1/ "...the #BLM movement & ... COVID... are stark reminders of the pernicious effects of systemic racism..."
science.sciencemag.org/content/372/65…
by @ShirleyTilghman (one of my molecular biology profs at @Princeton), my dear friend @KafuiDzirasa, former @NIH Director Harold Varmus & more.
2/ "The lack of diversity in the scientific and health professions—a longstanding manifestation of racism—can no longer be ignored, excused, or attributed to uncontrollable factors."
3/
4/ "Some who defend the status quo claim that a lack of diversity does not compromise the quality of science or the likelihood of making discoveries that improve human well-being. We strongly disagree."
5/ "Why? First, because any barrier to entry into #STEM fields weakens science and carries unacceptable opportunity costs. By limiting the pool from which future scientists are drawn, the full range of talent is reduced, and progress is slowed."
6/ "Second, when science is more inclusive, the range of questions asked will broaden, as happened when women began to enter the biomedical profession in larger numbers in the 1970s and 1980s ."
7/ "Third, barriers to the inclusion of specific demographic groups limit the potential impact of science on society."
8/ "Last, the US census projects that by 2045, no single group, as defined by the US government, will hold a majority. ... As Congress has recognized, the US will be unable to compete in the global arena in the future if it fails to draw talent from its diverse citizenry."
9/ The single most important sentence in this piece:

"THE TENDENCY TO PREFER AND TO VALUE PEOPLE MOST LIKE ONESELF IS A DEEPLY HELD HUMAN TRAIT, ONE THAT NEEDS CONSCIOUS MONITORING TO OVERCOME."
10/ "African American grant applicants for funding from the @NIH face racial bias... with African American applicants receiving grant review priority scores that were 10 percentile points lower than scores for white or Asian American applicants"
11/ "...some have argued that science is a meritocracy, & that the absence of diverse voices... largely reflects limited diversity of the pipeline of trainees. This passive view... ignores actions that scientific community can take to address systemic racism & its consequences."
12/ "...we can now build on some recent programs that have had notable success... These programs appear to have 3 key features: reducing the sense of isolation by using cohorts to create communities, making strong institutional & individual commitments to mentoring..."
13/ "... and removing barriers to research careers by providing full financial support during training."
14/ I read a draft of this oped prior to publication. I'd never thought about it this way, but wondered to @KafuiDzirasa if maybe I would have thrived in engineering had it been for programs like these.

I just couldn't picture myself in the career.

But, no regrets!
15/ "We call on President Biden to take an even bolder step in support of both equity and science by proposing legislation that would establish and fund a broad interagency National Science and Engineering Diversity Initiative (NSEDI)."
16/ We recommend that OSTP... establish a long-range national strategic plan for diversifying the scientific workforce..." Need to look at K-12, college, graduate education; professional training programs; employment in the public & private sectors; and research grants.
17/ "criteria for hiring & promotion of all scientists... should include evidence of a commitment to diversity, equity & inclusion... diminish the “minority tax”... by ensuring that such programs are led, at least jointly, by nonminority faculty."
18/ I spoke to Drs. @KafuiDzirasa, David Satcher, and Harold Varmus about their efforts to increase diversity in the STEM fields on @AmericanDxFM:
- justhumanproductions.org/podcasts/bonus…
- justhumanproductions.org/podcasts/a-bla…

• • •

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More from @celinegounder

20 Apr
1/ Just released:
Survey data from @FrankLuntz, @BrianCCastrucci, and the @deBeaumontFndtn on J&J vaccine pause.

Here’s a quick summary according to partisan affiliation.

Biden voters slightly more likely and Trump voters slightly less likely to get COVID vaccine. Image
2/ Biden voters are evenly split and Trump voters are slightly less concerned about getting a blood clot from a COVID vaccine. Image
3/ Almost everyone who's already been vaccinated would do it again: Image
Read 15 tweets
15 Apr
1/ Interested in learning more about VACCINE CONFIDENCE, what some call VACCINE HESITANCY? Have a listen:
- EPIDEMIC.fm S1E64: concerns about vaccines are as old as vaccines themselves, dating back to the late 1800s and smallpox. justhumanproductions.org/podcasts/epide…
2/ Why are young moms targeted by the anti-vaxx movement? Hear form a mom who went from anti-vaxxer to vaccine advocate.
- EPIDEMIC.fm S1E65: justhumanproductions.org/podcasts/s1e65…
3/ Get a fuller picture of the African American experience with vaccines and public health and why we need to prove ourselves trustworthy to build trust in vaccines.
- EPIDEMIC.fm S1E68: justhumanproductions.org/podcasts/s1e68…
Read 6 tweets
15 Apr
1/ Apologies for not posting this sooner. I've been tied up juggling multiple jobs (Bellevue + media + congressional testimony + other), but I think it's important to get this out there now. I could have last night, but...
2/ The Food and Drug Administration and Centers for Disease Control and Prevention called for a pause on use of the J&J vaccine in this country. Six cases of blood clots have been reported among a million women between the ages of 18 and 48 who have received the vaccine.
3/ To put this in context, women who are not taking birth control pills have a 1 to 5 in 10,000 per year risk of getting a blood clot. This risk increases by more than 4x during and immediately after pregnancy.
Read 35 tweets
14 Apr
1/ I have counseled patients on:
- why they need to keep taking their tuberculosis antibiotics for months
- why they need to get tested for HIV or sexually transmitted infections
- why they should take pre-exposure prophylaxis for HIV or antiretroviral therapy
2/ I have worked throughout sub-Saharan Africa and spoken with religious leaders, teachers, community health workers, youth, journalists, activists, and politicians.

e.g. why didn't Guineans & other West Africans think Ebola wasn't real? Because they didn't trust the government.
3/ Analytic methods only take you so far. The math we use in epidemiology and economics, for example, is essentially the same. What's different is an understanding of the context, and that comes with experience on the ground, working with people.
Read 4 tweets
13 Apr
1/ It's really important that the FDA & CDC informed healthcare providers about the VERY RARE risk of blood clots after vaccination with J&J vaccine.
theatlantic.com/science/archiv…
We normally treat blood clots with heparin, but heparin can make things worse and even be deadly here.
2/ I'm not too worried about the latest news about the J&J vaccine will mean for the U.S. We'll have plenty of Pfizer and Moderna vaccine to vaccinate all Americans. I'm worried about what this could mean for the rest of the world.
3/ It's essential that the CDC and FDA prove themselves trustworthy. Worries about vaccine safety and efficacy and a lack of trust in the health system and government drive low confidence in vaccines.
Read 4 tweets
13 Apr
1/ Agree with @CDCDirector @RWalensky and former CDC Director @DrTomFrieden. You can't vaccinate yourself out of a COVID surge. Vaccination works well to PREVENT a surge.
nytimes.com/2021/04/12/us/…
2/ Can we predict where the next surge will be? It may be too late for Minnesota, Illinois, too. Should we send more vaxx to the NE, where transmission is also up? If there's a seasonality or geography to this, will the southern states be next (like last summer)?
3/ Unless we can predict and get ahead of a surge, it doesn't make sense to reallocate vaccine supply.
Read 4 tweets

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