Learning the lessons from disease outbreaks is critical to improving response.

In our commentary for @TheLancet, @syramadad and I reflect on the lessons the U.S. learned responding to Ebola and how they could’ve better informed our #COVID19 response. 🧵

thelancet.com/journals/lance…
The key takeaways:

1. Outbreaks always expose the shortcomings in health-care systems.

2. Protecting the health-care workforce should always be a top priority.
3. Having a coherent national plan and collaborating with national and international partners are all vital to combating a pandemic.

4. Health experts must be placed at the forefront to educate the public.

5. Training and hands-on, real-life experience are critical.
These 5 lessons learned from the US response to the 2014 Ebola outbreak should’ve better informed our COVID19 response.

An important reminder, as the next pandemic isn’t far off:

“Preparedness is, by definition, proactive. Yet the way we often respond to outbreaks is reactive.”

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More from @Craig_A_Spencer

6 Mar
Here’s a roundup of the weekly #COVID19 pieces I’ve written as a @Medium contributor.

My first piece in early February set my intentions for this project:

“My goal is to explore the stories and issues that are critically important, but under-reported”.

link.medium.com/rnNMsJdCpeb
This ⤵️ examined the inequities of the global #COVID19 vaccine rollout. Wealthy nations need to help the rest of the world get vaccinated - not just for moral and humanitarian reasons, but also to tamp down variants and soften the global economic impact.

link.medium.com/XkTnoweCpeb
This ⤵️ outlined the precarious place we’re at in the pandemic. The next phase will depend on vaccines, variants, and how well we adhere to public health measures.

The recent lifting of restrictions & mask mandates may unnecessarily prolong the pandemic.
link.medium.com/wCfDk8eCpeb
Read 4 tweets
26 Feb
“The next phase of the pandemic hinges on vaccines, variants, and doubling down on protective measures.”

Read my latest for @Medium and @elemental.

Here’s a short teaser 🧵:

link.medium.com/qwp4uFe6aeb
In the last month, Covid cases in the US have dropped precipitously. Not long ago we saw > 300k cases a day. Now it’s closer to ~70k.

Hospitalizations have plunged as well. 🎉🎉🎉
And after a slow start, vaccination has picked up significantly.

We now administer 1.5 million doses per day, vaccinating more Americans in 8 hours than will be diagnosed with Covid in a week.

Most importantly, targeting vulnerable populations early on is already saving lives👇
Read 16 tweets
18 Feb
The ability to get a #COVID19 vaccine largely depends on whether you live in a wealthy country.

I wrote about why we must urgently address inequities in the vaccine rollout worldwide 👇

Here’s a 🧵 on how imbalanced vaccine access is and why it matters:

link.medium.com/3fA81Lo4Ydb
This graphic from @TheEconomist shows a breakdown of doses ordered per adult worldwide, revealing a massive imbalance. Many countries have ordered way more vaccine than people eligible to receive it.

“Half of the world’s supply has been reserved for just 15% of its population”
And this @nytimes graphic tracking vaccination rates by continent shows how inequitable the rollout has been so far.

In North America, ~10 doses have been administered for every 100 people.

That’s almost 5x the rate of South America and 50x that of Africa.
Read 9 tweets
21 Jan
The White House released the ‘National Strategy for the COVID-19 Response and Pandemic Preparedness”.

It opens with “America deserves a response to the COVID-19 pandemic that is driven by science, data, and public health—not politics.”

The strategy is organized around 7 goals:
1. Restore trust with the American people.

2. Mount a safe, effective, and comprehensive vaccination campaign.

3.Mitigate spread through expanding masking, testing, data, treatments, health care workforce, and clear public health standards.
4. Immediately expand emergency relief and exercise the Defense Production Act.

5. Safely reopen schools, businesses, and travel while protecting workers.

6. Protect those most at risk and advance equity, including across racial, ethnic and rural/urban lines.
Read 6 tweets
30 Dec 20
Since the vaccine rollout 2 weeks ago, way more people have been diagnosed with #COVID19 than were vaccinated against it.

The stated goal of vaccinating 20 million by years end definitely won’t happen. In fact, at this rate, it would take years to vaccinate enough Americans...🧵
For months we’ve been concerned that the last-mile logistics of the vaccine rollout weren’t as well-coordinated as the amazing science that got us vaccines in record time.

And now that vaccines are here, we’re seeing massive delays in getting vaccine out and injected into arms.
Creating a safe vaccine in record time is undoubtedly hard.

But quickly getting it out - all across the country, in vials at subarctic temperatures, to facilities big and small, and ultimately into peoples’ arms in a coordinated fashion - is arguably harder.
Read 5 tweets
4 Dec 20
🧵New @CDCGov MMWR today with summary guidance for public health strategies to reduce #COVID19 transmission.

Here’s a quick thread of the evidence-based CDC recommendations and sustainable strategies:

cdc.gov/mmwr/volumes/6…
1) Universal face mask use 😷,

2) Maintaining physical distance from other persons and limiting in-person contacts,

3) Avoiding nonessential indoor spaces and crowded outdoor spaces,

4) Increasing testing to rapidly identify and isolate infected persons,
5) Promptly identifying, quarantining, and testing close contacts of persons with known COVID-19,

6) Safeguarding persons most at risk for severe illness or death from infection with SARS-CoV-2, the virus that causes COVID-19,
Read 5 tweets

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