{"id":1250938240070287400,"conversation_id":"1250929817429651456","created_at":1587081892000,"date":"2020-04-17","time":"00:04:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Governors need to know that even if they have low numbers now, it doesn't mean they are safe from a large rise in cases in wks or months ahead.  COVID capable of transmitting widely in any state.  Govs should be communicating that risk clearly to their public. 25/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":39,"likes_count":94,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250938240070287362","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":1250937699151855600,"conversation_id":"1250929817429651456","created_at":1587081763000,"date":"2020-04-17","time":"00:02:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Governors will need to consider many important questions before they reopen businesses, schools, settings  - what numbers will they monitor and what happens if there is a rebound in cases - will they resume social distancing? 24/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":25,"likes_count":67,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250937699151855620","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":1250937540825227300,"conversation_id":"1250929817429651456","created_at":1587081725000,"date":"2020-04-17","time":"00:02:05","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"At TF mtg tonight, it was said that there is excess Dx capacity in US. But that's not what hospitals and governors say. They don't have ability to test all w/ COVID sx. For testing they have, too many take too long. To rapidly respond to outbreaks requires same day testing.23/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":31,"likes_count":83,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250937540825227274","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":1250937068261343200,"conversation_id":"1250929817429651456","created_at":1587081613000,"date":"2020-04-17","time":"00:00:13","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"At Task Force mtg tonight there were statements about guarding against a fall flare-up. But governors should be worried about monitoring for big flareups in the near term.  There is no evidence yet for seasonal variation that would protect states until fall. 22/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":30,"likes_count":94,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250937068261343232","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":1250936937839460400,"conversation_id":"1250929817429651456","created_at":1587081581000,"date":"2020-04-16","time":"23:59:41","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"At Task Force mtg it was announced that we should be driving toward the goal of filling stadiums soon. Example given of filling Alabama stadium with all 110,000 people. This would create major risks of transmission. Unlikely that will be safe before a vaccine is available. 21/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":38,"likes_count":120,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250936937839460354","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":1250936718758379500,"conversation_id":"1250929817429651456","created_at":1587081529000,"date":"2020-04-16","time":"23:58:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Unclear timing of Phase 2 to Phase 3.  If Phase 3 can be as soon as 1 month from now, then not safe to recommend vulnerable individuals resume public interactions.  Will not be safe then to normalize visits to senior care facilities.20/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":18,"likes_count":57,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250936718758379522","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":1250936599346589700,"conversation_id":"1250929817429651456","created_at":1587081501000,"date":"2020-04-16","time":"23:58:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If Phase 2 actions come 2 wks after Phase 1, that's too fast to allow groups of 50; too soon to support non-essential travel or encourage schools & youth activities to resume normal activity. We wouldn't have time to see consequences of Phase 1. Need enough time to monitor.19/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":28,"likes_count":91,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250936599346589697","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":1250935867499253800,"conversation_id":"1250929817429651456","created_at":1587081326000,"date":"2020-04-16","time":"23:55:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Agree in Phase 2 that vuln individs should shelter in place; that in public people should keep social distancing; that employers should continue to encourage telework. Telework should be encouraged for all that can do it w/out major disruption until we have COVID vaccine.18/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":25,"likes_count":83,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250935867499253763","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":1250935425499349000,"conversation_id":"1250929817429651456","created_at":1587081221000,"date":"2020-04-16","time":"23:53:41","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Unclear what recommended timing is for change from Phase 1 to Phase 2.  If each phase is as little as 2 weeks long, then some of the changes being recommended to phase 2 are too fast.17/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":15,"likes_count":64,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250935425499348993","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":1250935145588232200,"conversation_id":"1250929817429651456","created_at":1587081154000,"date":"2020-04-16","time":"23:52:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Agree that elective surgeries could resume as consistent w/ plans of a hospital (though hospitals again are going to need to have sufficient rapid testing in place to do this safely) 16/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":17,"likes_count":73,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250935145588232198","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":1250934971176489000,"conversation_id":"1250929817429651456","created_at":1587081113000,"date":"2020-04-16","time":"23:51:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Also agree in Phase 1 that schools and camps should stay closed; that visits to senior living should be restricted. Unclear if the guidance is saying in Phase 1 that major stadiums and large gatherings can resume at this point?  If yes, that would be a mistake and high risk.15/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":24,"likes_count":94,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250934971176488961","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":1250934841589346300,"conversation_id":"1250929817429651456","created_at":1587081082000,"date":"2020-04-16","time":"23:51:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Phase 1: Agree that vulnerable people should still shelter in place; that people should maximize distance in public; that people should not socialize in groups more than 10; that non-essential travel should be minimized; that employers should encourage telework. