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Juliette Kayyem Profile picture
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21 Apr, 4 tweets, 2 min read
The "vaccine wall" I've been describing is distressing but also not surprising. We go from riding a wave to walking through molasses as we hit demand issues related to access and hesitancy. Requires comms and delivery shifts at tactical level. Big is no longer best. 1/
.@erictopol is pointing out here the reality we knew was coming. So we pivot. There are other commentators (not Eric!) freaking out about this, saying the WH is trying to spin the numbers. I don't get that "take" however satisfying it may be for folks to just complain. 2/
Every major logistics challenge follows the same path: rough start, oil to the engine, then a surge and wave, then molasses. Thankfully, the WH got us to this slower stage sooner than we could have ever hoped under Trump. 3/
But this phase was known (it is why folks like me are going on Dr. Oz, etc). We could get to a point where we can't reach herd immunity and public health folks should do what they know and start helping us think about what that looks like instead. 4/4

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More from @juliettekayyem

Juliette Kayyem Profile picture
15 Apr
To science friends: @ScienceMagazine @hholdenthorp asked me about public health comms and lessons learned. As a mere consumer of health intelligence to guide things I do -- assist state, local and private entities and public how to respond -- I have some (hard) takes. Thread. 1/
Health intelligence is like other intelligence: imperfect, changing as we learn, looks solely through one lens. It provides insights into the "what," but the ultimate decisions often have to take into account costs and benefits that aren't necessarily "scientific" in nature. 2/
Thorp's editorial from the interview lays out the key takeaway: in a national crisis, there are many lanes, all relevant for a nation suffering. We could blame Trump and, while correct, that is too easy. 3/
science.sciencemag.org/content/372/65…
Read 12 tweets
Juliette Kayyem Profile picture
9 Apr
The "replacement theory" isn't just Tucker's usual racism. It is different. The theory -- that space is limited b/c displacement is occurring -- is used as justification for violence to protect a limited resource. It is a promotion and defense of violence. 1/
Also known as "the great replacement," the ideology was first introduced in France about fears of Arab and Muslim immigrants who were allegedly overwhelming the "elite." But Tucker clearly is focused on Hispanics, Jewish Americans and other minorities here. 2/
Tucker is coy because he is also correct in one sense. Replacement is occurring. Young white men today are the last generation of Americans born when Caucasian births outnumbered those of nonwhites. This trend will continue and it animates the racist violence. 3/
Read 6 tweets
Juliette Kayyem Profile picture
6 Apr
THREAD: Robert Pape's @washingtonpost essay about his study (that provides more details than a comment in a @nytimes story) is actually INTERESTING. The racism propelling the "protect the vote" insurrection and subsequent GOP voter suppression strategy are known to Pape. 1/
It would be too bad to lose this data based on a strong research agenda, then condensed to a column, that was written about by a reporter, only for Pape's quote to be criticized on twitter b/c he decided to have some fancy rollout only tomorrow so no one has seen the report! 2/
For me, though, some data from what Pape has released is interesting: "Those involved are, by and large, older and more professional than right-wing protesters we have surveyed in the past. They typically have no ties to existing right-wing groups." "In the past" is operative.3/
Read 7 tweets
Juliette Kayyem Profile picture
15 Mar
This is already so good. @Harry_Styles #grammys
Given the lack of live performances for so long, the whole thing -- voices over theatrics, music in the round, the artists sitting and grooving to other artists, the first three selections -- is just a joy to watch. #GRAMMYs
This is such a neat touch and I hope they keep it; artists talking about their careers and how they think about their music. It's just interesting. Plus #BlackPumas are just so good. #GRAMMYs
Read 13 tweets
Juliette Kayyem Profile picture
12 Mar
WHITE GOP MEN AND VACCINES. As I noted before, every cohort of past vaccine resistant pops has shifted towards yes (to "now" or "yes, but not first" category).
Vaccinations beget vaccinations.
EXCEPT GOP men and Trump supporters remain unmoved. Trump continues to harm. 1/
Trump did not announce his vaccination, no photo, no former Pres PSA video. He is hostile to Biden's successes in the roll out. It's tragic, really. FOX could help. But data shows that people can be moved by family and friends too so talk to them, don't shame, one at a time. 2/
Minority and vulnerable populations face access issues, but it is incorrect to call that hesitancy or hostility. Different problem and one that needs to be fixed. Indeed in African American and even Hispanic communities (though latter is still high), hesitancy dropping fast. 3/
Read 4 tweets
Juliette Kayyem Profile picture
22 Feb
(Personal) Thread on debate about US Covid status -- glass half full or half empty; life back to normal or "constant vigilance." It seems to be less about data, but about choosing a standard of measurement: bulk or intimate. I earlier described the mental pivot we needed⬇️ 1/
By any "bulk" measurement, the foundations are strong/awesome. All systems are go (ice delays notwithstanding); vaccines are working; strong proof for controlling transmission; glitches are fixable; supply increasing; more vaccines will be approved; hesitancy going down. 2/
With any "intimacy" measure, there is (may always be?) worry. We get to normal if people continue to behave well so the risk of claiming victory prematurely is high; minority and disadvantaged communities are being left out; "blips" are real; anti-vaxxers suck; variants exist. 3/
Read 7 tweets

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