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

Jun 1
1/ FDA Commissioner Makary joined @CBSNews' @margbrennan on @FaceTheNation this morning: cbsnews.com/video/fda-comm…

Full transcript here:
cbsnews.com/news/marty-mak… Image
2/ Brennan: "...you with the HHS Secretary in this video announcement on Tuesday where Secretary Kennedy said the CDC was removing the COVID vaccine for healthy children & healthy pregnant women from its recommended immunization schedule"
3/ She's referring to this social media post:
Read 34 tweets
May 31
1/ Trump Administration's MAHA report is being called out for fabricated citations, AI-generated errors & misattributed authorship.

on @CBSNews with @Alexander_Tin & @MajorGarrett6cbsnews.com/video/white-ho…Image
2/ What makes this especially troubling is the report’s claim to be “evidence-based” & “gold-standard.”

Misrepresenting science while claiming to elevate it is not transparency—it’s Orwellian double-speak for sloppy, dangerous pseudo-science.
3/ At first glance, the report warns of serious issues: screen time, mental health, overmedication in children.

Important topics, yes, but the foundation of the report is now in doubt because many of the studies it cites simply aren’t real.
Read 17 tweets
May 27
1/ Very concerning news from HHS today:
CDC is no longer recommending the COVID vaccine for healthy children & healthy pregnant women.

Why does this have me worried?
2/ Healthy infants may not die from COVID, but they’re at higher risk for ER visits and hospitalizations… both scary & costly.
3/ Pregnant women ARE at higher risk for severe COVID (& influenza).

Pregnancy is a period of immunosuppression (so that the woman’s immune system doesn’t reject the fetus as a foreign body) & stress on the lungs & heart.
Read 9 tweets
May 23
1/ What’s fueling the surge in childhood chronic illness in the US?

The MAHA Commission blames ultra-processed foods (UPFs)—& their assessment offers a sweeping critique of America’s food system.
2/ Nearly 70% of American children's calories now come from UPFs—foods high in added sugars, refined grains & industrial fats, but low in nutrients.

The MAHA report links this to obesity, diabetes, even behavioral health.
3/ UPFs are designed to override satiety signals (i.e. feeling full).

Kids eat more & gain weight faster.

Plus, many UPFs contain additives that may affect metabolism, mood & gut health.

Think: emulsifiers, artificial colors & sweeteners.
Read 15 tweets
May 11
1/ A new study from South Korea suggests the shingles vaccine may do more than just prevent shingles—it might also protect your heart 🫀.
on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson
2/ Researchers followed over 2 million adults for a decade.

Those who got Zostavax—the older, live shingles vaccine—had a 23% lower risk of heart disease, including heart attacks, strokes & heart failure.
3/ That cardiovascular protection wasn’t short-lived.

It lasted for up to 8 years after vaccination.
Read 14 tweets
Apr 9
1/ My colleague @DrLaPook's interview with @HHSGov @SecKennedy raised critical questions about public health, vaccines & government responsibility.

on @CBSMornings
2/ RFK Jr, a longtime vaccine skeptic, now recommends the measles vaccine during an outbreak.

This is a significant shift, but his statements on vaccine safety testing need clarification.
3/ Vaccines undergo rigorous testing in Phase 3 & 4 clinical trials, often lasting years to decades.

Claims that vaccines are tested for only "3-4 days" without placebos are misleading.
Read 16 tweets

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