{"id":1243384363762368500,"conversation_id":"1243382563592212480","created_at":1585280907000,"date":"2020-03-27","time":"03:48:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Comments were also made at the Task Force press conf saying that attack rate has been low in other countries and that models of higher attack rates are not realistic.  7/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":66,"likes_count":331,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243384363762368518","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":1243384141300691000,"conversation_id":"1243382563592212480","created_at":1585280854000,"date":"2020-03-27","time":"03:47:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Then, once equipment is acquired, fed gov should distribute it thru private sector logistics companies to places where it's most needed.  Otherwise states, hosps. have to fight w/  other states, hosps to get critical supplies, w/ scarcity driving up prices.This wont work. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":184,"likes_count":813,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243384141300690944","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":1243383741440880600,"conversation_id":"1243382563592212480","created_at":1585280759000,"date":"2020-03-27","time":"03:45:59","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Still comments being made about how states and hospitals should acquire this equipment on their own.  This is the wrong approach. The fed govt should invoke the Defense Production Act to acquire maximum level of critical masks, gowns, reagents, swabs, ventilators et al. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":26,"retweets_count":385,"likes_count":1312,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243383741440880640","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":1243383193341845500,"conversation_id":"1243382563592212480","created_at":1585280628000,"date":"2020-03-27","time":"03:43:48","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need a federal logistics dashboard that shows what hospitals need around the country with high granularity, and when they are going to get it 3/x","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":288,"likes_count":1109,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243383193341845507","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":1243382563592212500,"conversation_id":"1243382563592212480","created_at":1585280478000,"date":"2020-03-27","time":"03:41:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Concerns about some of the things said at the White House COVID Task Force meeting tonight 1/x","mentions":[],"urls":[],"photos":[],"replies_count":44,"retweets_count":595,"likes_count":1227,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1243382563592212480","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":1242240450498617300,"conversation_id":"1242232846900756482","created_at":1585008177000,"date":"2020-03-24","time":"00:02:57","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We also need to put every conceivable econ program in place to help those being hurt by these social distancing measures.  And move ahead rapidly to get our country far better prepared to cope w COVID before people recommend we abandon our efforts to slow this virus. 24/x","mentions":[],"urls":[],"photos":[],"replies_count":293,"retweets_count":1403,"likes_count":8126,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242240450498617351","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":1242240022591557600,"conversation_id":"1242232846900756482","created_at":1585008075000,"date":"2020-03-24","time":"00:01:15","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But we need to press ahead for now w closed schools, mass\ntelecommuting, no gatherings, strong advisory to stay home unless you need to\ngo out – all are needed to slow this epidemic. 23/x","mentions":[],"urls":[],"photos":[],"replies_count":25,"retweets_count":1092,"likes_count":6423,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242240022591557634","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":1242239776260067300,"conversation_id":"1242232846900756482","created_at":1585008017000,"date":"2020-03-24","time":"00:00:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For now we need to keep production running, doctors offices working, groceries, pharmacies, banks open. It is ok to have science informed dialogue about which businesses need to be closed vs what can stay open in some way if social distancing can be put in place in them.22/x","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":858,"likes_count":5649,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242239776260067335","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":1242239289255133200,"conversation_id":"1242232846900756482","created_at":1585007900000,"date":"2020-03-23","time":"23:58:20","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Once we have those things in place, it would be a far less risky time to take stock of social distancing measures in place and consider what might gradually be reduced with trial and error.  We would have learned more about the experience\nin Asia as they try to do that.21/x","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":743,"likes_count":5187,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242239289255133184","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":1242238997805613000,"conversation_id":"1242232846900756482","created_at":1585007831000,"date":"2020-03-23","time":"23:57:11","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We'll need a serology test that can be used to identify those that have been infected and recovered already, and to know how prevalent disease is in the US.  We would hopefully have therapies developed and in a quantity that we can treat at least the sickest pt w COVID. 20/x","mentions":[],"urls":[],"photos":[],"replies_count":34,"retweets_count":940,"likes_count":6087,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242238997805613056","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":1242238680695287800,"conversation_id":"1242232846900756482","created_at":1585007755000,"date":"2020-03-23","time":"23:55:55","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We will need system of screening at airports\nso that no person comes into the country with the disease without being\ndiagnosed and isolated. 19/x","mentions":[],"urls":[],"photos":[],"replies_count":39,"retweets_count":855,"likes_count":5586,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242238680695287808","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":1242238623606546400,"conversation_id":"1242232846900756482","created_at":1585007742000,"date":"2020-03-23","time":"23:55:42","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We'll need to reduce the # of cases to such a low\nlevel that we could again do contact tracing & isolation of cases around\nthe country (as they can in many countries in Asia now). 18/x","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":934,"likes_count":5816,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242238623606546432","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":1242238394140426200,"conversation_id":"1242232846900756482","created_at":1585007687000,"date":"2020-03-23","time":"23:54:47","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We'll need extraordinary quantity, reserve+production lines\nof masks, PPE so that shortages at hosps and clinical sites around country\nare no longer possible. We'lll need to have more vents on the way.  