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":10,"likes_count":72,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250934841589346304","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":1250934673406070800,"conversation_id":"1250929817429651456","created_at":1587081042000,"date":"2020-04-16","time":"23:50:42","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Phase 1 shouldn’t begin in states w/out wide availability of rapid diagnostics in place and ability for rapid case and contact identification. But if those capacities in place in a state and the other gating criteria are met, then here are comments on implementing Phase 1...13/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":26,"likes_count":100,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250934673406070784","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":1250934445017890800,"conversation_id":"1250929817429651456","created_at":1587080987000,"date":"2020-04-16","time":"23:49:47","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"At Task Force meeting tonight, it was announced that a big sentinel surveillance will be done around the country – will be important to understand how that will concretely work, which populations will be tested, how frequently, will it start in states before they reopen?12/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":17,"likes_count":79,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250934445017890817","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":1250934006750855200,"conversation_id":"1250929817429651456","created_at":1587080883000,"date":"2020-04-16","time":"23:48:03","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Agree w plan saying masks important on Mass transit, but it should also have emphasized importance of them in work places, groceries, pharmacies, gatherings, etc where not possible to keep 6 ft apart. Plan should continue to emphasize 6 ft distances.11/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":31,"likes_count":152,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250934006750855168","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":1250933626797281300,"conversation_id":"1250929817429651456","created_at":1587080792000,"date":"2020-04-16","time":"23:46:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Re: guidelines for individuals: agree w Rx to practice hand hygiene, stay home when sick. Cloth face mask guidance should be more clear -- the govt should advise people to wear them wherever any community transmission happening (not asking people to strongly consider it).10/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":22,"likes_count":111,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250933626797281280","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":1250932920526700500,"conversation_id":"1250929817429651456","created_at":1587080624000,"date":"2020-04-16","time":"23:43:44","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Re employer guidelines in the plan: It's good that employers are encouraged to continue to practice social distancing at work. But it also seems to say that employers should do isolation+contact tracing?  That is not a fxn employers should bear - it's a public health function.8/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":50,"likes_count":189,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250932920526700545","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":1250932532788551700,"conversation_id":"1250929817429651456","created_at":1587080531000,"date":"2020-04-16","time":"23:42:11","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Syndromic surveillance map presented at Task Force meeting tonight showed how that approach is not enough to control COVID. Most of US was shown as green, implying COVID close to under control, but there were ~ 30,000 new cases yesterday, adding up to 664,000 cases overall.7/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":50,"likes_count":150,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250932532788551681","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":1250930975305019400,"conversation_id":"1250929817429651456","created_at":1587080160000,"date":"2020-04-16","time":"23:36:00","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"You cannot do case identification and contact tracing on the basis of syndromic surveillance – you need the actual diagnosed person.   Syndromic surveillance is a way to track trends, not individuals, and so it doesn’t help isolating and tracing contacts.6/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":66,"likes_count":180,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250930975305019393","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":1250930798108213200,"conversation_id":"1250929817429651456","created_at":1587080118000,"date":"2020-04-16","time":"23:35:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"While it’s good that syndromic surveillance is part of plan, actual specific COVID diagnosis of individuals is needed to get case numbers to know if trajectory is moving up or down and to allow rapid case identification and contact tracing.5/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":24,"likes_count":111,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250930798108213257","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":1250930482411376600,"conversation_id":"1250929817429651456","created_at":1587080042000,"date":"2020-04-16","time":"23:34:02","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It should be made clear that same day diagnostic testing capacity for all pts with COVID symptoms and rapid and strong contact tracing capacity in a given state are also gating criteria for reopening.4/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":48,"likes_count":149,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250930482411376641","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":1250930199094575000,"conversation_id":"1250929817429651456","created_at":1587079975000,"date":"2020-04-16","time":"23:32:55","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But it doesn’t appear the plan has diagnostic testing capacity for all w/ COVID sx, or having contract tracing capacity in the state are gating criteria.  Those capacities are listed on the page called “Core State Preparedness Responsibilities. 3/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":46,"likes_count":138,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250930199094575109","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":1250929935964872700,"conversation_id":"1250929817429651456","created_at":1587079912000,"date":"2020-04-16","time":"23:31:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The plan says that states should use as gating criteria: 14 days of downward case numbers AND requirement to provide treatment without crisis care and ability to test all health care workers.  These are good and necessary gating criteria. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":20,"likes_count":98,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250929935964872704","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":1250778414253998000,"conversation_id":"1250772738362523648","created_at":1587043786000,"date":"2020-04-16","time":"13:29:46","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And ending funding to the WHO would diminish the US ability to participate in and influence and shape world events and global responses.  The USG should quickly reevaluate that decision and support WHO in a bipartisan way as it has done for decades. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":8,"likes_count":45,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250778414253998080","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":1250776509352153000,"conversation_id":"1250772738362523648","created_at":1587043332000,"date":"2020-04-16","time":"13:22:12","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But now is exactly the worst time to undermine WHO efforts by cutting off its funding.  The US will be worse off because of it.  