Craig Spencer MD MPH Profile picture
Mar 6, 2021 16 tweets 7 min read Read on X
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
Here ⤵️ I reflect on the anniversary of the pandemic in NYC. Its hard to describe all the sadness healthcare workers saw this past year.

But theres reason for hope. Thankfully many of us are vaccinated against a disease we feared, bringing some comfort.

link.medium.com/xZEP8IfCpeb
In ⤵️ piece I wrote about the global shortage of medical oxygen.

I know it might sound boring. But oxygen is something we take for granted. Like running water or nurses, we can’t even imagine a hospital without it. The global reality is very different.
link.medium.com/Z8irQT9cAeb
In ⤵️ piece I discuss the promise and perils of vaccine passports.

Even with their obvious upsides, there are many unanswered questions on how they’ll be used and who will be left out. Let’s collectively consider their limitations before it’s too late.

link.medium.com/ulH1ky4bOeb
I wrote about how this summer will be weird. Going back to normal—whatever the hell that even means—will be a shock for many.

I know because I've had to do it before.

Some of us will bounce back differently, faster, or more completely. And that's okay.
elemental.medium.com/its-about-to-g…
Recently as part of a monthly update I wrote an update about vaccinations, variants and adherence to public health measures.

“If the trajectory of the pandemic in the U.S. was determined only by vaccinations, we’d be in great shape. But it isn’t.”

link.medium.com/dFmnvEOQAfb
In ⤵️ piece I wrote how the decision to pause the J&J vaccine seemed short-sighted. But for the health of our patients and for the long-term credibility of our public health institutions in the future, it was absolutely the right one.

link.medium.com/ny7auLsRAfb
In ⤵️ piece I wrote about the most common misconceptions when it comes to herd immunity.

FYI: it’s not a set, single, or even known threshold. Nor is it a country-level on/off switch where everything magically changes once we reach it. Want more deets? 👇
link.medium.com/Zs9wg1IaUfb
While the U.S. and other wealthy nations vaccinate their way out of our pandemic nightmare, Covid is raging around the world.

But only 0.2% of all Covid vaccines are going to low-income countries.

⤵️ I outline how the 🇺🇸 can help get the 🌎 vaccinated.
link.medium.com/nzALSYdfUfb
The CDC recently issued new guidance on masks. The hot takes were mixed.

Some were glad to see updated recommendations on what’s safe. But many found them too cautious and confusing.

I wrote about the important takeaways from the new recommendations.⤵️

link.medium.com/2wtkm9NhWfb
I wrote about Fox News fraudster @TuckerCarlson and his deliberate lies about the Covid vaccines.

In pushing disingenuous disinformation about the vaccines, Carlson is doing his viewers a huge disservice. Hopefully, none of them pay the ultimate price.

link.medium.com/zoHOGdJQtgb
The U.S. vowed to be an ‘arsenal of vaccines’ for the world. So what are we waiting for?

My latest for @Medium on the state of the pandemic in the U.S. and globally, and why lofty promises won’t end this pandemic👇

link.medium.com/BYG0Epiiwgb
"We're fully vaccinated but our kids aren't - can we still have fun this summer?"

Parent friends have asked for my advice on navigating the next few months with unvaccinated kids.

This @Medium piece outlines how my family is approaching the summer 👇

link.medium.com/2lMOoM3OJgb
Over 115,000 health care workers around the world have died from Covid-19. Like many of my frontline colleagues, I've lost too many of my friends to this virus.

I wrote about how vaccinating every health care worker should be an immediate global priority.
coronavirus.medium.com/why-are-my-col…

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More from @Craig_A_Spencer

May 22
I teach a class on the history of humanitarian response.

We talk about how a field full of dead soldiers in 1859 in Solferino led to the ICRC, Geneva Conventions, & international humanitarian law.

Every year, my students always ask “the ICC seems useless, why do we need it?” 🧵
In the aftermath of World War II, the Nuremberg Trials was the first international war crimes tribunal.

I think we can all agree that prosecuting those responsible for the atrocities of the Holocaust was an important endeavor.