We'll need capacity to provide med care to many more that we can now.17/x","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":935,"likes_count":5786,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242238394140426241","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":1242238091299098600,"conversation_id":"1242232846900756482","created_at":1585007615000,"date":"2020-03-23","time":"23:53:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Before considering big changes to social distancing measures\nnow, we should as quickly as possible get to strongest possible position for COVID response – we're no where near that now.  We'll need rapid Dxs in place almost every location where a pt can be seen for care.16/x","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":1127,"likes_count":6447,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242238091299098632","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":1242237795336413200,"conversation_id":"1242232846900756482","created_at":1585007544000,"date":"2020-03-23","time":"23:52:24","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Anyone advising the end of social distancing now, needs to fully understand what the country will look like if we do that. COVID would spread widely, rapidly, terribly, could kill potentially millions in the yr ahead with huge social and economic impact across the country. 15/x","mentions":[],"urls":[],"photos":[],"replies_count":216,"retweets_count":6089,"likes_count":15313,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242237795336413185","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":1242237502901149700,"conversation_id":"1242232846900756482","created_at":1585007475000,"date":"2020-03-23","time":"23:51:15","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Beyond that, if hospitals were completely overwhelmed, they may struggle\nto provide even oxygen for some or many of the 15% of recognized cases expected to be “severely ill”.  let alone provide care for other life threatening conditions. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":1049,"likes_count":6188,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242237502901149697","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":1242237107369902000,"conversation_id":"1242232846900756482","created_at":1585007380000,"date":"2020-03-23","time":"23:49:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If a health care system in a given community stops working, can no longer provide care to the ill, the case fatality rate for COVID will be far higher than 1% - we would not be able to care for some or all of the expected 5% of recognized cases that get critically ill. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":30,"retweets_count":1368,"likes_count":6830,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242237107369902080","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":1242236687041822700,"conversation_id":"1242232846900756482","created_at":1585007280000,"date":"2020-03-23","time":"23:48:00","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Many models report that health care systems will be completely overwhelmed/collapse by the peak of cases if major social distancing is not put in place. 12/x","mentions":[],"urls":[],"photos":[],"replies_count":23,"retweets_count":1205,"likes_count":6700,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242236687041822722","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":1242236516014923800,"conversation_id":"1242232846900756482","created_at":1585007239000,"date":"2020-03-23","time":"23:47:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"To drop all these measures now would be to accept that COVID pts will get sick in extraordinary numbers all over the country, far beyond\nwhat the US health care system could bear.  11/x","mentions":[],"urls":[],"photos":[],"replies_count":26,"retweets_count":1744,"likes_count":8124,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242236516014923781","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":1242236325232861200,"conversation_id":"1242232846900756482","created_at":1585007194000,"date":"2020-03-23","time":"23:46:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"These big social distancing measures take time to work.  The impact of big interventions in Wuhan China took about 3 wks to start to reverse things. And then everyday after the situation got better.  In the US, we're about 7 to 10 days into this, depending on the state.10/x","mentions":[],"urls":[],"photos":[],"replies_count":52,"retweets_count":2048,"likes_count":8688,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242236325232861191","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":1242235960793931800,"conversation_id":"1242232846900756482","created_at":1585007107000,"date":"2020-03-23","time":"23:45:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In Asia they've slowed the disease by slowing social interaction. Left to its own, this disease spreads from 1 person to about 2.5 people, and then they do the same, and so on. For this disease to stop, we need to make it so that the avg person spreads it to <1 other person. 9/x","mentions":[],"urls":[],"photos":[],"replies_count":30,"retweets_count":1377,"likes_count":7727,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242235960793931780","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":1242235564910411800,"conversation_id":"1242232846900756482","created_at":1585007012000,"date":"2020-03-23","time":"23:43:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In Asia, we've seen these interventions work to lower\npace of the epidemic, lower numbers of critically ill, lower\nthe number of people who get COVID. In\nAsia where big social distancing measures have been in place for two months,\nthey have had very strong impact. 8/x","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":1275,"likes_count":7869,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242235564910411777","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":1242235096612118500,"conversation_id":"1242232846900756482","created_at":1585006901000,"date":"2020-03-23","time":"23:41:41","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"How do we gain time to let hosps get more supplies & prepare for high number of pts? How do we lower the speed of spread of COVID in US?  How do we lower odds that ICUs will run out of vents, hospitals run out of space? The answer for now is large scale social distancing.7/x","mentions":[],"urls":[],"photos":[],"replies_count":27,"retweets_count":1930,"likes_count":8997,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242235096612118540","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":1242234258749563000,"conversation_id":"1242232846900756482","created_at":1585006701000,"date":"2020-03-23","time":"23:38:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There continues to be terrible shortages in the masks that health care workers need to keep from getting sick with this disease. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":995,"likes_count":6825,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242234258749562882","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":1242234122136944600,"conversation_id":"1242232846900756482","created_at":1585006668000,"date":"2020-03-23","time":"23:37:48","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We don’t have capacity to diagnose many of the COVID cases that are not sick enough to be in the hospital, so those numbers aren’t counted in our national totals. