{"id":1238125893752705000,"conversation_id":"1238088469420871680","created_at":1584027190000,"date":"2020-03-12","time":"15:33:10","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"*This does not mean testing, case isolation & contact tracing is unimportant.","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":10,"likes_count":47,"hashtags":[],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1238125893752705028","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237699621301948400,"conversation_id":"1237693445696864256","created_at":1583925559000,"date":"2020-03-11","time":"11:19:19","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"Important to note this information is based on a video conference with intensivists from the North of Italy, summarising their initial clinical experience managing patients. Useful for clinicians and intensivists.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":7,"likes_count":44,"hashtags":[],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1237699621301948423","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237678098348458000,"conversation_id":"1237678098348457984","created_at":1583920428000,"date":"2020-03-11","time":"09:53:48","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"I see a lot of #COVID19 update/information sessions being planned in person, bringing large/small group of people in a confined space. We need to ask ourselves, is this the most wise decision and can this be delivered in another way?","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":35,"likes_count":161,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1237678098348457984","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237183621674532900,"conversation_id":"1237175747065843712","created_at":1583802535000,"date":"2020-03-10","time":"01:08:55","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"*This analysis is based on data as of March 9th.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":16,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1237183621674532866","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1237175749863407600,"conversation_id":"1237175747065843712","created_at":1583800659000,"date":"2020-03-10","time":"00:37:39","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"This is a reminder that #COVID19 is not a disease of the elderly. All age groups contribute. Especially those who feel well with minimal symptoms are more likely to contribute to the spread infection, and sadly, worst outcomes are observed in the elderly population. #Solidarity","mentions":[],"urls":[],"photos":[],"replies_count":21,"retweets_count":258,"likes_count":571,"hashtags":["#covid19","#solidarity"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1237175749863407618","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1236372854171750400,"conversation_id":"1236372854171750400","created_at":1583609233000,"date":"2020-03-07","time":"19:27:13","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"3rd THREAD:\n\nSummarising unfolding research picture on #COVID19 as the outbreak enters its 3rd month with more data being reported out of China. \n\nThis thread compiles scientific data (with direct links to papers) on what we know so far on #COVID19 #SARSCoV2\n#IDTwitter","mentions":[],"urls":[],"photos":[],"replies_count":110,"retweets_count":1056,"likes_count":2017,"hashtags":["#covid19","#covid19","#sarscov2","#idtwitter"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1236372854171750400","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1234890943498801200,"conversation_id":"1234099234850459649","created_at":1583255918000,"date":"2020-03-03","time":"17:18:38","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"Pardon şimdi gördüm bu soruyu. Tam olarak bulaşı önlemez ama yararlı olabilir çünkü verilere göre hastaların bazılarında her iki enfeksiyon birden görülüyor. Eğer grip veyahut zatürre aşısı önerilen yaş grubunda iseniz olmanızı öneririm.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":1,"likes_count":2,"hashtags":[],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1234890943498801157","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1232392942544998400,"conversation_id":"1232392940074545154","created_at":1582660348000,"date":"2020-02-25","time":"19:52:28","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"“It is likely that Iran is currently experiencing a COVID-19 epidemic of significant size. This is concerning, both for Iran itself, and because of the high for outward dissemination of the epidemic to neighbouring countries with lower capacity to respond to epidemics.”","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":29,"likes_count":64,"hashtags":[],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1232392942544998401","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1231939958560219100,"conversation_id":"1231939958560219139","created_at":1582552349000,"date":"2020-02-24","time":"13:52:29","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"Very concerning that #COVID19 now spreads to Iran, Iraq, Kuwait and Bahrain. Many countries in Middle East are in conflict and more worryingly have limited healthcare capacity to respond to a large epidemic. Strategic preparedness beyond border control is needed in the region.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":33,"likes_count":95,"hashtags":["#covid19"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1231939958560219139","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1227253999012741000,"conversation_id":"1227253999012741121","created_at":1581435129000,"date":"2020-02-11","time":"15:32:09","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"New coronavirus #2019nCoV finally has an official name: \n\nIt is COVID-19 #COVID19 \n\nThis gives a standard format to assign names for any future #coronavirus outbreaks.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":39,"likes_count":77,"hashtags":["#2019ncov","#covid19","#coronavirus"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1227253999012741121","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226716790639800300,"conversation_id":"1226650612919623680","created_at":1581307048000,"date":"2020-02-10","time":"03:57:28","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"Best comment ever 🙌","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":0,"likes_count":1,"hashtags":[],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1226716790639800320","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1226518061940912000,"conversation_id":"1226518061940912133","created_at":1581259668000,"date":"2020-02-09","time":"14:47:48","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"2nd THREAD:\nStarting a new thread on the unfolding research picture on #2019nCoV as the outbreak enters its 2nd month \n\nThis thread compiles scientific data (w links) on what we know so far on #nCoV2019 \n\nNote: Only scientifically sound research articles included","mentions":[],"urls":[],"photos":[],"replies_count":62,"retweets_count":557,"likes_count":1006,"hashtags":["#2019ncov","#ncov2019"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1226518061940912133","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1224642903047315500,"conversation_id":"1224642898051977216","created_at":1580812595000,"date":"2020-02-04","time":"10:36:35","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"3/ and it also highlights that the are still many unknowns about #2019nCoV and we are all learning in real time together. Therefore, a word of caution in publications and news reporting is much needed.