{"id":1271639809212272600,"conversation_id":"1271639061183303681","created_at":1592017531000,"date":"2020-06-13","time":"03:05:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The loss of experienced public health leaders will hurt those communities, especially should the pandemic worsen there.3/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":55,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271639809212272640","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271639414368882700,"conversation_id":"1271639061183303681","created_at":1592017436000,"date":"2020-06-13","time":"03:03:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This would be a shameful scandal in normal times but now so much going on that it has not been visible.2/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":51,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271639414368882689","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271091098723717000,"conversation_id":"1271088918570688512","created_at":1591886708000,"date":"2020-06-11","time":"14:45:08","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Our numbers are moving in right direction, but future success is about what we choose to do next. Some states w/ earlier success now have rapidly rising cases. We should continue to strive to be a state that keeps driving numbers down until this virus under tighter control.10/x","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":26,"likes_count":130,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271091098723717122","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271090734054150100,"conversation_id":"1271088918570688512","created_at":1591886621000,"date":"2020-06-11","time":"14:43:41","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need to diagnose extensively, contact trace extensively, manage cases very closely.  Contact tracing will be very hard to do effectively and sustain with many hundreds of new cases a day.  9/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":23,"likes_count":110,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271090734054150144","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271090598280335400,"conversation_id":"1271088918570688512","created_at":1591886589000,"date":"2020-06-11","time":"14:43:09","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We had 519 new cases yesterday in Maryland.  We need to drive that number down.  More disease control would bring more public confidence, would be better for the state economy. We can’t let hundreds of cases a day become our new normal. 8/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":40,"likes_count":122,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271090598280335362","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271090295086743600,"conversation_id":"1271088918570688512","created_at":1591886516000,"date":"2020-06-11","time":"14:41:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And in last 2 weeks there have been sizable protests in the state that could contribute to increased spread of disease.  We should wait to see how the state does in the coming weeks before making more changes.  7/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":24,"likes_count":96,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271090295086743553","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271090215155839000,"conversation_id":"1271088918570688512","created_at":1591886497000,"date":"2020-06-11","time":"14:41:37","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"COVID #'s have been moving in right direction in MD. Cases hospitalizations, ICU beds trending downward. But since May 29, MD has opened offices, manufacturing, construction, dealerships, insurance, outdoor restaurants, personal services. We haven’t had time to see impact 6/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":38,"likes_count":100,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271090215155838978","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271089826411012000,"conversation_id":"1271088918570688512","created_at":1591886404000,"date":"2020-06-11","time":"14:40:04","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Group gatherings are situations where this virus has great capacity to spread widely.  5/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":22,"likes_count":82,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271089826411012099","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271089574702440400,"conversation_id":"1271088918570688512","created_at":1591886344000,"date":"2020-06-11","time":"14:39:04","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But I don’t agree we should end limits on indoor large gatherings.  We shouldn't restart conventions. There've been outbreaks of COVID in indoor restaurants and bars, so they will also be higher risk. Casinos will also pose new risks unless major mitigation efforts made.4/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":46,"likes_count":164,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271089574702440448","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271089132777988000,"conversation_id":"1271088918570688512","created_at":1591886239000,"date":"2020-06-11","time":"14:37:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And.. “Confined space is higher risk, and the longer the time you spend in that space the higher the risk”, “Be prudent if you have underlying conditions or are older”, “just because something is open doesn’t mean you should go do it”  3/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":20,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271089132777988105","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271089081913614300,"conversation_id":"1271088918570688512","created_at":1591886227000,"date":"2020-06-11","time":"14:37:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"I do agree with a number of statements by Governor and Dec Sec Phillips yesterday afternoon:  “Fight against virus not over”, “All of us have to exercise personal responsibility”, “Stay 6 feet apart, wear face coverings”, \"outdoor safer than indoor”… 2/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":20,"likes_count":93,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1271089081913614337","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270805291324539000,"conversation_id":"1270803960593604613","created_at":1591818566000,"date":"2020-06-10","time":"19:49:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"…and, development or nurse leaders in the field; nursing schools to include focus on epidemic response issues; better preparedness drills; better hospital system development of nursing leaders while giving them the crisis leadership skills and tools they need 6/x","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":1,"likes_count":7,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1270805291324538881","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270804849534394400,"conversation_id":"1270803960593604613","created_at":1591818461000,"date":"2020-06-10","time":"19:47:41","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Report recommendations include:  better US government guidance on nurse training requirements for epidemic response w/ major input from nursing stakeholders. Accreditor metrics that include facility plans around pandemic response, the right education and training for nurses...5/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":9,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1270804849534394369","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270804634995654700,"conversation_id":"1270803960593604613","created_at":1591818410000,"date":"2020-06-10","time":"19:46:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Cites recent American Nurses Association survey: 87% of nurses fear going to work, 36% have cared for an infectious patient w/out having adequate PPE; 11% felt well-prepared to care for a COVID-19 patient. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1270804634995654659","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270804424903057400,"conversation_id":"1270803960593604613","created_at":1591818359000,"date":"2020-06-10","time":"19:45:59","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"and disconnect btwn frontline nurses+ nurse execs and hospital leaders 3/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":0,"likes_count":6,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1270804424903057409","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270804368418275300,"conversation_id":"1270803960593604613","created_at":1591818346000,"date":"2020-06-10","time":"19:45:46","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Report highlights many serious problems including:  lack of access to PPE: inadequate training, knowledge, skills to allow them to safely and effectively respond to this crisis; lack of input to decision on workflow redesign, staffing, allocation of scarce resources... 2/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":0,"likes_count":6,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1270804368418275333","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1269268271179718700,"conversation_id":"1269265750281326592","created_at":1591452112000,"date":"2020-06-06","time":"14:01:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Ways to do that include making as many masks available to protesters as possible so that anyone can get one, and letting people safely spread out, avoiding actions that drive people into smaller denser spaces, are ways that would help. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":11,"likes_count":51,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1269268271179718666","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1269267861408755700,"conversation_id":"1269265750281326592","created_at":1591452014000,"date":"2020-06-06","time":"14:00:14","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Law enforcement+gov officials should be acting as guardians, doing all they can to make the peaceful protests that are happening in their communities as safe from  COVID as is possible. 3/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":9,"likes_count":53,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1269267861408755712","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266502425642520600,"conversation_id":"1266499546198224897","created_at":1590792683000,"date":"2020-05-29","time":"22:51:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It could mean the US no longer intends to comply w/  International Health Regulations (IHR). If other countries followed suit, then the IHR grows weaker, countries become less prepared to prevent + respond to future outbreaks. Then the world gets more vulnerable to epidemics.10/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":15,"likes_count":47,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1266502425642520578","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265840168919072800,"conversation_id":"1265832526523838466","created_at":1590634789000,"date":"2020-05-28","time":"02:59:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Let’s make sure we don’t forget lessons we have learned as we've witnessed the loss of 100,000 people, and serious illnesses of hundreds of thousand more. The strategies for reducing the spread of this virus are clear. The challenge for us is to continue to act on them.24/x","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":29,"likes_count":108,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265840168919072768","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265839808590549000,"conversation_id":"1265832526523838466","created_at":1590634703000,"date":"2020-05-28","time":"02:58:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"That means we need to settle into a longer term pace.  This is not a short race that will end at the start of summer.  It is a longer one that will require national endurance.23/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":34,"likes_count":100,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265839808590548992","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265839717741887500,"conversation_id":"1265832526523838466","created_at":1590634681000,"date":"2020-05-28","time":"02:58:01","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Enormous, unprecedented efforts are underway to get a vaccine as quickly as possible. We should hope for the best in terms of timelines, but also prepare for possibility that it will take well into 2021 before we have one, and then time beyond that for widespread vaccination. 22x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":23,"likes_count":73,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265839717741887488","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265839242678321200,"conversation_id":"1265832526523838466","created_at":1590634568000,"date":"2020-05-28","time":"02:56:08","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But if we do come together and take these actions over time, it will drive the disease downward, help us to navigate the difficult road of reopening with less risk. We need to build in these practices and aimpoints in society for the long haul, until we have a vaccine.21/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":21,"likes_count":72,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265839242678321162","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265839125787299800,"conversation_id":"1265832526523838466","created_at":1590634540000,"date":"2020-05-28","time":"02:55:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The positive impact of all of these individual actions and gov policies and actions will be substantial.  Without these collective actions and goals, cases will rise, confidence will fall, and the overall struggle with COVID will worsen.20/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":27,"likes_count":75,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265839125787299840","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265838733066219500,"conversation_id":"1265832526523838466","created_at":1590634446000,"date":"2020-05-28","time":"02:54:06","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Governors will need to monitor carefully as they move to reopen. If COVID hospitalizations + ICU bed use go down, that's good news. If they go up substantially, that's bad, and difficult decisions will need to be made about what distancing interventions may need to re-start.19/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":26,"likes_count":85,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265838733066219520","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265837749929730000,"conversation_id":"1265832526523838466","created_at":1590634212000,"date":"2020-05-28","time":"02:50:12","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need a lot more protection of nursing homes, prisons, meatpacking facilities  - all clearly places where there are high risks of big outbreaks.  