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":1237,"likes_count":7746,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242234122136944646","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":1242233813645877200,"conversation_id":"1242232846900756482","created_at":1585006595000,"date":"2020-03-23","time":"23:36:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There continue to be big diagnostic limitations.  Shortages in reagents, swabs. Don’t have rapid diagnostics in many hospitals yet, so it can be days before doctors and nurses can find out if a pt in front of them has COVID. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":1120,"likes_count":7281,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242233813645877249","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":1242233390897692700,"conversation_id":"1242232846900756482","created_at":1585006494000,"date":"2020-03-23","time":"23:34:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Some hospitals have said publicly that within a week they will not have ventilators to treat everyone with COVID anymore. 3/x","mentions":[],"urls":[],"photos":[],"replies_count":42,"retweets_count":1620,"likes_count":8812,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242233390897692676","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":1242233239747649500,"conversation_id":"1242232846900756482","created_at":1585006458000,"date":"2020-03-23","time":"23:34:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"COVID has been spreading w/ exponential growth in US for some time, and we're just beginning to get an understanding of how extensively. There\nare nearly 40,000 cases recognized in the US as of today, w/ ~100 deaths\ntoday. A few weeks ago, we had recognized 70 cases total. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":56,"retweets_count":1612,"likes_count":9132,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242233239747649536","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":1242232846900756500,"conversation_id":"1242232846900756482","created_at":1585006364000,"date":"2020-03-23","time":"23:32:44","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In last 24 hrs there've been prominent US voices calling for a stop to social distancing, citing rationale that they're worse than impact of COVID itself.  It’s worth looking very closely at that claim, where we are in US COVID epidemic and what happens if we stop. 1/x","mentions":[],"urls":[],"photos":[],"replies_count":1126,"retweets_count":20267,"likes_count":50295,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1242232846900756482","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":1240831920843481000,"conversation_id":"1240825539818127360","created_at":1584672358000,"date":"2020-03-20","time":"02:45:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The US Defense Logistics Agency seems to have the size, professionalism, experience and capacity for this mission. 19/x","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":62,"likes_count":236,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240831920843481089","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":1240830763685331000,"conversation_id":"1240825539818127360","created_at":1584672082000,"date":"2020-03-20","time":"02:41:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And this fed logistics operation needs to take the products coming off the line and\ndistribute them around the country to where they are needed, with the help of the private sector distributors. 17/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":12,"likes_count":46,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240830763685330945","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":1240830607254605800,"conversation_id":"1240825539818127360","created_at":1584672044000,"date":"2020-03-20","time":"02:40:44","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And this fed logistics operation needs to work with private sector to convert factories making other products into ones that make the critical med items the country will need to cope with this epidemic in the months ahead. 17/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":39,"likes_count":151,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240830607254605825","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":1240830380493754400,"conversation_id":"1240825539818127360","created_at":1584671990000,"date":"2020-03-20","time":"02:39:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This fed logistics operation needs to maximize all possible w/ existing supply\nchain for items in shortage – how much more can a given Plant X produce if the\nfed govt is the guaranteed buyer? 16/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":30,"likes_count":131,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240830380493754369","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":1240830078881333200,"conversation_id":"1240825539818127360","created_at":1584671918000,"date":"2020-03-20","time":"02:38:38","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"At minimum, this fed gov logistics effort should: identify all med items in shortage or soon to be; what does each hosp around country need – there are thousands of hosps of different sizes; and, create data management system to organize needs and track response to them. 15/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":66,"likes_count":187,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240830078881333250","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":1240829006091554800,"conversation_id":"1240825539818127360","created_at":1584671663000,"date":"2020-03-20","time":"02:34:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We have thousands of hospitals around the country, all of which will have different needs and different moments.  The idea of each one trying to do its own deals with manufacturers in competition with everyone else is awful. They need massive centralized help from fed gov. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":80,"likes_count":219,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240829006091554816","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":1240828253247586300,"conversation_id":"1240825539818127360","created_at":1584671483000,"date":"2020-03-20","time":"02:31:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need top possible logistics agency and leadership to maximize supply chain output across the full range of medical assets needed to cope with COVID – starting with N95s and surgical masks which are in desperate shortage around the country. 12/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":42,"likes_count":140,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240828253247586304","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":1240827921520046000,"conversation_id":"1240825539818127360","created_at":1584671404000,"date":"2020-03-20","time":"02:30:04","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Public health, scientific, research and clinical leaders in the fed govt should be focusing on those issues which they know so well. For the massive logistics work that is needed now, we need a huge logistics operation run by professionals who do logistics for a living. 