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":4,"likes_count":17,"hashtags":["#2019ncov"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1224642903047315456","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1223599369666121700,"conversation_id":"1223599369666121729","created_at":1580563797000,"date":"2020-02-01","time":"13:29:57","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"Misinformation is the biggest and most dangerous epidemic! \n\nMany experts commented on the claims emerging around #nCoV2019 sequences.\n\nHere is the summary of insightful and factful analysis from the experts debunking these unverified conclusions about #coronavirus :","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":84,"likes_count":179,"hashtags":["#ncov2019","#coronavirus"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1223599369666121729","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1221020657242333200,"conversation_id":"1221020657242333184","created_at":1579948984000,"date":"2020-01-25","time":"10:43:04","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"THREAD \nAs the #nCoV2019 outbreak continues, a lot of data emerging in real-time & being rapidly disseminated.  \n\nI compiled the available data (in no particular order) to have a better understanding of #nCoV2019 & will update the list as more info become available. \n#IDTwitter","mentions":[],"urls":[],"photos":[],"replies_count":54,"retweets_count":1688,"likes_count":2843,"hashtags":["#ncov2019","#ncov2019","#idtwitter"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1221020657242333184","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1214200052492722200,"conversation_id":"1214200046071222272","created_at":1578322825000,"date":"2020-01-06","time":"15:00:25","timezone":"UTC","user_id":67069351,"username":"mugecevik","name":"Dr Muge Cevik","place":"","tweet":"I’m sorry but it’s unacceptable to only give a few mins to look for a parking space and abandon this visit without even listening the customer on the phone. I’ve been waiting on the phone to speak to a customer service for over 30 mins, no answer. Simply #terribleservice","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":0,"likes_count":0,"hashtags":["#terribleservice"],"cashtags":[],"link":"https://twitter.com/mugecevik/status/1214200052492722181","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"67069351","username":"mugecevik"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1274873349383106600,"conversation_id":"1274873331196596224","created_at":1592788467000,"date":"2020-06-22","time":"01:14:27","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"What does it mean that we still don’t have basic summary statistics this many months in? Nonprofit groups cannot compel states to produce standardized data, so they make the most of what they have. But it’s long past time for the federal government to step up here.","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":46,"likes_count":168,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1274873349383106562","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1274841970901467100,"conversation_id":"1274841970901467137","created_at":1592780985000,"date":"2020-06-21","time":"23:09:45","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Most common issues I see in scientific writing:\n- Doesn’t explain why the problem is important.\n- No clear takeaway message. (How would the reader explain it to a colleague?)\n- Sentences too long/complex.\n- Doesn’t offer intuition for results.\n- Over-stated conclusions.","mentions":[],"urls":[],"photos":[],"replies_count":54,"retweets_count":314,"likes_count":1718,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1274841970901467137","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1274039689591349200,"conversation_id":"1274039688437927942","created_at":1592589707000,"date":"2020-06-19","time":"18:01:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"(Of course there are many people I am learning from, and so this is just a small sampling. But it's my way of expressing gratitude for the great points that each has added to our public discussions.)","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":2,"likes_count":44,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1274039689591349250","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1273664526869725200,"conversation_id":"1273664030914285575","created_at":1592500261000,"date":"2020-06-18","time":"17:11:01","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"(I realize I'm preaching to the choir by posting this on Twitter.)","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":1,"likes_count":106,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1273664526869725185","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1273272796836237300,"conversation_id":"1273264256767664128","created_at":1592406865000,"date":"2020-06-17","time":"15:14:25","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"This is just one dimension to the numbers, on top of everything else (Rt, test positivity, numbers hospitalized). Of course an explosive outbreak in young people is bad. But it gives some accountability to people saying they can selectively protect the elderly.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":31,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1273272796836237312","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1273264893546975200,"conversation_id":"1273264256767664128","created_at":1592404981000,"date":"2020-06-17","time":"14:43:01","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"We saw this earlier in the epidemic, that countries that are doing a lot of testing have an age distribution that is shifted towards the younger ages. Where we are only testing the most severely ill, the distribution is shifted towards the older ages.","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":10,"likes_count":83,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1273264893546975232","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1273264256767664000,"conversation_id":"1273264256767664128","created_at":1592404829000,"date":"2020-06-17","time":"14:40:29","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"In our continuous search for metrics to track, I'd like to see more discussion of median age of new diagnoses. Lower median age suggests: (1) we are better protecting the elderly, (2) we are testing enough to capture infections in the age range most likely to be missed.","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":47,"likes_count":256,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1273264256767664128","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272931574401642500,"conversation_id":"1272931574401642497","created_at":1592325511000,"date":"2020-06-16","time":"16:38:31","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Hey Twitter, show me your best Zoom backgrounds.","mentions":[],"urls":[],"photos":[],"replies_count":34,"retweets_count":9,"likes_count":61,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272931574401642497","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272920434892300300,"conversation_id":"1272920434107985925","created_at":1592322856000,"date":"2020-06-16","time":"15:54:16","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"\"Diversifying work environments is important. But just as important is equity, [making] available the tools needed for each person to realize their potential. And recognizing that each person may not know which tools they need, or may not feel empowered enough to ask.\"","mentions":[],"urls":[],"photos":[],"replies_count":0,"retweets_count":4,"likes_count":17,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272920434892300289","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272900070451675100,"conversation_id":"1272900061337473026","created_at":1592318000000,"date":"2020-06-16","time":"14:33:20","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"It relies on the assumption that the people most likely to get infected themselves are in turn the ones most likely to infect others. But is that true? Also, if the highly connected nodes are essential workers, and they get sick, won't they be replaced? The dynamics are complex.