{"id":1237141973980475400,"conversation_id":"1237138117464715270","created_at":1583792606000,"date":"2020-03-09","time":"22:23:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But just like the other indoor environments where spread takes place, the right assumption is that schools will drive spread. Kids will infect each other and then take it home to their families, including to grownups who are much more at risk.15/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":59,"likes_count":246,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237141973980475392","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237141774813892600,"conversation_id":"1237138117464715270","created_at":1583792558000,"date":"2020-03-09","time":"22:22:38","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"School closures are a much harder decision. We know from studies in China that kids are getting infected with COVID. Fortunately so far the number of severely ill kids is very low.14/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":23,"likes_count":153,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237141774813892608","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237141509633237000,"conversation_id":"1237138117464715270","created_at":1583792495000,"date":"2020-03-09","time":"22:21:35","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A 75% solution to a social distancing measure may be all that is possible, given the downside of driving toward 100% for a measure in any given place. And that is lot better than 0%, of forcing 100% solution that will fail. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":35,"likes_count":189,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237141509633236992","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237141317928378400,"conversation_id":"1237138117464715270","created_at":1583792449000,"date":"2020-03-09","time":"22:20:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For social distancing to have some value doesn’t mean everybody has to do same thing perfectly.  It’s a big country and we will need partial solutions that fit into different communities.12/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":40,"likes_count":208,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237141317928378369","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237141076701352000,"conversation_id":"1237138117464715270","created_at":1583792392000,"date":"2020-03-09","time":"22:19:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Another social distancing measure is telecommuting. Some portion of the US can do this at least in part.  It would lower social interactions.  Of course many people have jobs where they need to be go to a workplace, or they wont be paid or some critical fxn won't happen. 11/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":30,"likes_count":174,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237141076701351936","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237140635959693300,"conversation_id":"1237138117464715270","created_at":1583792287000,"date":"2020-03-09","time":"22:18:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Of course there is economic downside to cancelling large events, and other consequences to consider depending on what events are cancelled.10/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":20,"likes_count":126,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237140635959693312","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237140245486768000,"conversation_id":"1237138117464715270","created_at":1583792194000,"date":"2020-03-09","time":"22:16:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Another measure would be to cancel large gatherings.  There's been substantial spread in prisons, cruise ships, long term care facilities.  Many people coming together from different places and closely interacting for a time creates opportunity for efficient spread.9/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":69,"likes_count":254,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237140245486768128","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237139691775770600,"conversation_id":"1237138117464715270","created_at":1583792062000,"date":"2020-03-09","time":"22:14:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But some social distancing measures have common sense principles behind them: if you lower social interaction for a time, you will slow spread.  The least intrusive social distancing measure would be staying at home if feeling ill – that obviously should be done now.7/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":42,"likes_count":214,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237139691775770625","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237139484132556800,"conversation_id":"1237138117464715270","created_at":1583792012000,"date":"2020-03-09","time":"22:13:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"It't good to think through social distancing measures as trade-offs btwn good they might do in slowing spread in a community vs societal costs of doing it. There is not much modern historical precedent for large-scale social distancing measures, so limited evidence base. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":42,"likes_count":196,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237139484132556802","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237139073334038500,"conversation_id":"1237138117464715270","created_at":1583791914000,"date":"2020-03-09","time":"22:11:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The goal of social distancing in the US should be to lower the pace and extent of spread of COVID-19 in any given city or community.  If that can happen, then there will be less people with disease, and less people needing hospitalization and ventilators at any one time. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":116,"likes_count":334,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237139073334038529","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237138939061788700,"conversation_id":"1237138117464715270","created_at":1583791882000,"date":"2020-03-09","time":"22:11:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Of note, disease control measures didn’t get implemented in Wuhan until 1 mos into spread of the disease. Same medRxiv paper showed Guangzhou (a city bigger than Wuhan) had far less cases on its peak day, it had started strict disease control measures earlier in its outbreak.4/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":62,"likes_count":242,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237138939061788672","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237138571816882200,"conversation_id":"1237138117464715270","created_at":1583791795000,"date":"2020-03-09","time":"22:09:55","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"On peak day of Wuhan epidemic in late Feb, there were ~9600 people seriously ill; 2087 people needing critical care/ventilators.  That's beyond capacity of health care system in any US city.  So we need to consider how to slow COVID-19 spread in US through social distancing.3/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":169,"likes_count":421,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237138571816882176","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237138256245878800,"conversation_id":"1237138117464715270","created_at":1583791719000,"date":"2020-03-09","time":"22:08:39","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"New paper submitted by Ruoran Li @HarvardCCD and colleagues to medRxiv this afternoon shows experience of Wuhan in dealing with COVID in Jan and February.  