Covid-19: How Should We Handle the Schools, and the Challenges of Vaccine Distribution
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- čas přidán 26. 07. 2024
- Decisions about schools have been among the most difficult and controversial in the pandemic. The challenges seem to have grown even more acute recently, as evidence that many schools can be opened safely has collided with surging case counts all over the U.S. In the first segment of this UCSF Covid-19 Grand Rounds, Emily Oster of Brown University, an expert on schools and Covid, and UCSF’s George Rutherford, an epidemiologist and public health authority, will discuss the challenges around school openings.
Now that FDA approval of one or more vaccines appears imminent, in the second segment our focus turns to distribution. While the CDC and FDA will set broad guidelines, much of the heavy lifting will be done closer to home: by states, which will receive vaccine shipments from the manufacturers, and then by local distribution centers, which will need to operationalize the priority list and actually get people vaccinated. Speakers will be Erica Pan, a UCSF pediatric infectious disease faculty member who, as Acting State Health Officer, is leading California’s vaccine distribution effort, Desi Kotis, UCSF Health’s chief pharmacy executive, and George Rutherford. The session is moderated by UCSF Department of Medicine chair Bob Wachter.
Program
Bob Wachter: Introduction
00:05:57-00:16:58 - Pandemic Overview: George Rutherford, UCSF Professor, Dept. of Epidemiology & Biostatistics; Director of the Prevention and Public Health Group
00:16:58-00:28:34 - Schools: Emily Oster, Professor of Economics, Brown University
00:28:34-00:42:10 - Q&A
00:42:10-00:58:33 - Vaccines: Erica Pan, Acting State Health Officer; Deputy Director, Center for Infectious Disease, California Department of Public Health; UCSF Professor, Pediatric Infectious Diseases
00:58:33-01:10:13 - Vaccines: Desi Kotis, UCSF Health’s Chief Pharmacy Executive, Associate Dean, School of Pharmacy
01:10:13-01:23:35 - Q&A
Bob Wachter: Closing
See previous Covid-19 Medical Grand Rounds:
• November 19: Covid-19: Update on Vaccines and Therapeutics
• Covid-19: Update on Va...
• November 5: A Conversation with Kirsten Bibbins-Domingo, Ezekiel Emanuel, and Andy Slavitt: The Implications of the Election on the Future of the Pandemic
• A Conversation w/ Kirs...
• October 22: The Third Wave, the View from Wisconsin, & Navigating Risk in Covid-19
• The Third Wave, the Vi...
• October 6: President Trump’s Covid-19 Diagnosis: Implications for Transmission, Treatment, and Prognosis
• President Trump’s Covi...
See all UCSF Covid-19 grand rounds, which have been viewed over 1.3M times, here: medicine.ucsf.edu/covid-19-ne...
Thank you for this series. I look forward to each episode.
It seems a long since the last update. Thanks again for the insights, much appreciated!
The best source for Covid related updates.
Your grand rounds have been invaluable. I only wish you were back to the weekly schedule.
Of course schools should have remained open. Those little ones are so harmed by being forced to endure hours of ridiculous Zoom quasi-learning. For some children, schools offer nutritional meals and provide a sanctuary from abusive home environments. I have no children of my own but I realize that children are the future. Their education and safety must be top priority. I am so disappointed by fearful adults who put themselves before children.
Fool, if their homes are abusive then take them away from parents. This is a typical hogwash from quasy intelectuals.
Many school districts have put the lunches on bus routes, keeping children fed and bus drivers employed. Some states sent families on the free and reduced lunch program SNAP debit cards.
My district has provided meals delivered via bus routes since the beginning of the pandemic. We also have counselors and social workers helping our students and families. My students who come to class are learning.
And how many of those cases are simply retest? There are roughly 29 million people in CALIFORNIA of which 9 million 18 & under. So far 33 million have been tested. At what point is testing & tracking worth doing.
Again what is the crucial AGE of lost citizens?
Actually children can get a very serious Inflammatory disease, MIS-C, after being exposed to the coronavirus. All parents need to Google "MIS-C", know the symptoms and get immediate medical attention for an infected child.
Thanks for posting this - is there a transcript available? Thank you, again.