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":4,"likes_count":42,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272900070451675137","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272900067796582400,"conversation_id":"1272900061337473026","created_at":1592318000000,"date":"2020-06-16","time":"14:33:20","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Certainly prior circulation of other coronaviruses did not protect places like NYC or Italy from experiencing large outbreaks. Cases are rising in Saudi Arabia, where MERS has been most prevalent. So cross-immunity could help certain pockets, but it is not a strategy.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":1,"likes_count":40,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272900067796582400","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272900066093785000,"conversation_id":"1272900061337473026","created_at":1592317999000,"date":"2020-06-16","time":"14:33:19","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- Surveys suggest that most places still have seroprevalence below 10%, unless they have had large outbreaks. There may be cross-immunity with other coronaviruses that wouldn't be reflected in a SARS-CoV-2-specific antibody test, but we have to wonder about the magnitude.","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":1,"likes_count":37,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272900066093785089","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272900065296859100,"conversation_id":"1272900061337473026","created_at":1592317999000,"date":"2020-06-16","time":"14:33:19","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"I would tend to advocate for an approach that stratified by age to separate out these questions. Is the profile of those infected changing? And, once infected, are people better off?","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":2,"likes_count":48,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272900065296859136","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272900064109789200,"conversation_id":"1272900061337473026","created_at":1592317999000,"date":"2020-06-16","time":"14:33:19","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- IFR isn't a very useful summary statistic, as it is an average across different age/risk groups, and the age/risk profile varies from place to place. I haven't seen evidence that it is declining, but that could occur if care improves or we more effectively protect the elderly.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":5,"likes_count":55,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272900064109789188","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552643039281200,"conversation_id":"1272552635434967040","created_at":1592235167000,"date":"2020-06-15","time":"15:32:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"\"... which require adequate resources and a well-supported, community-based team of trained, protected personnel. Every part of this public health chain needs to be strengthened.\" 11/END","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":13,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552643039281159","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552642313629700,"conversation_id":"1272552635434967040","created_at":1592235167000,"date":"2020-06-15","time":"15:32:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Conclusion: \"Resource-constrained African governments face difficult choices regarding surveillance and easing of lockdown. Control of the pandemic will be possible only with efficient community screening, testing, and contact tracing and behavioral change interventions...\" 10/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":6,"likes_count":13,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552642313629698","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552641554452500,"conversation_id":"1272552635434967040","created_at":1592235167000,"date":"2020-06-15","time":"15:32:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Leverage existing resources for contract tracing: The Democratic Republic of the Congo has adapted training materials and protocols used for Ebola. Community healthcare workers use mobile phone calls, SMS texts, and home visits if necessary. 9/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":5,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552641554452480","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552640879251500,"conversation_id":"1272552635434967040","created_at":1592235167000,"date":"2020-06-15","time":"15:32:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Support the healthcare workforce: They recommend easing access to testing by having testing centers at workplaces, improving testing turnaround for staff, and support staff quarantining while waiting for results, especially with management of their households/families. 8/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":8,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552640879251457","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552640220717000,"conversation_id":"1272552635434967040","created_at":1592235166000,"date":"2020-06-15","time":"15:32:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Make testing more accessible: \"Point-of-care COVID-19 testing at pharmacies may improve access to care and effective use of available healthcare workforce.\" 7/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":6,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552640220717056","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552639499317200,"conversation_id":"1272552635434967040","created_at":1592235166000,"date":"2020-06-15","time":"15:32:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Decentralize testing: \"Incorporation of private and NGO labs.. and the use of existing available point-of-care diagnostic platforms for other diseases (TB, HIV) are promising strategies to improve availability and turnaround times and reduce reliance on central labs.\" 6/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":4,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552639499317250","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552638819774500,"conversation_id":"1272552635434967040","created_at":1592235166000,"date":"2020-06-15","time":"15:32:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Strengthen existing laboratory networks: \"Refresh and train existing laboratory technicians working in molecular\ndiagnosis.\" \"Refurbish the National reference laboratory.\" 5/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":1,"likes_count":5,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552638819774464","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552638077378600,"conversation_id":"1272552635434967040","created_at":1592235166000,"date":"2020-06-15","time":"15:32:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Rumor control: An important strategy is \"ongoing communication to communities, in local languages using multiple platforms and players to immediately address inaccuracies circulating on social media by using authoritative voices - daily myth busters.\" 4/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":12,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552638077378560","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552637334945800,"conversation_id":"1272552635434967040","created_at":1592235166000,"date":"2020-06-15","time":"15:32:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Community health workers: \"In South Africa, approximately 28,000 Community Healthcare Workers have been deployed. By the end of April 2020, over six million people were screened and 42,000 referred for testing.