11/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":40,"likes_count":148,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240827921520046081","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":1240827540425580500,"conversation_id":"1240825539818127360","created_at":1584671313000,"date":"2020-03-20","time":"02:28:33","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This is not to say that the other leaders now involved in COVID response at top of government aren’t key. We need all of them that are there now because there are so many serious challenges and many more to come. 10/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":24,"likes_count":115,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240827540425580545","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":1240827187034554400,"conversation_id":"1240825539818127360","created_at":1584671229000,"date":"2020-03-20","time":"02:27:09","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"DLA provides more than $37 billion in goods and services annually. Employs about 26,000 civilians and military. Manages nine supply chains and about 5 million items. Operates in most states.  8/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":47,"likes_count":173,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240827187034554371","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":1240826800088985600,"conversation_id":"1240825539818127360","created_at":1584671137000,"date":"2020-03-20","time":"02:25:37","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need a massive logistics effort to deal with all of these shortages, and the shortages and material needs that will come.  Responsibility shifted to FEMA today. FEMA does have large logistics capability, but their focus is normally on disaster\nrecovery.  6/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":65,"likes_count":212,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240826800088985600","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":1240826647827361800,"conversation_id":"1240825539818127360","created_at":1584671100000,"date":"2020-03-20","time":"02:25:00","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Responsibility for dealing w/ these shortages is distributed around small offices, tiger teams in White House, in HHS agencies.  They are doing what they can, but they aren't logisticians or logistics agencies, and the scale of the effort isn't close to what country needs.5/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":40,"likes_count":159,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240826647827361797","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":1240826175750013000,"conversation_id":"1240825539818127360","created_at":1584670988000,"date":"2020-03-20","time":"02:23:08","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And there is a shortage of hand sanitizers, procedural masks, and will be shortages of any medicines that may prove to be effective.  4/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":41,"likes_count":132,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240826175750012933","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":1240826009294966800,"conversation_id":"1240825539818127360","created_at":1584670948000,"date":"2020-03-20","time":"02:22:28","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are shortages that are impairing diagnostic testing – critical reagents, swabs and pipettes.  There are anticipated major shortages of ventilators as the numbers of critical ill pts rise around the country.  3/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":54,"likes_count":160,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240826009294966785","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":1240825539818127400,"conversation_id":"1240825539818127360","created_at":1584670836000,"date":"2020-03-20","time":"02:20:36","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need to increase the operational capacity of the US fed govt COVID response by orders of magnitude now.   We need a new model - what we have isn't powerful enough.  And this is with the COVID epidemic only at its earliest phases here. 1/x","mentions":[],"urls":[],"photos":[],"replies_count":47,"retweets_count":501,"likes_count":1044,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1240825539818127360","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":1239680801916125200,"conversation_id":"1239675564199481347","created_at":1584397909000,"date":"2020-03-16","time":"22:31:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The US has an awesome industrial base. It is not yet using it to its full capacity to make new ventilators. 18/x","mentions":[],"urls":[],"photos":[],"replies_count":45,"retweets_count":225,"likes_count":754,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239680801916125185","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":1239680645300879400,"conversation_id":"1239675564199481347","created_at":1584397872000,"date":"2020-03-16","time":"22:31:12","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Beyond the US, all countries will need ventilators to deal with this pandemic. If US can create a process for massive industrial capacity and output, we should aim to produce ventilators for other countries in the world who will also desperately need them. 17/x","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":219,"likes_count":767,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239680645300879361","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":1239680306120208400,"conversation_id":"1239675564199481347","created_at":1584397791000,"date":"2020-03-16","time":"22:29:51","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Some will say that they cannot be made in time to be useful.  But this pandemic and the need for more vents will be with us for a long time. If we turn massive industrial attention/resources to the problem of making ventilators, who knows what might be possible.16/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":197,"likes_count":683,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239680306120208390","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":1239679919153692700,"conversation_id":"1239675564199481347","created_at":1584397699000,"date":"2020-03-16","time":"22:28:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Beyond existing manufacturers, why hasn’t fed gov asked other US industrial giants (outside of vent industry) to turn their prodxn lines to making vents, as the UK did this week? If the USG were willing to pay for the effort, perhaps some would find a way to contribute.14/x","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":320,"likes_count":799,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239679919153692681","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":1239679268814303200,"conversation_id":"1239675564199481347","created_at":1584397544000,"date":"2020-03-16","time":"22:25:44","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The USG should approach, if it has not already, all existing ventilator manufacturers in the US and enter into very clear and binding contracts that commits the USG to pay for companies to move to maximum all out production for indefinite future. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":282,"likes_count":818,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239679268814303234","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":1239679048000901000,"conversation_id":"1239675564199481347","created_at":1584397491000,"date":"2020-03-16","time":"22:24:51","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It reports that Germany that has ordered 10,000 ventilators. On a ventilator\nper capita level, the US would need to buy 40,000 ventilators in the US to match that kind of investment (we have 4x the population).  