George! How can you forget "Smoke on the Water", amigo?!
So, if we get the kids spreading common cold and flu on top of covid, will that be a good idea? Anyone with kids knows that we parents get colds and flu from them. We can't go to work with any of those symptoms either.
Recommendations 28:40
Harvard Data Literally Just Made Up For SCARE Tactics:
This is pretty accurate. These fraudulent papers were published by the *same group* of authors in high impact medical journals. One of the authors was from Harvard. The data was literally fabricated from thin air.
And there were no consequences.
t.co/VkABVOLdhK twitter.com/rising_serpent/status/1335779124527452160?s=20
I was infected in my middle school classroom. Teachers are not being notified when they have been exposed. Teachers' lives matter and so does the safety of their family members.
Wondering which state you are from that does not do contract tracing? Here in BC (Canada) several teacher friends have been contacted about being exposed.
@@beckybarrow7993 Arizona. I think Canada is generally handling everything related to the pandemic much better than anywhere in the United States.
Emily Oster (minute 17) is an economist, not a scientist, not an epidemiologist, not a medical doctor. Her "study" on transmission in schools that she published in the Atlantic "Schools are not Superspreaders" was based on two weeks of non-randomized, self-reported data from the end of September. Her second "study" was based on two weeks of data based on zipcodes in NYC. She fails to note that only 25% of children had chosen in-person schooling, and many instructors only four students in their classroom at a time. Most school districts do not have the personnel to limit class sizes to that level. Mine said, "No more than 22, based on the size of your classrooms."
In addition, Emily Oster wrote that it was fine for women to have one drink of alcohol per day during pregnancy owing to a poor interpretation of two very limited studies. You can read a rebuttal to this nonsense from Susan Ashley, epidemiologist and fetal alcohol syndrome researcher at the University of Washington.
We are not testing asymptomatic children and the general public is refusing to comply with contact tracing. As such, who can say honestly that "transmission of COVID-19 in schools is low"? What we have is absence of evidence for the idea that transmission is low, not evidence of absence of transmission.
Thank you! I was infected in my middle school classroom during an outbreak among teachers AND students on my campus. Teachers' lives and the safety of their families matter. There's also zero contact tracing in schools 🤷♀️ , and there is not easy access to testing. Professional athletes are tested every day. It took me a week to hunt down a test.
You're waiting on a randomized study to determine schools to be safe? How would that work? Are you literally suggesting that a large experiment (since you can only get good data on this if it's large) where students and teachers are randomly assigned to either in-person or remote learning to see who gets infected? Would the teachers' unions support that? It's obviously too late to do something like that anyway given the results would almost certainly only come after the pandemic.
Also, you're wrong that the studies of transmission among people at schools vs. the communities only had two weeks of data. She at one point showed the most recent two weeks as an example but the study was for a longer period of time and showed the lack of difference between school and community transmission throughout. And yes, teachers are getting tested so we would know if there was significant transmission.
Economist are as much scientists as psychologists.
@@theciac6781 as a teacher with 16 years experience in the classroom, I can tell you that classrooms are not safe during a pandemic when there is a highly infectious disease floating around. I caught it in my "very safe" classroom and I followed all the rules.
@@katy9860 why do I care what an economist has to say about a public health issue. I care what infectious disease experts have to say about infectious diseases.
Yes of course use the Doctor from Alameda county that cause Tesla to leave the State - well done Doctor ; well done.
False equivalency even among scientists --very disappointing. Children do not spread as much as adults per individual child because asymptomatic people don't spread as much, but if one were to measure all the spread from all the asymptomatic children which is nefarious because the virus is spread without warning as from the warnings one would get from a coughing adult. So when giving us information be careful of false equivalency. The spread from children is usually not measured so how can you know to state that it is less than the spread from adults which is also not fully measured since there are asymptomatic adults.
The top of the world’s covid-19 virus epidemic prevention is the paradise (Taiwan) that foreigners want to enter, and it is also the world’s only best refuge and epidemic prevention place for human beings. It is the safest place in the world and the only remaining pure land for humanity. Please cherish all these beautiful places. It is also God's Noah's Ark.
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