\" In Tanzania, teams walk the streets educating the community. 3/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":6,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552637334945792","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272552636621955000,"conversation_id":"1272552635434967040","created_at":1592235166000,"date":"2020-06-15","time":"15:32:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Summary:\n\"This crisis presents a unique opportunity to align COVID-19 services with those already in place for HIV, TB, Malaria, and other non-communicable diseases through mobilization of Africa's inter-professional healthcare workforce to contain the pandemic.\" 2/11","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":7,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272552636621955074","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272252168557531100,"conversation_id":"1272252168557531136","created_at":1592163528000,"date":"2020-06-14","time":"19:38:48","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"A proposal - for every high-impact publication by US or UK authors advising other countries’ COVID response, we publish a paper by them giving us advice. Frankly, we could use the input!","mentions":[],"urls":[],"photos":[],"replies_count":13,"retweets_count":34,"likes_count":214,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272252168557531136","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272219734076002300,"conversation_id":"1272219726169718785","created_at":1592155795000,"date":"2020-06-14","time":"17:29:55","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"\"Having once brought Boston-style medicine to Haiti, now PIH was trying to bring some elements of Haiti-style medicine to Boston. 'Reverse innovation.'\"\nIt's a call for us to spend more time listening to the collective wisdom of people who've done this before. 8/8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":15,"likes_count":80,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272219734076002304","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272219733245530000,"conversation_id":"1272219726169718785","created_at":1592155795000,"date":"2020-06-14","time":"17:29:55","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"My editorial comment - I think the most valuable solutions are not going to come from scientists, but rather from people experienced in implementation and the \"public health slog.\"  We have a set of tools that we know can help. How do we make them work more effectively? 7/8","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":11,"likes_count":72,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272219733245530112","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272219731613954000,"conversation_id":"1272219726169718785","created_at":1592155795000,"date":"2020-06-14","time":"17:29:55","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Importantly, the work is difficult because of the missing social safety net. People have \"tested positive because their jobs required them to be caregivers... Now we’re requiring them, in terms of solidarity, to flatten the curve, to stay home. But they... can’t get food.\" 6/8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":40,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272219731613954049","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272219730716303400,"conversation_id":"1272219726169718785","created_at":1592155795000,"date":"2020-06-14","time":"17:29:55","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"A tracer needs \"a long list of agencies supplying various services, and volunteers willing to run errands for people who can’t. Much of his day is spent finding someone to pick up a particular bag of groceries from a particular food pantry, or a nebulizer from a pharmacy.\" 5/8","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":7,"likes_count":31,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272219730716303361","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272219729827070000,"conversation_id":"1272219726169718785","created_at":1592155794000,"date":"2020-06-14","time":"17:29:54","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Category 3: Care-resource coordinators help people solve problems that might prevent them from being able to isolate themselves - how to get food or find a place to stay. \"Without helping people to isolate, you would never persuade them to do so.\" 4/8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":8,"likes_count":30,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272219729827069952","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272219728107516000,"conversation_id":"1272219726169718785","created_at":1592155794000,"date":"2020-06-14","time":"17:29:54","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Category 2: Contact tracers call each of these contacts, ask them to isolate, and then follow up frequently to make sure they were doing so and to check for any symptoms. The essential part of their job is to persuade the contacts to isolate at home. \"Voluminous coaxing.\" 3/8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":28,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272219728107515905","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272219727293808600,"conversation_id":"1272219726169718785","created_at":1592155794000,"date":"2020-06-14","time":"17:29:54","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Twenty-two thousand people have applied to work with PIH, some \"comically overqualified\" for the job. Hires are divided into three job categories.\n\nCategory 1: Case investigators quickly call people who have tested positive and interview them extensively about their contacts. 2/8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":7,"likes_count":31,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272219727293808641","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1272205775901995000,"conversation_id":"1272189580037496833","created_at":1592152468000,"date":"2020-06-14","time":"16:34:28","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"What I like about the new dashboard:\n- Provides information about nearby testing sites\n- Data are easily exportable (not PDFs)\n\nWhat I didn’t understand about the new dashboard:\n- Why combine PCR tests with antibody tests to get a total confirmed positive?","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":1,"likes_count":22,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1272205775901995008","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271985317122375700,"conversation_id":"1271973142462939136","created_at":1592099906000,"date":"2020-06-14","time":"01:58:26","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"In a presentation given by Professor Oshitani, he noted that only a few clusters had emerged from air/train travel. He commented that travelers tend to sit quietly and keep to themselves. Mask-wearing is also very common in Japan.","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":85,"likes_count":272,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1271985317122375681","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271778435866771500,"conversation_id":"1271777475798892544","created_at":1592050582000,"date":"2020-06-13","time":"12:16:22","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"(As others have pointed out, those linear regressions are a big yikes.)","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":1,"likes_count":70,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1271778435866771457","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271499966041727000,"conversation_id":"1271499961218326534","created_at":1591984189000,"date":"2020-06-12","time":"17:49:49","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Thus, the observed data are not consistent with a herd immunity theory, though they make a ton of sense with effective lockdowns.