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Juliette Kayyem Profile picture
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7 Dec, 7 tweets, 2 min read
This news regarding Pfizer and the Trump Administration is not shocking in sense that they seem to never get supply chain, surge or details. But there is no crying in vaccine distribution. Some thoughts on how this impacts the supply chain. 1/
As noted in @theatlantic, this is all really complicated and these blips and delays are rough but not shocking. Manufacturing can be ramped up, but this is Biden's obligation to figure out surge capacity since we know Trump doesn't do that. 2/
theatlantic.com/ideas/archive/…
Here is an explanation of how the Defense Production Act can be used ensure distribution surge starting Day One. Not just the vaccine, but needles, syringes, etc. I'm not trying to forgive Trump for this move, but we move on. Aren't you over him? I am. 3/
Some mitigation: 1)Pfizer's yield and volume is likely to improve and are likely to have excess over their immediate commitments. We also can find a way to get more doses from Pfizer, and so I take some of this news with a little bit of jadedness regarding negotiations; 4/
2)We do have a deal with Moderna for 100 million doses and can probably still buy more; 3)the old school subunit vaccines are coming soon enough, easy to manufacture, normal cold chain, may even be one dose (great). Given how well the mRNA vaccines work, these should too. 5/
There are other vaccine choices likely to be on market as well (adenovirus vaccines). 4)And so so sadly, we are getting natural herd immunity (I feel sick writing this) but it is a factor in supply. 6/
Anyway, I'm hardly pollyannish. These are delays that are often part of major distribution efforts, but fundamentals still hold: we have a vaccine, at least two, that work. The rest is details, which are complex but can also be solved with time and professionals. 7/7

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More from @juliettekayyem

Juliette Kayyem Profile picture
28 Nov
A few takeaways on questions from private sector and vaccination compliance. Obviously, we want as much voluntary compliance as possible. But this is also where "freedom" will have its limits and I'm all for it if vaccine is safe and reliable. 1/
Private sector rules are actually not too complicated. Private employers can just demand it as condition of employment; there may be ADA or religious accommodation issues but that's it. Federal grant recipients may face some additional regs but that will depend on Biden Admin.2/
Issue now that worries many employers is public distrust on safety. Ideally, statutes protecting leave related to virus would include time off for vaccination and vax reaction. Employers (free advice, folks) should encourage vaccine by giving time off both to get it and reax. 3/
Read 6 tweets
Juliette Kayyem Profile picture
22 Nov
THREAD ON VACCINE DISTRIBUTION AND STATES: Lots still to be determined, but worth knowing that states are mapping out planning which falls into 4 categories. 1/
1)Demand: This is tricky. I think polling showing high reluctance is likely to change with vaccine and new Admin. Local and national influencers will be key for tailored engagement. But general population not until summer so have to set expectations of timing as well. 2/
2)Allocation: High priority groups are easy though no definitive fed guidelines yet -- health care/medical; critical infrastructure/teachers/supply chain; over 65; high risk; general population; children (?; some trials with 12-18yos now). States will have some leeway. 3/
Read 8 tweets
Juliette Kayyem Profile picture
17 Nov
THREAD ON REPUBLICAN GOVS AND NEW MASKING RULES: Last night, Iowa's Kim Reynolds became another Rep. Gov to go from "never" to "now" masking rules since Biden won. Rep. Iowa, N. Dakota, W. Virginia, Utah, etc. recently changed course to mandatory mask mandates. Some thoughts 1/
It is not too late. Never too late. The desire to blame or think it is too little is not productive. From the beginning, without national guidance, it was govs who would have to lead the masking mandate during this Articles of Confederation response. 2/

theatlantic.com/ideas/archive/…
In our push to get masking and social distancing requirements one state at at time, the single major determinative factor was not the scope of infection, but the Governor's party affiliation. Data proved it. On the "one damn state at a time" effort⬇️.
3/
Read 8 tweets
Juliette Kayyem Profile picture
2 Nov
THREAD: Today is activation day in public safety for Election Day. None of this is normal; most of it planned for. All good (enuf) so far. An incident does not make a war. Below thread I explained last week. Here is what you should expect for this one. 1/
Activations have stated of all major emergency operations centers, fusion centers and National Guard (if not done already). All that means is that we are prepositioning folks, no leave allowed, begin public presence, and get ready to ratchet up. 2/
Intel is not screaming trouble leading up to 11/3, Trump's language not particularly different than usual crap. Interesting silence in many areas which is good (some intel from white supremacist groups suggests they are standing down due to public safety positioning) 3/
Read 9 tweets
Juliette Kayyem Profile picture
31 Oct
Pro-tip: As public safety sets up command posts, National Guard deploys, cities board up, Walmart hides ammunition (!), language like this from Trump is what intel folks will be looking at and hoping more for. 1/
It's all madness, yes. But Trump is a master of language, of inciting without saying so. So, it will be interesting to see if this new language -- a man musing that he is better off leaving -- is repeated throughout weekend. It lowers the temperature 2/
and creates a narrative he can live with (and that's all that matters to him, right?). He still is using language of incitement, but it is tempered by the "drive away" stuff. His cabinet with access to means -- Barr, Wolf, Esper -- seem absent. So that's what to look for. 3/
Read 5 tweets
Juliette Kayyem Profile picture
25 Oct
Thread on preparing for potential local violence on Election Day. The purpose of this is to tell you all what to expect in days ahead; sometimes we are not transparent enough on planning and preparedness and what it looks like. This may be long. But hopefully helpful. 1/
There are three domestic based threats for in person voting on November 3rd: vote suppression, the pandemic, and threats or fears of violence (which is intended to suppress). Then there are foreign threats. All a headache and mess, yes. Each different in terms of preparation.2/
I realize how little those in public safety or public officials (or those who advise them) are disclosing the basic planning efforts going on. That's a shame because it is leading to unnecessary panic or may lead to panic when the plans are put in place. 3/
Read 17 tweets

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