1/ I received a note the other day from an 18-year-old high school senior who's concerned and feels he may be getting depressed about the future. He asked, Will this be forever? Are we doomed? THREAD:
2/ He asked when he'll be able to attend a sports game or concert again, when he'll be able to visit his grandparents, and if we'll ever get back to normal life.
3/ Young people are facing a lot of stress and uncertainty right now. Schools in many places are closing almost as soon as they reopen. Sports, concerts, and large gatherings are either cancelled or risky. Recent college grads are entering a flagging economy.
4/ Covid is a new virus. It’s spent less than a year living with humans, and we’re learning more about it every day. It's helpful to address what we know right now and with what level of certainty.
5/ We're certain the virus can be deadly, particularly for older people, for some people with underlying health conditions, and, more rarely, for the unlucky people who get very sick or die even without underlying conditions.
6/ We're basically certain that wearing a mask protects people around you, particularly in indoor environments and if you wear it correctly. (That doesn’t mean masks are 100% protective, it just means that wearing a mask reduces the risk to others.)
7/ It's likely, but not certain, that wearing a mask could protect you from getting infected, and possibly from becoming very ill if you do get infected. It depends in part on what kind of mask you wear and whether you put it on, wear it, and take it off correctly.
8/ We're certain that people who have gotten very sick from the virus appear to make antibodies, including neutralizing antibodies. We hope that these antibodies protect at least some people who have recovered for some time against reinfection, but it's not yet proven.
9/ Now, what does all that mean for the question about whether this will be forever?
10/ First, I would assume that for the next year (at least) masks are going to be important, particularly when indoors and when there are many people in a space that isn’t well ventilated.
11/ Second, even if we have a vaccine, we’ll likely need to adapt our lives in certain ways for at least a few years. That’s because a vaccine isn’t likely to be perfect, nor are 100% of people likely to take it.
12/ Will we be able to go to sporting events safely in 2021? Outside, definitely. How about indoor sporting events or concerts? We don’t know.
(We do know that the louder people shout or sing, the more they can spread the virus, though much less so if they’re wearing a mask.)
13/ Will we be able to go to indoor concerts and sporting events safely in the next few years? I think yes. By then, we’ll almost certainly have better treatment and a safe, effective vaccine. And, I hope, a better public health system to quickly test, trace, and isolate.
14/ I don’t think this will be forever. Places around the world have controlled Covid and gone back to life almost as before. With a vaccine & treatment, even more progress will be possible. But I do think there will be changes in how we live our lives for the foreseeable future.
15/ We’re definitely not doomed. We—especially young and thoughtful people—have enormous potential to control our future. To get our individual freedom back, we need to work together.
16/16 A lot of you may have more questions, and I'll do my best to answer them tomorrow at 2:15 pm ET. Join me for a live Q&A on what we know about Covid, what we're still learning, and where we're headed.
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Updated Covid booster recommendations and the unwinding of the public health emergency in the United States have raised questions and highlighted lingering challenges. How should we be thinking about these developments? Who should get a booster this spring? 1/thread
Covid hasn’t gone away, but it no longer poses the same threat to most people it did in the first years after its emergence. This is due, in large part, to lifesaving vaccinations and treatment, and also to prior infections, which reduce the risk too. 2/
Our wall of immunity, built up from both vaccinations and infection, is strong—but it’s not impervious. Protection wanes, and the virus continues to mutate. Even now, older adults and medically vulnerable people remain susceptible to severe illness and death. 3/
In New York City, Covid killed more people than any other cause in the pandemic’s first year and caused life expectancy to drop by 4.6 years on average, according to the newly released annual report of NYC vital statistics. Confirmation of a devastating toll. 1/thread
What gets measured can be managed, which is why reports like this are crucial. More than 200 New Yorkers die every day, including >50 people under age 65, a data point I tracked closely as NYC Health Commissioner and focused intently on bringing down. bit.ly/41cFZcm 2/
Every life counts. A moving piece published last week in @nytimes shows vividly the necessity—and challenge—of tracking all births and deaths. 3/ bit.ly/3Gmll1O
The past three years of fighting Covid feel like a fog of war. Although everyone wants to move on, we must reckon with how bad the pandemic was—and how much worse it could have been. 1/thread
20 million excess deaths have occurred during the Covid pandemic—more than all but the two other leading causes of death, cardiovascular disease and cancer. Without vaccination, measures to reduce infections and lifesaving medical care so many more lives would have been lost. 2/
Those who are intent on undermining public health action argue that there was nothing we could have done to counter Covid, that all of the infections and deaths were inevitable. But they ignore that some places had much lower rates of infections, hospitalizations and deaths. 3/
Masks have been an effective tool throughout the Covid pandemic, despite erroneous claims to the contrary. 1/thread
The widely cited Cochrane review on masks was poorly done and even more poorly communicated. Regrettably, researchers analyzed the wrong datasets, in the wrong way, and overstated their conclusions—leading to sweeping and inaccurate characterizations. 2/
Many nuances around mask type, setting, behavior, and policy are explained in this helpful piece by @dr_kkjetelina. bit.ly/3ErwuNN 3/
Over the past decade, global smoking rates dropped by 23% and 750 billion fewer cigarettes are sold annually. But despite this progress, tobacco is still the world’s leading cause of death and unless we do more, will kill ONE BILLION people in this century. 1/thread
The FDA recently announced a national ban on menthol cigarettes and a new California law to curb flavored tobacco was overwhelmingly affirmed by voters in November. Big Tobacco's reaction to these two recent public health wins underscores the fight we have ahead of us. 2/
Why are these wins significant? Big Tobacco has a long history of targeting Black communities with menthol cigarettes. The FDA ban could undo shocking disparities in lung cancer deaths suffered by Black Americans compared to their white counterparts. bit.ly/3JtXQWQ 3/
Amid discussion of the future of Covid vaccination, we can’t lose sight of the present: Only 1% of immunocompromised people in the US received a full set of Covid vaccinations as of Aug. That’s a colossal failure. The 5 steps to avoid failure in public health explained 1/thread
500 people are still dying from Covid every day. That’s not normal and it doesn’t have to happen! Immunocompromised people—along with the elderly—are at the highest risk of dying from Covid. 2/
Vaccines are remarkably effective against severe disease, but their protection must be reinforced, especially for vulnerable people. Boosters reinforce our protection, and a new CDC study underscores their importance. bit.ly/4062XCq 3/