Not only will it hamper WHO efforts to fight this virus, but it will damage its efforts to control other major global infectious disease threats.13/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":28,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250776509352153089","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":1250776342343364600,"conversation_id":"1250772738362523648","created_at":1587043292000,"date":"2020-04-16","time":"13:21:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"When the pandemic is over, there'll be time to study what might have been done better. No doubt WHO would do some things differently next time, as would all countries, scientists, pubic health. That assessment is important, but should be done when the crisis is passed.12/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":8,"likes_count":36,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250776342343364608","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":1250775618452668400,"conversation_id":"1250772738362523648","created_at":1587043120000,"date":"2020-04-16","time":"13:18:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"To get back to a world that operates more like the one we were in before COVID-19, we will need strong control efforts globally, otherwise this disease will continue to seed new epidemics as people travel around the world. 10/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":33,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1250775618452668420","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":1249034634643607600,"conversation_id":"1249031475552452609","created_at":1586628037000,"date":"2020-04-11","time":"18:00:37","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Potential workforce could come from persons recently unemployed because of COVID, retired pub health or safety workers, med personnel, Med Reserve Corps, returning Peace Corp members; community health workers. Skills in interviewing and communication would be valuable.16/x","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":28,"likes_count":93,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249034634643607553","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":1249034495447138300,"conversation_id":"1249031475552452609","created_at":1586628004000,"date":"2020-04-11","time":"18:00:04","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"100,000 workers at average of $17/hr (avg pay for community health worker) is $3.6B for a year, which Congress should provide immediately in the coming 4th Stimulus Package.15/x","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":32,"likes_count":114,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249034495447138305","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":1249034417009561600,"conversation_id":"1249031475552452609","created_at":1586627985000,"date":"2020-04-11","time":"17:59:45","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Privacy and responsible data management will be critical issues to ensure, with clear communication to public about how technology will be used, adherence with all legal protections, and provision of extensive safeguards. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":8,"likes_count":54,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249034417009561601","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":1249034331860992000,"conversation_id":"1249031475552452609","created_at":1586627965000,"date":"2020-04-11","time":"17:59:25","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Technologies that could help should either: 1) help identify those w clinically confirmed COVID 2) list close contacts 3) communicate w/ close contacts and connect them with dx and self isolation info 4) monitoring of people on list and/or 5) Help w visualization, analytics. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":16,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249034331860992001","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":1249033959595479000,"conversation_id":"1249031475552452609","created_at":1586627876000,"date":"2020-04-11","time":"17:57:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"State and local pub health should manage the hiring of this workforce, with other local agencies that could help.  State emergency authorities should speed hiring process. 12/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":13,"likes_count":57,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249033959595479040","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":1249033882646843400,"conversation_id":"1249031475552452609","created_at":1586627858000,"date":"2020-04-11","time":"17:57:38","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Local knowledge of a community would be key skill for as many tracers as possible. Most work could be done remotely by phone or using other tech.  But may need some in home follow up, always w/appropriate PPE. 11/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":10,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249033882646843396","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":1249033311965663200,"conversation_id":"1249031475552452609","created_at":1586627722000,"date":"2020-04-11","time":"17:55:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Extrapolating from numbers of tracers needed in New Zealand and Iceland (which never had very high relative case burden) and in China, an estimate of the number of contact tracers needed for COVID case and contact finding effort across the US is 100,000.9/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":15,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249033311965663233","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":1249033010583867400,"conversation_id":"1249031475552452609","created_at":1586627650000,"date":"2020-04-11","time":"17:54:10","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In US, for this effort to work, cases and contacts will need to be identified rapidly to prevent transmission. Cooperation btwn cases and contacts will be key. Size of effort will need to be very large and resource intensive.  US pub health has never done anything like this.8/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":21,"likes_count":79,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249033010583867394","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":1249032858385162200,"conversation_id":"1249031475552452609","created_at":1586627614000,"date":"2020-04-11","time":"17:53:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"New Zealand at this point reports it is so successful at tracking disease that only 2% of their cases come from unidentified community transmission. Compare that to the US at this point where the great majority of cases are from community transmission at this point.7/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":41,"likes_count":117,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249032858385162242","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":1249032773387653000,"conversation_id":"1249031475552452609","created_at":1586627593000,"date":"2020-04-11","time":"17:53:13","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"New Zealand pop 4.8M and Iceland pop. 324K have both have had more success w COVID through extensive contact tracing efforts paired w use of new technologies. Iceland navigates privacy concerns w/ these technologies by having user agreements and deleting info after resolution.6/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":23,"likes_count":85,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249032773387653120","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":1249032442993918000,"conversation_id":"1249031475552452609","created_at":1586627514000,"date":"2020-04-11","time":"17:51:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In Wuhan China pop 11M, 1800 contact tracing teams of 5 people each (9000 persons in total) were deployed to do meticulous case and contact identification to bring that city’s very serious COVID epidemic under control. