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11 Feb, 4 tweets, 2 min read
I respectfully disagree w @DrTomFrieden here- or at least contend his hypothesis (and that of MANY other experts is incomplete). If you flooded the market right now with vaccine, data suggest they’d continue preferentially going to affluent whites, and you’d increase disparities.
The math is in fact unforgiving. Overall supply is the most important rate-limiting step- IF YOU ARE WHITE. If you’re a minority (and therefore on average at higher risk), there are other significant “rate limiting” factors, like hesitancy and location.
https://t.co/bLc83DtTOA
I greatly respect Dr. Frieden’s work, but this is the blind spot (and unintentional but real perpetuation of bias) I continue to see in public health. We often talk of equity, but when we have a chance to drive the conversation, we often prioritize averages > inequities.
https://t.co/TEq291nPgh

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More from @JeromeAdamsMD

Jerome Adams Profile picture
7 Feb
If you care about health equity and haven’t seen this @KFF #COVID19 data, it’s shocking, and a must read.👇🏽

In NJ for example, blacks = 12% of population, 16% of deaths, but only 4% of vaccinations...

Latest Data on COVID-19 Vaccinations Race/Ethnicity kff.org/6f5f223/
Hispanics are 21% of NJs population, 19% of deaths, but only 6% of #COVID19 vaccinations.

And not just NJ- these trends hold up for all other states.

This IS systemic bias (and institutional racism) playing out in real time. @CDCgov @POTUS should be reporting & addressing!
I see a story here or a tweet there, but there really needs to be @WhiteHouse press briefing dedicated solely to discussing actions/ solutions- not just casually mentioning it as an issue. Resources and accountability are key.
Read 5 tweets
Jerome Adams Profile picture
31 Jan
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.
Read 5 tweets
Jerome Adams Profile picture
30 Jan
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…
Read 5 tweets
Jerome Adams Profile picture
24 Jan
An FAQ that deserves an answer:

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...

health.nd.gov/sites/www/file…
Read 6 tweets
Jerome Adams Profile picture
24 Jan
We’re in a race against #covid19.

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.
Read 4 tweets
Jerome Adams Profile picture
5 Dec 20
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/?
Read 14 tweets

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