1/ @SurgoVentures keeps doing great work on vaccine confidence and behavioral science.
nytimes.com/interactive/20…
They break unvaccinated people into 4 psychobehavioral archetypes: the Watchful, the Cost-Anxious, the System Distrusters, and the Covid Skeptics.
2/ How to reach folks and encourage them to get vaccinated depends on how they think about COVID and vaccination.
3/ Here's a map of COVID Skeptics:
- Almost everyone in this group believes at least one conspiracy theory about COVID.
- Where the pink goes far outside the square, there's a lot of skepticism.
- Where the pink remains inside the square, there's a lot less skepticism.
4/ Religious leaders and doctors are the best messengers for COVID Skeptics.
- Don't try to debunk disinformation.
- Listen and share facts.
- Emphasize this a personal choice to protect family and friends.
5/ Here's a map of the Cost Anxious:
- Worry about the time & expense of getting vaccinated. (COVID vaccines are FREE!)
- Where the yellow goes far outside the square, there's a lot of cost anxiousness.
- Where the yellow remains inside the square, there's less cost anxiousness.
6/ Best strategies for Cost Anxious:
- Hold vaccination clinics in workplaces, religious/community centers, daycares, supermarkets, bars, restaurants, etc.
- Let people know COVID VACCINES ARE FREE.
- Employers should give paid time off for day of vaccination and if side effects.
7/ Here's a map of System Distrusters:
- Believe the health system treats them unfairly.
- Mostly people of color.
- Where the blue goes far outside the square, there's a lot of distrust in health system.
- Where the blue remains inside the square, there's a lot less distrust.
8/ Best strategies for System Distrusters:
- Send trusted messengers into the community to listen and answer Qs.
- Make vaccination of people they know visible.
- Emphasize transparency and equity in vaccine rollout.
9/ Here's a map of The Watchful:
- They're waiting to see how it goes for friends/neighbors.
- Late adopters
- Where the purple goes far outside the square, there's more watching & waiting.
- Where the purple remains inside the square, there's a lot less watching & waiting.
10/ Best strategies for The Watchful:
- Encourage people who are vaccinated to share selfies and nudge family/friends online and offline.
- Altruistic messages about protecting others resonate.

• • •

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More from @celinegounder

Sep 1
1/ Why the confusion over COVID vaccines now?

What’s changed isn’t the science. It’s the process.

Policy is increasingly announced by officials online & outside the usual evidence review, creating mixed messages for families.

on @CBSMornings with @edokeefe @TheKellyOGrady
2/ Normally, FDA reviews products, then CDC’s vaccine advisers (ACIP) publicly weigh evidence & vote.

CDC adopts guidance, which insurers & programs like Medicaid, the Children's Vaccine Program (CHIP), & Vaccines for Children follow.

That process has been corrupted.
3/ This season, the FDA narrowed COVID vaccine approvals:
🔹People 65+
🔹People 6m to 64y if they have at least one risk factor for severe COVID (including pregnancy)

Off-label use:
🔹Healthy people 6m to 64y in consultation with your doctor
Read 10 tweets
Sep 1
1/ It’s been a chaotic week at the CDC.

The director was fired less than a month into her tenure, four senior leaders resigned in protest, & the agency is still reeling from a shooting at its Atlanta HQ.

on @CBSNews @FaceTheNation with @EdOKeefe
2/ These aren’t just headlines about “palace intrigue.”

What’s unraveling is the basic machinery that keeps Americans safe: vaccines, outbreak detection, lab guidance, and expert support for state health departments.
3/ Within hours of the firing of CDC Director Dr. Susan Monarez’s, 3 leaders—responsible for vaccine safety, respiratory diseases, & the chief medical officer role—resigned.

Earlier that week, CDC’s head of data systems also stepped down.

More departures are expected.
Read 14 tweets
Aug 22
1/ After the shooting at CDC earlier this month, employees sent a blunt letter to HHS Secretary Robert F. Kennedy Jr.

They said that instead of standing with them, RFK Jr. is spreading conspiracy theories about the CDC & their work.

on @CBSEveningNews with @jdickerson
2/ They called this dangerous & made 3 requests:
🔹Stop spreading inaccurate health info
🔹Affirm CDC’s scientific integrity
🔹Guarantee safety of the HHS workforce

savehhs.org/letter/hhs-sta…
3/ Since the shooting, CDC staff say they’ve been harassed with phone calls.

Callers mockingly ask, “Are you resilient?” before playing gunfire sounds, echoing CDC’s own post-shooting messaging.
Read 12 tweets
Aug 20
1/ For the first time in decades, US pediatricians have released their own vaccine schedule, separate from the CDC.

Why? Because they no longer trust the government’s process.

Here’s what parents need to know. 🧵
on @CBSEveningNews with @jdickerson
2/ Earlier this year, the CDC’s vaccine advisory committee was overhauled.

All 17 experts were dismissed & replaced with just 7 appointees—several with a history of spreading vaccine misinformation or skepticism.
3/ The Vaccine Integrity Project was established to fill the void & brings together many of top vaccine experts.

Today, the Vaccine Integrity Project reviewed the most up-to-date science on the safety & effectiveness of flu, RSV & COVID vaccines.
Read 15 tweets
Aug 8
1/ New CDC data show just how much ultra-processed foods dominate U.S. diets.

Americans get ~55% of daily calories from UPFs.

Almost 2/3 of what kids & teens eat is ultra-processed.

on @CBSEveningNews with @TheKellyOGrady
2/ The biggest sources?

Sandwiches, sweet bakery goods, packaged snacks, & sugary drinks. 🥪🍩🥤
3/ So why does this matter?

Because a major new U.K. clinical trial—the largest & longest yet—found that even “improved” UPFs can’t match the benefits of minimally processed meals. 🍎🥗
Read 14 tweets
Jul 29
1/@DeionSanders’ bladder cancer diagnosis was caught by chance, during a CT scan for an unrelated issue.

with @nateburleson @vladduthiersCBS @AdrianaDiaz on @CBSMornings
2/ Most bladder cancers are found when people notice blood🩸 in their urine, the hallmark symptom.

But early cancers can be silent, as in Sanders’ case.
3/ His scans, done for blood clots, ended up saving his life.

Even though his cancer was high-grade, it hadn’t invaded the bladder muscle.

That allowed surgeons to remove his bladder & cure him.
Read 18 tweets

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