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":25,"likes_count":94,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249032442993917952","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":1249032339797262300,"conversation_id":"1249031475552452609","created_at":1586627490000,"date":"2020-04-11","time":"17:51:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Other places in world have shown value of these efforts.  Eg. South Korea, Taiwan and Singapore all have strong contact tracing programs that have helped keep COVID epidemics in their country under comparably far better control than many other places in the world.  4/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":18,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249032339797262338","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":1249032132309237800,"conversation_id":"1249031475552452609","created_at":1586627440000,"date":"2020-04-11","time":"17:50:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Pub health will need to identify nearly all cases; ensure they're isolated at home, or as needed isolated on voluntary basis in facilities provided for them, & identify + quarantine all exposed close contacts in their homes, or on voluntary basis in other dedicated facilities.3/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":24,"likes_count":92,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249032132309237761","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":1249031818608853000,"conversation_id":"1249031475552452609","created_at":1586627366000,"date":"2020-04-11","time":"17:49:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Would encourage you to read full report. To summarize some key points:  once COVID cases come down from peak, case identification+contract tracing- similar to what PH does for TB, syphilis, vaccine preventable disease- will be pivotal to controlling the disease in the US.  2/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":21,"likes_count":99,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1249031818608852993","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":1247700065654890500,"conversation_id":"1247697345560576000","created_at":1586309851000,"date":"2020-04-08","time":"01:37:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For normalcy to eventually return to the world, we'll need to deal w COVID pandemic everywhere over time. If we don’t, we’ll have cases of COVID flying from one country to next, risking reigniting the epidemic in any country even if control efforts were successful.9/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":24,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1247700065654890502","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":1247699715094917000,"conversation_id":"1247697345560576000","created_at":1586309767000,"date":"2020-04-08","time":"01:36:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Consider the alternative – no guiding international health org w/ high competence.  Every country figuring out how to deal w/ COVID pandemic on its own.  No central effort, no teams to help less developed countries response. Chaotic, uncoordinated plans around the world. 8/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":24,"likes_count":84,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1247699715094917120","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":1246477443671756800,"conversation_id":"1246471970843250689","created_at":1586018355000,"date":"2020-04-04","time":"16:39:15","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The TF mtgs should be reconfigured so that speakers can be further apart, can wear masks, can be further from press (who should also wear masks).  Its important for health of leaders+press participating, and to show daily what country should be doing to slow spread of COVID.17/x","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":37,"likes_count":172,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246477443671756800","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":1246476908801544200,"conversation_id":"1246471970843250689","created_at":1586018228000,"date":"2020-04-04","time":"16:37:08","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are 757 cases diagnosed w COVID in Wash DC. Of course many more cases that haven't been diagnosed because too mild to get tested and because some cases asymptomatic. Task Force members have regular interaction w eachother and other people living in D.C. (VA, MD) 16/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":24,"likes_count":86,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246476908801544194","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":1246476269111390200,"conversation_id":"1246471970843250689","created_at":1586018075000,"date":"2020-04-04","time":"16:34:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"To have that many senior political, scientific and health leaders standing closely together for hrs, holding the same podium, standing shoulder to shoulder, is inconsistent with guidance on keeping at least 6 feet distance, washing hands after high touch surfaces, etc. 15/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":52,"likes_count":205,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246476269111390214","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":1246476093567242200,"conversation_id":"1246471970843250689","created_at":1586018033000,"date":"2020-04-04","time":"16:33:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In addition to mask use, the format of the White House coronavirus Task Force meetings should change to lower risks of transmission.14/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":22,"likes_count":85,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246476093567242247","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":1246475810904715300,"conversation_id":"1246471970843250689","created_at":1586017966000,"date":"2020-04-04","time":"16:32:46","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This is opportunity for national leaders to lead by example. If public sees a government leader wearing a mask, that will convince many they should also wear a mask.  If public sees leaders not following CDC recommendations, they may decide to follow that example. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":47,"likes_count":145,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246475810904715264","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":1246475410336026600,"conversation_id":"1246471970843250689","created_at":1586017870000,"date":"2020-04-04","time":"16:31:10","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In addition to the public, US national leaders should also wear a cloth mask. We have seen leaders in other countries (e.g. Boris Johnson) catch COVID.  That could happen in US.  