smaller labs say reimbursement for technical component too low. No excuse for that. Congress, CMS will step in. All labs need to step up in crisis.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":59,"likes_count":310,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248970410785484801","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248969808835641300,"conversation_id":"1248969808835641346","created_at":1586612581000,"date":"2020-04-11","time":"13:43:01","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: On #COVID19 testing, another way to increase total capacity is to make sure machines that are available are being used near capacity. That's not happening now. There are things we can do to sharply increase testing rates by squeezing more out of our current platforms: 1/n","mentions":[],"urls":[],"photos":[],"replies_count":50,"retweets_count":318,"likes_count":998,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248969808835641346","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248408517175730200,"conversation_id":"1248402908908892162","created_at":1586478759000,"date":"2020-04-10","time":"00:32:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We can get there. These are achievable testing goals and will meaningfully improve our ability to detect outbreaks when they are small and successfully implement case-based strategies to contain spread, and avoid epidemics. 7/n","mentions":[],"urls":[],"photos":[],"replies_count":40,"retweets_count":56,"likes_count":326,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248408517175730176","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248406441930580000,"conversation_id":"1248402908908892162","created_at":1586478264000,"date":"2020-04-10","time":"00:24:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need a bigger market for platforms outside traditional healthcare setting. Business community may consider taking active role in deploying testing near workplace so consumers have easy access to routine tests. This would expand market, drive capital investment in systems 6/n","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":79,"likes_count":351,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248406441930579969","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248405836541485000,"conversation_id":"1248402908908892162","created_at":1586478120000,"date":"2020-04-10","time":"00:22:00","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"So far, what we’ve done to get more test capacity is get more labs in the game. Now we need to expand capacity of those labs. That requires more kits and more platforms. We need to build more machines, expand throughput, manufacture more kits, deploy systems in more places 5/n","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":72,"likes_count":281,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248405836541485057","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248405526678925300,"conversation_id":"1248402908908892162","created_at":1586478046000,"date":"2020-04-10","time":"00:20:46","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"How much? This is subject of intense discussion and analysis. Likely several million or more. One metric: there are about 4 million outpatient visits for primary care services a week. We may want to make covid testing routine. We can get there. But it’ll take additional steps 4/n","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":79,"likes_count":302,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248405526678925318","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248404763672072200,"conversation_id":"1248402908908892162","created_at":1586477864000,"date":"2020-04-10","time":"00:17:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Right now, #covid19 is epidemic. And even when we’re likely to seek to reopen parts of America in May and June, there will be baseline spread. The epidemic won’t simply collapse. Against that backdrop, we need much more test capacity to safely make transition to normal life 3/n","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":125,"likes_count":402,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248404763672072195","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248404033171148800,"conversation_id":"1248402908908892162","created_at":1586477690000,"date":"2020-04-10","time":"00:14:50","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"750,000 is the approximate number of U.S. medical visits per week for influenza like illness during peak flu season. We use it as estimate of what’s necessary in setting where #covid19 isn’t yet circulating, and we want to detect furtive spread. That is not the situation now. 2/n","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":89,"likes_count":312,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248404033171148805","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248385214801305600,"conversation_id":"1248384397734055936","created_at":1586473203000,"date":"2020-04-09","time":"23:00:03","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In a setting where there will still be spread and we’ll still be slowly exiting the epidemic; we need capacity to test several million people a week (and probably more) to get broad enough coverage in community to detect outbreaks early and make case containment strategies work.","mentions":[],"urls":[],"photos":[],"replies_count":24,"retweets_count":94,"likes_count":308,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248385214801305602","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1248035366914994200,"conversation_id":"1248034511050375168","created_at":1586389793000,"date":"2020-04-08","time":"23:49:53","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"While Lousiana shows worsening epidemic overall, they too show reduction in estimated deaths. This overall higher preservation of life, and better estimated case fatality rates than many other countries, reflects in part extraordinary capacity and effectiveness of U.S. healthcare","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":62,"likes_count":345,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1248035366914994181","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247845298610802700,"conversation_id":"1247840921632333828","created_at":1586344477000,"date":"2020-04-08","time":"11:14:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"In U.S., experts suggest to me rate is lower. My informal survey of thought leaders in this area puts estimate anywhere from 1-5%. Ultimately we must confirm this with serology studies (which are underway). But it falls short of the 50-70% needed to achieve “herd” immunity 8/n","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":75,"likes_count":306,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247845298610802694","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247843882089447400,"conversation_id":"1247840921632333828","created_at":1586344139000,"date":"2020-04-08","time":"11:08:59","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"But serology shouldn’t be used to try and diagnose active infection. For that, given the current technology we have, we need PCR based tests that screen for active virus. Serology should only be relied upon for telling you who has already been infected. 