12/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":337,"likes_count":959,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239679048000901120","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":1239678477999181800,"conversation_id":"1239675564199481347","created_at":1584397355000,"date":"2020-03-16","time":"22:22:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"What we need is a massive fed gov program to buy ventilators on unprecedented scale and with unprecedented speed.  They don’t need to be the fanciest ventilators on the market. They need to be able to keep ARDS pts alive through course of COVID infection. 10/x","mentions":[],"urls":[],"photos":[],"replies_count":26,"retweets_count":560,"likes_count":1554,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239678477999181824","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":1239678245701914600,"conversation_id":"1239675564199481347","created_at":1584397300000,"date":"2020-03-16","time":"22:21:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Instead, the US fed gov should be central buyer and partner to this industry. It brings substantial immediate resources, and clarity. And when manufacturers make new ventilators in a mass effort, the fed gov would help organize their distribution around the country.  9/x","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":337,"likes_count":1072,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239678245701914634","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":1239677659816145000,"conversation_id":"1239675564199481347","created_at":1584397160000,"date":"2020-03-16","time":"22:19:20","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The President said today that governors should try to get things like respirators and masks on their own. The problem with that approach is that suppliers will have to emergently engage w 50 different state purchasers who would in effect be competing for supply. 8/x","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":340,"likes_count":837,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239677659816144896","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":1239677443948056600,"conversation_id":"1239675564199481347","created_at":1584397109000,"date":"2020-03-16","time":"22:18:29","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The guidelines issued by the White House today for what individuals should o were clear, appropriate in effort to do all possible for next 15 days to change the\nrate of spread in US. But the policy expressed re: ventilators at the White House was not nearly sufficient.  7/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":144,"likes_count":484,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239677443948056581","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":1239677064090960000,"conversation_id":"1239675564199481347","created_at":1584397018000,"date":"2020-03-16","time":"22:16:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We have seen in Northern Italy that there are more pts requiring ventilation than there are ventilators.  It is clear to see that this scenario could occur in other countries, including the US.  6/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":171,"likes_count":533,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239677064090959878","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":1239676958348390400,"conversation_id":"1239675564199481347","created_at":1584396993000,"date":"2020-03-16","time":"22:16:33","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For countries experiencing many Wuhan like outbreaks at once across many cities, ventilator demand could be very high across a country and outstrip supply so that some people needing ventilators couldn't get them.  5/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":124,"likes_count":478,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239676958348390407","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":1239675979586551800,"conversation_id":"1239675564199481347","created_at":1584396760000,"date":"2020-03-16","time":"22:12:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The principal reason people die from COVID is that they get ARDS and can't be oxygenated.  While a ventilator can’t save all people with ARDS, it could be the critical difference between life and death for many pts with ARDS. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":353,"likes_count":1050,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239675979586551813","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":1239675564199481300,"conversation_id":"1239675564199481347","created_at":1584396661000,"date":"2020-03-16","time":"22:11:01","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For the battle against COVID, the US needs a wartime mobilization\nto make mass numbers of ventilators, and to ensure oxygen supply will be sufficient around the country for numbers of patients that will need it.  We are not yet on war time footing with ventilators.  1/x","mentions":[],"urls":[],"photos":[],"replies_count":165,"retweets_count":2354,"likes_count":5663,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1239675564199481347","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":1238868212151795700,"conversation_id":"1238860159247474694","created_at":1584204173000,"date":"2020-03-14","time":"16:42:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Lastly, we don’t know enough yet about immunity after COVID.  There is not confidence yet that infection would provide long lasting durable immunity to COVID 19, or a naturally occurring variant strain that emerges in the future.  No guarantee of herd immunity. 26/x","mentions":[],"urls":[],"photos":[],"replies_count":22,"retweets_count":173,"likes_count":368,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238868212151795712","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":1238867884043985000,"conversation_id":"1238860159247474694","created_at":1584204095000,"date":"2020-03-14","time":"16:41:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Fifth – impact on the UK health care system would be extreme if all this illness occurs at once.  Given the experience of Italy, it seems likely that the system could become dysfunctional, preventing it from caring for others who will need it.  25/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":51,"likes_count":106,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238867884043984896","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":1238867784341131300,"conversation_id":"1238860159247474694","created_at":1584204071000,"date":"2020-03-14","time":"16:41:11","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Fourth–not just elderly that die from COVID.  Risks highest in 70s+80s, but in China, elsewhere, people in 60s, 50s, 40s 30s have also died from this disease, even if at much lower rates with decreasing age.  Having millions get sick at once will lead to deaths in those ages 24/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":80,"likes_count":138,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238867784341131268","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":1238867063038328800,"conversation_id":"1238860159247474694","created_at":1584203899000,"date":"2020-03-14","time":"16:38:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Third – It is not just the elderly but also those with variety of underlying med conditions that are higher risk. They will also be at very high risk in this kind of herd immunity strategy.  