Not only could our leaders catch it, but they in turn may asymptomatically spread it to others.12/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":36,"likes_count":128,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246475410336026625","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":1246475155817316400,"conversation_id":"1246471970843250689","created_at":1586017810000,"date":"2020-04-04","time":"16:30:10","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Social distancing interventions will take 3-4 weeks to start to have high impact. They should not be delayed until a city or state is entering crisis mode. 11/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":73,"likes_count":171,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246475155817316352","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":1246474904708558800,"conversation_id":"1246471970843250689","created_at":1586017750000,"date":"2020-04-04","time":"16:29:10","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If your city has become a hotspot it means that cases and deaths are rising rapidly, health care workers are struggling to keep up with all the disease, and without enough masks to protect themselves, perhaps too few ventilators for all who need them.10/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":14,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246474904708558848","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":1246474484367986700,"conversation_id":"1246471970843250689","created_at":1586017650000,"date":"2020-04-04","time":"16:27:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Some parts of country still resist large scale distancing & recommendations to stay at home. Waiting for a place to become a “hotspot” to put in place social distancing, stay at home, or public masking recommendations is too late. 9/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":46,"likes_count":113,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246474484367986691","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":1246474202795958300,"conversation_id":"1246471970843250689","created_at":1586017582000,"date":"2020-04-04","time":"16:26:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"I think these recommendations should apply to whole country at this point.  Given most places aren’t doing Dx testing of outpts w/ mild symptoms because of insufficient testing capacity, it's not possible to say a given place isn’t having substantial community transmission.8/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":34,"likes_count":109,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246474202795958272","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":1246473139137249300,"conversation_id":"1246471970843250689","created_at":1586017329000,"date":"2020-04-04","time":"16:22:09","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The new CDC guidance also makes clear that public mask use should be in addition to all other social distancing measures that have been put in place.  People should not think that public mask use provides protection against the virus.6/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":29,"likes_count":84,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246473139137249280","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":1246472827374637000,"conversation_id":"1246471970843250689","created_at":1586017255000,"date":"2020-04-04","time":"16:20:55","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Directions for how to make a cloth mask are provided by the Surgeon General and other schematics on that same CDC website. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":13,"likes_count":56,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246472827374637056","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":1246472667470934000,"conversation_id":"1246471970843250689","created_at":1586017216000,"date":"2020-04-04","time":"16:20:16","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The CDC was very clear in saying that the public should not use N95 masks or surgical masks – they must all be preserved for health care workers and other medical first responders.  Public masks should be cloth masks. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":48,"likes_count":102,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246472667470934016","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":1246472434548686800,"conversation_id":"1246471970843250689","created_at":1586017161000,"date":"2020-04-04","time":"16:19:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The purpose of wearing a cloth mask in public will be to lower the chance of people spreading the virus (e.g. when speaking ,coughing, sneezing), and to contribute to the other measures being taken across the country to slow the spread of the virus. 3/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":23,"likes_count":85,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1246472434548686849","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":1245195322957201400,"conversation_id":"1245190895386988545","created_at":1585712674000,"date":"2020-04-01","time":"03:44:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It was a new development to hear message at briefing that public should use masks if they want to. “Its not a bad idea for the time being”.  Important message delivered that medical masks should go to hospitals – cant have the public competing with the hospitals.11/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":50,"likes_count":220,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245195322957201414","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":1245195002705318000,"conversation_id":"1245190895386988545","created_at":1585712597000,"date":"2020-04-01","time":"03:43:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It was important to see a more neutral message on chloroquine – the main message tonight was that it needs to be studied in trials and we’ll see what happens.  This is consistent w/ what is known about this drug. Too soon to know if it will help vs cause harm. 10/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":33,"likes_count":201,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245195002705317893","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":1245193063439511600,"conversation_id":"1245190895386988545","created_at":1585712135000,"date":"2020-04-01","time":"03:35:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Encouraging to see chart showing Washington state seems to have flattened its curve in recent days.  Since it started social distancing about 2 wks earlier than other places, suggests that these measures may start working elsewhere in the country in next week or two. 7/x","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":78,"likes_count":386,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245193063439511553","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":1245192509749371000,"conversation_id":"1245190895386988545","created_at":1585712003000,"date":"2020-04-01","time":"03:33:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Dr. Birx explained that what's happened in NYC and northern NJ could happen in other US cities soon unless we continue w/ social distancing.  She and Dr. Fauci repeatedly said that everyone needs to be committed to social distancing around the country. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":67,"likes_count":287,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245192509749370885","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":1245192189388390400,"conversation_id":"1245190895386988545","created_at":1585711927000,"date":"2020-04-01","time":"03:32:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This kind of direct communication from the President is very much needed for communicating to some parts of the country that may not yet be convinced that social distancing is necessary. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":71,"likes_count":399,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245192189388390400","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":1245191709417488400,"conversation_id":"1245190895386988545","created_at":1585711812000,"date":"2020-04-01","time":"03:30:12","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The President explained that there was no chance of having normal life in America while virus is spreading and causing this much disease.  