1/ There are some very basic things the medical and scientific community can do to bolster trust in the safety/utility of any forthcoming vaccine.
2/ Pharma: make your full protocols public now. I know that's not how it's normally done, but these are not normal times and the move would cost you very little and would go a long way towards relieving the understandable anxiety people have about what's up.
3/ Team Warp-Speed: get your comms strategy in order. political interference at the FDA and CDC have done tremendous damage to public trust over the past several months.
3b/ (and come on: your ppl EUA'd hydroxy and it was clearly political and clearly a mistake. also: convalescent plasma & remember that PTSD drug way back in before-times. people were paying attention). Trust is thin, but you can help repair it by making an actual plan.
4/ AMA and every other trusted medical society: call on pharma to be extra transparent, call on members to reject anything that doesn't meet a clear standard of safety and efficacy.
5/ Team Biden: consider making a pledge to rehire any civil servant at the CDC or FDA or NIH who is compelled to resign in protest if Trump violates the principles of public health, scientific integrity and public safety by circumventing the existing process (which btw is robust)
6/ It's not just the success of coronavirus vaccine at stake. It's trust in all vaccines, something we were already struggling to maintain in the face of rampant misinformation and propaganda.

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More from @JInterlandi

29 Jun
Im not sure how we can blame the experts for what’s happening now, when what’s happening now is basically exactly what they said would happen if we reopened too quickly / without having proper measures in place.
The fact that it took a while for clear evidence to emerge either way on masks, asymptomatic transmission, etc. I think says more about the fact that this is a novel virus, than about experts just getting it wrong.
The big failure here seems very clearly to be about implementation of best guidance. As others have said, the thinking on what to do and when and how, has been fairly consistent across countries. And plenty of others seem to have gotten it right. Just not the U.S.
Read 7 tweets
17 Apr
"Testing capacity" is not just test kits, or test sites, or lab reagents, or trained staff, or protective equipment needed for sample collection, or ability to do contact tracing, or ability to do disease surveillance, or ability to process samples. It is all of those things.
"Clinical testing" and "Epidemiological testing" are not entirely the same. The distinctions between one and the other are crucial to thinking about how best to deploy limited resources and where to target capacity building efforts.
In some places, labs have plenty of reagents and test kits, but not enough PPE to collect or run samples. In others, they have the PPE, but not the high throughput equipment. Some have high throughput processing but only manual RNA extraction (slow af!).
Read 8 tweets
20 Jan
1/ My father was a cutter in a coat factory and my mom worked in the cafeteria at my high school (and cut hair on weekends). My family lost their home to foreclosure when I was a teenager. I clawed my way through college (actuallly started at CC).
2/ Of the many identifiers I have used and that have been used for me — poor, working class, jersey girl, science nerd, introvert, Etc - I never imagined that elite or elitist would be one of them.
3/ I consider serving on the NYT editorial board an extreme privilege — one I strive to be worthy of everyday. But I did not come from privilege by any stretch.
Read 5 tweets

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