1/ CDC's new mask guidance:
Fully vaxx’d do not need to mask.
EXCEPTIONS:
- Healthcare and long-term care facilities
- Travel by bus, plane, train, public transportation
- Transportation hubs
- Prisons, jails, homeless shelter
- If you have symptoms? Mask & test.
Some thoughts…
2/ The science shows that:
- VACCINATED people are PROTECTED
- UNVACCINATED people are at RISK
Cases are down by 1/3 in the last 2 weeks.
The risk of vaxx’d persons transmitting to others is very low.
HOWEVER...
4/ Local rates of vaccination coverage vary across the country. Note that the SE and Rocky Mountain states in lighter green. covid.cdc.gov/covid-data-tra…
5/ The CDC should have recommended that fully vaccinated people could go without masks indoors be dropped IF:
- local rates of community transmission are LOW
- and local rates of vaccination are HIGH
They should have clearly set a FLOOR for the country.
6/ The CDC’s advice is NOT tailored for different regions.
- It does NOT OVERRIDE local public health or workplace rules.
- Few local health depts will have stomach to say that people still have to mask based on local circumstances.
- Businesses don't want to police customers.
7/ What does this mean for communities of color, which have been hit hardest during the pandemic?
- 40% of white, 27% of Blacks, and 29% of Latinx adults in the U.S. have been vaccinated.
- Would the CDC have changed its guidance if only 27% of ALL Americans had been vaxx'd?
8/ Sure, unvaxx’d people can keep wearing masks, but in so doing:
- What do they reveal about their health status?
- Will they be stigmatized or under social pressure to shed the mask even if they would prefer to wear one to protect their health?
9/ And yes, the risk of shedding masks is greatest for the unvaxx’d. So if they infect one another, who cares, right?
WRONG.
Ongoing transmission➡️viral mutation ➡️new variants
- more infectious
- more virulent➡️more severe disease
- immune-evading (bad for vaxx’d persons, too)
10/ Some people sick with COVID will end up in hospital. If have:
- private insurance: cost spread across other members of that plan, e.g. higher insurance premiums
- Medicare, Medicaid, TRICARE: cost passed on to taxpayers
- no insurance: hospital eats cost & passes on to others
• • •
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1/ We need to do a better job of vaccinating the Latinx community in the U.S. A lower % of Latinx adults have been vaccinated than white / Black adults, yet more Latinx adults want to get vaccinated ASAP than white / Black adults. This is UNMET DEMAND.
2/ Latinx adults are worried about themselves / family getting sick from COVID than Black / white adults. This worry is even higher among potentially undocumented, Spanish-speaking, &/or poorer Latinx adults = more likely frontline workers & fewer protections against COVID.
3/ Risk factors for not being vaccinated despite wanting to get vaccinated ASAP: immigration status, Spanish-speaking, uninsured. Look how high vaccination rates are among permanent residents vs potentially undocumented Latinx. They understand risk, but ACCESS is a barrier.
2/ We came into the conversation thinking that many of their concerns would revolve around women's health issues (e.g. fertility, pregnancy, breastfeeding, menstruation). At least two of the women were pregnant.
3a/ But their biggest concerns were no different from many other groups:
- How could the vaccines have been developed this quickly?
- What are the long-term side-effects?
- Are the vaccines safe and effective in people who have underlying medical conditions like me?
1/ On the issue of whether you need to mask outdoors, folks are conflating population attributable risk (the % of disease due to an exposure) with individual risk of disease from an exposure.
2/ @VauseCNN's skydiving analogy is a fairly good one. Not many people die from skydiving accidents per year, but skydiving is a high-risk activity.
3/ But the analogy isn't perfect because you can't transmit skydiving disease & death. In calculating population attributable risk, we should also take into account that SARS-CoV-2 is transmissible.
Here's who's most and least enthusiastic about getting vaccinated:
2/ We've made progress with those who want to "wait & see" across multiple demographics including communities of color and conservatives, who were the least vaccine confident at the start.
The % who definitely don't want to get vaccinated has remained stable since January.
1/ The single most important messenger is someone’s primary care provider.
People want to know if the vaccines will be safe and effective FOR THEM.
Your personal healthcare provider is best positioned to address this. debeaumont.org/wp-content/upl…
2a/ What can healthcare workers do to encourage others to get vaccinated?
- Lead by example: get vaccinated and share your experience with others.
- Be prepared with the facts to answer questions about COVID vaccines. justhumanproductions.org/resources
2b/
- Share educational materials widely: on your website & on social media.
- Ask every patient if they’ve been vaccinated.
- Send a letter or email to all your patients.
1/ India is setting global records for COVID cases—and the numbers are massively undercounted. Hospitals are full. Patients have died as hospitals have run out of oxygen. Cremations are taking place in parking lots and parks.
2/ Colleagues and I are putting together guides on how to care for COVID at home (more Indian language translations to come) because the situation is so dire.