6/n","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":44,"likes_count":229,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247843882089447425","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247843257083662300,"conversation_id":"1247840921632333828","created_at":1586343990000,"date":"2020-04-08","time":"11:06:30","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Serology surveys can also inform workforce decisions. In some professions where there’s a lot of exposure to people (healthcare workers, food handlers, TSA agents) there could be higher prior exposure and rates of some immunity. That can help some people return to work sooner 5/n","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":35,"likes_count":216,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247843257083662337","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247842824814461000,"conversation_id":"1247840921632333828","created_at":1586343887000,"date":"2020-04-08","time":"11:04:47","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Serology surveys can have value. For example they inform public health decisions. If local population has high incidence of prior exposure (and some immunity to) #COVID19 then measures you take in setting of outbreak may be more austere vs area where prior exposure is minimal 4/n","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":38,"likes_count":202,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247842824814460928","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247842037463949300,"conversation_id":"1247840921632333828","created_at":1586343700000,"date":"2020-04-08","time":"11:01:40","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Serology (testing for antibodies people produce after being exposed to #COVID19) tells you where you’ve been. It doesn’t tell you where you’re going. In other words, it reveals where infection has spread. But doesn’t diagnose active infection or tell you where it’s spreading. 3/n","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":53,"likes_count":238,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247842037463949312","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247840921632333800,"conversation_id":"1247840921632333828","created_at":1586343434000,"date":"2020-04-08","time":"10:57:14","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: There’s uncertainty how many Americans were already exposed to #COVID19 and developed immunity. Until we do widespread serological testing to see who has antibodies, we won’t know for sure. Experts, models put number in single digits, perhaps 2-5% of U.S. population. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":108,"retweets_count":716,"likes_count":2273,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247840921632333828","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247647340468584400,"conversation_id":"1247638619956948994","created_at":1586297280000,"date":"2020-04-07","time":"22:08:00","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"7/n In the end we'll vanquish this threat with our technology. We'll have a vaccine in a few years, and hopefully effective drugs before then. How much death and disease it causes until we can get these interventions will turn on many factors both outside, and within, our control","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":10,"likes_count":103,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247647340468584453","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247647272105660400,"conversation_id":"1247638619956948994","created_at":1586297264000,"date":"2020-04-07","time":"22:07:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"6/n What we do to contain spread must balance all these risks and concerns. The issues related to individual liberty are important. We can't let a virus claim cherished freedoms. But ultimately, it's hard to envision a vibrant society while this virus is also circulating freely","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":18,"likes_count":115,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247647272105660417","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247642053577773000,"conversation_id":"1247638619956948994","created_at":1586296020000,"date":"2020-04-07","time":"21:47:00","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"5/n In near term we are faced with unattractive choices that require hard tradeoffs and careful balancing. But one of greatest threats to liberty, perhaps, is the prospect that #COVID19 continues to circulate unchecked, and populations are confined to homes of fear or legal order","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":26,"likes_count":110,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247642053577773059","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247640806695022600,"conversation_id":"1247638619956948994","created_at":1586295723000,"date":"2020-04-07","time":"21:42:03","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"4/n That doesn't mean one hard reality will give way to another. We may implement case based interventions and still have large outbreaks. But we need to balance our considerations against the harsh reality that, until we get to a vaccine, #COVID19 will remain a constant menace.