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Josh Michaud Profile picture
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30 Dec 20, 6 tweets, 3 min read
Worth noting that Kathleen Hicks, President-elect Biden's pick for the number 2 spot at the Pentagon, would be that unusual senior defense official with some background in global health, as it relates to national security.
She's co-authored reports on the Department of Defense and global health, such as this one from 2009
csis-website-prod.s3.amazonaws.com/s3fs-public/le…
From that report: If "virulent diseases can destabilize economies and entire political systems, then it is in the national security interest of the US to address the causes of diseases and develop effective systems to detect and contain them."
She spoke at a 2013 @kff event on the Defense Department's role in global health, highlighting the threat from pandemic diseases and how they are relevant to DoD's national security mission [transcript excerpt below].
kff.org/global-health-…
She has considered the US military role in #COVID19 response. You can hear her thoughts in this @CSIS podcast from earlier this year.
csis.org/podcasts/take-…
So, the fact that we might have a top defense official versed in global health security just as we're emerging from a pandemic is an interesting prospect.

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More from @joshmich

Josh Michaud Profile picture
1 Jan
That the US might adopt a 1 dose regimen or significantly delayed 2nd dose for vaccines already authorized seems more fanciful thought experiment than tractable policy. Pretty much all institutions and incentives are lined up against such a change and not without reason.
Current vaccines are authorized via EUAs from FDA, which both clearly state terms of use including a two-dose regimen. Moderna’s EUA says the vaccine is “administered as a series of two doses 1 month apart…”
“…Individuals who have received one dose of Moderna COVID-19 Vaccine should receive a second dose of Moderna COVID-19 Vaccine to complete the vaccination series.”
modernatx.com/covid19vaccine…
Read 20 tweets
Josh Michaud Profile picture
31 Dec 20
CDC now provides more data on vaccine distribution and administration by state, agency, etc. Worth a look and a bookmark.

A few things that jumped out to me, in a short thread.

covid.cdc.gov/covid-data-tra…
2.17 million doses distributed through the federal pharmacy partnership prgm for long-term care, but only 167,149, or 7.8%, administered. This is the phase 1a component that needs to make up the most ground.

If this program were a state, it would easily be the worst performer.
States/jurisdictions' overall progress in administering the vaccines they have received continues to vary widely.

DC has administered over 50% of its vaccines on hand, while Kansas has administered just over 10%.
Read 6 tweets
Josh Michaud Profile picture
22 Dec 20
You may have seen CDC reporting 4.6 million doses of #COVID19 vaccine have been distributed & 614,117 administered. Why the huge gap between doses distributed vs administered numbers? (short thread)
Some of the gap is from reporting lag: it can take up to 3 days for providers distributing the vaccine to report to state/local health officials, and additional time for officials to report to CDC
covid.cdc.gov/covid-data-tra…
Also, doses distributed to states have been held for use in long-term care facilities via the federal pharmacy partnership, which is only now starting to ramp up. Its goal is to reach 4.5 million residents and staff at 55,000 nursing homes nationwide
foxnews.com/health/nursing…
Read 8 tweets
Josh Michaud Profile picture
4 Oct 20
I realize that without further details made public we're left picking up scraps of info about the White House cluster, but putting together a list of people and their test results and speculating about their exposures is not "contact tracing".
Contact tracing is supposed to be a methodical effort by investigators to speak with known cases, ensuring they have support and are taking proper precautions, and also ask them about their close contacts so those people can be told they have been exposed and take proper action.
Contact tracers:
-Let people know they may have been exposed and should monitor their health for signs and symptoms of the disease.
-Help people who may have been exposed get tested.
-Ask people to self-isolate if they have the disease or self-quarantine if a close contact.
Read 5 tweets
Josh Michaud Profile picture
12 Sep 20
ICYMI: @KFF released the results of a new poll a few days ago, covering a number of #COVID19 topics.

I'll highlight a few of the findings in a thread.

kff.org/coronavirus-co…
Among all registered voters the economy ranks as the most important voting issue, the coronavirus pandemic next. However, there is a stark difference by party, with 36% of Dems saying coronavirus is most important and just 4% of Republicans saying that. Image
If a Covid-19 vaccine became available before the election, just 4 in 10 said they would choose to get vaccinated (with Republicans slightly more likely to say no than Democrats). Image
Read 6 tweets
Josh Michaud Profile picture
12 Sep 20
Contact tracing apps have evolved to become "exposure notification apps"; Apple and Google are streamlining the process of participation, allowing push notifications for users to opt-in automatically (Apple) or direct users to state-supported notification apps (Google).
The hope is that there will be much greater adoption of these apps because now opt-in will be embedded directly in device operating systems.

Adoption is state-by-state, and about 20 states have, or will soon be, deploying this approach.
Up until now, uptake of state contact tracing apps has been quite low. For example, "less than 5% of the population in North Dakota downloaded the state’s app as of June, while only about 1.8% of Utahns had done so by July."
slate.com/technology/202…
Read 7 tweets

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