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Harlan Krumholz

👤 Person
313 total appearances

Appearances Over Time

Podcast Appearances

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And what you need to do is to reduce that reproduction number below one.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

to make sure, and if you do that, then the virus will die out.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Now, just to say there was an interesting paper in the Annals of Internal Medicine that modelled the reproduction number and said, what's going on in Wuhan?

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And you know in Wuhan you're getting these pictures of isolation, people wearing masks, not being allowed to go out.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

But the model is it's still about 1.5 with all of them activities going on.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Therefore, that tells you that, in effect, what's happening is it's going to continue to spread.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Well, there are two things that are really interesting about that.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

The first is to say this was an intervention targeted at children.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And one of the issues about respiratory infections is all the interventions have the greatest effect when they're targeted at children.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Because if it gets out there in the wild, if you like, beyond Brighton and the epicentre, then what happens is children act as a reservoir for infection.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And there are two things that make children so great as spreaders of infection.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

One is their social habits.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

Children, you know, stick their hair together.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

We cuddle them.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

We kiss them.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

So we're going to transmit infection.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

But then the second thing about children is their cleaning habits tend to be a bit dire.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And so that combination means they become the infection reservoir, if you like.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

And once it's in children, we've got these problems.

Talk Evidence
Talk Evidence - Building an evidence base for covid-19

So trying to get interventions targeted at children when it's out there are really important.