2/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":21,"likes_count":120,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237138256245878784","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237138117464715300,"conversation_id":"1237138117464715270","created_at":1583791686000,"date":"2020-03-09","time":"22:08:06","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This thread is about why we will need social distancing measures in the US, what the goals of them are, and the need to reject the concept of  “lockdowns” by force. 1/x","mentions":[],"urls":[],"photos":[],"replies_count":43,"retweets_count":707,"likes_count":1125,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1237138117464715270","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1233078095571189800,"conversation_id":"1233077393033715716","created_at":1582823702000,"date":"2020-02-27","time":"17:15:02","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Top health officials - probably CDC - should now be briefing the public and press on daily basis about what is new/factual, what is unknown, what is getting done to resolve uncertainties, and what fed government actions are. This has been done very effectively in past by CDC","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":106,"likes_count":321,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1233078095571189760","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232513200526184400,"conversation_id":"1232505353121738753","created_at":1582689020000,"date":"2020-02-26","time":"03:50:20","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Leaders will need to decide wisely on how to blunt impact of this epidemic (not stop it, which is not possible), based on what will actually work, what is feasible in real world conditions, what societal consequences will be, what will preserve trust in government response.15/x","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":55,"likes_count":195,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232513200526184448","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232512724908871700,"conversation_id":"1232505353121738753","created_at":1582688907000,"date":"2020-02-26","time":"03:48:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In days ahead, cases will appear, perhaps in large numbers, when countries begin to do dx testing more broadly.  Leaders should anticipate and prepare for that. US and other countries should make clear what actions they will and won’t take to slow the spread of coronavirus.14/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":83,"likes_count":220,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232512724908871682","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232512470348071000,"conversation_id":"1232505353121738753","created_at":1582688846000,"date":"2020-02-26","time":"03:47:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Lockdowns would run the risk of cutting families off from eachother, interrupting delivery of medicines to people, disrupting delivery of basic food+supplies. They may block movement of doctors/nurses/med supplies to hospitals, as has been reported in China 13/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":50,"likes_count":167,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232512470348070912","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232511968474468400,"conversation_id":"1232505353121738753","created_at":1582688726000,"date":"2020-02-26","time":"03:45:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But few if any countries could logistically lock down cities as China has done. And even if other countries could use security to lock down cities, what do we know about the consequences to the Chinese people of these interventions? & what would consequences be elsewhere? 12/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":36,"likes_count":144,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232511968474468352","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232511178540306400,"conversation_id":"1232505353121738753","created_at":1582688538000,"date":"2020-02-26","time":"03:42:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The briefing seemed to imply all countries should try to emulate the full\nrange of actions taken by China.  It would be one thing for countries to work to prepare hospitals, to cancel big gatherings, isolate sick people, to increase social distancing, to encourage telework 11/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":30,"likes_count":111,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232511178540306433","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232510189921853400,"conversation_id":"1232505353121738753","created_at":1582688302000,"date":"2020-02-26","time":"03:38:22","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Information reported out from the international pub health mission\nto China today was both encouraging [cases seem to be going down in China] but also difficult to interpret in terms of the implications for pub health decisions around the world. 10/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":21,"likes_count":103,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232510189921853442","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232509968970125300,"conversation_id":"1232505353121738753","created_at":1582688250000,"date":"2020-02-26","time":"03:37:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Surveillance for coronavirus in US cities should not be anonymized as is done with flu surveillance.  If cases are found through surveillance at this stage of epidemic, health agencies need to know who they are so they can be informed, safely isolated, and cared for.  9/x","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":86,"likes_count":298,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232509968970125320","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232509558662324200,"conversation_id":"1232505353121738753","created_at":1582688152000,"date":"2020-02-26","time":"03:35:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Another priority is rapid expansion of coronavirus dx testing.  FDA should let qualified state/city pub health labs use their tests for COVID, \nin pts w/ ARDS of unknown cause, pts w history of relevant international\ntravel, through surveillance of pts w coronavirus sx. 8/x","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":68,"likes_count":265,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232509558662324225","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232507752968335400,"conversation_id":"1232505353121738753","created_at":1582687721000,"date":"2020-02-26","time":"03:28:41","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Unfortunately, over course of day other conflicting statements from USG confused things, including WH Nat Econ Council saying: “officials have contained this.” Conflicting messages will slow preparedness, erode confidence that government will be able to lead through this. 6/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":55,"likes_count":227,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232507752968335363","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232507164469624800,"conversation_id":"1232505353121738753","created_at":1582687581000,"date":"2020-02-26","time":"03:26:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"How long would closures last? Would sports, camps, etc all be stopped? Does science show kids at high risk?