They need accurate information, PPE, access to diagnostics, linkage with rapid contact tracing, good sick leave.17/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":26,"likes_count":107,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265837749929730049","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265837468798115800,"conversation_id":"1265832526523838466","created_at":1590634145000,"date":"2020-05-28","time":"02:49:05","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Hospitals, doctors, nurses, staff need to have the right PPE to stay safe. There are still shortages, some hospitals still using cloth masks for workers who should have surgical ones.  We owe them the best protection PPE can deliver, and we need to do better.16/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":37,"likes_count":116,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265837468798115841","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265836978857300000,"conversation_id":"1265832526523838466","created_at":1590634028000,"date":"2020-05-28","time":"02:47:08","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Rapid dx, isolation of cases, w/ fast contact tracing will be key. Many states have committed to it, but challenging work is ahead. Getting people hired, trained, working.  Creating needed databases. Gaining community trust. Safely quarantining people. Hard, critical work.15/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":24,"likes_count":101,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265836978857299968","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265836433669066800,"conversation_id":"1265832526523838466","created_at":1590633898000,"date":"2020-05-28","time":"02:44:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need DX companies to expand manufacturing to bring more capacity on line in the US. Diagnostics need to be so available that anyone w/ symptoms can get a test that day. So available that any org that wants to use them as part of a reopening and monitoring process can.14/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":26,"likes_count":102,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265836433669066757","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265835899432173600,"conversation_id":"1265832526523838466","created_at":1590633771000,"date":"2020-05-28","time":"02:42:51","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It has become more clear every week how testing could help institutions move more confidently toward reopening, recovery. Don’t just need testing for people w/ symptoms of COVID, we need it for businesses, universities, other orgs that want to use it to screen people.13/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":47,"likes_count":157,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265835899432173569","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265835423508713500,"conversation_id":"1265832526523838466","created_at":1590633657000,"date":"2020-05-28","time":"02:40:57","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The public should read CDC guidance, state health guidance; they should look at data on state health websites and know how much disease is spreading in their community, and make informed wise decisions.11/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":39,"likes_count":122,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265835423508713478","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265835281795682300,"conversation_id":"1265832526523838466","created_at":1590633623000,"date":"2020-05-28","time":"02:40:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We should recognize that even if a governor decides to reopen a certain type of activity or business, it does not mean it has necessarily become low or no risk. 10/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":60,"likes_count":163,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265835281795682304","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265835166385176600,"conversation_id":"1265832526523838466","created_at":1590633596000,"date":"2020-05-28","time":"02:39:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We should avoid gatherings. Should telecommute if our jobs can handle it. Should look after those in our communities that are high risk and need to avoid going into public spaces.  If we all do those things, it will make a major difference for the country.9/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":52,"likes_count":150,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265835166385176576","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265834645356249000,"conversation_id":"1265832526523838466","created_at":1590633472000,"date":"2020-05-28","time":"02:37:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Please also communicate that individual actions, decisions will be a strong determinant for how the country does.  We should all continue to physically distance outside our homes, use cloth masks when in public spaces near other people, esp inside – this includes our leaders.8/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":59,"likes_count":169,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265834645356249088","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265834451411632000,"conversation_id":"1265832526523838466","created_at":1590633425000,"date":"2020-05-28","time":"02:37:05","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Leaders, please communicate these things consistently, clearly:  the virus hasn't changed. It is still quite transmissible, can cause serious illness or lethal disease. It won't be in our rearview mirror soon. It will be with us until we have a vaccine.7/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":87,"likes_count":234,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265834451411632134","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265833989669085200,"conversation_id":"1265832526523838466","created_at":1590633315000,"date":"2020-05-28","time":"02:35:15","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"What do we need to do to reduce the impact of this disease in the coming months?  First: communicate clearly with the American public. There have been too many mixed statements, miscommunications, moments for leaders to show what needs to be done that were missed. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":54,"likes_count":186,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265833989669085185","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265833669006176300,"conversation_id":"1265832526523838466","created_at":1590633239000,"date":"2020-05-28","time":"02:33:59","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"As of March 16, there were about 100 recognized deaths in the US. That became 100,000 about 72 days later. This virus moves much more quickly than seasonal flu.  Unlike flu, we have no vaccine, and limited treatment options - though we hope that will change. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":54,"likes_count":162,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265833669006176259","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265833283935506400,"conversation_id":"1265832526523838466","created_at":1590633147000,"date":"2020-05-28","time":"02:32:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And though it was claimed by some at the start of this pandemic, #COVID19 is not the flu (influenza).  Flu last year killed about 34,000 people in the US over the 2018-2019 flu season.  