Nathan Chomilo, MD, FAAP, FACP Profile picture
May 3, 2019 13 tweets 9 min read Read on X
Under-reported in the coverage of vaccine legislation at #mnleg: Sen @drscottjensen’s harmful & wasteful amendment to the Senate’s HHS omnibus bill - senate.mn/chamber/amendm…
THREAD 👇🏾

#IVax2Protect
Cc: @mnaap @MNFamilyDocs @mnmed @MNACOG @md4healthequity
For a party who talks A LOT about government waste it is beyond peculiar to spend money on a workgroup to study giving vaccines unbundled or to adjust the schedule, “based on patient circumstances & conditions” – when the science on these questions is solid & definitive
As there seems to be some confusion of the facts - I would refer my medical colleague to the approved @CDCgov schedule - cdc.gov/vaccines/sched… which is developed by ACIP & approved by the @AmerAcadPeds , @aafp & @acog
Upon reviewing these guidelines in detail Sen @drscottjensen may be surprised to find that there are detailed recommendations for the following “patient circumstances & conditions” (in no particular order):

International travel
Chronic Liver Disease
Alcoholism
(cont.)
Sickle Cell Disease & other hemoglobinopathies
Anatomic or Functional Asplenia
Congenital or acquired immunodeficiency
HIV infection
Chronic renal failure
Nephrotic syndrome
Solid organ transplantation
Multiple myeloma
Pregnancy
Cerebrospinal fluid leak, cochlear implant
(cont.)
Malignant neoplasms, leukemias, lymphomas, Hodgkin disease, & other diseases associated with treatment with immunosuppressive drugs or radiation therapy

Chronic heart disease (particularly cyanotic congenital heart disease and cardiac failure)

(cont.)
Chronic lung disease (including asthma treated with high-dose, oral corticosteroids)

Diabetes mellitus
First-year college students who live in residential housing or military recruits
Egg allergy, hives only
Egg allergy more severe than hives
Homelessness
(cont.)
Travel in countries w hyperendemic or epidemic meningococcal disease
History of sexual abuse or assault
Mother is HBsAg-negative
Mother is HBsAg-positive
Mother is HBsAg status is unknown
Clotting factor disorders
Men who have sex w men
Injection or non-injection drug use
(cont.)
Work with hepatitis A virus in a research laboratory or nonhuman primates with hepatitis A infection

Travel in countries with high or intermediate endemic hepatitis A

AND

Close, personal contact with an international adoptee
I (honestly) would be curious to know what other conditions Sen @drscottjensen believes need special study.

Sen Jensen should also know that there is already more than ample evidence around giving vaccines simultaneously - cdc.gov/vaccines/hcp/a…

#VaccinesAreSafe
So my hope is that upon learning all of this, Sen Jensen & his #mnleg conference committee colleagues (@renamoran, @TinaLiebling, @LaurieHalverson, @RepJenSchultz, @SenatorBenson, @SenUtke & @JohnMarty) will move away from an unnecessary, irresponsible & wasteful workgroup.
And instead give sufficient funds to organizations that actually have inroads to vaccine hesitant communities by not limiting those funds to community health boards.

Like @RepFreiberg’s bill HF1182
I also hope my colleagues at @mnaap, @MNFamilyDocs, @MNACOG, @mnmed & @md4healthequity will join me in reminding Sen Jensen of these credible resources & that the @StarTribune, @PioneerPress & others keep this amendment on their radar

#VaccinesWork
#VaccinesSaveLives
(fin)

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More from @ChomiloMD

Jun 22, 2023
Kicking off Day 2 of @aspenideas #AspenIdeasHealth with 2 of my faves ☺️ @iamKSealsAllers & Dr. Emily Miller!🙌🏾
#AscendFellows
Catching up on a wonderful morning!
Started with this fantastic conversation on the Fight for Reproductive Health btw @ChelseaClinton & @ChanelPorchia moderated by @kwelkernbc