[So far it doesn’t] Are schools drivers of coronavirus spread?  Local leaders will need to decide if science/pub health info shows benefits worth the consequences 5/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":37,"likes_count":158,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232507164469624833","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232506780044972000,"conversation_id":"1232505353121738753","created_at":1582687489000,"date":"2020-02-26","time":"03:24:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Closing schools would have more potential negative consequences. Substantial numbers of US kids get one or more meals a day at school + many parents would need to stay home from work. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":52,"likes_count":211,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1232506780044972037","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231368528416190500,"conversation_id":"1231363420907343873","created_at":1582416109000,"date":"2020-02-23","time":"00:01:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In sum, many countries likely be dealing w COVID epidemic soon. They should be quickly preparing to deal, to do best they can w pt medical\ncare, work to blunt overall impact, protect HCWs and keep health care system functioning safely, communicate clearly to public et al. 16/x","mentions":[],"urls":[],"photos":[],"replies_count":31,"retweets_count":116,"likes_count":273,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231368528416190466","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231368086697267200,"conversation_id":"1231363420907343873","created_at":1582416004000,"date":"2020-02-23","time":"00:00:04","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Also priorities: protecting senior care facilities with best possible infection control given the high risk of this disease for the elderly; dealing w the regulatory and payment changes that may be necessary for good hospital functioning in an epidemic.  15/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":53,"likes_count":176,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231368086697267200","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231367850272657400,"conversation_id":"1231363420907343873","created_at":1582415947000,"date":"2020-02-22","time":"23:59:07","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Those interventions are called non pharmaceutical interventions, e.g. cancellation of mass gatherings 14/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":28,"likes_count":127,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231367850272657408","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231367700217241600,"conversation_id":"1231363420907343873","created_at":1582415912000,"date":"2020-02-22","time":"23:58:32","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Evaluating whether there are pub health interventions at community level that, might slow COVID spread in the community in order to create less numbers of very sick people all being in hospital at the same time 13/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":26,"likes_count":115,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231367700217241600","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231367411695263700,"conversation_id":"1231363420907343873","created_at":1582415843000,"date":"2020-02-22","time":"23:57:23","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Preparing to give those with COVID who are not sick enough to be in the hospital, instructions for home isolation and self care so they do not pose risks to hospitalized pts 12/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":42,"likes_count":155,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231367411695263744","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231367194581373000,"conversation_id":"1231363420907343873","created_at":1582415791000,"date":"2020-02-22","time":"23:56:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Preparing for substantial increase in # of pts who need oxygen Rx and mechanical ventilation; getting people with sx of COVID19 diagnosed rapidly+correctly; establishing highest possible infection control procedures; ensuring HCWs have PPE to keep them from being infected 11/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":57,"likes_count":183,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231367194581372928","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231366882697060400,"conversation_id":"1231363420907343873","created_at":1582415717000,"date":"2020-02-22","time":"23:55:17","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Given the developments and trends of last few days, it's clear governments need to be working intently w/ hospitals and health care systems to prepare to take care of COVID pts, possibly in high numbers.  Based on China’s experience with this disease, that should include: 10/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":56,"likes_count":166,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231366882697060352","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231366328361128000,"conversation_id":"1231363420907343873","created_at":1582415585000,"date":"2020-02-22","time":"23:53:05","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In US we need to move now to putting in place ASAP clinical diagnostics around the country.  We have moved to phase in global epidemic that this is now crucial.  8/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":76,"likes_count":231,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231366328361127939","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231366100849479700,"conversation_id":"1231363420907343873","created_at":1582415530000,"date":"2020-02-22","time":"23:52:10","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In US, we have ~ 200,000 ARDS case per yr.  Good portion have some clear etiology but for those recent cases that don’t have an explanation, we should be\ntesting them for COVID.  That should be in combo with sentinel surveillance approach announced recently.  7/x","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":74,"likes_count":212,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231366100849479680","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231364820361994200,"conversation_id":"1231363420907343873","created_at":1582415225000,"date":"2020-02-22","time":"23:47:05","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For most part countries still not testing widely for\ncommunity transmission, focusing predominantly on\nreturned travelers from China.  So we do\nnot have clear sense where COVID is circulating.  Can't say\nw/ confidence that any given country has no community transmission. 4/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":74,"likes_count":184,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231364820361994241","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231364478119350300,"conversation_id":"1231363420907343873","created_at":1582415143000,"date":"2020-02-22","time":"23:45:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Cases also in # of places in Iran, + new cluster in Italy, w/ other countries already\nw cases unexplained by travel. Public health authorities call this “community\ntransmission”. So concerning because it means COVID spreading in ways that not\nlikely to be stopped 3/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":51,"likes_count":127,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231364478119350274","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231363260403929000,"conversation_id":"1231363260403929090","created_at":1582414853000,"date":"2020-02-22","time":"23:40:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"There have been a number of concerning #COVID19 developments \nover the last few days.  