COVID19 has already killed three times that in about 11 wks.3/x","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":189,"likes_count":397,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265833283935506432","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265832879122251800,"conversation_id":"1265832526523838466","created_at":1590633051000,"date":"2020-05-28","time":"02:30:51","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Many of these 100,000 were healthy or doing fine before they got COVID19. They had families and friends, who were largely not allowed to be with their loved ones when they died. A really tragic part of this epidemic.2/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":61,"likes_count":231,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265832879122251788","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265832526523838500,"conversation_id":"1265832526523838466","created_at":1590632967000,"date":"2020-05-28","time":"02:29:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The US has reached a terrible milestone of 100,000 lives lost to COVID19.  It’s important to stop to think about how this disease has hurt the country, and to focus on what needs to happen to lessen the impact and spread of this epidemic in the time ahead.1/x","mentions":[],"urls":[],"photos":[],"replies_count":74,"retweets_count":387,"likes_count":1082,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1265832526523838466","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264599318289436700,"conversation_id":"1264595972707045382","created_at":1590338947000,"date":"2020-05-24","time":"16:49:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Case definition of cough and fever, if strictly applied, would miss 7% of study inpatients. 4% of pts presented with enteric symptoms only. This figure could be an underestimate because these patients fall outside standard criteria for testing. 11/end","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":16,"likes_count":51,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1264599318289436672","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264598862796337200,"conversation_id":"1264595972707045382","created_at":1590338838000,"date":"2020-05-24","time":"16:47:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"41% of patients were discharged alive, 26% died, and 34% continued to receive care at conclusion of study.9/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":22,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1264598862796337154","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264598716268372000,"conversation_id":"1264595972707045382","created_at":1590338803000,"date":"2020-05-24","time":"16:46:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A high proportion of pts required admission to high dependency or ICUs (17%).  55% received high flow oxygen at some point during admission. 16% of pts were treated with non-invasive ventilation, while 10% received invasive ventilation. 8/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1264598716268371970","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264597458295959600,"conversation_id":"1264595972707045382","created_at":1590338503000,"date":"2020-05-24","time":"16:41:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Median age of pts was 73 years (interquartile range 58-82, range 0-104). 310 pts (1.5%) were < 18 y/o, and 194 (1.0%) were < 5 years old. More men (59.9%) than women (40.1%,) were admitted to hospital with covid-19. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1264597458295959559","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264597168364683300,"conversation_id":"1264595972707045382","created_at":1590338434000,"date":"2020-05-24","time":"16:40:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The pts included in the study were approx 34% of the 59,215 covid-19 admissions in these countries. Median time from onset of COVID symptoms in community to presentation at hospital was 4 days 4/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":16,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1264597168364683265","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264597013557063700,"conversation_id":"1264595972707045382","created_at":1590338397000,"date":"2020-05-24","time":"16:39:57","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"An amazing 2468 research nurses, administrators, and med students enrolled the 20 ,133 patients. Shows you the kind of workforce required in studies of this size, breadth, and speed.3/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":37,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1264597013557063682","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264596484059734000,"conversation_id":"1264595972707045382","created_at":1590338271000,"date":"2020-05-24","time":"16:37:51","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Prospective observational cohort study w/ rapid data gathering, near real time analysis. 208 acute care hosps in England, Wales, Scotland btwn 6 Feb - 19 Apr. Minimal follow-up time of 2 wks, most patients completed hosp admission. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":5,"likes_count":16,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1264596484059734016","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1259538806837063700,"conversation_id":"1259538751862251522","created_at":1589132427000,"date":"2020-05-10","time":"17:40:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"They should wear masks","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":5,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1259538806837063680","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1259537656184217600,"conversation_id":"1259537326625218561","created_at":1589132152000,"date":"2020-05-10","time":"17:35:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Their exposure should make clear that this disease is still circulating and that it is possible for co-workers without symptoms to expose others.  It is important for all of us to wear masks in indoor workplaces when you are around others","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":91,"likes_count":274,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1259537656184217604","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1259534675435032600,"conversation_id":"1259530379821821955","created_at":1589131442000,"date":"2020-05-10","time":"17:24:02","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For those who think only the elderly are getting sick, useful to see Gov Cuomo's briefing this week where he said that out of 1000 pts hospitalized in NYC recently, about a quarter of them were age 50 and below. 12/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":33,"likes_count":57,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1259534675435032577","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1259534420878516200,"conversation_id":"1259530379821821955","created_at":1589131381000,"date":"2020-05-10","time":"17:23:01","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Also good to focus on fact that ~50,000 US deaths have occurred outside nursing homes. So focusing all energies on protecting the nursing homes would not help those outside that are at risk of getting sick and dying. 