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":19,"likes_count":93,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247640806695022592","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247639991779569700,"conversation_id":"1247638619956948994","created_at":1586295528000,"date":"2020-04-07","time":"21:38:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"3/n How we implement these efforts, and seek consent, should be carefully considered. But ultimately, we face hard trade-offs between pervasive risk of epidemics and outbreaks; population mitigation (what we have now); or the effective application of case-based interventions.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":14,"likes_count":110,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247639991779569665","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247639153015226400,"conversation_id":"1247638619956948994","created_at":1586295328000,"date":"2020-04-07","time":"21:35:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n These concerns shouldn't be ignored, but also should be put in context. Case-based interventions that identify disease outbreaks, and contain spread, are a mainstay of public health prevention for deadly pathogens from Polio to Ebola to Measles, and countless deadly pathogens","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":34,"likes_count":177,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247639153015226377","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247638619956949000,"conversation_id":"1247638619956948994","created_at":1586295201000,"date":"2020-04-07","time":"21:33:21","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/n There's some concerns being expressed about the implications for privacy and liberty of case based interventions that encourage widespread screening for #COVID19, and use public health interventions that require people who are infected and contagious to self isolate.","mentions":[],"urls":[],"photos":[],"replies_count":31,"retweets_count":117,"likes_count":325,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247638619956948994","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247529063100461000,"conversation_id":"1247523960515772417","created_at":1586269081000,"date":"2020-04-07","time":"14:18:01","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"11/n If we don't get the tools in place by Summer for widespread testing thats available in doctors' offices and easily accessible to patients, and ability to do vigorous track and trace of infectious people, we'll almost certainly have large outbreaks and maybe another epidemic.","mentions":[],"urls":[],"photos":[],"replies_count":56,"retweets_count":361,"likes_count":870,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247529063100461057","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247527917480857600,"conversation_id":"1247523960515772417","created_at":1586268808000,"date":"2020-04-07","time":"14:13:28","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"10/n Case-based interventions that use traditional tools of \"tracking and tracing\" of infection and contacts is key to these efforts. One way or another, it'll require means to  monitor people who must self isolate, including those traveling into U.S. who are actively infected.","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":48,"likes_count":259,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247527917480857604","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247527412641878000,"conversation_id":"1247523960515772417","created_at":1586268687000,"date":"2020-04-07","time":"14:11:27","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"9/n There's a lot of deliberate misinformation and fear mongering that's plagued our response. We need to be level headed about what we need to accomplish. The goal is widespread surveillance and containment of active infection so we don't have to live with constant epidemics.","mentions":[],"urls":[],"photos":[],"replies_count":31,"retweets_count":70,"likes_count":380,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247527412641878021","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247526221086208000,"conversation_id":"1247523960515772417","created_at":1586268403000,"date":"2020-04-07","time":"14:06:43","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"7/n But technology provides another way. Some countries, including U.S., have used cell phones to check in on people to make sure they are adhering to public health orders. Sometimes it is with text messages to check in on symptoms. Other times apps to make sure people stay home.","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":45,"likes_count":266,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247526221086208006","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247525440371081200,"conversation_id":"1247523960515772417","created_at":1586268217000,"date":"2020-04-07","time":"14:03:37","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"5/n But when you identify positive cases, what do you do? Ideally, you want to require asymptomatic or mildly symptomatic people to self isolate for the duration of illness, so they don't spread infection and trigger outbreaks. But how do you enforce that?","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":46,"likes_count":262,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247525440371081217","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247524592115040300,"conversation_id":"1247523960515772417","created_at":1586268015000,"date":"2020-04-07","time":"14:00:15","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The alternative to case-based interventions (testing people, identifying positive cases, requiring people who are infected to self isolate) are population based mitigation. That is what we are doing now. Isolating entire populations rather than just the individuals who are sick.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":65,"likes_count":373,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247524592115040257","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247524319715938300,"conversation_id":"1247523960515772417","created_at":1586267950000,"date":"2020-04-07","time":"13:59:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"2/n The idea is this: When someone tests positive for #COVID19, or is exposed to it, that person would be required to self-isolate. This is to prevent spread. Identifying cases, and requiring people who are positive to self isolate, is the core of case based interventions.