This thread summarizes some of them and says what this means for health care system planning. 1/x","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":107,"likes_count":201,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1231363260403929090","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229608857137225700,"conversation_id":"1229603604790759424","created_at":1581996571000,"date":"2020-02-18","time":"03:29:31","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Authors: data show downward trend in epi curve, perhaps suggesting large-scale containment measures helping to curb epidemic.  Authors also note huge numbers of people to be returning for school and work soon and that China needs to prepare for a rebound in new cases 14/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":15,"likes_count":63,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229608857137225728","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229608450025500700,"conversation_id":"1229603604790759424","created_at":1581996474000,"date":"2020-02-18","time":"03:27:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Authors conclude the epidemic curve is consistent w/perhaps several zoonotic events in Huanan market with spread from unknown animal to human, followed by increasingly efficient human to human spread. 13/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":7,"likes_count":38,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229608450025500672","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229608291610787800,"conversation_id":"1229603604790759424","created_at":1581996436000,"date":"2020-02-18","time":"03:27:16","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Authors: COVID19 spread from 1 city to entire country in 30 days despite extreme response measures incl: shutdown of cities, cancellation of holiday festivities, prohibition of school+work; mass mobilization of med, PH, and military units; constrxn of entire new hosps 12/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":26,"likes_count":57,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229608291610787840","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229607557980999700,"conversation_id":"1229603604790759424","created_at":1581996261000,"date":"2020-02-18","time":"03:24:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This fatality rate in HCWs seems to be substantially lower than overall population – [perhaps age related or less comorbidities?] Authors say there is no evidence of any “superspreading events” in Chinese health facilities. [This would be different from MERS and SARS] 11/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":5,"likes_count":30,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229607557980999680","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229607331899592700,"conversation_id":"1229603604790759424","created_at":1581996207000,"date":"2020-02-18","time":"03:23:27","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In the 422 Chinese medical facilities serving COVID19 pts, 3,019 Health care workers (which includes confirmed, suspected, clinically diagnosed, and asymptomatic) have been infected, with 5 deaths.  10/x","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":24,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229607331899592705","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229606455344599000,"conversation_id":"1229603604790759424","created_at":1581995998000,"date":"2020-02-18","time":"03:19:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Other notable finding: CFR was highest through Jan10th in the 14-15% range.  Has come down steadily since, w/ only .8% CFR since Feb 1 [though for that more recent data, pts have not had time to recover or pass away from COVID so that complicates interpretation] 8/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":4,"likes_count":26,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229606455344599040","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229606176280719400,"conversation_id":"1229603604790759424","created_at":1581995932000,"date":"2020-02-18","time":"03:18:52","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"13% were severe (dyspnea, resp rate >30/min, 02 sat <93%, Pa02/Fi02 ratio<300, lung infiltrates >50% in 24-48 hrs).  4.7% were critical\n(resp failure, septic shock, and/or organ dysfunction/failure). [~1/20 had life threatening dz even while a portion of them did survive.] 8/x","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":14,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229606176280719360","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229605365429555200,"conversation_id":"1229603604790759424","created_at":1581995738000,"date":"2020-02-18","time":"03:15:38","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Some pts had comorbid conditions: Hypertension (13%) Diabetes (5.3%) Cardiovasc Dz (4.2%) Resp Dz (2.4%) Cancer (.5%).  [Surprisingly distinct from findings from early studies, they report that 74% had no comorbid conditions.]  7/x","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":22,"likes_count":76,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229605365429555201","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229604923031068700,"conversation_id":"1229603604790759424","created_at":1581995633000,"date":"2020-02-18","time":"03:13:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Overall, 14% of cases had no Wuhan related exposures [which stated a different way means that 14% of cases are through some kind of community transmission outside of Wuhan.] 6/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":26,"likes_count":74,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229604923031068673","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229604751706394600,"conversation_id":"1229603604790759424","created_at":1581995592000,"date":"2020-02-18","time":"03:13:12","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"As expected, majority of cases are in Hubei province, but 25%\nare in other provinces around China [which does raise question about the rationale\nbehind the comparative intensity of the measures being taken in Wuhan as compared to elsewhere.] 5/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":13,"likes_count":59,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229604751706394624","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229604340819800000,"conversation_id":"1229603604790759424","created_at":1581995494000,"date":"2020-02-18","time":"03:11:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"These 72,314 pts comprised of: 44,672 confirmed; 16,182 suspected;10,567 clinically diagnosed & 889 asymptomatic. [Authors say PCR testing is slow, labor intensive and requires specialized skill and technicians, which is why a substantial portion don’t have PCR test]  3/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":9,"likes_count":53,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229604340819800065","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1229604036900507600,"conversation_id":"1229603604790759424","created_at":1581995421000,"date":"2020-02-18","time":"03:10:21","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Paper says all COVID19 cases must be reported to Chinese Infectious Disease Information System by local PH workers, each case has national identifier and no records duplicated. [Seems like remarkable database with power to analyze data from huge number of pts quickly.] 