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What things should I consider if I want to move my loved one out of a nursing home or assisted living facility during the current pandemic?

Families/Kids Infection and Spread Staying Safe

A: Several factors make COVID-19 very dangerous to nursing home and assisted living residents. The virus can go undetected in staff and residents with no symptoms, facilitating rapid spread to older adults with underlying health conditions and their vital care providers. Like hospitals, adequate protective equipment and the capacity to test residents and staff are Read more…

I’ve been hearing a lot about false negative COVID test results. Can you explain?

Data and Metrics Testing and Contact Tracing

A: The false negative rate is the % of infected individuals who incorrectly test negative for COVID. For example, a hot-off-the-press NPR article reports a 15% false negative rate for Abbott’s new rapid COVID test. A 15% false negative rate indicates that out of 100 infected individuals, 15 would incorrectly test negative. How do we Read more…

I now know a little more about serological testing and antibodies. But I still have questions. For example, I read about antibody studies in California that say as many as 4% of all people have had the coronavirus. What does this mean?

Testing and Contact Tracing

A: The short answer, as statistician Thomas Lumley says, is that “counting rare things is hard.” There is much we still don’t know about antibody testing for COVID-19 (levels of detection, interpretation, length/duration/extent of immunity). One issue is the testing itself. While current active illness tests (swab/PCR) are very accurate when performed correctly and at Read more…

What does contact tracing look like now, what could it look like in the future and do I need to be worried about privacy?

Testing and Contact Tracing

A: Health departments are notified when an individual tests positive for COVID-19. Contact tracing staff reach out to new cases by phone to determine who (i.e., friends, family, co-workers) they may have had close contact with (within 6 ft) beginning with the days leading up to the onset of their symptoms, as well as what Read more…

How do we best protect front-line physicians when society reopens?

Reopening Testing and Contact Tracing

A: A relentless focus on the three “Ts” — TEST, TRACE, and TREAT. (And, for all that is good and holy, more PPE). The Nerdy Girls are proud supporters of the amazing physician leaders at Impact, authors of this U.S. News and World Report article. cc: Vinny Arora Eve Bloomgarden Pfanzelter Laura Zimmermann Shikha Jain Kumar Amisha Wallia Link Read more…

I have been hearing about CT scans as possibly being better at testing for COVID-19 than the current swab test. Is this true?

Clinical Symptoms Testing and Contact Tracing

A: It’s a little more complicated. Experts believe that the false negative rate (people who have a negative test result but are actually positive) can be around 30% with the swab test, generally due to improper sample collection. CT scans check for lung appearance, specifically ”ground glass” opacities, which are common to several diseases (pneumonia, Read more…

COVID-19 Multilingual Resources

Staying Safe

Q: I know where to find information on COVID-19. But how can I share this information with clients/patients/friends/people in my family who do not speak English as a primary language? A: While we have a long way to go in making information equally accessible to all populations, there are some excellent resources out there. Here Read more…

What do individuals who are infected with coronavirus and are asymptomatic, pre-symptomatic or mildly symptomatic have in common?

Infection and Spread

A: All three types of infected individuals may be able to transmit coronavirus to others without realizing they themselves have been infected. ASYMPTOMATIC individuals are those that carry the active virus in their body but never develop any symptoms. PRE-SYMPTOMATIC individuals are those that have been infected with the virus but haven’t started to show Read more…

I am pregnant and am worried about my delivery and my mental health. Where can I turn?

Families/Kids Mental Health

A: You are not alone. More than 20% of new mothers experience a perinatal mood and/or anxiety disorder. Increasing evidence from top journals such as the Lancet are telling us that the effects of COVID-19 isolation policies are influencing our mental health, regardless of whether we had any mental health issues prior to this crisis. Read more…

Why is everyone suddenly talking about the positivity rate? Is this positive psychology or something else?

Data and Metrics Data Literacy Infection and Spread Testing and Contact Tracing

A: Definitely not positive psychology! The positivity rate is simply the fraction of people who test positive for COVID-19 out of all the people who get tested. It is important because it is a rough indicator of how much of the true extent of COVID-19 infection is being detected and diagnosed. In other words, a Read more…

What’s the latest on whether kids are as likely as adults to be hospitalized and to fall critically ill from COVID-19?

Data and Metrics Families/Kids

A: The latest news is good news for those worried about kids: The chances of being hospitalized and ending up in intensive care are much lower — by an order of magnitude — for children <18 years old compared to those 18-64. Here’s the core nugget of results from the study as reported by NPR: Read more…

When can we restart society?

Reopening

A: Leading experts suggest four guideposts: (1) We see a sustained 14 day decrease in cases; (2) Our health care system can handle the existing load; (3) We can test at least everyone who has symptoms; (4) We can trace confirmed cases and their close contacts. Different geographies will reach these milestones at different times. Read more…