11/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":9,"likes_count":30,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1259534420878516228","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1259533368666005500,"conversation_id":"1259530379821821955","created_at":1589131130000,"date":"2020-05-10","time":"17:18:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"To bring epidemic under far better control in US, we need to be able to diagnose great majority of cases, and we need rapid contact tracing and isolation to break the chains of transmission.  High number of cases presently are “community transmission” – we need to end that. 9/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":15,"likes_count":47,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1259533368666005504","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1259533077203824600,"conversation_id":"1259530379821821955","created_at":1589131061000,"date":"2020-05-10","time":"17:17:41","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"From same NPR story -- so far only 1 state has met anticipated contact tracing need, with a small number of others on track to get to their benchmark. Some states continue to have many hundreds of new COVID cases a day which will make contact tracing hugely complex operation 8/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":7,"likes_count":31,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1259533077203824642","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1259532595093790700,"conversation_id":"1259530379821821955","created_at":1589130946000,"date":"2020-05-10","time":"17:15:46","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Still many places need more testing for those w/ possible COVID symptoms. Also many businesses, universities, orgs want access to diagnostic testing for COVID as part of their reopening plans. For most part, there is not enough testing to make that happen yet. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":8,"likes_count":30,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1259532595093790722","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1258484398858657800,"conversation_id":"1258483310143115270","created_at":1588881036000,"date":"2020-05-07","time":"19:50:36","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"What we've heard from business leaders is that many want clear, specific guidance so they can use it to lower risks of COVID illness and to show their employees and customers they're doing all that has been advised, that they are meeting a bar set by federal health officials","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":11,"likes_count":36,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1258484398858657792","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256980609727107000,"conversation_id":"1256969441465819136","created_at":1588522505000,"date":"2020-05-03","time":"16:15:05","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The virus hasn’t changed, and will do what is has done since it appeared.  But hopefully all of us will have changed the way we think and act, as we consider how to move ahead carefully to reopen country.19/end","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":23,"likes_count":115,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256980609727107072","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256980333746151400,"conversation_id":"1256969441465819136","created_at":1588522439000,"date":"2020-05-03","time":"16:13:59","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We should all have that kind of sustained national and personal commitment to reducing risks in time ahead as we begin to move toward re-opening the economy, whether in work places, public spaces and in our own decisions.18/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":12,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256980333746151427","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256977805465837600,"conversation_id":"1256969441465819136","created_at":1588521836000,"date":"2020-05-03","time":"16:03:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Leaders & influencers should be communicating that even as some states begin to reopen, we're still in early stages of this pandemic, people need to continue their own 6 ft physical distancing, wear masks in public, avoid gatherings, telecommute, good hand hygiene, etc.16/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":52,"likes_count":169,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256977805465837569","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256976382950850600,"conversation_id":"1256969441465819136","created_at":1588521497000,"date":"2020-05-03","time":"15:58:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This virus remains the same highly transmissible virus that started all this.  On March 1, the US had 100 recognized cases. 2 months later we have 1.1M recognized cases. We will need to respect the high capacity this virus has to do harm in the US until we have a vaccine.15/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":66,"likes_count":152,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256976382950850562","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256976029761114000,"conversation_id":"1256969441465819136","created_at":1588521413000,"date":"2020-05-03","time":"15:56:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Concerning to see some leaders, influencers implying country will be in the clear from this pandemic soon. When above less risky conditions are established in a state, it does make sense to begin to carefully ease social distancing, restart econ. But we won't be in the clear.14/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":10,"likes_count":60,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256976029761114112","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256975396245057500,"conversation_id":"1256969441465819136","created_at":1588521262000,"date":"2020-05-03","time":"15:54:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Hopefully elective hosp + outpt care will be among the earliest efforts to restart around the country, given very high impact of deferred care. Hosps will need to have dx testing to prevent in-hosp outbreaks, and they should determine when they have capacity to safely resume.13/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":7,"likes_count":52,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256975396245057537","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256974695469113300,"conversation_id":"1256969441465819136","created_at":1588521095000,"date":"2020-05-03","time":"15:51:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"As reopening moves ahead, there'll continue to be extraordinary need to protect the elderly, in whom lethality is highest by far. And great need to prevent outbreaks in larger institutions, inc. nursing homes, prisons, factories, where we have seen many big outbreaks.12/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":13,"likes_count":61,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256974695469113347","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256974194899857400,"conversation_id":"1256969441465819136","created_at":1588520976000,"date":"2020-05-03","time":"15:49:36","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"States should also share daily updates on PPE supply (as compared to the need).  And share the number of contact tracers on the job.  