\n\nKudos to the authors for putting this together. 6/END","mentions":[],"urls":[],"photos":[],"replies_count":15,"retweets_count":28,"likes_count":135,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1271499966041726983","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271499965353902000,"conversation_id":"1271499961218326534","created_at":1591984189000,"date":"2020-06-12","time":"17:49:49","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Furthermore, if these areas had all plateaued because of herd immunity due to some \"immunological dark matter,\" why would seroprevalence settle at different values? Countries within Europe are presumably pretty similar in terms of their exposure to other viruses. 5/6","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":20,"likes_count":85,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1271499965353902083","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271160126163030000,"conversation_id":"1271160124078514177","created_at":1591903165000,"date":"2020-06-11","time":"19:19:25","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Adding my own thoughts, imagine a workplace exposure. There is a balance between the effort of tracing (who did you see? for how long?) and the cost of testing. As testing capacity increases, at some point it would make sense to just test everyone. 4/4","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":4,"likes_count":28,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1271160126163030016","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271160125529763800,"conversation_id":"1271160124078514177","created_at":1591903165000,"date":"2020-06-11","time":"19:19:25","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"\"'If you look at the best contact tracing systems, they’re doing case finding,' [Harrison] says, citing an example from South Korea, where an outbreak in a call centre in a tower block resulted in 1143 people being tested, of whom 97 were positive.\" 3/4","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":3,"likes_count":17,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1271160125529763841","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1271160124875387000,"conversation_id":"1271160124078514177","created_at":1591903165000,"date":"2020-06-11","time":"19:19:25","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Instead of tracking down individual contacts, \"[w]ith case finding you take a different approach by saying, ‘I’m going to test everybody potentially infected.’ So, if you had one kid infected you might want to test the whole class or even the whole school.” 2/4","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":1,"likes_count":10,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1271160124875386882","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270882722295287800,"conversation_id":"1270877975722983424","created_at":1591837027000,"date":"2020-06-11","time":"00:57:07","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"To clarify, this result is based on a model. And when I say I’m skeptical, I mean I don’t think this is a question that can be addressed by putting assumptions into a mathematical model. Besides, the Japanese wear masks and they still need contact tracing. No silver bullets!","mentions":[],"urls":[],"photos":[],"replies_count":14,"retweets_count":17,"likes_count":158,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270882722295287808","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370341148340200,"conversation_id":"1270370335515389958","created_at":1591714866000,"date":"2020-06-09","time":"15:01:06","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Conclusion:\n- This is a new virus. There is still a lot of uncertainty.\n\n- It is hard to communicate this level of uncertainty to the general public.\n\n- But we know that people without symptoms can transmit, and so our policies and actions must reflect this. 8/END","mentions":[],"urls":[],"photos":[],"replies_count":19,"retweets_count":202,"likes_count":742,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370341148340225","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370340364001300,"conversation_id":"1270370335515389958","created_at":1591714866000,"date":"2020-06-09","time":"15:01:06","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- As a result, direct evidence of how frequently asymptomatic people transmit is even more limited.\n\n- Again, we need better contact tracing data and more testing to sort this out. 7/8","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":23,"likes_count":222,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370340364001286","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370339521024000,"conversation_id":"1270370335515389958","created_at":1591714865000,"date":"2020-06-09","time":"15:01:05","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- Some people never develop symptoms (fully asymptomatic).\n\n- We don't know how often they transmit to others, mostly because they are so difficult to find, and even more difficult to link in chains of transmission. Imagine all of the above challenges, but even harder. 6/8","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":28,"likes_count":224,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370339521024002","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370338711515100,"conversation_id":"1270370335515389958","created_at":1591714865000,"date":"2020-06-09","time":"15:01:05","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- Another source of evidence is that people have high viral load around the time when they develop symptoms.\n\n- But knowing someone has high viral load is not the same as knowing they can infect others. 5/8","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":16,"likes_count":197,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370338711515139","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370337792950300,"conversation_id":"1270370335515389958","created_at":1591714865000,"date":"2020-06-09","time":"15:01:05","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- Given what we know about how long it takes from infection to developing symptoms, we can estimate whether transmission was likely before or after the first person developed symptoms. We average across a lot of people.\n\n- For this, we need high quality contact tracing data. 4/8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":20,"likes_count":194,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370337792950272","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370336991838200,"conversation_id":"1270370335515389958","created_at":1591714865000,"date":"2020-06-09","time":"15:01:05","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- Outside of these instances that show it can occur, it is difficult to measure how often it occurs.\n\n- We can look at likely pairs of cases (infected family members) and see who had symptom onset first, and measure how far apart these onsets were. 3/8","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":21,"likes_count":191,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370336991838208","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370336262029300,"conversation_id":"1270370335515389958","created_at":1591714865000,"date":"2020-06-09","time":"15:01:05","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"- This is observed by tracing data. There are instances where someone was infected but their only possible exposure was a pre-symptomatic contact.