23/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":41,"likes_count":134,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238867063038328832","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":1238866972713963500,"conversation_id":"1238860159247474694","created_at":1584203877000,"date":"2020-03-14","time":"16:37:57","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Second – while protecting UK elderly should be a top goal, it wont be possible to completely hive them off from society and protect them. They will still contract disease in some numbers if millions of people get this disease in the coming months. 22/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":41,"likes_count":100,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238866972713963520","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":1238866821454762000,"conversation_id":"1238860159247474694","created_at":1584203841000,"date":"2020-03-14","time":"16:37:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"... which would put UK at extraordinary numbers in 2 to 3 mos (or less if doubling time is faster) 21/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":28,"likes_count":74,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238866821454761985","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":1238866714315513900,"conversation_id":"1238860159247474694","created_at":1584203816000,"date":"2020-03-14","time":"16:36:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Terrible risks w/ that strategy.  First – COVID spreading exponentially now in many countries. with 1100 cases in UK now (probably substantial undercounting) completely unmitigated exponential growth could see doubling each gen of cases... 20/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":46,"likes_count":122,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238866714315513856","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":1238865837399740400,"conversation_id":"1238860159247474694","created_at":1584203607000,"date":"2020-03-14","time":"16:33:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Seems like that potential policy is to do all possible to protect elderly, but to forgo social distancing (closure of gatherings, telecommuting, school closures e al) w/ acceptance that COVID will spread more quickly in population, in order to get high % of Uk “immune” 19/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":30,"likes_count":87,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238865837399740416","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":1238864963411652600,"conversation_id":"1238860159247474694","created_at":1584203398000,"date":"2020-03-14","time":"16:29:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We should do all in our power to change the epidemic curve in the US, and all other countries should be doing that as well.  17/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":52,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238864963411652608","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":1238864594229031000,"conversation_id":"1238860159247474694","created_at":1584203310000,"date":"2020-03-14","time":"16:28:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The US cant do full lockdown that occurred in Wuhan.  People need to be able to take care of themselves and their families. But we can do many of the other things China did, as well as the other countries that have had success so far in slowing this disease down. 14/x","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":18,"likes_count":77,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238864594229030912","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":1238864396996104200,"conversation_id":"1238860159247474694","created_at":1584203263000,"date":"2020-03-14","time":"16:27:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"While Wuhan and Hubei had very high rates of transmission through mid February, the impact of large scale interventions starting in late January had clear impact quickly after they were made. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":21,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238864396996104194","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":1238863346679427000,"conversation_id":"1238860159247474694","created_at":1584203013000,"date":"2020-03-14","time":"16:23:33","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Political leaders are now starting to put into place large scale social distancing measures.  We have seen in Asia, places that have done this – China, Singapore, Thailand, Hong Kong, Taiwan – have been able to dramatically slow the spread of disease.  11/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":36,"likes_count":117,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238863346679427072","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":1238863152948732000,"conversation_id":"1238860159247474694","created_at":1584202967000,"date":"2020-03-14","time":"16:22:47","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We also need clarity on where we are with the serology test being developed by CDC and others.  We need serology to understand prevalence of disease, numbers of mild, asymptomatic infections. And to understand how much of the population of US has been infected and when.  10/x","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":35,"likes_count":127,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238863152948731905","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":1238862103982665700,"conversation_id":"1238860159247474694","created_at":1584202717000,"date":"2020-03-14","time":"16:18:37","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We also need national data management system that gives us way to aggregate all the clinical information for all US COVID cases.  China has been able to do that with incredible speed and efficiency.  8/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":46,"likes_count":162,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238862103982665734","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":1238862021153525800,"conversation_id":"1238860159247474694","created_at":1584202697000,"date":"2020-03-14","time":"16:18:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"America needs much more clarity on how large scale testing will take place+when.  Industry leaders seem ready to do whatever needed, now need overall operational plan together. Pub health agencies/labs cannot be the major source of testing going forward 7/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":22,"likes_count":111,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238862021153525760","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":1238861457766269000,"conversation_id":"1238860159247474694","created_at":1584202563000,"date":"2020-03-14","time":"16:16:03","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It was very good and encouraging to see industry leaders at White House yesterday committing to making large scale testing possible around country.  It was concerning to see hrs later that google was not going to be able to do what was announced at that press conference.  6/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":21,"likes_count":109,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238861457766268929","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":1238861274466758700,"conversation_id":"1238860159247474694","created_at":1584202519000,"date":"2020-03-14","time":"16:15:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We will need extensive testing to be able to make predictions regarding the pace of the epidemic in various parts of the country, what will be coming next, where resources might be most needed.  