Chelsea & Chanel did not come to play!👏🏾

"we know what to do!" - CC
#AspenIdeasHealth
"We need to be angry about the fact we're letting moms die...This isnt a mystery. Its a failure of political will. Its a comfort w/misogyny & racism" @ChelseaClinton

@ChanelPorchia dropped so much fire about racism in medicine folks left w/a certificate 🔥🔥
#AspenIdeasHealth
Read 9 tweets
Jun 22, 2023
This is a devastating loss to all of our MN communities 😔

Dr. Charles Crutchfield III was ever present & a force within not only dermatology but organized medicine, among Black physicians in MN in particular.

#RestInPeace

spokesman-recorder.com/2023/06/21/acc…
How many dermatology clinics signed up to do #COVID19 shots?! Dr. C's did because he knew how important it was to get shots from a provider you trust.

He inspired @MNAADocs to begin a weekly column in @MNSpokesman sharing health education information🙌🏾

spokesman-recorder.com/2022/01/27/ple…
Dr. C was always down to help me in any way he could whenever asked. Whether a curbside consult or questions about my own families skin, he always got back & would follow up to see how things turned out if I didn't tell him.
Read 4 tweets
Jun 21, 2023
Made it! Let's get the IDEAS flowing & bring about the change needed in #Medicaid, racial health equity & early childhood 🙌🏾
#AspenIdeasHealth
#AscendFellow
Hey @AmerAcadPeds & @Vot_ER_org look at who I found @aspenideas #AspenIdeasHealth🙌🏾

#AHealthierDemocracy #VoteKids

"Interesting" start to this panel of HHS secretaries @aspenideas #AspenIdeasHealth

@SecBecerra when asked what he wishes folks knew about HHS replied, "we don't control health care"

@Sebelius agreed... 🤔
Read 4 tweets
Feb 26, 2021
Today’s MN #COVIDVaccine announcement is disappointing & largely fails to move the needle on equity.

I think understanding why & how it could likely worsen inequity requires a recap.

On 1/14 MN opened up vaccination to 65+ w/no subprioritization. What have we learned since?
🧵
1️⃣ There was no federal stockpile (as the previous WH administration HHS had eluded) to support this decision.

So now ~1 million Minnesotans believed they were at the front of the line but MN was getting ~60,000 new doses/week & still had not completed everyone in phase 1A
2️⃣ A new administration came in with equity as a priority & recommended expanding eligibility even more... but no new guidance around subprioritization for any groups incl those 65+

& still not enough shots to meet demand = scarce resource allocation

verywellhealth.com/biden-covid-19…
Read 14 tweets
Dec 15, 2020
I have enrolled in a #COVIDvaccine trial & last week got my first shot!!

But this wasn’t always my plan. I had a surprising amount of hesitancy early on. So I want to share how I worked through it.

This will probably be my longest thread ever. But stick w/me! (1/)
An avid advocate that #vaccinessavelives I found myself personally & professionally skeptical about the speed with which vaccines were being developed & politicized.

So I read about #COVIDvaccine development & listened to @NEJM’s podcast weekly podcasts.apple.com/us/podcast/new… (2/)
I also found this @nytimes #COVID19 vaccine tracker helpful

nytimes.com/interactive/20…
(3/)
Read 35 tweets
Oct 5, 2020
“When we fight to change children’s circumstances, THAT is when we keep children healthy. THAT is Socially-Responsive Pediatrics”

@DrOmolara opening up the final #AAP2020 plenary with powerful perspective
.@DrOmolara breaks down common frameworks:

Cultural competency doesn’t deliver justice

Structural competency doesn’t dismantle structural inequity

We need to move to Social responsiveness to deliver justice & dismantle structures of oppression

YES🙌🏾🙌🏾
#AAP2020
.@DrOmolara’s approach: bring care to the communities instead of working to fit communities into care settings w/historical trauma

Her practice has been setup next to community based organizations. In collaboration, no hierarchy

#AAP2020
Read 4 tweets

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