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":65,"likes_count":424,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247524319715938304","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247523960515772400,"conversation_id":"1247523960515772417","created_at":1586267864000,"date":"2020-04-07","time":"13:57:44","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/n People who seem to lack a clear background on the history of public health interventions seem to be deliberately or inadvertently distorting the role of cell phone apps in case based interventions to control spread of deadly disease. So here’s another primer for them.","mentions":[],"urls":[],"photos":[],"replies_count":65,"retweets_count":448,"likes_count":1260,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247523960515772417","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247359033549508600,"conversation_id":"1247357901452214272","created_at":1586228543000,"date":"2020-04-07","time":"03:02:23","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"If antibody drugs are going to provide perhaps our best shot at mitigating future #COVID19 risk and serving as a bridge to a vaccine; manufacturing these drugs at scale is going to be the obstacle. We can get a jump start on this now. Congress provided the funding to do so 2/n","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":92,"likes_count":514,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247359033549508609","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247357901452214300,"conversation_id":"1247357901452214272","created_at":1586228273000,"date":"2020-04-07","time":"02:57:53","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: The provision in the CARES Act that provides money to build commercial scale manufacturing pre-approval for the most promising #COVID19 drugs, and enables large scale manufacturing and stockpiling of doses, is critical to our readiness for the second wave in the Fall. 1/n","mentions":[],"urls":[],"photos":[],"replies_count":39,"retweets_count":289,"likes_count":1179,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247357901452214272","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247192066528104400,"conversation_id":"1247187218407571465","created_at":1586188735000,"date":"2020-04-06","time":"15:58:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The new IHME model seems to show the epidemics in Georgia and Florida extending for longer periods of time, perhaps reflecting  a rolling outbreak that affects different areas of these states in a more sequential fashion.","mentions":[],"urls":[],"photos":[],"replies_count":38,"retweets_count":159,"likes_count":555,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247192066528104448","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1247187218407571500,"conversation_id":"1247187218407571465","created_at":1586187579000,"date":"2020-04-06","time":"15:39:39","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"1/2 Revised IHME model which is closely watched shows improvements across board on scope and duration of U.S. epidemic, with a few exceptions. Projections on peak deaths rose in Florida and Georgia, but most states have better outlook under model, big improvement in Louisiana.","mentions":[],"urls":[],"photos":[],"replies_count":94,"retweets_count":675,"likes_count":2486,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1247187218407571465","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246964941246136300,"conversation_id":"1246963609365774344","created_at":1586134584000,"date":"2020-04-06","time":"00:56:24","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Anyone who believes it needs to be \"made available\" should be assured that it is available, and has been widely used for months all around the world. If the drug combo is working its effect is probably subtle enough that only rigorous and large scale trials will tease it out 1/3","mentions":[],"urls":[],"photos":[],"replies_count":36,"retweets_count":101,"likes_count":517,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246964941246136325","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246964037549785000,"conversation_id":"1246963609365774344","created_at":1586134368000,"date":"2020-04-06","time":"00:52:48","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Doctors have been using it widely in U.S., often in combo with azithromycin, since very outset. They used it based on a theoretical potential for benefit, the fact that it was widely available, and a perception that side effect profile is understood so risk/reward favorable 1/2","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":67,"likes_count":356,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246964037549785090","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246963609365774300,"conversation_id":"1246963609365774344","created_at":1586134266000,"date":"2020-04-06","time":"00:51:06","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: One piece of non-scientific evidence that would nonetheless inform discussion on hydroxychloroquine in the proposed treatment of #COVID19 would be a survey on how widely it was already being used in U.S., Italy, and some other countries, long before current debate. 1/3","mentions":[],"urls":[],"photos":[],"replies_count":67,"retweets_count":246,"likes_count":860,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246963609365774344","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246865425222250500,"conversation_id":"1246863908394188801","created_at":1586110857000,"date":"2020-04-05","time":"18:20:57","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"None of these drugs is a complete solution. But they can be a bridge to vaccine and interim step powerful enough to restore confidence; save lives. Coupled to tools of public health, with a drug in our bag, we can make #COVID19 a manageable threat. The stakes could not be higher.","mentions":[],"urls":[],"photos":[],"replies_count":61,"retweets_count":274,"likes_count":1496,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246865425222250507","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246865308893229000,"conversation_id":"1246863908394188801","created_at":1586110829000,"date":"2020-04-05","time":"18:20:29","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"Past attempts at antibody drugs found that antibodies didn’t penetrate the lungs well. But much has been learned, and the science for engineering these medicines is much better. Manufacturing at scale will be an issue. Spare capacity is scarce. We need to plan for that