Unfortunately we had an incredibly deadly (opioid) epidemic long before #covid19, and many of the gains we’d made were erased in 2020. We MUST walk & chew gum at same time!
With Biden Team Focused On Other Crises, Experts Say Drug Epidemic Exploding : NPR npr.org/2021/01/29/960…
The #COVID19 & opioid epidemics are converging to create an even deadlier “syndemic.” “Quarantine too closely resembles addiction -- staying indoors, avoiding others... that was my life when I was drinking and drugging, and that's what the CDC recommends we all do every day...”
Unfortunately the only thing a new administration has done so far in this space is eliminate a tool doctors have been begging for to help them fight the opioid epidemic for years. We can’t afford to trade lives here (especially not for political payback). google.com/amp/s/www.inqu…
People may think this is political on my part - it’s not. I spent much of my tenure as Surgeon General meeting with mothers and fathers who lost their sons and daughters to overdose, to let this go unsaid. We can’t ignore the mental health crisis in U.S. r COVIDs impact on it.
And as many people know, I’ve had VERY personal experience in this space, and have been a part of this fight personally and professionally for a LONG time... statnews.com/2017/12/07/sur…
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The bottom line on vaccine efficacy against #COVID19 variants, as well as comparing one vax to another:
ALL of the vaccines are still more effective vs all strains of covid than the flu shot is vs flu strains in many years.
And 50% more likely to live still better than 0%!
We can’t allow our collective judgements to be clouded by the amazingly high (and to be frank unexpected) 90% plus efficacy of the mRNA #COVID19 vaccines against the original viral variants.
The original bar for most scientists as well as @US_FDA was > 50- 60%.
In other words, judged by original/ pre- mRNA standards, the current efficacy of all the current vaccines against all the current strains would’ve been widely touted and welcome news if they’d been the first across the finish line/ to get authorization.
Do the COVID-19 vaccines contain aborted fetal cells?
A: NO!!! And the Catholic Church and other religious leaders & faiths have weighed in and said if recommended by your provider, you should get the vaccine. See🧵 and links below for more...
The mRNA #COVID19 vaccines from Pfizer & Moderna don’t
use any fetal cell cultures for manufacture.
Early in the development of mRNA vaccine technology, fetal cells were used for “proof of concept” (ie to prove a cell could take up mRNA and produce the SARS-CoV-2 spike protein).
The Pfizer and Moderna vaccines were found to be ethically uncontroversial by the pro-life policy organization the Charlotte Lozier Institute, and the Catholic Health Association of the United States...
It’s our mitigation & vaccination vs viral proliferation & mutation.
We’re all tired, but we mustn’t stop running, and can’t make it to the finish line alone- if one of us drops the baton, we all lose...
So run all the way to the tape!🙏🏽
On mitigation: new federal mask policy will help change culture (👍🏽), but have little immediate impact as contact tracing data suggests most new spread is occurring in households & communities.
What’s the plan for outreach- especially to rural & conservative America?
On vaccinations: Hesitancy likely a bigger hurdle than supply in the long run. What’s the plan (beyond talking) to leverage trusted gatekeepers and new settings- like faith organizations, HBCUs, employers, and outpatient health providers? They are often trusted > hospitals.
This week @cdcgov’s advisory committee on immunization practices met to discuss who should get a #COVID19 vaccine 1st- & it sparked some new questions. Here’s a🧵with some info on key groups.
ACIP recommended nursing home residents be first in line, & I STRONGLY agree... 1/?
1)Nursing home & long-term care facility residents are <1% of the population but 40% of the #COVID19 deaths, so this is truly the MOST at risk group.
2)We can more easily vaccinate them in 1 place.
3)There’s also only 1.5 million in this group vs 20 million vaccine doses.
2/?
Concerns about prioritizing nursing homes:
-Older people often don’t have as robust a response to vaccines (I’m not personally worried about this as older people were in trials, & vaccines tested showed greater than 90% efficacy- even if it drops to 75%- that’s still great).
3/?
Most people still don’t understand the term and concept of “asymptomatic spread” of #covid19, and why we now recommend that everyone who can, wear a mask as a way to facilitate safee reopening. See thread 👇🏽 for more info.
2/ The coronavirus currently causing our global pandemic- SARS COV2, is actually from a family of viruses, including SARs, MERs, & the common cold.
For those other related viruses, it’s very rare for a person who doesn’t feel sick, or look sick, to be able to spread disease.
3/ Put another way, most people spreading the common cold for instance, have symptoms - like a fever, a runny nose, or a cough.
🤧🤒
And when you have such symptoms or come across someone who does, you know to keep your distance in order to prevent the spread of those germs.