\n\n- To be sure, we must rule out all other potential sources of infection (fomites, untraced contacts). 2/8","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":27,"likes_count":254,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370336262029312","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270370335515390000,"conversation_id":"1270370335515389958","created_at":1591714864000,"date":"2020-06-09","time":"15:01:04","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"What I would like everyone to take away from this whole asymptomatic/pre-symptomatic debate:\n\n- There is evidence that people can transmit to others before they develop symptoms (pre-symptomatic period).\n\n- This means that people without current symptoms can be infectious. 1/8","mentions":[],"urls":[],"photos":[],"replies_count":33,"retweets_count":865,"likes_count":1993,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270370335515389958","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270164488801616000,"conversation_id":"1270164164955250690","created_at":1591665787000,"date":"2020-06-09","time":"01:23:07","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"If anyone has any good training resources for sci comm, feel free to share them below. We could all benefit!","mentions":[],"urls":[],"photos":[],"replies_count":32,"retweets_count":8,"likes_count":118,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270164488801615879","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270164164955250700,"conversation_id":"1270164164955250690","created_at":1591665710000,"date":"2020-06-09","time":"01:21:50","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"A general comment about science communications. Scientists are rarely trained to talk to the public. It’s hard to explain complicated concepts simply. It’s easier to retreat to our familiar technical language.","mentions":[],"urls":[],"photos":[],"replies_count":68,"retweets_count":90,"likes_count":759,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270164164955250690","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270131992852603000,"conversation_id":"1270118956427345920","created_at":1591658039000,"date":"2020-06-08","time":"23:13:59","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"To clarify, I’m not defending their confusing communications! It’s just that I don’t see a paradigm shift in the science. But I agree with others that absence of evidence is not evidence of absence. These studies are very hard to do, making it particularly hard to quantify.","mentions":[],"urls":[],"photos":[],"replies_count":18,"retweets_count":41,"likes_count":357,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270131992852602880","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270118967206649900,"conversation_id":"1270118956427345920","created_at":1591654934000,"date":"2020-06-08","time":"22:22:14","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"If fully asymptomatic transmission is rare, this could impact how we monitor exposed contacts (how long to quarantine). But otherwise, it seems more of scientific than practical interest. People without current symptoms could be infectious. Act accordingly. 3/3","mentions":[],"urls":[],"photos":[],"replies_count":20,"retweets_count":155,"likes_count":676,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270118967206649856","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270118965784838100,"conversation_id":"1270118956427345920","created_at":1591654933000,"date":"2020-06-08","time":"22:22:13","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"We haven’t seen a lot of evidence of fully asymptomatic people transmitting to many others (though admittedly these tracing studies are hard to do). Pre-symptomatic transmission, on the other hand, is why SARS-CoV-2 has been harder to control than SARS-CoV. 2/3","mentions":[],"urls":[],"photos":[],"replies_count":11,"retweets_count":167,"likes_count":690,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270118965784838159","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1270000532225220600,"conversation_id":"1269990234030313472","created_at":1591626697000,"date":"2020-06-08","time":"14:31:37","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Science is already working at lightning speed to find vaccines (plural) that we are confident are safe and effective. In the mean time, we need to build up our other tools (testing, tracing, sustainable behavior changes) so that we can live safely.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":9,"likes_count":87,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1270000532225220609","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1269998109377147000,"conversation_id":"1269990234030313472","created_at":1591626119000,"date":"2020-06-08","time":"14:21:59","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"For COVID, not only is a randomized field trial possible, it could be done quickly if placed in areas with high transmission. And like the Ebola ring vaccination trial, the trial is part of the outbreak response. Many thousands vaccinated to demonstrate that the vaccine works.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":12,"likes_count":90,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1269998109377146880","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1269998108580237300,"conversation_id":"1269990234030313472","created_at":1591626119000,"date":"2020-06-08","time":"14:21:59","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"There are exceptional circumstances where vaccines are approved by \"alternative pathways\" (animal rule, etc). These pathways are typically only considered where a randomized field trial is not possible. Rabies vaccine is a good example.","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":5,"likes_count":46,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1269998108580237312","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1269992209337761800,"conversation_id":"1269990234030313472","created_at":1591624712000,"date":"2020-06-08","time":"13:58:32","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"A parallel would be approving HCQ based on any of the “promising” but uncontrolled studies that came out in April. It’s just not enough information.","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":5,"likes_count":52,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1269992209337761798","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1268626047869882400,"conversation_id":"1268626047869882370","created_at":1591298994000,"date":"2020-06-04","time":"19:29:54","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Question for #epitwitter - What is the best term for a cumulative incidence where the denominator is the whole population (not just people still at risk)?\n\nExample: (# of new cases in a 3 month period)/(total population including previously infected) = ?","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":3,"likes_count":16,"hashtags":["#epitwitter"],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1268626047869882370","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1268610920571338800,"conversation_id":"1268608021271318528","created_at":1591295387000,"date":"2020-06-04","time":"18:29:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Reporters, feel free to call me Natalie in email or on the phone. But when I am introduced to viewers or listeners as Natalie, how do they know I wasn't just plucked off the street?","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":4,"likes_count":67,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1268610920571338752","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1268293075253825500,"conversation_id":"1268293065741152257","created_at":1591219607000,"date":"2020-06-03","time":"21:26:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"My overall reaction - more useful evidence that HCQ is not effective, but I don't think this is the end of HCQ. The drug is cheap and available, so we want to be sure. I would still like to see results from other ongoing, larger pre- and post-exposure prophylaxis trials. 