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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
Nov 17
1/ I explain how RFK Jr's plans could affect Americans' health.

He is known for falsely claiming that vaccines cause autism & other health issues.

cbsnews.com/video/doctor-e…
2/ RFK Jr: "The problem with the measles vaccine is that it's a leaky vaccine. It doesn't provide sterilizing immunity."

It's true that the measles vaccine doesn't prevent ALL infections.

It's ~97% effective after 2 doses.
3/ In rare cases, vaccinated people may get infected & transmit the virus to others.

This is all the more reason for vaccinating everyone in a community, not just those who feel like it.
Read 13 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Nov 16
1/ RFK Jr. to lead @HHSGov US Dept of Health & Human Services

with @AdrianaDiaz & @tonydokoupil on @CBSMornings
2/ Kennedy has criticized multiple public health agencies he could now lead.

He's said the @US_FDA's "war on public health is about to end," claiming the agency suppresses anything that "advances human health & can't be patented" by pharmaceutical companies.
3/ But Kennedy's statement demonstrates a common misunderstanding about public health authorities in te US.

We are the United States of America — public health powers reside at the state level.
Read 23 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Sep 19
1/ A new report from the American Association for Cancer Research @AACR finds that excessive alcohol use is a risk factor for at least 6 cancers.

with @GayleKing @vladduthiersCBS @tonydokoupil
2/ Heavy drinking is associated with an increased risk of:
🔹head & neck cancer
🔹esophageal cancer
🔹stomach cancer
🔹liver cancer
🔹colorectal cancer
🔹breast cancer Image
3/ Drinking during pregnancy can also increase the risk of leukemia later in childhood.

At least 5% of cancers are attributable to alcohol.
Read 19 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Aug 15
1/ Yesterday, the @WHO declared mpox a public health emergency of international concern (PHEIC).

This is the 2nd time in 2 years that the WHO has declared a PHEIC for mpox.

with @vladduthiersCBS on @CBSMornings
2/ There have already been more than 17K cases in Africa so far this year – more than the total for all of last year.
3/ @WHO announces a Public Health Emergency of International Concern (PHEIC) when there is a significant risk to global health & it requires an internationally coordinated response.

A PHEIC:
🔹helps marshal funding for a public health response
🔹pressures governments to act
Read 22 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Jul 27
1/ COVID study shows mask and vaccine mandates saved lives

with @CBSNews' @LanaZak cbsnews.com/video/covid-st…
Image
2/ A new study published in the JAMA Health Forum yesterday found that:
🔹mask requirements & vaccine mandates were associated with ⬇️ deaths
🔹prohibitions on vaccine or mask mandates were associated with ⬆️death rates

jamanetwork.com/journals/jama-…
3/ Activity limitations (e.g. closing schools, restaurants, bars; stay-at-home orders; restrictions on leisure time activities & public gatherings) likely provided minimal benefit while imposing substantial cost.
Read 6 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Jul 26
1/ New Hope Against Dementia: study says singles vaccine also appears to delay onset of dementia
with @CBSMornings' @tonydokoupil @AdrianaDiaz @nateburleson
2/ A study published yesterday in Nature Medicine found that the new Shingrix vaccine was more protective than the old Zostavax vaccine in delaying dementia.

The Zostavax shingles vaccine was discontinued after the Shingrix vaccine was approved.

nature.com/articles/s4159…Image
3/ The Shingrix vaccine is also more protective than Zostavax in preventing shingles.

Shingles is caused by the varicella-zoster virus (VZV), a herpes virus that also causes chickenpox.
Read 15 tweets

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