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Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
@celinegounder
Feb 5, 2020 • 13 tweets • 16 min read • Read on X
I'm betting that in 2 years, #2019nC0V #coronavirus will have gone from epidemic to pandemic to endemic. statnews.com/2020/02/04/two… We'll be asking patients if they've had their #influenza #flushot & coronavirus #vaccine. Here's hoping #vaccine hesitancy/skepticism abates.
We can't keep a country on lockdown forever. #2019nCoV #coronavirus will eventually spread. We need to figure out how to get people to trust #vaccines STAT. #vaccineswork #2019nCoV #coronavirus #CoronavirusOutbreak Image
How we frame messages about #vaccination is really important. pediatrics.aappublications.org/content/133/4/… Such messaging can backfire if too aggressive. Communication needs to be tailored to specific groups. #2019nCoV #coronavirus #CoronavirusOutbreak
Predictors of #vaccinehesistancy #antivaxx? Hierarchical (vs egalitarian) worldview, i.e. dominance of some people over others. psycnet.apa.org/fulltext/2017-… #2019nCoV #coronavirus #CoronavirusOutbreak
Predictors of #vaccinehesistancy #antivaxx? Free-market ideology. psycnet.apa.org/fulltext/2017-… #2019nCoV #coronavirus #CoronavirusOutbreak
Predictors of #vaccinehesistancy #antivaxx? #Conspiracy thinking. Vested interests. Expression of personal identity (e.g. contrarian, rebel, freethinker). #2019nCoV #coronavirus #CoronavirusOutbreak psycnet.apa.org/fulltext/2017-…
Predictors of #vaccinehesistancy #antivaxx? Need to communicate membership in a certain social group. People want to feel accepted, not rejected, by their community. psycnet.apa.org/fulltext/2017-… #2019nCoV #coronavirus #CoronavirusOutbreak
Predictors of #vaccinehesistancy #antivaxx? Anxieties, fears, phobias. psycnet.apa.org/fulltext/2017-… #2019nCoV #coronavirus #CoronavirusOutbreak
Just explaining the science may not work. It's not persuasive in the face of these psychological factors. psycnet.apa.org/fulltext/2017-… #2019nCoV #coronavirus #CoronavirusOutbreak
"If people are motivated to reject a scientific message, then continually presenting the scientific message represents a misunderstanding of what is causing the incomprehension" psycnet.apa.org/fulltext/2017-… #2019nCoV #coronavirus #CoronavirusOutbreak
#JiuJitsu persuasion: "Rather than taking on people’s surface attitudes directly (which causes people to tune out or rebel), ... tailor the message so that it aligns with that motivation." psycnet.apa.org/fulltext/2017-… #2019nCoV #coronavirus #CoronavirusOutbreak
We should be emphasizing not only public health benefits of #vaccines & other #coronavirus control measures, but also: patriotism (protecting your country), need to fit in, shared identity & more. psycnet.apa.org/fulltext/2017-… #2019nCoV #CoronavirusOutbreak
"science communicator has to resist temptation to debate ideas...rather than focusing on shadow argument that remains unspoken...tremendous challenge particularly for scientists who...see evidence as route to opinion change." psycnet.apa.org/fulltext/2017-… #2019nCoV #CoronavirusOutbreak

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Jun 1
1/ FDA Commissioner Makary joined @CBSNews' @margbrennan on @FaceTheNation this morning: cbsnews.com/video/fda-comm…

Full transcript here:
cbsnews.com/news/marty-mak… Image
2/ Brennan: "...you with the HHS Secretary in this video announcement on Tuesday where Secretary Kennedy said the CDC was removing the COVID vaccine for healthy children & healthy pregnant women from its recommended immunization schedule"
3/ She's referring to this social media post:
Read 34 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 31
1/ Trump Administration's MAHA report is being called out for fabricated citations, AI-generated errors & misattributed authorship.

on @CBSNews with @Alexander_Tin & @MajorGarrett6cbsnews.com/video/white-ho…Image
2/ What makes this especially troubling is the report’s claim to be “evidence-based” & “gold-standard.”

Misrepresenting science while claiming to elevate it is not transparency—it’s Orwellian double-speak for sloppy, dangerous pseudo-science.
3/ At first glance, the report warns of serious issues: screen time, mental health, overmedication in children.

Important topics, yes, but the foundation of the report is now in doubt because many of the studies it cites simply aren’t real.
Read 17 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 27
1/ Very concerning news from HHS today:
CDC is no longer recommending the COVID vaccine for healthy children & healthy pregnant women.

Why does this have me worried?
2/ Healthy infants may not die from COVID, but they’re at higher risk for ER visits and hospitalizations… both scary & costly.
3/ Pregnant women ARE at higher risk for severe COVID (& influenza).

Pregnancy is a period of immunosuppression (so that the woman’s immune system doesn’t reject the fetus as a foreign body) & stress on the lungs & heart.
Read 9 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 23
1/ What’s fueling the surge in childhood chronic illness in the US?

The MAHA Commission blames ultra-processed foods (UPFs)—& their assessment offers a sweeping critique of America’s food system.
2/ Nearly 70% of American children's calories now come from UPFs—foods high in added sugars, refined grains & industrial fats, but low in nutrients.

The MAHA report links this to obesity, diabetes, even behavioral health.
3/ UPFs are designed to override satiety signals (i.e. feeling full).

Kids eat more & gain weight faster.

Plus, many UPFs contain additives that may affect metabolism, mood & gut health.

Think: emulsifiers, artificial colors & sweeteners.
Read 15 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 11
1/ A new study from South Korea suggests the shingles vaccine may do more than just prevent shingles—it might also protect your heart 🫀.
on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson
2/ Researchers followed over 2 million adults for a decade.

Those who got Zostavax—the older, live shingles vaccine—had a 23% lower risk of heart disease, including heart attacks, strokes & heart failure.
3/ That cardiovascular protection wasn’t short-lived.

It lasted for up to 8 years after vaccination.
Read 14 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Apr 9
1/ My colleague @DrLaPook's interview with @HHSGov @SecKennedy raised critical questions about public health, vaccines & government responsibility.

on @CBSMornings
2/ RFK Jr, a longtime vaccine skeptic, now recommends the measles vaccine during an outbreak.

This is a significant shift, but his statements on vaccine safety testing need clarification.
3/ Vaccines undergo rigorous testing in Phase 3 & 4 clinical trials, often lasting years to decades.

Claims that vaccines are tested for only "3-4 days" without placebos are misleading.
Read 16 tweets

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