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Sadeq Rahimi's Personal Meeting Room - Shared screen with speaker view
Seth Donal Hannah
01:14:02
Chelsea is also heavily transit dependent
Michael Nathan
01:27:17
True, as are most ot the other hard hit Boston areas.
Michael Nathan
02:06:37
I can speak briefly to crisis management plans that were set up and continue to be discussed.
Seth Donal Hannah
02:10:16
California has put into place monetary support for undocumented and mixed status families
Melissa Chiovenda
02:10:42
Can I ask a question?
Nathaniel Tran
02:11:51
Hello, thank you to the organizers and panelists. I would like to hear more about parallels between COVID-19 and HIV epidemic responses. (Behavioral modifcation, stigma, ongoing search for a vaccine, structural factors influencing health disparities). Thank you!
karen kwass
02:14:00
are there statistics out about how this is impacting suicide rates; from me and Sophie who works in psych hospital
Seth Donal Hannah
02:14:12
I can some about the disparities issue
Daniel Dohan
02:14:49
re: Michael’s comment that issues of structural inequality were raised by residents — these issues also tend to be raised & problematized by house staff here at UCSF (and its affiliated hospitals).
Daniel Dohan
02:15:43
FYI: I am former student of Mary-Jo’s and now faculty at UCSF and have been visiting this AY at DGHSM — first time I’ve been able to make it to this amazing Friday seminar.
Seth Donal Hannah
02:16:11
So far the issue has been discussed prominently in terms of racial disparities, especially elevated rates among African Americans
Michael Nathan
02:16:22
I have to say I'm so proud of our house staff and students for picking up those kinds of torches consistently, and holding the systems feet to the fire!
Seth Donal Hannah
02:17:23
But general structural issues are likely to be widespread across all racial and ethnic populations — we have just seen it first among minorities in proximity to urban environments
Katie
02:17:41
I have a follow-up comment on the beauty that is sometimes seen in this pandemic.
Seth Donal Hannah
02:17:53
I expect it will ravage lower income white populations in rural and post-industrial settings in next couple months
Michael Nathan
02:17:59
And native americans, especially the Navajo Nation
Seth Donal Hannah
02:19:00
Also, concentrating on risk for Black populations has of course raised questions about whether there is something “genetic” underlying the early reports of disparities
Michael Nathan
02:19:36
Seth, all I can say to that is ARGGHH!!
Seth Donal Hannah
02:19:52
Yes, smh
Daniel Dohan
02:23:10
At least here in SF, new abilities to geocode cases has led to some new ways of classifying “risk” that may have the potential to disrupt (or exacerbate) standard race/ethnicity disease attributions. Not sure if this is our first global pandemic to lend itself to such precise social mapping.
Lissie
02:23:38
The stats have indeed been pointing to the Navajo, as those worst off (are there stats on other indigenous peoples in the country). Hispanics are coming up as second worst off (Blacks in third place). Do others have stats yet?
Michael Nathan
02:26:40
Iman, there are two reasons for that. At that point, the progress to needing a ventilator is almost certain, but perhaps the more important driver is that for the providers, elective intubation (putting a breathing tube) aerosolizes far less virus and with better environmental control than emergent intubation, protecting the healthcare workders (and the patient, as these are easier procedures).
Michael Nathan
02:32:19
I have a brief comment on Nathaniel's question, though not particularly analyticOur pulmonary and infectious disease fol
Michael Nathan
02:33:25
folks are comiparing this to the early days of the HIV/AIDS epidemic. There is an interesting comparison of fascination and fear, and metaphorically "running towards the fire" like firefighters, when everyone else is running away.
Nathaniel Tran
02:35:41
Thank you Michael. It has been helpful for me to connect previous work on pharmaceutical vs non pharmaceutical risk prevention interventions in family planning and HIV to parallels in this current moment.
Michael Nathan
02:36:47
There is the additional parallel biologically as they are both RNA viruses!
Michael Nathan
02:38:04
Nathaniel, or anyone else, you may find the MGH grand rounds that are publicly available interesting both in terms of the science but also in terms of what is treated as important.
Don Seeman PhD
02:40:05
Thanks everyone.
mariaalcantara
02:43:08
Thanks for everbody…..I am so pleased to meet you.
Orkideh
02:43:16
What a wonderful session, thank you Byron, Mary Jo, Mike, Sadeq, our clinicians, and everyone else. Can’t wait for more sessions to hear more about the topics that were raised today.. And so lovely seeing you again!
Susan Paige Taylor
02:43:31
Thank you so much!
Saime Ozcurumez
02:43:40
Thank you so much!
Hadley Heinrich
02:43:53
Thank you very much everyone!
Mira Vale
02:44:01
Thanks, everyone. Great to see you all!
Michael Nathan
02:46:18
I wonder if Paul Brodwin might join us as we think about ethics?
Virginia Moreira
02:46:26
Thanks everyone! Great opportunity to share this session with you. So nice to see you Byron and Mary Jo after all these years!
Amy Moran Thomas
02:47:06
Yes, thanks so much to you all!
Sylvie Fortin
02:47:18
Many thanks and be well …