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Céline Gounder, MD, ScM, FIDSA Profile picture
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31 Jan, 5 tweets, 2 min read
1/ NYC released its data on COVID vaccinations by race today. Among adults 18+, those vaccinated skew whiter. Black and Latinx NYCers are vaccinated at disproportionately lower rates. www1.nyc.gov/site/doh/covid… Image
2/ Among adults 18-64, those vaccinated again skew whiter. Asians slightly overrepresented (perhaps because many work in healthcare?) Black and Latinx NYCers ages 18-64 are vaccinated at disproportionately lower rates. Image
3/ Among NYCers 65+, those vaccinated again skew whiter. Asians slightly underrepresented (perhaps less likely than older whites to be long-term care facility residents?) Black and Latinx ages 65+ are vaccinated at disproportionately lower rates. Image
4/ It would be interesting to see this breakdown among healthcare workers. While an imperfect measure of vaccine hesitancy, I would expect that race-related disparities in vaccination among healthcare workers would be more indicative of hesitancy than access.
5/ It's important that we understand what's leading to the disparity: hesitancy or access. And then better understand what solutions will address the drivers of each.

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA Profile picture
3 Feb
1/ “When I say ‘experts’ in air quotes, it sounds like I’m saying I don’t really trust the experts,” @NYGovCuomo said of pandemic policies. “Because I don’t.”
nytimes.com/2021/02/01/nyr…
But he does trust lobbyists, big private hospital systems, and paid consultants like Deloitte.
2/ Because we should trust consultants like Deloitte? Who charged the US government $44M to build a dysfunctional IT system to track COVID vaccination? technologyreview.com/2021/01/30/101…
3/ Why is @NYGovCuomo opening restaurants now? Monied interests. nytimes.com/interactive/20… If he really cared about people working in restaurants, he'd be focused on providing them with the economic and social supports to weather the pandemic safely. justhumanproductions.org/podcasts/ep-51…
Read 6 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
2 Feb
1/ We need to do better on equity in vaccine rollout. But that means (a) we've got to solve the right problem, and (b) we need the people and tools to solve the problem.
2/ Is it access or is it hesitancy that's led to less vaccination among communities of color? How do the demographics of healthcare workers and the residents of long-term care facilities, who had earliest access, compare with those of the same age in the community at large?
3/ Among healthcare workers who had access to vaccination in their workplace (note that home health aides, out-patient healthcare workers, and others may not have had access at work), were the demographics of those getting vaccinated skewed relative to the total population?
Read 8 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
1 Feb
1/ Thanks, @UnivisionNews for helping get good information out about the COVID pandemic.
2/ Translation here:
"This came to my attention. For me, this is an erroneous message for the citizens of Mexico and for the players, young people are doing anything and everything. The doctor Celine Gounder, who was assigned by the incoming @WhiteHouse in November,
3/ "...the new @POTUS, she had the opportunity to write to answer us:
'We cannot rely on natural immunity. We have seen reinfections following natural infection. Positive antibody tests demonstrate prior infection, NOT robust, long-term immunity.'
Read 6 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
28 Jan
1/ New COVID variants are emerging:
- B.1.1.7 from the UK: more transmissible, possibly more virulent. Even if not more virulent, more transmissible = more infections, more disease, more hospitalizations, more death.
2/
 - 501Y.V2 from South Africa: immune response elicited by both natural infection & vaccines may be blunted with lower neutralizing antibody activity BUT the Pfizer/Moderna vaccines still appear to be effective. We should soon have data on the AstraZeneca and J&J vaccines, too.
3/ P.1 from Brazil: More transmissible like B.1.1.7 variant from UK. Blunted immune response like 501Y.V2 variant from South Africa. washingtonpost.com/world/2021/01/…
Read 7 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
17 Jan
1/ @CDCgov's COVID vaccination guidance aimed to balance science, implementation & equity. cdc.gov/mmwr/volumes/6…
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-…
Read 7 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
10 Jan
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.
Read 5 tweets

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