So I woke up today to learn that the @A2SchoolsSuper has called a snow day. After a four-day weekend. And with tomorrow an "asynchronous" day (i.e., no real school again).

Which might sound reasonable after a storm, except -- there IS no in-person school in Ann Arbor.

My thoughts about Covid in schools-
Our studies are crap. We haven't put appropriate resources into studying this. Merging "in-person school" v "remote school" across the country makes little sense since there's so much heterogeneity in what "in-person school" looks like. 🧵

A teacher in Louisiana in an area with high rates of covid & in-person school, has a class with just 2 students in it. The entire school has 37 students and 12 staff, in a building that can hold hundreds.
Should this school's data be merged with a school that's fully open?

How would merging such disparate data, and everything in-between impact our understanding of Covid in schools? What about when we compare it to the rates in children who are in virtual school?

Things often not considered that should be... Are kids in pods? Are kids doing virtual school in community centers/ churches/ other group settings? Are youth sports or other extracurricular school activities (music, etc) happening in-person. Heterogeneity exist in this group too.

What's asymptomatic testing of children in the community like? We know that children are under-tested, how can we say something is safe if we are NOT TESTING children at the same rate as the rest of the population. We can't embrace the "don't ask (test) don't tell" apprach here.

This thread is for parents of teenagers. I have something for you: the first chapter of @ronlieber’s THE PRICE YOU PAY FOR COLLEGE. Because ye gods, here’s what we and our kids are facing.

Beyond obvious changes, like $$$ tuition prices, the system has changed from when we were in school. Nearly all colleges use so-called “merit-aid” to pay kids for good grades.

This is NOT need-based financial aid, and it’s not about expanding college access for the poor... it's an arms race by schools scrambling for US News rankings.

Tuition list prices are misleading at this point. College seats are more like airline seats, and your kid's actual price is calculated based on everything from his zip code... SAT scores... how much interest he and his cohort have shown in school X (yes they can figure that out.)

Ron has seen NYC high school classes in which three kids were offered admission to the same small school at three different prices-- and *none* of them had applied for need-based financial aid!

Now, what exactly is an applied epidemiologist, and why are they needed? In the late 90s- early 2000's there were a series of articles in AJPH, AJE, JECH, and IJE dedicated to answering these questions. I'll focus on Stephen Thacker's review.

He states, “The applied epidemiologist is by definition an activist, moving rapidly from findings to policy, putting epi knowledge to good use. The 21st century epi must do all these things while maintaining a foundation of high-quality epi research and practice.”

Susser warns the field of what he considers “the black box paradigm… the current international focus on risk factor epidemiology.” He advocates for expanding our academic training to include socializing epis to “keep the improvement of the public’s health as a primary value”

Morabia argued that epidemiology has historically found its balance in the tension between the search for causal relations and the improvement of public health; overemphasis on either perspective puts epidemiology at risk of losing its value.

How does this play out in real life? I’ve been an applied epi for 13 years, working mainly in local, state, and federal health agencies. My work has focused on conducting cool analysis that lead to policy or systemic change.