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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
Aug 22
1/ After the shooting at CDC earlier this month, employees sent a blunt letter to HHS Secretary Robert F. Kennedy Jr.

They said that instead of standing with them, RFK Jr. is spreading conspiracy theories about the CDC & their work.

on @CBSEveningNews with @jdickerson
2/ They called this dangerous & made 3 requests:
🔹Stop spreading inaccurate health info
🔹Affirm CDC’s scientific integrity
🔹Guarantee safety of the HHS workforce

savehhs.org/letter/hhs-sta…
3/ Since the shooting, CDC staff say they’ve been harassed with phone calls.

Callers mockingly ask, “Are you resilient?” before playing gunfire sounds, echoing CDC’s own post-shooting messaging.
Read 12 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Aug 20
1/ For the first time in decades, US pediatricians have released their own vaccine schedule, separate from the CDC.

Why? Because they no longer trust the government’s process.

Here’s what parents need to know. 🧵
on @CBSEveningNews with @jdickerson
2/ Earlier this year, the CDC’s vaccine advisory committee was overhauled.

All 17 experts were dismissed & replaced with just 7 appointees—several with a history of spreading vaccine misinformation or skepticism.
3/ The Vaccine Integrity Project was established to fill the void & brings together many of top vaccine experts.

Today, the Vaccine Integrity Project reviewed the most up-to-date science on the safety & effectiveness of flu, RSV & COVID vaccines.
Read 15 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Aug 8
1/ New CDC data show just how much ultra-processed foods dominate U.S. diets.

Americans get ~55% of daily calories from UPFs.

Almost 2/3 of what kids & teens eat is ultra-processed.

on @CBSEveningNews with @TheKellyOGrady
2/ The biggest sources?

Sandwiches, sweet bakery goods, packaged snacks, & sugary drinks. 🥪🍩🥤
3/ So why does this matter?

Because a major new U.K. clinical trial—the largest & longest yet—found that even “improved” UPFs can’t match the benefits of minimally processed meals. 🍎🥗
Read 14 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Jul 29
1/@DeionSanders’ bladder cancer diagnosis was caught by chance, during a CT scan for an unrelated issue.

with @nateburleson @vladduthiersCBS @AdrianaDiaz on @CBSMornings
2/ Most bladder cancers are found when people notice blood🩸 in their urine, the hallmark symptom.

But early cancers can be silent, as in Sanders’ case.
3/ His scans, done for blood clots, ended up saving his life.

Even though his cancer was high-grade, it hadn’t invaded the bladder muscle.

That allowed surgeons to remove his bladder & cure him.
Read 18 tweets
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

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