2/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":9,"likes_count":56,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1229604036900507650","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228715894987264000,"conversation_id":"1228711777933955072","created_at":1581783672000,"date":"2020-02-15","time":"16:21:12","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"New strat for diagnosis of flu-like\nillness in places w/ a + case and elsewhere in the US; communicating safe home\ncare procedures for + cases not sick enough for hospital; managing infxn\ncontrol, PPE equipment, critical care capacity in hospitals; and (17/x)","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":15,"likes_count":48,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228715894987264002","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228715574664089600,"conversation_id":"1228711777933955072","created_at":1581783596000,"date":"2020-02-15","time":"16:19:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Important for US state/city pub\nhealth + hosps to prepare now for possibility of + test from that surveillance\neffort. If/when + occurs, will require major change in COVID response strategies\nincluding: (16/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":24,"likes_count":69,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228715574664089603","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228715447098409000,"conversation_id":"1228711777933955072","created_at":1581783565000,"date":"2020-02-15","time":"16:19:25","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This is important, good development.  Not clear if other countries doing a kind\nof sentinel surveillance for COVID19 – would be valuable if resources\nallow.  If positive cases appear, will\nshow there is community spread happening which would require change in  approach (15/x)","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":10,"likes_count":61,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228715447098408960","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228714954187997200,"conversation_id":"1228711777933955072","created_at":1581783448000,"date":"2020-02-15","time":"16:17:28","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Perhaps other explanations as\nwell. Important to try to understand this so global community can better gauge\nlikelihood of Wuhan-like intensity of epidemic in other major cities around the\nworld. (13/x)","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":8,"likes_count":55,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228714954187997185","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228714337671446500,"conversation_id":"1228711777933955072","created_at":1581783301000,"date":"2020-02-15","time":"16:15:01","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And/or are some containment\nefforts that are happening in Wuhan inadvertently contributing to more\ncases? (10/x)","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":11,"likes_count":57,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228714337671446529","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228714124349255700,"conversation_id":"1228711777933955072","created_at":1581783250000,"date":"2020-02-15","time":"16:14:10","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"And/or infection control\npractices better outside Wuhan because lower case burden, better access to PPE,\nability to isolate? (9/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":9,"likes_count":66,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228714124349255681","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228713982283964400,"conversation_id":"1228711777933955072","created_at":1581783216000,"date":"2020-02-15","time":"16:13:36","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Wuhan continues to be the main\nsource of new infections.  Number of\npossible explanations for this, including: outbreaks in other parts of China and\nworld are still early in their epi curves, with Wuhan having a 1-2 month lead\non all of them? (8/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":19,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228713982283964418","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228713802402869200,"conversation_id":"1228711777933955072","created_at":1581783173000,"date":"2020-02-15","time":"16:12:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Important for China to assess\nwhether some of its containment measures are making it more difficult to provide\nsafe medical care for the hospitalized. (7/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":12,"likes_count":71,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228713802402869248","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228713689127231500,"conversation_id":"1228711777933955072","created_at":1581783146000,"date":"2020-02-15","time":"16:12:26","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Same NYT article says: “Pervasive\nroad checks and travel restrictions have held up shipments. Factories have\nfaced difficulty increasing production because workers and raw materials have\nbeen blocked by lockdowns.”","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":6,"likes_count":54,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228713689127231489","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228712810701521000,"conversation_id":"1228711777933955072","created_at":1581782937000,"date":"2020-02-15","time":"16:08:57","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"In any event, 1700 is a very large number and shows HCWs are at clear\nrisk of infxn elsewhere in China and globally. Hosps need admin controls,\nengineering controls and supplies of PPE for their HCWs caring for pts with\n#COVID19. (4/x)","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":14,"likes_count":101,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228712810701520896","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228712561769681000,"conversation_id":"1228711777933955072","created_at":1581782877000,"date":"2020-02-15","time":"16:07:57","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Need to learn:  what % occurred before best infxn control efforts in place, vs after?;  are certain interventions, practices, PPE approaches associated\nw higher infxn rates?  All of this info should have been released as it\nwas occurring, not wks later. (3/x)","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":12,"likes_count":97,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228712561769680897","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1228711777933955000,"conversation_id":"1228711777933955072","created_at":1581782690000,"date":"2020-02-15","time":"16:04:50","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This thread notes some key #COVID19 developments of last few\ndays and a number of their implications: (1/x)","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":142,"likes_count":211,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1228711777933955072","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226878793706434600,"conversation_id":"1226874513117200387","created_at":1581345673000,"date":"2020-02-10","time":"14:41:13","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Does that mean that in Wuhan some of the deaths have been because there were not enough ventilators or oxygen for the sick?  