Most states fortunately already share testing numbers, daily case counts and deaths.11/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":14,"likes_count":64,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256974194899857409","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256973990201090000,"conversation_id":"1256969441465819136","created_at":1588520927000,"date":"2020-05-03","time":"15:48:47","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Not all states share same data publicly. All states should share trends in daily hospitalization rate, ICU bed rate, vent rate. Those are key early indicators of whether social distancing changes are being absorbed w/out negative consequence vs causing the epidemic to worsen.10/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":20,"likes_count":82,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256973990201090048","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256973376914145300,"conversation_id":"1256969441465819136","created_at":1588520781000,"date":"2020-05-03","time":"15:46:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are many states above 10% positive in their diagnostic testing, and a substantial minority still close to 20% or higher – evidence that diagnostic testing needs to be substantially expanded in those places.9/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":14,"likes_count":64,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256973376914145281","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256973174593462300,"conversation_id":"1256969441465819136","created_at":1588520732000,"date":"2020-05-03","time":"15:45:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Unfortunately, 25 states still have daily new cases rising.  And 25 states have daily new case counts in the 250 or more range -- in states w/ those numbers it will be challenging to identify, quarantine all or most contacts.8/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":30,"likes_count":75,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256973174593462275","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256972697910882300,"conversation_id":"1256969441465819136","created_at":1588520619000,"date":"2020-05-03","time":"15:43:39","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are a couple other US states that have low absolute numbers overall that may be lower risk.  Also a few that have had a 2 week decline but whose absolute numbers are still so high that there would be substantial risks around rapid reopening.7/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":56,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256972697910882304","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256972429299245000,"conversation_id":"1256969441465819136","created_at":1588520555000,"date":"2020-05-03","time":"15:42:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Whether those 7 states, or others, have set the other conditions for a safer reopening – widespread dx testing to include mild cases; strong PH capacity to rapidly isolate cases, trace contacts&quarantine them; enough PPE+capacity in hosps – is harder to gauge independently.6/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":11,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256972429299245056","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256971972312993800,"conversation_id":"1256969441465819136","created_at":1588520446000,"date":"2020-05-03","time":"15:40:46","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"At the individual US state level, the impact+trajectory of the epidemic is quite varied. There are about 7 states that look like they have more or less had 2 wk decline in cases that would meet White House gating criteria for easing social distancing. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":12,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256971972312993792","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256971102095581200,"conversation_id":"1256969441465819136","created_at":1588520238000,"date":"2020-05-03","time":"15:37:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Unfortunately we've been in a national plateau in daily cases since before April began. While a stable daily rate is better than a rapidly rising one, national numbers haven't yet started to come down, and that's concerning, esp as many states moving to ease social distancing.3/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":40,"likes_count":116,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256971102095581184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1256970784741961700,"conversation_id":"1256969441465819136","created_at":1588520163000,"date":"2020-05-03","time":"15:36:03","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"COVID sickness & mortality in US in past month has been severe. In April alone, there were >800,000 new cases and >90% of our ~66,0000 US deaths. Of course, continues to be horrendous economic loss around country, so its key to find safe path to restart econ, reverse job loss.2/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":32,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1256970784741961729","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254464719949385700,"conversation_id":"1254454012658814982","created_at":1587922670000,"date":"2020-04-26","time":"17:37:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For states considering plans to reopen, its important to consider if they will be able to keep up w Dx testing of likely rise in cases, and trace/quarantine contacts of those cases. If not, then they should be expanding those capabilities rapidly now before reopening.19/x","mentions":[],"urls":[],"photos":[],"replies_count":27,"retweets_count":131,"likes_count":390,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254464719949385728","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254464381020184600,"conversation_id":"1254454012658814982","created_at":1587922589000,"date":"2020-04-26","time":"17:36:29","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In New Zealand, which has been highly successful in fighting COVID, only 2% of COVID occurs following community spread. But in the US, a high proportion of cases occur via community spread.  We have to expand diagnostic testing to the point where we can emulate New Zealand.18/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":125,"likes_count":406,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254464381020184576","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254464102040326100,"conversation_id":"1254454012658814982","created_at":1587922523000,"date":"2020-04-26","time":"17:35:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In addition to diagnosing everyone w/COVID symptoms-from mild to severe--mass rapid diagnostic testing availability would allow testing of people in businesses, institutional settings, schools in new ways that could make those institutions safer and open them faster.17/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":84,"likes_count":278,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254464102040326146","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254463457124106200,"conversation_id":"1254454012658814982","created_at":1587922369000,"date":"2020-04-26","time":"17:32:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"US currently can't test many mild or mod COVID cases. If they aren’t diagnosed, they don’t get counted, they may not get isolated, contacts aren’t traced or quarantined.  