I'm quoted in this article as saying that prioritizing vaccines for teachers is not a way to reduce health inequities. Primary & secondary teachers are not the most disadvantaged in US - they have college degrees, middle-class salaries, health insurance. nytimes.com/2020/12/05/hea…
79% are white nces.ed.gov/programs/coe/i…. Those are facts. I support putting teachers above most other same-age adults because they perform a truly essential function in person that is much harder to perform remotely. Have said so publicly statnews.com/2020/12/02/how…
And was early to refer to them as essential workers nejm.org/doi/full/10.10… along with my coauthor and spouse @meiralevinson , who was a middle school teacher for 8y
My quote in the @nytimes piece slightly lacks this important context, but I stand by it -- remedying health inequities is not a good argument for prioritizing teachers, but essential work, best done in person, that affects the future through our children's development, is.
The prioritization of vaccine access is an incredibly complicated process of integrating science with many different, sometimes conflicting, values. Reasonable people can disagree on the best answer. But it is important to sort out which reasons support which decisions.
Last would add that I am absolutely supportive of increasing teacher salaries and respect for the profession (closely linked). Noting that teachers, unlike ~11% of Americans, have health insurance, does not deny that teachers are underpaid.
Several have pointed out that in-person school is in itself a contributor to economic and social equity as those who suffer most from having schools remote are disproportionately the disadvantaged, something I agree with and have said in print nejm.org/doi/full/10.10…

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More from @mlipsitch

4 Dec
This is not a done deal but could happen (teachers would likely be in the same tier). If you object, make your views known to federal and state officials. States do not have to follow federal guidance, and if this is included in federal guidance, states should decline this part.
This is not animus against financial workers, and the industry is indeed essential, even if not all its activities are. The reason to prioritize many essential workers (grocery, transit) is that they are essential and THEREFORE highly exposed. Financial services much less so.
The goal of vaccinating essential workers in this instance should be to offer protection 2 those who can't work from home and are exposed to many other people in their workday, often with no or inadequate PPE. Teachers, grocery, transit are; financial svc can often work from home
Read 7 tweets
16 Nov
24h update. They don't know what is going on. On the upside, I have learned the fascinating details of @FedEx corporate structure, that the people at @FedExHelp are helpless if you are trying to deliver to a home. Obviously it is my job to route the problem to the right person.
Since for them to do it is quite challenging. Probably requires computers and stuff, and who would expect them to be good at that?
Their customer service rep wrote: I have advised the management team on the Express side that is responsible for the pick up and the Home Delivery side that is responsible for transporting and delivering the package of the issue so it can be handled as quickly as possible.
Read 7 tweets
14 Nov
From giving advice recently to a friend who was symptomatic, got tested and was told to expect a 3-5d delay, I've come to realize a gap in our prevention approach. The advice on preventing transmission if you are infected is mainly provided through contact tracing.
That's good but it's not enough. Especially with these kinds of delays, it could be almost a week from the time someone feels the need to get tested (symptoms, poss contact, whatever) until they might get a call from contact tracers if positive.
In the interim, if they were truly a SARS-CoV-2 infection, they would likely have passed through their peak period of infectiousness, the 4-6 days or so immediately before and after symptom onset we believe.
Read 7 tweets
7 Nov
The @aier, the Libertarian think tank on an estate in Massachusetts that offered @MartinKulldorff @SunetraGupta and Jay Bhattacharya a comfy country retreat to write the Great Barrington Declaration clearly states the contents of same:
It advocates MAXIMIZING infection among the allegedly low-risk. aier.org/article/lockdo…. They should ask for their money back from Dr. Bhattacharya who argued today that it recommends trying to slow the spread. It advocates trying to speed it, as is clear from GBD's text.
This is just simply saying one thing when trying to influence policy and the opposite when trying to deflect criticism from scientists.
Read 9 tweets
7 Nov
I think @realDonaldTrump and @SWAtlasHoover were committed to a policy with no scientific basis and would have dragged the country there regardless. But GBD provided a veneer of respectability for this deliberate subversion of public health
The GBD is an extreme fringe view repudiated by a dozen public health organizations apha.org/news-and-media… and....
Read 4 tweets
19 Oct
This thread by @AlexBerenson distorts my work in a way that can only be willful, given that others have made the same arguments in the past on twitter and I have clearly refuted them. threadreaderapp.com/thread/1318176…
He takes a commentary I wrote with @ted_h_cohen about Listeria -- a bacterial disease we get typically from food -- that suggested (citing another paper -- this was not original research) that a lack of herd immunity to listeria could be leading to increased case numbers.
(of symptomatic Listeria infection). It also mentioned the idea that rubella vaccines used in the wrong way could increase severe (congenital) rubella through modest amounts of herd immunity that delay but do not prevent infection, increasing its incidence in pregnant women.
Read 12 tweets

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