If so, that is important for other governments' planning efforts.  (14/x)","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":32,"likes_count":140,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226878793706434566","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226878412830040000,"conversation_id":"1226874513117200387","created_at":1581345582000,"date":"2020-02-10","time":"14:39:42","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Dep DG of Med Admin of National Health & Family Planning Commission of PRC, Jiao Yahui, said that due to the lack of medical resources, mortality rate in Wuhan has reached 4.9%. Meanwhile, the death rate for China as a whole is said to have remained at a steady 2.1%. (13/x)","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":33,"likes_count":84,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226878412830040064","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226878152367952000,"conversation_id":"1226874513117200387","created_at":1581345520000,"date":"2020-02-10","time":"14:38:40","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Still don’t have detailed info on mechanism of spread.  Beyond resp droplet spread, is there aerosol or fecal transmission?  Any more information on the earlier reports of asymptomatic transmission that was said to have occurred in China (though w/out details provided) (12/x)","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":27,"likes_count":84,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226878152367951874","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226877875988525000,"conversation_id":"1226874513117200387","created_at":1581345454000,"date":"2020-02-10","time":"14:37:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Still don’t have info on China’s surveillance strategy-what are criteria for testing outside Hubei?  What severity of illness is required for testing?  Is previous Hubei travel required for a test? How many tests being done a day? This info will help gauge severity et al (11/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":20,"likes_count":79,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226877875988525056","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226877492029296600,"conversation_id":"1226874513117200387","created_at":1581345363000,"date":"2020-02-10","time":"14:36:03","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Here are some things we need to learn more about: (10/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":9,"likes_count":38,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226877492029296640","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226877457233367000,"conversation_id":"1226874513117200387","created_at":1581345354000,"date":"2020-02-10","time":"14:35:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"No cases of nCoV in African continues, but there is very little diagnostic testing capacity in Africa.  That will change shortly when nCoV diagnostics are distributed to many African countries by WHO. (9/x)","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":26,"likes_count":85,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226877457233367042","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226877032555925500,"conversation_id":"1226874513117200387","created_at":1581345253000,"date":"2020-02-10","time":"14:34:13","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Cruise ship off Japan continues to quarantine thousands, w 130 people now w/ nCoV --greatest concentration of persons w nCoV outside of China. This approach is not ethical or effective, passengers should be let off ship and quarantined in another safer location (8/x)","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":92,"likes_count":210,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226877032555925505","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226875692509347800,"conversation_id":"1226874513117200387","created_at":1581344933000,"date":"2020-02-10","time":"14:28:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"These JAMA stats on HCW infxns are first since early in outbreak when one cluster of HCW infxns was reported. It’s a surprisingly high # of infxns in 1 hospital. Shows transmissibility of virus.  Are other Wuhan/Hubei hosps struggling w same # of HCW infxns? (4/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":11,"likes_count":48,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226875692509347842","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226874771805098000,"conversation_id":"1226874513117200387","created_at":1581344714000,"date":"2020-02-10","time":"14:25:14","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"New JAMA paper on 138 pts w/ nCoV pneumonia in a Wuhan hosp.  Median age 56; 41% were hosp acquired infxn; all pts w/ bilat lung opacities on CT; 36% needed ICU; time from first sx to ARDS 8 days; and…. (2/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":17,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226874771805097986","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226874513117200400,"conversation_id":"1226874513117200387","created_at":1581344652000,"date":"2020-02-10","time":"14:24:12","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This thread pertains to important new info or developments re: the 2019nCoV epidemic happening over this past weekend, and underscores what we still need to learn on an urgent basis.  Starting with new developments: (1/x)","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":148,"likes_count":226,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1226874513117200387","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225569612193988600,"conversation_id":"1225567858874150912","created_at":1581033540000,"date":"2020-02-06","time":"23:59:00","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Within these larger goals, here are a series of questions/issues that need attention.  First internationally… (6/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":13,"likes_count":54,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1225569612193988608","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225569536633639000,"conversation_id":"1225567858874150912","created_at":1581033522000,"date":"2020-02-06","time":"23:58:42","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"High level priorities for responding to nCoV pandemic include:  global efforts to develop vax+ therapies; rapid scale-up of Dx tests; health care preparedness to care for pts, protect HCWs; pub health preparations to try to slow community spread; open, effective public comm. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":30,"likes_count":97,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1225569536633638912","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225568985648812000,"conversation_id":"1225567858874150912","created_at":1581033390000,"date":"2020-02-06","time":"23:56:30","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Important to make sure containment actions still being taken (e.g. travel bans, large scale quarantines) don't  lower public trust in gov or get in way of efforts to respond to epidemic/pandemic spread of nCoV.  