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.
The US has not adequately funding research on this topic so that we can have good data to support policy decisions on this front. Makes me wonder if we really want to have a scientifically sound answer.
Without typing the virus, near complete contact tracing, and routine testing, we won't have the data you all are hoping for.
Until then, we must rely on what we know on where the virus spreads best, and admit that schools have many of those qualities.
Here's places that are looking at the virus spreading and closing schools. We should follow suit. And yes, it is nearly impossible to be a parent and have children in virtual school. I get the stress. Let's work to decrease community spread so we can get back to school.
https://t.co/8XEXxM7bdy
https://t.co/j0e3Xa0L9P
Sorry about the typos, it's after midnight where I am. You don't have to spell correctly or match word tenses after midnight. Isn't that a rule somewhere? 😆

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OK I am going to be tackling this as surveillance/open source intel gathering exercise, because that is my background. I blew away 3 years of my life doing site acquisition/reconnaissance for a certain industry that shall remain unnamed and believe there is significant carryover.


This is NOT going to be zillow "here is how to google school districts and find walmart" we are not concerned with this malarkey, we are homeschooling and planting victory gardens and having gigantic happy families.

With that said, for my frog and frog-adjacent bros and sisters:

CHOICE SITES:

Zillow is obvious one, but there are many good sites like Billy Land, Classic Country Land, Landwatch, etc. and many of these specialize in owner financing (more on that later.) Do NOT treat these as authoritative sources - trust plat maps and parcel viewers.

TARGET IDENTIFICATION AND EVALUATION:

Okay, everyone knows how to google "raw land in x state" but there are other resources out there, including state Departments of Natural Resources, foreclosure auctions, etc. Finding the land you like is the easy part. Let's do a case study.

I'm going to target using an "off-grid but not" algorithm. This is a good piece in my book - middle of nowhere but still trekkable to civilization.

Note: visible power, power/fiber pedestal, utility corridor, nearby commercial enterprise(s), and utility pole shadows visible.
I held back from commenting overnight to chew it over, but I am still saddened by comments during a presentation I attended yesterday by Prof @trishgreenhalgh & @CIHR_IMHA.

The topic was “LongCovid, Myalgic Encephalomyelitis & More”.
I quote from memory.
1/n
#MECFS #LongCovid


The bulk of Prof @Trishgreenhalgh’s presentation was on the importance of recognising LongCovid patient’s symptoms, and pathways for patients which recognised their condition as real. So far so good.

She was asked about “Post Exertional Malaise”... 2/n

PEM has been reported by many patients, and is the hallmark symptom of ME/CFS, leading many to query whether LongCovid and ME/CFS are similar or have overlapping mechanisms.

@Trishgreenhalgh acknowledged the new @NiceComms advice for LongCovid was planned to complement... 3/n

the ME/CFS guidelines, acknowledging some similarities.

Then it all went wrong.
@TrishGreenhalgh noted the changes to the @NiceComms guidance for ME/CFS, removing support for Graded Exercise Therapy / Cognitive Behavioural Therapy. She noted there is a big debate about this. 4/n

That is correct: The BMJ published Prof Lynne Turner Stokes’ column criticising the change (Prof Turner-Stokes is a key proponent of GET/CBT, and I suspect is known to Prof @TrishGreenhalgh).

https://t.co/0enH8TFPoe

However Prof Greenhalgh then went off-piste.

5/n
The outrage is not that she fit better. The outrage is that she stated very firmly on national television with no caveat, that there are no conditions not improved by exercise. Many people with viral sequelae have been saying for years that exercise has made them more disabled 1/


And the new draft NICE guidelines for ME/CFS which often has a viral onset specifically say that ME/CFS patients shouldn't do graded exercise. Clare is fully aware of this but still made a sweeping and very firm statement that all conditions are improved by exercise. This 2/

was an active dismissal of the lived experience of hundreds of thousands of patients with viral sequelae. Yes, exercise does help so many conditions. Yes, a very small number of people with an ME/CFS diagnosis are helped by exercise. But the vast majority of people with ME, a 3/

a quintessential post-viral condition, are made worse by exercise. Many have been left wheelchair dependent of bedbound by graded exercise therapy when they could walk before. To dismiss the lived experience of these patients with such a sweeping statement is unethical and 4/

unsafe. Clare has every right to her lived experience. But she can't, and you can't justifiably speak out on favour of listening to lived experience but cherry pick the lived experiences you are going to listen to. Why are the lived experiences of most people with ME dismissed?

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