5/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":18,"likes_count":88,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238861274466758657","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":1238861183123259400,"conversation_id":"1238860159247474694","created_at":1584202497000,"date":"2020-03-14","time":"16:14:57","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We need this to get much more precision regarding burden of the disease around country. We don’t know now how extensive the disease has spread in US, and we will need extensive testing to be able to measure over time the affect of larger social distancing interventions.  4/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":20,"likes_count":91,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238861183123259393","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":1238860946757406700,"conversation_id":"1238860159247474694","created_at":1584202441000,"date":"2020-03-14","time":"16:14:01","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But, then ASAP, also important to test as broadly as possible all people who have sx of disease. We need this info to get people to properly isolate themselves; and so these pts can communicate to their close contacts that they should self quarantine, and... 3/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":27,"likes_count":117,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238860946757406720","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":1238860550307598300,"conversation_id":"1238860159247474694","created_at":1584202346000,"date":"2020-03-14","time":"16:12:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Important that top of USG now quite focused on rapidly expanding diagnostic testing to all who have sx of COVID. First priority is to get full understanding of who has disease in long term care facilities+ hospitals to give us chance to stop outbreaks in those institutions. 2/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":25,"likes_count":121,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238860550307598337","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":1238860159247474700,"conversation_id":"1238860159247474694","created_at":1584202253000,"date":"2020-03-14","time":"16:10:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This thread relates to #COVID19 developments of the last couple days in the US, the work needed to slow down the spread, and the dangers around the calls for developing herd immunity as a national goal in the UK. 1/x","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":215,"likes_count":413,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238860159247474694","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":1238643691193016300,"conversation_id":"1238641163734847489","created_at":1584150643000,"date":"2020-03-14","time":"01:50:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Given US person to person spread around country, we need large scale social distancing interventions to try to slow this disease down, as has worked in Asia. These measures starting to happen in US but still only piecemeal. Will need to happen on large scale all around country","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":42,"likes_count":157,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1238643691193016321","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":1237146571793240000,"conversation_id":"1237138117464715270","created_at":1583793702000,"date":"2020-03-09","time":"22:41:42","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Going back to the goal of social distancing, slowing spread down, this will take many people working toward the same goal for a long time.  The public will need to trust government over time to be doing the right thing.  A forcible “lockdown” would take us in wrong direction.35/x","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":40,"likes_count":161,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237146571793240064","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":1237146108142293000,"conversation_id":"1237138117464715270","created_at":1583793591000,"date":"2020-03-09","time":"22:39:51","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"if it becomes needed, a pub health intervention that is more like a voluntary snowstorm, where people are encouraged to stay home, but allowed out when they need to be, could accomplish a whole lot of the same benefit as a “lockdown” but without resorting to force or threats.34/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":53,"likes_count":200,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237146108142292992","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":1237145524425224200,"conversation_id":"1237138117464715270","created_at":1583793452000,"date":"2020-03-09","time":"22:37:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Taken together, the impact of forcible “lockdown” of city, state, region could cause people to lose confidence in govt, make provision of health care harder, cause major econ hardship, or be life threatening to some who lose access to food, medicine, clinic access, home care 33/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":23,"likes_count":94,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237145524425224192","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":1237145336667234300,"conversation_id":"1237138117464715270","created_at":1583793407000,"date":"2020-03-09","time":"22:36:47","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A “lockdown” could also interrupt the flow of goods and materials in and out of that area.  Which could be bad for health care, very bad for local economy, even get in the way of delivery of basic goods.32/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":15,"likes_count":86,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237145336667234304","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":1237145214172557300,"conversation_id":"1237138117464715270","created_at":1583793378000,"date":"2020-03-09","time":"22:36:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are people in the US who live alone or without any backup systems who depend on others to help them with care, or food, meds or health conditions.  In china, we saw news stories that some of those people died in the lockdown.31/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":30,"likes_count":139,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237145214172557312","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":1237145034777981000,"conversation_id":"1237138117464715270","created_at":1583793335000,"date":"2020-03-09","time":"22:35:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Other people need to be able to make money for their families to pay rent or meet basic weekly needs.  Staying entirely home for them could cut them off from their paycheck entirely.30/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":17,"likes_count":107,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237145034777980929","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":1237144962040361000,"conversation_id":"1237138117464715270","created_at":1583793318000,"date":"2020-03-09","time":"22:35:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"People may need to go out to get food and meds for their families. Some people need to leave their house for their jobs to keep critical things running in a city – e.g. hospitals, police, fire, water, sewage, power, banking, delivery of groceries, pharmacies, & so much more.29/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":17,"likes_count":113,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237144962040360960","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":1237144681202368500,"conversation_id":"1237138117464715270","created_at":1583793251000,"date":"2020-03-09","time":"22:34:11","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In China, the general public all understand goals of reducing spread in China. It's top level national priority.  