He explained this is nothing like flu, that he knew someone personally who was well and then shortly thereafter in a coma. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":55,"likes_count":284,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245191709417488384","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":1245191463119532000,"conversation_id":"1245190895386988545","created_at":1585711754000,"date":"2020-04-01","time":"03:29:14","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"That is the kind of information that Americans need to hear in terms of why all of this large scale social disruption is needed around the country.  The Task Force speakers made clear the next 2-3 weeks will bring a great deal of disease in many place in the country. 3/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":79,"likes_count":356,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245191463119532032","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":1245191196626104300,"conversation_id":"1245190895386988545","created_at":1585711690000,"date":"2020-04-01","time":"03:28:10","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The briefing explained why strict social distancing is critical for all parts of the country. With social distancing around the country, models used by WH forecast between 100,000-240,000 deaths.  Without it, the WH models forecast between 1.5M-2.2M deaths in the US. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":201,"likes_count":442,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245191196626104328","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":1245190895386988500,"conversation_id":"1245190895386988545","created_at":1585711618000,"date":"2020-04-01","time":"03:26:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The White House Coronavirus Task Force briefing tonight included a stark forecast of the pandemic ahead.  In terms of what is at stake for the country, it was the most candid, clearly communicated presentation since the start of these briefings.  1/x","mentions":[],"urls":[],"photos":[],"replies_count":56,"retweets_count":390,"likes_count":1214,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1245190895386988545","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":1244439136699891700,"conversation_id":"1244429536688779267","created_at":1585532385000,"date":"2020-03-30","time":"01:39:45","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"While past studies have shown no evidence that wearing a mask in public is protective to an individual, given the spread of COVID, there is conceptual basis for covering the mouth/nose of members of the public w/ non-medical masks to lower risk of asymptomatic transmission.28/x","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":73,"likes_count":224,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244439136699891713","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":1244438695182295000,"conversation_id":"1244429536688779267","created_at":1585532280000,"date":"2020-03-30","time":"01:38:00","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But members of the general public should wear non-medical fabric face masks when going out in public in one additional societal effort to slow the spread of the virus down.27/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":100,"likes_count":264,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244438695182295046","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":1244438523643605000,"conversation_id":"1244429536688779267","created_at":1585532239000,"date":"2020-03-30","time":"01:37:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It's critical that all medical masks (N95, surgical, procedural) be given to health care workers and emergency personnel – there is a terrible shortage of these masks, and so all of them need to go to those caring for COVID pts.26/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":73,"likes_count":188,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244438523643604993","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":1244438419117355000,"conversation_id":"1244429536688779267","created_at":1585532214000,"date":"2020-03-30","time":"01:36:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Meantime, 1 more important Rx in this report: given growing evidence that asymptomatic transmission is contributing to COVID spread, it's now time for CDC to make recommendation for public, non-medical mask use to try to diminish asymptomatic people from spreading the virus.25/x","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":123,"likes_count":297,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244438419117355008","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":1244438184156704800,"conversation_id":"1244429536688779267","created_at":1585532158000,"date":"2020-03-30","time":"01:35:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If monitoring shows the disease is starting to spread again quickly with relaxing of measures, states should be prepared to reestablish large social distancing quickly. 24/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":20,"likes_count":113,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244438184156704769","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":1244438131182624800,"conversation_id":"1244429536688779267","created_at":1585532145000,"date":"2020-03-30","time":"01:35:45","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Once all of the above conditions are in place in a state (or a region), then it would be a safer time to consider the beginning of relaxing social distancing measures, one step at a time, with careful monitoring. 23/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":20,"likes_count":92,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244438131182624769","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":1244437971224481800,"conversation_id":"1244429536688779267","created_at":1585532107000,"date":"2020-03-30","time":"01:35:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Will take $$, and great effort to build this kind of pub health capacity in US, and pub health in many places in US is far beyond capacity to do that now given great challenges of COVID. But case numbers can be driven way down, case finding could become possible again. 22/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":16,"likes_count":92,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244437971224481792","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":1244437103158661000,"conversation_id":"1244429536688779267","created_at":1585531900000,"date":"2020-03-30","time":"01:31:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This kind of very strong active case management capacity, and the use of isolation and quarantine facilities were big element of the response effort in Asian places where COVID has been most successfully managed so far. 21/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":20,"likes_count":118,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244437103158661122","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":1244436682616770600,"conversation_id":"1244429536688779267","created_at":1585531800000,"date":"2020-03-30","time":"01:30:00","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And another condition: tremendously scaled up isolation, quarantine, case-finding capacities in states; to get new cases isolated right away when they are sick. Plus ability to provide isolation or quarantine facilities if needed to care for people outside their homes. 