7/END","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":6,"likes_count":62,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1268293075253825537","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1268293073605480400,"conversation_id":"1268293065741152257","created_at":1591219607000,"date":"2020-06-03","time":"21:26:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"The study was randomized, so there should be no big difference between the groups in terms of the symptoms-only (less objective) endpoint. But HCQ does have side effects. Patients were reasonably able to guess if they received HCQ or placebo, so who knows if that mattered. 6/7","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":4,"likes_count":22,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1268293073605480450","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1268293072670113800,"conversation_id":"1268293065741152257","created_at":1591219606000,"date":"2020-06-03","time":"21:26:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"There was no difference across the two groups looking at the composite primary endpoint of confirmed or probable disease. There was also no difference looking just at PCR confirmed cases (second row), though there were relatively few of these. 5/7","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":2,"likes_count":19,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1268293072670113797","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1268293069255987200,"conversation_id":"1268293065741152257","created_at":1591219606000,"date":"2020-06-03","time":"21:26:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"But a challenge with this strategy was that the investigators did not have tight control over confirmatory testing. While the expectation was that testing would become more broadly available, it remained unfortunately limited even for participating healthcare workers. 3/7","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":21,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1268293069255987201","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1268293067565662200,"conversation_id":"1268293065741152257","created_at":1591219605000,"date":"2020-06-03","time":"21:26:45","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"The study design is notable. Individuals with a known household or occupational exposure were able to sign up remotely and study drug (HCQ regimen or placebo) was shipped to them overnight. This is a creative strategy to access a wider pool of participants. 2/7","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":2,"likes_count":28,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1268293067565662208","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1267891427238908000,"conversation_id":"1267887741439803392","created_at":1591123847000,"date":"2020-06-02","time":"18:50:47","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"I'm not an expert in contact tracing, so I look to those who are for thoughts, but there is something intriguing here. How can we study it further? Or replicate it elsewhere?","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":3,"likes_count":32,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1267891427238907912","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266328825669062700,"conversation_id":"1266328825669062656","created_at":1590751293000,"date":"2020-05-29","time":"11:21:33","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"We talk about the cycle of panic and neglect between epidemics. But this can also play out within a pandemic. Numbers in an area may be low for a stretch, leading to complacency, but then we need to be using this time to prepare.","mentions":[],"urls":[],"photos":[],"replies_count":7,"retweets_count":51,"likes_count":226,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266328825669062656","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266195342304968700,"conversation_id":"1266171779711733761","created_at":1590719469000,"date":"2020-05-29","time":"02:31:09","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"The fact that the replies to this range from “why would anyone send their kid back?” to “we already have the evidence we need to restart schools” suggests we can have a real conversation about equipoise.","mentions":[],"urls":[],"photos":[],"replies_count":9,"retweets_count":5,"likes_count":28,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266195342304968706","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266175070893940700,"conversation_id":"1266171779711733761","created_at":1590714635000,"date":"2020-05-29","time":"01:10:35","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"“If there were no increased transmission, the third phase would compare that less restrictive setting with a full, unrestricted reopening.”\n\nThis process of laying out alternatives and describing how we decide between them is exactly what we need to move the conversation forward.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":1,"likes_count":24,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266175070893940736","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266174729641177000,"conversation_id":"1266171779711733761","created_at":1590714554000,"date":"2020-05-29","time":"01:09:14","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"“If the careful reopening did not result in increased transmission, then in the second stage: Schools in one district would open with 1/2 the normal number of students and 6ft distancing while those in the other would have 3/4 of the normal number of students and 3ft distancing.”","mentions":[],"urls":[],"photos":[],"replies_count":5,"retweets_count":2,"likes_count":18,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266174729641177090","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266174014130655200,"conversation_id":"1266171779711733761","created_at":1590714384000,"date":"2020-05-29","time":"01:06:24","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"The proposed trial progressed in cycles. “In the first cycle, schools in one district would remain closed while those in another would reopen carefully with, for example, half the usual number of students and with six-foot social distancing in place.”","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":4,"likes_count":18,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266174014130655242","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266087085200625700,"conversation_id":"1266087080037400577","created_at":1590693658000,"date":"2020-05-28","time":"19:20:58","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Part of me wonders if the disruption of this pandemic could lead to a positive and lasting change in the use of self-directed learning. Certainly seems like now is a good time to experiment. 