We can’t break transmission chains or stop community spread until we can diagnose most everyone w/ COVID.16/x","mentions":[],"urls":[],"photos":[],"replies_count":17,"retweets_count":280,"likes_count":675,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254463457124106248","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254462859158880300,"conversation_id":"1254454012658814982","created_at":1587922227000,"date":"2020-04-26","time":"17:30:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"These are great national goals, and we are far from there now at closer to 1M tests a week. The country has done a little more than 5M tests total since this pandemic crisis started in the US. 15/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":67,"likes_count":199,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254462859158880258","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254460726288269300,"conversation_id":"1254454012658814982","created_at":1587921718000,"date":"2020-04-26","time":"17:21:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It will be difficult for us to bring down the US curve and state curves while our percentage positive tests are this high. We need far more diagnostic testing. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":99,"likes_count":369,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254460726288269316","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254459764815388700,"conversation_id":"1254454012658814982","created_at":1587921489000,"date":"2020-04-26","time":"17:18:09","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"33 US states have >100 new cases daily. And 16 states have > 500 new cases daily. If you think about the work of a state’s contact tracers, imagine them having to isolate hundreds of new cases daily, and finding and quarantining thousands of their contacts. Every day.8/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":106,"likes_count":330,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254459764815388672","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254457354537570300,"conversation_id":"1254454012658814982","created_at":1587920914000,"date":"2020-04-26","time":"17:08:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Sadly another US baseline is ~ 2,000 deaths daily. So while it's a turn for the better that there's a a national plateau of new cases & deaths per day, the US hasn't started a downward trend in daily cases or deaths. This virus continues to cause major US illness & mortality.3/x","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":181,"likes_count":481,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254457354537570304","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1254454012658815000,"conversation_id":"1254454012658814982","created_at":1587920117000,"date":"2020-04-26","time":"16:55:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"As governors develop plans and timing for reopening, its useful to take stock of where the US is compared to other countries dealing w/ #COVID19, and to examine some key numbers at the US state level. 1/","mentions":[],"urls":[],"photos":[],"replies_count":73,"retweets_count":631,"likes_count":1465,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1254454012658814982","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252679821529763800,"conversation_id":"1252675052388052993","created_at":1587497117000,"date":"2020-04-21","time":"19:25:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Everyone wants businesses to reopen as quickly as is possible. But it should be done in a way that lower risks of renewed spikes in the epidemic. Threatening legal action against governors trying to act responsibly for their states is the wrong way for the country to go.15/x","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":32,"likes_count":122,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252679821529763840","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252678867887591400,"conversation_id":"1252675052388052993","created_at":1587496890000,"date":"2020-04-21","time":"19:21:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If DOJ forces a state government to open businesses before the governor believes it's safe to do so, then it would be DOJ that would be responsible for the new cases of COVID caused by that decision. The DOJ should not take that kind of position or be in that role. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":17,"likes_count":95,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252678867887591424","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252678494896570400,"conversation_id":"1252675052388052993","created_at":1587496801000,"date":"2020-04-21","time":"19:20:01","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"On what grounds would DOJ in Washington force a governor to open specific business(es) in that state?  Does DOJ have an analysis of the risks and benefits of the epidemic spreading in a state and the measures being taken to stop it that is more accurate than that governor?13/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":16,"likes_count":71,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252678494896570369","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252678197126197200,"conversation_id":"1252675052388052993","created_at":1587496730000,"date":"2020-04-21","time":"19:18:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Health depts around the country will not be able to keep up with hundreds of new cases appearing every day, each of whom have ~ 20 contacts or more to track down and move into quarantine. 12/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":10,"likes_count":54,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252678197126197248","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252677954393346000,"conversation_id":"1252675052388052993","created_at":1587496672000,"date":"2020-04-21","time":"19:17:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It takes great deal of time to investigate new cases of COVID  and all their close contacts, which may order on the number of 20-40 more people, depending on the person and their home and work life.11/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":6,"likes_count":41,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252677954393346048","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252677685446230000,"conversation_id":"1252675052388052993","created_at":1587496608000,"date":"2020-04-21","time":"19:16:48","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"States don’t have the rapid diagnostics on hand, or readily accessible in ways that will be needed for most or all people w even mild or moderate illness consistent w possible COVID to be tested and get results that same day.10/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":8,"likes_count":41,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252677685446230016","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252677390779596800,"conversation_id":"1252675052388052993","created_at":1587496538000,"date":"2020-04-21","time":"19:15:38","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"One key means of dealing w/ COVID after social distancing measures are relaxed is to rapidly identify all COVID cases, trace their close contacts, and have them stay in quarantine for 2 weeks. That wont be possible w/ hundreds of new cases appearing every day in a state. 9/x.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":11,"likes_count":60,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252677390779596801","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252677040223875000,"conversation_id":"1252675052388052993","created_at":1587496454000,"date":"2020-04-21","time":"19:14:14","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Governors need to convey that easing social distancing should be done in stages, be closely monitored and that things may or may not go well.  