right now.","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":256,"likes_count":1275,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246865308893229058","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246864973206356000,"conversation_id":"1246863908394188801","created_at":1586110749000,"date":"2020-04-05","time":"18:19:09","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need to let science lead. These drugs need to prove they're safe and effective for intended use. The worst outcome would be fools gold: A drug touted as cure that doesn’t deliver benefit. We'll be worse off for that. Regulators must be allowed to do their jobs. Trust FDA staff","mentions":[],"urls":[],"photos":[],"replies_count":44,"retweets_count":406,"likes_count":1834,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246864973206355970","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246864722437312500,"conversation_id":"1246863908394188801","created_at":1586110690000,"date":"2020-04-05","time":"18:18:10","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"There are four main antibody programs underway in U.S. by Lilly, Regeneron, Vir, and Amgen. Regeneron may be furthest along and have the best chance of doing this at the scale required. We need to place bets. This is a time for focus on possible winners, move them quickly along.","mentions":[],"urls":[],"photos":[],"replies_count":30,"retweets_count":378,"likes_count":1748,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246864722437312512","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246864475900334000,"conversation_id":"1246863908394188801","created_at":1586110631000,"date":"2020-04-05","time":"18:17:11","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We should put everything we have into developing an effective medicine. It should be a coordinated, deliberate, urgent industrial policy. There's no room for sluggish political leadership when it comes to this urgent priority. Everything depends on our rapid success.","mentions":[],"urls":[],"photos":[],"replies_count":38,"retweets_count":637,"likes_count":2570,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246864475900334082","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246864352470274000,"conversation_id":"1246863908394188801","created_at":1586110601000,"date":"2020-04-05","time":"18:16:41","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"If we don't have effective drugs, #COVID19 will circulate in background of society, and some consumer activity won’t return. There will be no \"V\" shaped recovery. The marginal customer won't come back to restaurants, conferences, or airplanes. We'll be operating an 80% economy.","mentions":[],"urls":[],"photos":[],"replies_count":34,"retweets_count":424,"likes_count":1618,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246864352470274049","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246864250540372000,"conversation_id":"1246863908394188801","created_at":1586110577000,"date":"2020-04-05","time":"18:16:17","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"The antiviral Remdesivir from Gilead is one. Used early in disease it may have robust enough treatment effect to impact outcomes. Other strategies are monoclonal antibodies that target virus directly. They can be used as treatment or prophylaxis - a bridge until we get vaccine.","mentions":[],"urls":[],"photos":[],"replies_count":35,"retweets_count":283,"likes_count":1373,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246864250540371968","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246864158857015300,"conversation_id":"1246863908394188801","created_at":1586110555000,"date":"2020-04-05","time":"18:15:55","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We need a massive surveillance system to detect spread early so we can rely and case-based strategies to isolate sick people and close contacts. But we also need a drug. And there are only a handful far enough along in development that can be good enough to make a real difference","mentions":[],"urls":[],"photos":[],"replies_count":54,"retweets_count":380,"likes_count":1756,"hashtags":[],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246864158857015296","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246864055261855700,"conversation_id":"1246863908394188801","created_at":1586110531000,"date":"2020-04-05","time":"18:15:31","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"We'll win this round, at an almost unbearable cost in treasure and in souls. But #COVID19 won't recede permanently. It'll most probably become epidemic in the southern hemisphere and return to us in September. This is a pathogen that wants to infect 40% of the world's population.","mentions":[],"urls":[],"photos":[],"replies_count":58,"retweets_count":707,"likes_count":2199,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246864055261855744","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246863908394188800,"conversation_id":"1246863908394188801","created_at":1586110496000,"date":"2020-04-05","time":"18:14:56","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"THREAD: If we'd taken certain steps in winter - and recognized #coronavirus had characteristics we always feared in its balance between transmissibility and lethality - we may be in different position now. Let's not have to say in the fall we wish we'd done more in the spring.","mentions":[],"urls":[],"photos":[],"replies_count":270,"retweets_count":4362,"likes_count":15202,"hashtags":["#coronavirus"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246863908394188801","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1246826736203030500,"conversation_id":"1246826736203030530","created_at":1586101633000,"date":"2020-04-05","time":"15:47:13","timezone":"UTC","user_id":40156330,"username":"scottgottliebmd","name":"Scott Gottlieb, MD","place":"","tweet":"These Cuomo press briefings are must see TV. Factual, blunt, sobering but also optimistic. He tells us things that can help us respond better to the ensuing #COVID19 crisis. A model for communication and leadership.","mentions":[],"urls":[],"photos":[],"replies_count":319,"retweets_count":1878,"likes_count":10736,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/ScottGottliebMD/status/1246826736203030530","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"40156330","username":"ScottGottliebMD"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
