This week, we at @AriadneLabs and @SurgoFoundation released a Vaccine Allocation Planner for states and cities to plan #COVID19vaccine distribution. As you start working with it, you realize just how wrenching the choices are going to be. covid19vaccineallocation.org
.@moderna_tx says it will have 20M doses of its vaccine by Jan; @pfizer 30-40M. It’s unknown if either will work. But if one does, we may have enough for 10-20M people. (Remember, it’s 2 doses per person). qz.com/1924433/the-us…
We have 19M first responders and high-risk health care workers. For this group alone, we may already have shortages. And that’s without even getting to nursing home residents, the chronically ill, or essential workers.
The tool helps visualize distributing to counties proportional to population vs vulnerability to COVID-19. But it won’t make the choices any easier.
And this doesn’t even take into account potential distribution difficulties.

CDC estimates $6B in costs required for logistics, vaccine workers. The administration has allocated to states … $340M.

Upshot: Prepare for severe challenges. axios.com/newsletters/ax…

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More from @Atul_Gawande

27 Oct
.@casssunstein lays out the prisoner's dilemma that Democrats find themselves in with the GOP, but doesn't quite lay out what game theory has taught us about the best way to proceed: Generous Tit-for-Tat (or Tit-for-Tat with Forgiveness). 1/9 bloomberg.com/opinion/articl…
This @Radiolab episode describes the 1960s tournament with computer programs vying with one another in a version of a Cuban Missile crisis to see if they could avoid escalating to Armageddon. Here were the algorithms. 2/9 wnycstudios.org/podcasts/radio…
Massive Retaliatory Strike: Cooperate until the first attack, then retaliate the rest of the time. Result: mostly Armageddon. 3/9
Read 9 tweets
18 Oct
Masks work? YES. This is appalling. Atlas offers no explanation for the increasing mountain of evidence in support, and instead offers only a bizarre and incoherent paper. I don't know why the administration wants to die on this hill.
So, once again, what is the evidence?

In my May article on the regimen hospitals have used to stop spread of COVID19 (hygiene, distancing, masks, and testing at least symptomatic people), I review the copious evidence to then on why masks work. newyorker.com/science/medica…
Since that article, numerous corroborating studies have come out. This comprehensive review lays out the strong laboratory evidence of the ability of surgical masks and cloth masks to prevent transmission. europepmc.org/article/PPR/PP…
Read 12 tweets
17 Oct
Warning for COVID scientists: An impostor is asking scientists for an interview using the email atulgawande65@gmail.com (not mine) and signature “Atul Gawande, Staff Writer, The New Yorker.”

These are fake. Do not respond. I use a bwh.harvard.edu address for work. 1/4
One scientist did respond. It led to back-and-forth emails and a brief phone call to settle on an interview time. The impersonator sent a Microsoft Teams-like link. The result was a hack that accessed the victim’s computer, phone, apple ID, business and home gmail accounts. 2/4
They also accessed Twitter and other social media accounts.

They have possession of the scientist's financial account details.

And most disturbing, they tried to get into the person’s home security alarm system. 3/4
Read 4 tweets
16 Oct
And with the CDC under a political thumb, it’s crazy but fortunate we can rely on independent sources like Johns Hopkins’ @JHUSystems and @TheAtlantic’s @COVID19Tracking for basic facts on COVID19
Meanwhile, however, “The Trump White House has installed 2 political operatives at the [CDC] to try to control the information it releases about the coronavirus pandemic as the administration seeks to paint a positive outlook.“ apnews.com/article/electi…
Read 4 tweets
7 Oct
Recently, @BrighamWomens had a COVID-19 outbreak among 20+ patients & staff. We rapidly traced and tested all contacts and advised quarantine. We deployed PCR testing in <24 hours for ~9,000 staff. We ID’d 52 total cases associated w the cluster and are containing the outbreak.
The White House now has an outbreak involving 20+ guests and staff. They have done no tracing, no broad testing. And the outbreak is spreading outward. nytimes.com/interactive/20…
Not included in the @nytimes list are eleven more among debate prep staff reported by Cleveland public health authorities wkyc.com/article/news/l…
Read 5 tweets
19 Jul
This boggles the mind. With sky high COVID infections and deaths rising back to 1000/day, this: In talks w Senate GOP over the weekend, “administration officials instead pushed to zero out the funding for testing and for the nation’s top health agencies” nytimes.com/2020/07/18/wor…
More details in this @washingtonpost story. “Several Senate Republicans including @SenBillCassidy (R-La.) are exploring pushing a testing and tracing provision in the next stimulus package but are expected to meet resistance from the White House.” washingtonpost.com/us-policy/2020…
In addition to zeroing out $25B for testing and tracing, “The administration is also seeking to zero out $10 billion in new funding for the CDC in the upcoming bill.”
Read 4 tweets

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