And that every person continues to have a role to play to decrease the likelihood and speed of COVID transmission.8/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":12,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252677040223875073","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252676794978689000,"conversation_id":"1252675052388052993","created_at":1587496396000,"date":"2020-04-21","time":"19:13:16","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Governors should do all in their power to get to those conditions, and also communicating w/ public that epidemic is not over, that individuals will still need to social distance at least 6 ft apart, wear cloth masks when in indoor spaces out of home, telecommute, not gather. 7/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":9,"likes_count":63,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252676794978689025","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252676329935270000,"conversation_id":"1252675052388052993","created_at":1587496285000,"date":"2020-04-21","time":"19:11:25","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Governors that decide to move ahead quickly without having reduction in cases and meeting these other conditions are taking high risks of a renewed rise of the epidemic in those states. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":10,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252676329935269888","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252676108207587300,"conversation_id":"1252675052388052993","created_at":1587496232000,"date":"2020-04-21","time":"19:10:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Other conditions key for reopening are wide-scale rapid Dx testing for all pts w/ COVID, including mod. and mild cases which aren't being tested in most places); adequate PPE+hosp capacity to prepare for new surge; and, strong, rapid public contract tracing/quarantine 5/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":11,"likes_count":63,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252676108207587333","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252675635668856800,"conversation_id":"1252675052388052993","created_at":1587496119000,"date":"2020-04-21","time":"19:08:39","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A minority of states are there or approaching that, while others – including some actively talking about quickly ending social distancing --continue to have hundreds of new cases of COVID a day.4/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":9,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252675635668856833","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252675547651424300,"conversation_id":"1252675052388052993","created_at":1587496098000,"date":"2020-04-21","time":"19:08:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The conditions for more safely easing social distancing start with a state having a steady decline of new cases for 2 wks. 3/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":13,"likes_count":85,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252675547651424256","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1252675215869374500,"conversation_id":"1252675052388052993","created_at":1587496019000,"date":"2020-04-21","time":"19:06:59","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Most countries in the world have needed to use social distancing to slow down spread of COVID, not just the US.  Only a few countries just started to begin process of lifting social distancing.  No country has anywhere close to the number of cases or deaths the US now has. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":21,"likes_count":104,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1252675215869374470","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250939502698340400,"conversation_id":"1250929817429651456","created_at":1587082193000,"date":"2020-04-17","time":"00:09:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"All states will need to actively diagnose, monitor and rapidly respond to COVID-19 cases with great vigilance for the entire duration of the pandemic until a safe and effective vaccine is widely available. 31/x","mentions":[],"urls":[],"photos":[],"replies_count":24,"retweets_count":40,"likes_count":101,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250939502698340353","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250939160854179800,"conversation_id":"1250929817429651456","created_at":1587082111000,"date":"2020-04-17","time":"00:08:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A vaccine can drive the reproductive rate below 1 when it becomes available.  Meantime, some level of social distancing measures, combined with case-based interventions, are the key tools to maintain the reproductive rate below 1. 30/x","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":26,"likes_count":77,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250939160854179840","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250939048975270000,"conversation_id":"1250929817429651456","created_at":1587082085000,"date":"2020-04-17","time":"00:08:05","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"To control epidemic spread, our collective societal efforts need to drive that number to as far below 1 as possible.29/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":18,"likes_count":66,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250939048975269888","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250938867211030500,"conversation_id":"1250929817429651456","created_at":1587082041000,"date":"2020-04-17","time":"00:07:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Most models show COVID-19, w/out serious social distancing measures in place, has a reproductive rate of between 2 and 3 (some models say it is higher).  This means every person w COVID will spread it to 2 to 3 others, on average, and then they can spread it to 2 to 3 more. 28/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":33,"likes_count":68,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250938867211030528","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250938523047342000,"conversation_id":"1250929817429651456","created_at":1587081959000,"date":"2020-04-17","time":"00:05:59","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There will be some level of risk of disease spread around the country until there is a vaccine, so people should do what they can to practice social distancing whenever possible. Everyone can do their part to reduce the chances of transmission.27/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":21,"likes_count":61,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250938523047342086","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1250938396672917500,"conversation_id":"1250929817429651456","created_at":1587081929000,"date":"2020-04-17","time":"00:05:29","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Governors should also not imply that these measures ensure people will be safe from the disease. There will continue to be cases at some level around the country, which will likely rise as social distancing is eased.26/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":20,"likes_count":51,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250938396672917504","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