That kind of clarity is important in US.  If USG tries to force people to stay in their own homes for a period of time, there could be very negative consequences.28/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":19,"likes_count":106,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237144681202368513","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":1237144462448414700,"conversation_id":"1237138117464715270","created_at":1583793199000,"date":"2020-03-09","time":"22:33:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In US we shouldn't put in place a city, state or regional \"lockdown\" that confines people to homes under threat of force/or arrest.  If city/pub health leader decides a city has to lower social interaction to slow spread down, it should be voluntary pact btwn gov and public 27/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":24,"likes_count":147,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237144462448414720","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":1237143828693282800,"conversation_id":"1237138117464715270","created_at":1583793048000,"date":"2020-03-09","time":"22:30:48","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In Italy, people can go out for work if needed, but need permission to move around the country. There are some threats of penalties or arrest if people violate the rules.26/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":28,"likes_count":112,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237143828693282817","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":1237143700653756400,"conversation_id":"1237138117464715270","created_at":1583793017000,"date":"2020-03-09","time":"22:30:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In Italy the “lockdown” is different.  People are encouraged to stay home, but can go out and get their groceries and other needs.  Closures of public places, schools, universities and gatherings. Need to stay 6 ft apart in markets and restaurants.25/x","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":81,"likes_count":294,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237143700653756416","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":1237143587504062500,"conversation_id":"1237138117464715270","created_at":1583792990000,"date":"2020-03-09","time":"22:29:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There are some news accounts that had accounts of the lockdown in Wuhan making it harder to care for the very sick, and contributing to shortages of med supplies.24/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":14,"likes_count":88,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237143587504062464","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":1237143334528757800,"conversation_id":"1237138117464715270","created_at":1583792930000,"date":"2020-03-09","time":"22:28:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We don’t know extent to which locking in people to their homes helped slow disease above and beyond the closure of businesses, closures of schools and other education and extensive advice to all Chinese people about the virus.23/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":15,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237143334528757760","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":1237143158137340000,"conversation_id":"1237138117464715270","created_at":1583792888000,"date":"2020-03-09","time":"22:28:08","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The government employed people to bring food and medicines to all people’s doors.  Highways were blocked. Trains/planes stopped.22/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":23,"likes_count":118,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237143158137339905","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":1237143009331835000,"conversation_id":"1237138117464715270","created_at":1583792853000,"date":"2020-03-09","time":"22:27:33","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In China, in addition to work closures and school closures, people were forcibly confined to homes, most especially in Wuhan but to some extent around the country.  Hundreds of thousands of workers for the government were enlisted to ensure people stayed in their homes.21/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":23,"likes_count":97,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237143009331834880","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":1237142836010606600,"conversation_id":"1237138117464715270","created_at":1583792811000,"date":"2020-03-09","time":"22:26:51","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A final action to examine is “lockdowns” which is a term that is not clearly defined but is being applied to what happened in China and in Italy.20/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":92,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237142836010606592","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":1237142728326045700,"conversation_id":"1237138117464715270","created_at":1583792786000,"date":"2020-03-09","time":"22:26:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In some places, perhaps some schools are closed, others are kept open or partially open to make sure kids get cared for and fed.  Partial effectiveness is better than no effectiveness.  19/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":37,"likes_count":181,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237142728326045697","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":1237142689730027500,"conversation_id":"1237138117464715270","created_at":1583792776000,"date":"2020-03-09","time":"22:26:16","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Local decisions need to take into account what schools look like in any given community.  School closures may be feasible in once city, but very challenging in another. 18/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":19,"likes_count":122,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237142689730027521","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":1237142546809098200,"conversation_id":"1237138117464715270","created_at":1583792742000,"date":"2020-03-09","time":"22:25:42","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But In the US, millions of kids rely on schools for 1 or 2 meals/day. Tens of millions of families have either both parents working or are single parent families- kids being out may make it impossible for parents to work. Some US schools would also be unable to tele-educate 17/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":42,"likes_count":204,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237142546809098240","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":1237142195934605300,"conversation_id":"1237138117464715270","created_at":1583792659000,"date":"2020-03-09","time":"22:24:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"So there is logic to seeking ways to slow school spread down by closures for a time.  Many US schools could potentially tele-educate at some level.  In China that is being done around the country.16/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":26,"likes_count":159,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237142195934605313","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":""}