There were calls for a more permanent tribunal…

cfr.org/backgrounder/r…
But the ICC wasn’t established until 2002.

In the last 22 years, it has indicted 40 people and convicted only 10.

Given that it seems like bad guys get away with doing bad things with impunity all the time, many will question the ICC’s role and impact.

icc-cpi.int/about/the-court
Read 13 tweets
May 12
I can’t stop thinking of a baby girl I treated, just minutes after grenade shrapnel tore through her brain…🧵
I was in Burundi working as a trauma doctor in 2016.

Civil conflict enveloped the country. I was training local physicians to treat and stabilize life-threatening injuries.

Most of our patients had gunshot wounds

or had been pierced by grenade shrapnel

Sometimes both.
When violence erupted, we’d hear a furious bang at the hospital entrance

the large doors would open

then 60-70 people wound stream in, some walking, some carried.

Many bleeding. Some already dead.

We’d start to triage. We had trained for this. We had a system.
Read 12 tweets
Mar 31
Four years ago today, I walked into the apocalypse.

Crossing the line in the ER felt like entering a whole other world.

Frenetic alarms.

Patients strewn about, struggling to breathe.

Too few staff. Too many deaths.

Covid was everything.

It had completely taken over our ER
Covid inundated NYC a week prior.

And many of our staff fell ill.

Especially the nurses.

We had only a fraction of those we needed.

Too few to notice when the oxygen tanks under patients’ beds ran out.

So we did something kinda insane.

Actually unbelievable
We ran tubing from the oxygen outlets on the wall

up, up, up

then through the ceiling

and then dangled it down to the middle of the ER

All over the ER

So everyone could get a reliable oxygen supply

And not suffocate when their tank ran out

It saved lives.

A lot.

A lot.
Read 9 tweets
Mar 20
How much do you know about food and drug safety?

Where did our current regulations come from?

And what were some of the greatest scandals that forced change?

We covered everything from swill milk, patent medicines, and thalidomide in our class today.

Here's what we covered 🧵 Image
We started with smill milk.

This was a massive problem that few—including in public health—have ever heard of.

In New York (and elsewhere) in the mid-19th century, milk was a big part of the daily diet, especially for children.

But people didn't realize how deadly it was.
Image
Image
Usually marketed as 'pure milk' with depictions of happy cows and happy kids, the reality was WAY different.

A lot of milk—estimates are 60-80% of ALL milk at the time—was actually 'swill milk'.

Swill milk came from cows fed solely on a diet of distillery slop (aka 'swill').
Image
Image
Read 52 tweets
Mar 14
Hey my medicine and public health people!

How much do you know about eugenics?

Just old pseudoscience, you say?

Any idea how much it continues to influence us?

Answer: A LOT.

I taught a class on the history of eugenics and public health today. Here's what we covered: 🧵 Image
Eugenics is Greek for 'well-born'. But it wasn't coined by the Greeks. It's a late 19th century term made up by Francis Galton. He LOVED data. We will come back to that.

Eugenics had the biggest impact on the approach to mental illness, immigration, and reproductive justice. Image
We will dig into each.

But first, you gotta know the background and key players.

For background, eugenics arose in an environment obsessed with progress, but also frustrated with economic and social realities.
Read 44 tweets
Oct 21, 2023
Having worked in conflict zones, I want to share a bit on humanitarian response in Gaza, as aid starts to trickle in.

This isn’t a thread on how to end the war, or hostages, or any of the other very important things. Those are critical too. But they’re not at all my expertise 🧵
Over the past week, shortages in food, water, and electricity have exacerbated the humanitarian and health challenges.

This creates new problems, as well as worsening chronic issues.

Without gas, generators can’t run. Newborns on life support in intensive care can’t survive.
Without electricity, patients can’t receive dialysis. Insulin for diabetes can’t be kept refrigerated, as it should be. These chronic health issues worsen, quickly.

Without water, infectious diseases like cholera (and others) become increasingly likely.

cnn.com/2023/10/18/mid…
Read 12 tweets

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