20/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":27,"likes_count":136,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244436682616770561","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":1244436256223907800,"conversation_id":"1244429536688779267","created_at":1585531698000,"date":"2020-03-30","time":"01:28:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And another condition:  huge increase in the supply of personal protective equipment to cover the current and anticipated needs of the health care workforce and emergency personnel involved in the response.19/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":27,"likes_count":135,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244436256223907849","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":1244436111134523400,"conversation_id":"1244429536688779267","created_at":1585531664000,"date":"2020-03-30","time":"01:27:44","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"AND another condition:  sufficient critical care bed capacity and ventilators and staffing to meet all critical care needs in that community without resorting to crisis standards of care and having to ration ventilators.18/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":28,"likes_count":137,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244436111134523392","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":1244435957140664300,"conversation_id":"1244429536688779267","created_at":1585531627000,"date":"2020-03-30","time":"01:27:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"All of that diagnostic data should be part of national surveillance system that gathers data and trends, and combines with state and national seroprevalence data. 17/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":23,"likes_count":120,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244435957140664320","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":1244435747672862700,"conversation_id":"1244429536688779267","created_at":1585531577000,"date":"2020-03-30","time":"01:26:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"4th category is not tested now in many places given insufficient diagnostic bandwidth. This is necessary now in order to focus testing on the most sick, but to ever have handle on size+location of COVID spread in a state, we'll need to get capacity to test outpts w/ COVID sx.16/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":28,"likes_count":134,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244435747672862728","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":1244435004748423200,"conversation_id":"1244429536688779267","created_at":1585531400000,"date":"2020-03-30","time":"01:23:20","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"AND, same day diagnostic testing will need to be available for 4 key categories of possible COVID pts: 1) hospitalized pts 2) HCWs and workers in essential roles 3) close contacts of confirmed cases and 4) outpatients w/ COVID symptoms, which can resemble the flu. 15/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":43,"likes_count":178,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244435004748423169","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":1244434730143174700,"conversation_id":"1244429536688779267","created_at":1585531334000,"date":"2020-03-30","time":"01:22:14","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For a US state (or region) to re-open, there should have been at least a 14 day steady reduction in daily case numbers of COVID. [That does not appear to be happening anywhere now in the US.  We'll need to see better state by state daily case counts to track this over time.]14/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":97,"likes_count":286,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244434730143174658","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":1244434476668723200,"conversation_id":"1244429536688779267","created_at":1585531274000,"date":"2020-03-30","time":"01:21:14","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"I was an advisor to the report so I'm biased in its favor. I agree w/ recommendations. It sets out conditions necessary to consider relaxing social distancing in the US.  The whole report is worth reading in entirety. But I'll summarize key recommendations below:  (13/x)","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":48,"likes_count":181,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244434476668723200","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":1244432612954955800,"conversation_id":"1244429536688779267","created_at":1585530830000,"date":"2020-03-30","time":"01:13:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Even as these efforts go on, given the very serious societal and economic consequences of these social distancing measures, it is important to think about a time when they might be relaxed. 11/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":24,"likes_count":131,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244432612954955776","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":1244432316111433700,"conversation_id":"1244429536688779267","created_at":1585530759000,"date":"2020-03-30","time":"01:12:39","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are many urgent needs for responding to COVID right now, starting w/ need to get our doctors, nurses, hosp staff the masks and equip needed to protect themselves, more vents where they're needed, expanded hosp capacity, rapid diagnostics in hosps, long term care. et al 9/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":35,"likes_count":168,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244432316111433741","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":1244431523874590700,"conversation_id":"1244429536688779267","created_at":1585530570000,"date":"2020-03-30","time":"01:09:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are places in the US where there are now very few cases of COVID.  That is good news for the moment in that it will give those places more time to prepare and more time for social distancing to slow the virus down.7/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":38,"likes_count":203,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244431523874590722","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":1244431391141568500,"conversation_id":"1244429536688779267","created_at":1585530538000,"date":"2020-03-30","time":"01:08:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Hospitals overcome by the burdens of very high numbers of COVID pts could also be unable to provide the life saving care for other medical conditions and illnesses that they usually offer. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":35,"likes_count":178,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244431391141568522","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":1244431076409446400,"conversation_id":"1244429536688779267","created_at":1585530463000,"date":"2020-03-30","time":"01:07:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"As we are seeing in NYC, in cities where spread is rapid and fast, we can run out hosp beds, ventilators.  Could have too few doctors and nurses. This could all substantially increase the mortality of this virus. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":38,"likes_count":183,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244431076409446401","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":1244430773484236800,"conversation_id":"1244429536688779267","created_at":1585530391000,"date":"2020-03-30","time":"01:06:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If we don’t take society-wide serious measures to continue to try to slow the spread, the virus will spread widely and rapidly and too many of those people needing hospitalization will need it all at the same time. