Nearly a month ago, I wrote that the next phase of the pandemic would hinge on vaccines, variants, and doubling down on protective measures.

Let’s take a look what’s happened since then and what that means for what’s next:

link.medium.com/MzyVoTK0Oeb
First, vaccines.

The pace of vaccination has sped up dramatically in the past few months. We’re now averaging 2.5 million per day. And over 3 million vaccines were administered just today. 🎉

That’s incredible.
BUT we’re a huge country and even vaccinating 1% of the population in a day means it’ll take months to get everyone protected.

Only 42% of those >65 years old are fully vaccinated.

And only 13% of the US is fully vaccinated.

The majority of the US is still vulnerable to COVID.
Next, variants.

The CDC warned that the more transmissible and deadly B.1.1.7 variant would be a dominant strain by March.

And recently the CDC Director @CDCDirector suggested B.1.1.7 “may now account for as much as 25 – 30%” of cases.

energycommerce.house.gov/sites/democrat…
This variant is already circulating in nearly every state. And may help explain the recent rise in cases in many places as well as the increased hospitalizations in places like Michigan.

Cases caused by other variants of concern - B.1.351 and P.1 - are rising as well.
Here in NYC Covid cases have plateaued, likely because variants are now behind the majority of new infections.

The NYC variant now accounts for almost half of all cases in the city.

Working in the ER, every one of my recent shifts has seen more Covid patients than the last.
Lastly, adherence to public health measures.

When I wrote this piece, a handful of states had loosened their mask mandates. I warned others would follow.

Texas and Mississippi soon did exactly that.

Really, really dumb.
But it’s not just red states pulling back prudent public health measures.

Even here in New York, restrictions are quickly loosening.

Indoor dining is now at 75% capacity in the state and 50% for NYC. Professional sports. Indoor fitness studios...

nytimes.com/2021/03/20/nyr…
And Americans are back to traveling in droves. The number of passengers at US airports is the highest since the pandemic began. ✈️✈️✈️

We know that previous travel surges have led to big increases in cases.

forbes.com/sites/joewalsh…
So where does that leave us?

Vaccines are speeding up. But so are variants. And we’re letting down our guard all across the country.

Over the past month, new cases have plateaued nationally. That’s despite getting millions and millions vaccinated.
So, what does this all mean?

Despite the warming weather and the omnipresent optimism, we’re not done with Covid, and Covid isn’t done with us.

It’s still a risky race of vaccines, variants and how well we follow public health measures.
Even if we’re vaccinating at an incredible pace, these variants definitely still pose a significant risk.

And if we continue to relax prudent public health measures before its safe, cases could undoubtedly rise yet again.

The summer will be better. Let’s get there safely.

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More from @Craig_A_Spencer

15 Mar
In the last year I’ve done hundreds of TV interviews and lectures.

But yesterday a friend asked me to join her family’s Zoom call to answer questions and concerns about COVID-19 vaccines. It felt like the most important and impactful hour I’ve spent to date...
There were people from all over the country on the call. And they had such insightful and nuanced questions about the vaccines, but we’re struggling to separate the science from the misinformation on social media.

I completely understand why so many are still so uncertain...
But I could tell everyone felt much more reassured after our talk, especially when I shared how effective the vaccines were against getting severely ill, being hospitalized or dying from Covid. And also how excited I was to get my family vaccinated as well.
Read 4 tweets
13 Mar
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.
Read 8 tweets
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

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