Not quite. I’m arguing that they did the best that they legally could when constrained by bad policy. These are hard ethical calls. Do you continue working for an org that you think is heading in the wrong direction, or do you try to do your best from inside?

@Justfirenews I think about this a lot. For instance, my university brought back uni students for in-person learning last fall w no surveillance testing or modified housing. I thought that was a reckless decision. But I didn’t quit my job...
@Justfirenews Partially bc the balance of the work my colleagues were doing locally, nationally, & globally was so important and I could support that in a small way. Also income and longterm professional goals that I think will help public health beyond covid.
@Justfirenews I think my position is justified. I think the work of many of my applied public health colleagues has been heroic and harm-reducing.
@Justfirenews But I recognize that there are always ethical minefields. For instance, finders. My research is mostly supported by the federal government. I think it’s ethical to use that money for my work. But what about Department of Defense? They also...
@Justfirenews ...fund a lot of important work but I know some people who don’t think it’s ok to take that money. What about private foundations that support causes I find antithetical to my values? There’s at least two times I didn’t apply for something bc of the funders.
@Justfirenews ...but I understand why someone else would. And I understand that others may feel my own partnerships with government funders are not maximally ethical. These are real questions.
@Justfirenews But my interactions with low- and mid-level federal, state, and local applied public health folks don’t fall into this camp. From what I’ve seen, these people have behaved heroically in the midst of an awful situation...
@Justfirenews like medical providers forced to do triage bc they don’t have the staff, supplies and support they need, applied public health folks have been forced into situations with tradeoffs they should not have had to make. It’s very very heavy.
@Justfirenews But they are too busy working their a**es off to be on Twitter explaining good all themselves. So I feel called up give witness to what I’ve seen of their work. It’s moving. As bad as it is, it could have been even worse. They are the best of us.
@Justfirenews So many typos. But hopefully the message comes through.

More from For later read

Humans inherently like the act of solidarity. We are social beings. We like to huddle up and be together.
They used this against us.
They convinced us that it was an act of solidarity to flatten the curve, to wear a mask for others, to take the vaccines for others,


and to reach #covidzero for others. They convinced us that this was for the greater good of society.
In reality, this couldn't be further away from the truth. They have divided us and broken the core structure of our society. They have dehumanized us with their masks.

They set us against each other into clans on opposite sides of a spectrum. They have turned us into aggressive beings fighting for our survival. Some of us fear harm from the virus, others fear harm from the vaccine, and yet others fear harm from the attack on our civilization.

We are all on a flight or fight mode. We are all operating under the influence of fear. We must collect ourselves and reflect on what has happened over the last year.
How is this for the greater good of society?

They used a tactical warfare strategy against us.
'Divide and conquer'.
We fell for it.
Now we must become aware of it and fight back.
We must reunite. We must find true solidarity to save our world. To free ourselves. To regain our autonomy.
#IDTwitter #IDFellows
Introducing our new series: “IDFN top 10 articles every fellow should read”🔖

#1: SAB management
by @mmcclean1 @LeMiguelChavez
Reviewers @KaBourgi, @IgeGeorgeMD, @Courtcita, @MDdreamchaser

We know is subjective & expect feedback/future improvements 👇

1. Clinical management of Staphylococcus aureus bacteremia: a review.
https://t.co/9tBCtp9mlP
👉 A must read written by Holland et al. where they review the evidence of the management of SAB.

2. Impact of Infectious Disease Consultation on Quality of Care, Mortality, and Length of Stay in Staphylococcus aureus Bacteremia: Results From a Large Multicenter Cohort Study.
https://t.co/XujO68pCuH
👉ID consult associated with reduced inpatient mortality.

3. Predicting Risk of Endocarditis Using a Clinical Tool (PREDICT): Scoring System to Guide Use of Echocardiography in the Management of Staphylococcus aureus Bacteremia
https://t.co/otcA1pxjAw
👉Predictive risk factors for infective endocarditis, and thus the need for TEE.

4. The Cefazolin Inoculum Effect Is Associated With Increased Mortality in Methicillin-Susceptible Staphylococcus aureus Bacteremia.
https://t.co/CQZiryVWZz
👉Presence of cefazolin inoculum effect in the infecting isolate was associated with an increase 30-day mortality.

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