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Juliette Kayyem Profile picture
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3 Jan, 4 tweets, 2 min read
On vaccination distribution, time is of the essence but I can’t urge enough that data after one non holiday week will be very telling about what actually needs to be fixed. We don’t want to screw up the science with wrong fix.
Jan 4-11th.
Then: Jan 20, competency.
See ⬇️ 1/
Some wild proposals being mentioned because this is a “disaster” there are “no plans” etc. and if you’ve been through this before you know systems take time and resources. I’m not defending anyone. Trump lied about 20 M. Eyes on prize. Sweeping assessments lead to bad “fixes.” 2/
So I urge patience before we tinker with science or medicine or allocation decisions. From my perch, money and personnel and maybe some distribution of locales (everyone thinks big vaccination sites, but small and more also works) This is great analogy from @ZoeMcLaren 3/3
The anger and frustration is fair, the last straw of this disastrous WH is too much. But we need to fix what is broken and we need one more week of data to tell us how bad, where and how before we do that.
My two cents. #logistics
4/4

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More from @juliettekayyem

Juliette Kayyem Profile picture
28 Dec 20
I appreciate the sentiment this reflects. I (of all people) also appreciate that we draw conclusions about Arabs and Muslims as well. So, I want to start there. But there is a reason in this very unique case why (some of us) use words like suicide bomber but not terrorist. 1/
I'm not here to defend analysis, I'm thick skinned, simply to explain thinking. As we all know, terrorism is a motivational crime, violence for political or ideological impact. A lot of things can elicit terror, seem "terrorist" like, but not be that 2/
Why does it matter? The long game. I too am worried about white radical terrorism in US. Trump condones it as well by using tactic known as #stochasticterrorism to incite without directing. More on my thoughts @markfollman @motherjones 3/
motherjones.com/politics/2020/…
Read 6 tweets
Juliette Kayyem Profile picture
22 Dec 20
WHEN?!?! A THREAD. The timeframe for vaccinations has varied. Fauci noted general population "most likely start" in April. Anything sooner you hear from folks is based on assumptions that are risky. End of Aug for majority is also a really fair timeframe.
1/
Let's start with the numbers. Indignation at pandemic skeptics who are getting the vaccine now is totally legitimate. But as I've been urging, success is in bulk measurements: over 550K have been vaccinated so far in US. And it's rolling. 2/
nytimes.com/interactive/20…
This pace will pick up significantly. Challenges in distribution system are getting addressed daily (disclosure, again: I advise public and private entities on this part, but do not work directly with any manufacturers). This isn't exactly a chain of command venture but more 3/
Read 11 tweets
Juliette Kayyem Profile picture
14 Dec 20
Thread on Stochastic Terrorism: For years, the President of the United States Donald Trump has utilized his pulpit, twitter and his WH team to perfect a technique known as #stochasticterrorism, inciting random but predictable violence by supporters. His goal was this⬇️
His goal was to promote violence for political gain. That's terrorism. The first time I used the words publicly was in Oct, 2018 after the serial bomber arrest, but Trump was already a pro.
This:

dictionary.com/e/what-is-stoc…


2/
He was nonstop, through the years.
This:


This:


This:


3/
Read 9 tweets
Juliette Kayyem Profile picture
7 Dec 20
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/
Read 7 tweets
Juliette Kayyem Profile picture
28 Nov 20
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 20
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

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