We should respond now as if we are in start of pandemic. (4/x)","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":42,"likes_count":154,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1225568985648812032","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225568536745001000,"conversation_id":"1225567858874150912","created_at":1581033283000,"date":"2020-02-06","time":"23:54:43","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"…extent of nCoV in China w/daily rise in numbers; high connectedness of China to rest of world; high r(0) of virus; spread of cases before containment started; cases in other countries that seem only explainable by community transmission – all suggest nCoV not containable. (3/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":91,"likes_count":200,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1225568536745000960","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225568094371840000,"conversation_id":"1225567858874150912","created_at":1581033178000,"date":"2020-02-06","time":"23:52:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Continued efforts are being made toward containing and ending the nCoV outbreak before it leads to widespread community transmission in countries around the world.  However what we know about this virus /epidemic suggests this goal is likely not attainable:","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":58,"likes_count":118,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1225568094371840000","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1225567858874151000,"conversation_id":"1225567858874150912","created_at":1581033122000,"date":"2020-02-06","time":"23:52:02","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This thread relates to a series of rising issues in the US and internationally in response to #2019nCoV.  (1/x)","mentions":[],"urls":[],"photos":[],"replies_count":16,"retweets_count":264,"likes_count":369,"hashtags":["#2019ncov"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1225567858874150912","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224097405538189300,"conversation_id":"1224096039830843392","created_at":1580682538000,"date":"2020-02-02","time":"22:28:58","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"These new policies raise big concerns. It's understandable US officials are doing what they judge most likely to keep disease from spreading to US, it’s important to consider short & long term consequences and whether these policies will work as planned to contain disease. 5/x","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":21,"likes_count":81,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1224097405538189313","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224096483701428200,"conversation_id":"1224096039830843392","created_at":1580682318000,"date":"2020-02-02","time":"22:25:18","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"For those w/ signs of illness, they are to be tested, and if positive, then isolated. This policy made sense.  3/x","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":17,"likes_count":47,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1224096483701428224","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224096039830843400,"conversation_id":"1224096039830843392","created_at":1580682213000,"date":"2020-02-02","time":"22:23:33","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"This thread regards US policies and actions intended to prevent spread of nCoV into the US and to prepare to respond to a nCoV epidemic within the US.  #2019nCoV 1/x","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":214,"likes_count":310,"hashtags":["#2019ncov"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1224096039830843392","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221436111211253800,"conversation_id":"1221434570714669056","created_at":1580048036000,"date":"2020-01-26","time":"14:13:56","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"But given uncertainties + very high stakes, part of global & national planning efforts should now be aimed at possibility that nCoV containment could fail. (6/x)","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":100,"likes_count":396,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1221436111211253761","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221435767236415500,"conversation_id":"1221434570714669056","created_at":1580047954000,"date":"2020-01-26","time":"14:12:34","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We also don’t have enough data on H2H transmission yet to make confident predictions about how it will spread.  We don’t know enough about extent of asymptomatic cases, asymptomatic spread, proportion of spread happening in health care facilities vs community.   (5/x)","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":75,"likes_count":372,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1221435767236415488","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221435630523052000,"conversation_id":"1221434570714669056","created_at":1580047922000,"date":"2020-01-26","time":"14:12:02","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"We don’t know what overall CFR will be w/ nCoV-that requires more data, time. SARS-like illness has been seen in some, but we don’t know what % of nCoV pts will get severe disease. We all hope it'll be far less than SARS, but we don’t know enough to predict %. (4/x)","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":68,"likes_count":349,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1221435630523052033","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221435168272994300,"conversation_id":"1221434570714669056","created_at":1580047811000,"date":"2020-01-26","time":"14:10:11","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The global community should be doing all it can to be helping China w/ the terrible set of challenges it is facing in its effort to contain nCoV.  It is not only the right thing to do for China, but it is critical in trying to help prevent global spread. (3/x)","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":137,"likes_count":551,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1221435168272994305","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221435005303345200,"conversation_id":"1221434570714669056","created_at":1580047773000,"date":"2020-01-26","time":"14:09:33","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Containment of nCoV is, and should be, the highest priority in China. This requires gov, health care/PH system & the public to work together to ID those w/ sx, get them tested rapidly, get them isolated (home or hospital), provide good med care while keeping HCWs protected. (2/x)","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":84,"likes_count":423,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1221435005303345158","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221434570714669000,"conversation_id":"1221434570714669056","created_at":1580047669000,"date":"2020-01-26","time":"14:07:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"The following thread regards how we should be planning for the possibility that nCoV cannot be contained. #2019nCoV (1/x)","mentions":[],"urls":[],"photos":[],"replies_count":95,"retweets_count":1479,"likes_count":2341,"hashtags":["#2019ncov"],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1221434570714669056","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220803900996931600,"conversation_id":"1220802347191828480","created_at":1579897306000,"date":"2020-01-24","time":"20:21:46","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Will be important to get full info on health care worker infxns that do occur, e.g. what practices were in those settings, what seemed to be cause of infxn. This will help hospitals and health care workers in China and elsewhere in world better protect their staffs.  (7/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":17,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220803900996931584","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220803719349981200,"conversation_id":"1220802347191828480","created_at":1579897262000,"date":"2020-01-24","time":"20:21:02","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"If quarantine efforts are getting in way of Dx testing, or getting hosp supplies in needed to isolate and care for pts, they should be changed or stopped.  Diagnosing and isolating people who have nCoV should be highest priority.  (6/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":17,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220803719349981184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220803538571296800,"conversation_id":"1220802347191828480","created_at":1579897219000,"date":"2020-01-24","time":"20:20:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"What we do know so far suggests med care for those who develop nCoV severe infxn will be like treating pts w ARDS, w/ some portion requiring mech ventilation.  Will need strong infxn control so health care workers are protected.  In SARS, hosp care led to a lot of spread.  (5/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":1,"likes_count":12,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220803538571296768","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220803138434691000,"conversation_id":"1220802347191828480","created_at":1579897124000,"date":"2020-01-24","time":"20:18:44","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Important to note:  still not clear the % of pts w/ nCoV that will get severe illness – need much more dx testing to understand that. This small study that can’t answer that.   Need much more Dx testing data + info on clinical course on many more people to determine that.  (4/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":11,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220803138434691073","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220802611688820700,"conversation_id":"1220802347191828480","created_at":1579896998000,"date":"2020-01-24","time":"20:16:38","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Age range 25-64 with median age 49.  All had pneumonia on CT scan.  In this study, pts who did go on to develop severe resp illness with nCoV have illness that is similar to the severe resp illness seen in SARS.  (3/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":11,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220802611688820736","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220802455593554000,"conversation_id":"1220802347191828480","created_at":1579896961000,"date":"2020-01-24","time":"20:16:01","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Some key points from that paper:  Of 41 hosp pts in the study, 13 needed the ICU, and 6 died.  Of those in the study needing to go to the ICU, only ~1/3 had underlying med condition, broadly defined – e.g. hypertension included as a med condition. (2/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":13,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220802455593553920","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220340883389894700,"conversation_id":"1220335490374742017","created_at":1579786914000,"date":"2020-01-23","time":"13:41:54","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"These things are key for the response in China and for any country responding to cases of this new disease. (12/x)","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":3,"likes_count":8,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220340883389894667","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220340636106285000,"conversation_id":"1220335490374742017","created_at":1579786855000,"date":"2020-01-23","time":"13:40:55","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Meantime, pub education, extensive Dx testing, hosp care for those who need it, strong hosp infxn control, home isolation for people with disease who are not very sick, transparent communication, working to preserve trust in government efforts  – all will be pivotal. (11/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":7,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220340636106285056","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220339730379944000,"conversation_id":"1220335490374742017","created_at":1579786639000,"date":"2020-01-23","time":"13:37:19","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Of course vaccine and Rx should be pursued in China and around world as quickly as possible, but in best possible case, those efforts will take a lot of time.  (10/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":10,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220339730379943936","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220338600992223200,"conversation_id":"1220335490374742017","created_at":1579786369000,"date":"2020-01-23","time":"13:32:49","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"What needs to be a top priority now is to get clarity, though\nintensive diagnostic testing in Wuhan and around china, where the disease is. That will also define how often it is mild vs severe, and whether severe illness usually requires underlying medical conditions.  (9/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":6,"likes_count":17,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220338600992223232","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220338113274359800,"conversation_id":"1220335490374742017","created_at":1579786253000,"date":"2020-01-23","time":"13:30:53","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"A logistical effort on this scale seems likely to draw\nresources away from focuse efforts to dx and isolate (home\nor hospital), and care for sick nCoV cases in affected cities and elsewhere. (8/x)","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":7,"likes_count":8,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220338113274359808","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220337916670619600,"conversation_id":"1220335490374742017","created_at":1579786206000,"date":"2020-01-23","time":"13:30:06","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Large quarantine will places enormous burden on government to ensure routine food, meds, basic necessities continue to flow into\ncity and get to the many millions of people who need them.  A prolonged logistical undertaking like this in huge cities hasn’t happened before. (7/x)","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":12,"likes_count":21,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220337916670619649","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1220337489652736000,"conversation_id":"1220335490374742017","created_at":1579786104000,"date":"2020-01-23","time":"13:28:24","timezone":"UTC","user_id":2426189960,"username":"t_inglesby","name":"Tom Inglesby","place":"","tweet":"Large scale quarantines could make it difficult to move\nhospital supplies from place to place where needed.  May make people less likely to want to self report their illness, or make them want to leave the area if they could find a\nway. (6/x)","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":11,"likes_count":20,"hashtags":[],"cashtags":[],"link":"https://twitter.com/T_Inglesby/status/1220337489652736001","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"2426189960","username":"T_Inglesby"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
