If you're at extremely low risk for a severe case of COVID19 why does getting vaccinated make sense? The simple answer is that you still reap massive personal benefits from getting vaccinated because it helps end the pandemic. Let me explain 1/8
Vaccines provide two types of protection: (1) direct protection to the recipient and (2) indirect protection to others by slowing transmission. The transmission-slowing component is a lot bigger than you think and probably greatly outweighs the direct component. 2/8
Every vaccination is like a speed bump that slows transmission down. More speed bumps mean fewer cases, which makes it easier to bring the pandemic to an end and return to normal activities like going to bars and concerts. 3/8
It will be months until we have an approved vaccine for kids. Our best hope of bringing the pandemic under control in the meantime is high vaxx rates among adults -- especially those under 30 who socialize in big networks and therefore have an outsized impact on transmission. 4/8
Young people have a lot more power to end the pandemic than they might realize. Some modeling studies actually show that, under certain conditions, high vaccination rates of people 16-24 could end the pandemic more quickly than vaccinating the vulnerable. 5/8
It's natural to want to take fewer precautions when your own risk of a severe case of COVID19 is low. But that also means you could end up prolonging the pandemic by contributing to transmission, esp among kids and the vulnerable. Getting vaccinated protects you from that too.6/8
The pandemic has been grueling for all of us. I can understand why some may feel like they don't have the energy to worry about others. But, to be clear, the argument I'm making here is based purely by appealing to your own self-interest. We all want the pandemic to end. 7/8
If you want the pandemic to end, then get vaccinated when it's your turn. It's as simple as that. Even if your risk of severe COVID19 is literally zero.

Slowing transmission is our way out of the pandemic. And every vaccination helps. 8/8
It makes sense to prioritize the vulnerable for vaccination to reduce hospitalizations and deaths when supply is limited. As supply expands and doses are available for everyone it becomes increasingly more important for lower risk people to get vaccinated too. One step at a time.

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More from @ZoeMcLaren

13 May
Ohio is running a lottery to give 5 people $1 million each if they've been vaccinated. It sounds like a crazy idea but I think it's brilliant. Let me explain. 1/9
1. It creates buzz and gets everyone talking about the vaccine. That opens the doors for conversations that will help encourage vaccine hesitant people to get vaccinated. 2/9
2. Lotteries with bigger jackpots draw more people in. A million dollars might seem like a lot of money but it has the potential to massively boost vaccination rates. 3/9
Read 9 tweets
25 Jan
Here's a helpful analogy: We are in a battle against the virus. Each vaccine dose can be used to give armor to the most vulnerable OR to lay a stone in the wall to keep the virus out. 1/4
If doses are limited, it makes sense to start by *only* giving armor to the vulnerable since it offers them a lot of protection from illness and death.

We could try to build the wall first, but the vulnerable wouldn't be protected from the virus until the wall was finished. 2/4
So, while doses & infrastructure are too limited to vaccinate enough less-vulnerable people to control the virus, we must focus on getting the most-vulnerable vaccinated. It's the most effective way to protect them.

Only then should we turn to vaccinating the less vulnerable.3/4
Read 4 tweets
25 Jan
Could throwing some COVID19 vaccine doses in the trash actually help save lives? Buckle up. This thread might break your brain. 1/9
Some argue that it's a net positive for non-prioritized people (e.g. young people) to get leftover COVID19 vaccine doses that would otherwise end up in the trash. Let me try to convince you that this is far less helpful than you think and actually likely costs lives. 2/9
According to the CDC, someone aged 65-74 is 90 times more likely to die from COVID19 than someone 18-29.👇 So vaccinating people 65-74 is *about 90 times more effective* at preventing death than vaccinating someone 18-29. 3/9
Read 9 tweets
23 Jan
I respect @lindy2350's work, but this article draws the misguided conclusion that "declining a Covid-19 shot because you think it should go to someone else won’t help anyone." Let me explain. 1/9
nytimes.com/2021/01/21/opi…
The pandemic has been long and hard on everyone. And I don't want to add to anyone's burden. But the idea that letting other more vulnerable people ahead of you in the queue "won't help anyone" is patently false. It may not fix the system, but it could save someone's life. 2/9
If you are at relatively low-risk *within your priority group* then you have many reasons to believe that your vaccination appointment would go to someone with higher risk. A 65 year old who works from home is at far lower risk than a 65 year old who works in retail. 3/9 Image
Read 9 tweets
23 Jan
@gregggonsalves you are a treasure and I want you to stay healthy. But I also know how much you care about health equity so please forgive me, but I feel compelled to respond. You can take the vaccination appointment, but you may want to consider postponing. Let me explain. 1/10
If you postpone your appointment, the dose will either (1) go to someone at higher risk, (2) go to someone at lower risk, or (3) in rare cases end up in the trash. 2/10
What is your COVID19 risk relative to the rest of your priority group? If you have low exposure risk (e.g. WFH) and have no underlying risk factors for hospitalization or death from COVID19 then you likely fall in the lower range of risk for your group. 3/10
Read 10 tweets
22 Jan
Is it naive to hope that the pandemic will get better now that we have a new President? The truth is that there is a lot of low hanging fruit that the Biden administration is already working on. I predict our trajectory will start to look better soon. Let me explain 1/14
Health information: Better information about relative COVID19 risks of different activities. @CDCDirector Walensky plans to review all guidance for scientific merit and update it as necessary. This will help reduce transmission right away. 2/14
Funding: HHS had been inexplicably holding up funds appropriated by Congress last summer. Under Biden's administration more funds will be allocated to states and health departments to be spent on COVID19 priorities. 3/14
Read 14 tweets

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