6/END","mentions":[],"urls":[],"photos":[],"replies_count":6,"retweets_count":2,"likes_count":58,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266087085200625665","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266087082625286100,"conversation_id":"1266087080037400577","created_at":1590693657000,"date":"2020-05-28","time":"19:20:57","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Our forced experiment here is distance learning at a previously unimaginable scale. Of course there are many downsides, but during this period of disruption, can we identify better strategies that we may want to preserve long-term? 4/6","mentions":[],"urls":[],"photos":[],"replies_count":1,"retweets_count":1,"likes_count":21,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266087082625286145","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266087081853571000,"conversation_id":"1266087080037400577","created_at":1590693657000,"date":"2020-05-28","time":"19:20:57","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Shouldn't commuters have already identified their optimal routes before the strikes? The research suggests that maybe they had not truly explored all options, as indeed better routes were out there. Researchers accredit this to \"forced experimentation.\" 3/6","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":2,"likes_count":25,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266087081853571076","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266087080037400600,"conversation_id":"1266087080037400577","created_at":1590693657000,"date":"2020-05-28","time":"19:20:57","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"One thing that attracted me to Twitter is that I like teaching and thinking about teaching. Obviously students and educators are experiencing a massive disruption right now and for the near-term. What does this mean for the way we educate students? A thread 6/6.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":18,"likes_count":97,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266087080037400577","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1266047821133820000,"conversation_id":"1266044264967962626","created_at":1590684297000,"date":"2020-05-28","time":"16:44:57","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"It's a difficult problem. I don't have an answer. I'd be interested to learn more about the range of strategies being proposed right now.","mentions":[],"urls":[],"photos":[],"replies_count":10,"retweets_count":2,"likes_count":30,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1266047821133819904","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265456860024447000,"conversation_id":"1265441742830084096","created_at":1590543401000,"date":"2020-05-27","time":"01:36:41","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"But these are not the only tools available. If things take off in the future, we may be forced to resume stringent measures. But considering the cost of lockdown, we should be investing now in the proactive interventions that could help us avoid this.","mentions":[],"urls":[],"photos":[],"replies_count":8,"retweets_count":15,"likes_count":118,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1265456860024446976","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265456853196161000,"conversation_id":"1265441742830084096","created_at":1590543399000,"date":"2020-05-27","time":"01:36:39","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"To explain, we already have many models examining the role of movement restrictions. Where no other interventions are modeled, the options are: 1) lockdown forever, 2) never lockdown, 3) intermittently lockdown. In that case, 3) is the best of a set of bad options.","mentions":[],"urls":[],"photos":[],"replies_count":4,"retweets_count":12,"likes_count":59,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1265456853196161029","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265435841087840300,"conversation_id":"1265433337591664645","created_at":1590538389000,"date":"2020-05-27","time":"00:13:09","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"My original tweet was inside baseball. The question is about how you decide who to enroll in a COVID vaccine efficacy trial. Flexibility is good - pick sites with high incidence. But easier to enroll lots of people than to restrict to just people in contact with confirmed cases.","mentions":[],"urls":[],"photos":[],"replies_count":2,"retweets_count":2,"likes_count":14,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1265435841087840258","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265271992833507300,"conversation_id":"1265271992057561088","created_at":1590499325000,"date":"2020-05-26","time":"13:22:05","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"\"Ms. Oldford, who herself has been terrified to go for blood tests... found a clinic that agreed to do her blood draws at home.\" “If you’re afraid and you’re frozen, you have to somehow reach out and just say, ‘Please help me figure out how to do this so that I’m not so scared.’”","mentions":[],"urls":[],"photos":[],"replies_count":3,"retweets_count":0,"likes_count":17,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1265271992833507328","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1265046123401666600,"conversation_id":"1265046123401666562","created_at":1590445473000,"date":"2020-05-25","time":"22:24:33","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"What could “cluster busting” mean? If we see emerging cases with an apparent link, prioritize tracing efforts there. There may have been a super-spreading event (at a church, a party, etc) and thus more cases to be found. Any comments from #epitwitter on feasibility?","mentions":[],"urls":[],"photos":[],"replies_count":12,"retweets_count":26,"likes_count":135,"hashtags":["#epitwitter"],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1265046123401666562","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264743693808013300,"conversation_id":"1264743682806333441","created_at":1590373369000,"date":"2020-05-25","time":"02:22:49","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"So certainly it would be *amazing* to have effective SARS, MERS, and HIV vaccines, but I do not view the lack of approved vaccines as indicating that we are unlikely to find one for SARS-CoV-2. Particularly because we are pursuing so many different candidates at once. 7/7 END","mentions":[],"urls":[],"photos":[],"replies_count":75,"retweets_count":302,"likes_count":3014,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1264743693808013313","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264743682806333400,"conversation_id":"1264743682806333441","created_at":1590373366000,"date":"2020-05-25","time":"02:22:46","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Why don't we have a vaccine for SARS? MERS? HIV? These viruses have been around longer than SARS-CoV-2. A mini-thread to provide some perspective and even a little dose of optimism. We are not in the same situation here. 1/7","mentions":[],"urls":[],"photos":[],"replies_count":191,"retweets_count":5541,"likes_count":14519,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1264743682806333441","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
{"id":1264691310432325600,"conversation_id":"1264691310432325636","created_at":1590360879000,"date":"2020-05-24","time":"22:54:39","timezone":"UTC","user_id":1005085697018138600,"username":"nataliexdean","name":"Natalie E. Dean, PhD","place":"","tweet":"Hey Twitter. What are the best relief organizations to donate to? Particularly those helping families in need.\n\nOn a related note, consider making a donation if you are able. 💙","mentions":[],"urls":[],"photos":[],"replies_count":35,"retweets_count":13,"likes_count":92,"hashtags":[],"cashtags":[],"link":"https://twitter.com/nataliexdean/status/1264691310432325636","retweet":false,"quote_url":"","video":0,"near":"","geo":"","source":"","user_rt_id":"","user_rt":"","retweet_id":"","reply_to":[{"user_id":"1005085697018138624","username":"nataliexdean"}],"retweet_date":"","translate":"","trans_src":"","trans_dest":""}
