A great step but we need to do more.

The US has ordered 2x the amount needed to vaccinate every American.

It’s like we prepared a huge feast. And we’re holding another feast in the fridge in case we’re still hungry after.

While everyone else starves.
nyti.ms/30E9YNf
What does ‘doing more’ look like?

We need more clarity on what we’ll do with our huge surplus, and when. Sure, keep some for boosters, variants etc.

But we’re holding onto tens of millions of doses that we haven’t even authorized for use - and may never.
reuters.com/article/us-hea…
What would I like to see?

Right now we’re sending out ~16 million doses weekly. That number will grow when more J&J is added at the end of the month and as capacity for the others picks up.
What if we contribute a small % of our weekly allocation to the global community?

Let’s start with 3% weekly in April.

That would be 480k doses per week. Under 2 million the whole month.

Now increase by 1% for May, donating 4% of our weekly supply. That’s 640k doses a week...
Up to 5% in June, for a total of 800k doses/week (3.4 million for the month).

The total we’d donate in that whole time would be less than 1 weeks worth of our supply.

And almost certainly wouldn’t impact the President’s goal of getting enough vaccine for everyone by May 31.
Once we have vaccinated everyone who wants one here, let’s start donating a bigger portion of our incoming supply (10%!) while maintaining the stockpile we need for future uncertainty.

But we absolutely don’t need to sit on hundreds of millions of doses ‘just in case’.
Getting the rest of the world vaccinated is in our best interest.

It would help reestablish the US as a leader in global health.

And it would also help prevent the development and spread of variants. Plus it’s bring huge economic benefits as well!

link.medium.com/ai7rgVZjAeb
I applaud this admin’s initial steps in getting vaccine to the rest of the world. But we must do more.

If we’ve learned anything in the past year, its that meals taste best when eaten with others.

Let’s pull the extra feast out of the fridge and share it with those who need it.

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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
6 Mar
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.
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

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