2/ Non-physician healthcare workers are a diverse group that includes nurses, cafeteria workers & janitorial staff. They're disproportionately female and people of color. And yet, despite being “first in line,” they’re not all getting vaccinated.
3/ Whites are being vaccinated at 2-3x higher the rate of Blacks in this country. nbcnews.com/health/health-…
4/ Prioritizing "frontline essential workers" or "critical infrastructure workers" is another way of getting at equity in later phases of vaccine distribution. ~2/3 are women & >40% are people of color.
5/ But "lines" to ensure equity already aren't working. And any scheme that requires providing documentation to demonstrate eligibility is certain to create new barriers to access (take, for example, the impact of voter ID laws). brennancenter.org/our-work/resea…
6/ Does it make sense to ask overstretched, overburdened public health workers, who've been under attack for months, to "police" lines for vaccination? Listen here to learn more: justhumanproductions.org/podcasts/s1-e4… & see also:
1/ Sadly, "natural herd immunity" hasn't worked out so well for Sweden or the USA: nytimes.com/live/2021/01/0…
Coronavirus cases & deaths continue to rise in both countries.
2/ Sweden passed an emergency law on Friday allowing the government to limit the number of people in shops, businesses & public places and to fine individuals for breaking virus rules. nytimes.com/live/2021/01/0…
3/ The only way to reach herd immunity is through vaccination. We have 2 safe and effective vaccines with emergency use authorizations from @US_FDA.
1/ THREAD on Sweden & "natural herd immunity":
COVID cases RISING in Sweden since August/September, as is the case across Europe. DEATHS are a LAGGING indicator (~6-8+ weeks after infections). It is likely Sweden will experience another SURGE in DEATHS in the coming weeks.
@celinegounder 2/ Like the U.S., Sweden FAILED to suppress virus transmission over the summer, in contrast to Sweden’s neighbors, like Norway and Germany. That was DESPITE many Swedes leaving urban and suburban areas for remote cabins in the summer.
@celinegounder 3/ Italy was hit hard and early. England initially took a herd immunity approach to the pandemic (the tallest peak). The U.S. and Sweden have almost identical curves. Sweden’s neighbors Norway and Germany sustained much smaller losses from COVID.
1/ LOVELY in THEORY, but herd immunity WILL NOT work:
POTUS "vowed to shield America’s senior citizens from the coronavirus & directed them to stay home amid the pandemic" politico.com/news/2020/10/1…
2/ Measles has infected humans since at least the 9th century. Smallpox? Since the 3rd century BC. Both are respiratory viruses, like coronavirus.
3/ We have yet to eradicate measles via natural infection & immunity. We only reached herd immunity to smallpox with a vaccine & a MASSIVE eradication effort. When you let respiratory viruses like measles, smallpox, and coronavirus spread naturally, you get big epidemic spikes:
1/ Late last month, Dr. Bill Foege—@CDCgov Director '77-83, central figure in smallpox eradication, former Task Force for Global Health & Carter Center leader, Senior Fellow at the @gatesfoundation, and a devout Christian—sent this plea to @CDCDirector Bob Redfield.
2/ We are witnessing a "colossal failure of the public health response in this country." The result of "incompetence and illogic." The @CDCgov is the preeminent public health institution in the world. They should have been leading the response from the beginning.
3/ Basic tenets of public health:
- "Know the Truth." This White House is about obfuscation & confabulation.
- "a coherent FEDERAL plan," not a patchwork response: podcasts.apple.com/us/podcast/epi…
- We need cooperation & coalition, not division. The virus is winning by divide & conquer.
1/ Great speaking with @Elemental's @smithdag today. elemental.medium.com/everything-we-…
Some highlights:
- “If the fever came down on its own, that’s a very good sign prognostically. If the fever required medication to come down […] it wouldn’t necessarily mean he’s getting better..."
2/ Steroids like dexamethasone and medications like aspirin, Tylenol, and ibuprofen will reduce a fever.
3/ On Fri/Sat, Trump had an oxygen saturation below 94%. Dr. Conley said it didn't got down to the low 80s. So that would imply it dropped to the upper 80s.