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":71,"likes_count":235,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244430773484236801","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":1244430582265843700,"conversation_id":"1244429536688779267","created_at":1585530345000,"date":"2020-03-30","time":"01:05:45","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This is a highly transmissible virus. We wont have vaccine for some time. We don’t have proven medicines to treat it. In China's experience: approx 80% of recognized COVID cases got well w/out hosp care; remainder needed hosp care, w/ approx. 5% overall needing critical care. 3/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":61,"likes_count":226,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244430582265843714","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":1244429765282615300,"conversation_id":"1244429536688779267","created_at":1585530151000,"date":"2020-03-30","time":"01:02:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Large scale social distancing measures – no gatherings >10, telecommuting + closure of non-essential business, closed schools + universities, only leave home for highly compelling reason – are the strongest tools we have to slow spread of COVID in US. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":78,"likes_count":306,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244429765282615298","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":1244429536688779300,"conversation_id":"1244429536688779267","created_at":1585530096000,"date":"2020-03-30","time":"01:01:36","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The Administration today made the important right decision to extend social distancing guidelines.  Its worth underscoring why those measures are so critical, and considering the conditions in which they might be able to be relaxed safely sometime in the future.  1/x","mentions":[],"urls":[],"photos":[],"replies_count":38,"retweets_count":454,"likes_count":1428,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1244429536688779267","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":1243387896268128300,"conversation_id":"1243382563592212480","created_at":1585281750000,"date":"2020-03-27","time":"04:02:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But clinicians and hosps in Wash state, NY, NJ, beyond are seeing full ICUs, rising COVID cases. They recognize potential need for rationing soon. It would be irresponsible to wait longer to openly discuss this - they need to prepare staffs and communities for what may come.16/x","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":141,"likes_count":539,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243387896268128259","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":1243387112587546600,"conversation_id":"1243382563592212480","created_at":1585281563000,"date":"2020-03-27","time":"03:59:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Comments also made at the Task Force meeting that this is no time to talk about rationing of ventilators.  15/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":75,"likes_count":301,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243387112587546624","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":1243386991044997000,"conversation_id":"1243382563592212480","created_at":1585281534000,"date":"2020-03-27","time":"03:58:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"To consider letting off on social distancing will require sharp decline in cases, widely available rapid diagnostics wherever pts get clinical care, the right PPE available to all HCWS who need it, safe and good hospital capacity to deal with all pts with COVID. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":137,"likes_count":476,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243386991044997126","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":1243386261470974000,"conversation_id":"1243382563592212480","created_at":1585281360000,"date":"2020-03-27","time":"03:56:00","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Unfortunately given the continued sharp rise in national cases, as well as the acute rise in cases in NY, Chicago, Michigan and elsewhere, the data will not support ending social distancing at day 15 or soon thereafter.  13/x","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":192,"likes_count":628,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243386261470973954","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":1243386040552796200,"conversation_id":"1243382563592212480","created_at":1585281307000,"date":"2020-03-27","time":"03:55:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But there continues to be discussion of considering the end of social distancing after the 15 day mark set by the Task Force, though fortunately it now seems caveated by the need to see if the data supports that. 12/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":57,"likes_count":321,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243386040552796161","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":1243385853436559400,"conversation_id":"1243382563592212480","created_at":1585281263000,"date":"2020-03-27","time":"03:54:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If social distancing had not been used in those countries, data suggests that exponential growth would have continued w/ huge rises in numbers in hospitals and ICUs, far beyond the extraordinary numbers they have had to contend with.  11/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":99,"likes_count":413,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243385853436559367","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":1243385459339714600,"conversation_id":"1243382563592212480","created_at":1585281169000,"date":"2020-03-27","time":"03:52:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A second reason for this is that severe and unprecedented social distancing measures have been put in place in countries dealing w/ COVID-- see examples of China and Italy. 10/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":64,"likes_count":370,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243385459339714560","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":1243385132230168600,"conversation_id":"1243382563592212480","created_at":1585281091000,"date":"2020-03-27","time":"03:51:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It is true that we've not yet seen full impact of predicted models play out yet. First reason for this is that we are at the very start of an epidemic that will continue for a long time absent a vaccine.   9/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":111,"likes_count":463,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243385132230168576","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":1243384634898956300,"conversation_id":"1243382563592212480","created_at":1585280972000,"date":"2020-03-27","time":"03:49:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But the leading national and international models have used the demonstrated reproductive rate of this virus, the demonstrated case fatality rate, and the best scientific estimates of the number of people susceptible to this virus in the world. 8/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":80,"likes_count":417,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243384634898956288","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":""}
