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31 May, 4 tweets, 2 min read
B.1.617.2 - AKA the India variant- is coming. And it’s primed to disproportionately decimate black and brown communities (d/t lower #covid19 vaccination rates, urban + crowded living settings, and more prevalent comorbidities) if we don’t step up our vax game ASAP...
Why aren’t we seeing more tangible vaccine access and outreach efforts at federal, state, and local levels? Especially while in the midst of easing public protective measures? This is yet another example of privilege and institutional bias.
An important point about hesitancy in minority communities, and the idea that people who won’t jump through hoops to get one either really don’t want it, or don’t deserve it...
Also, many commenters question the data behind my comments (based on what they see around them). Here’s the data.👇🏽 Terrible disparities still exist across most of the country in terms of who has gotten vaccinated. To beat Covid we have to do better.

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More from @JeromeAdamsMD

Jerome Adams Profile picture
24 May
Many of us get claim summaries in the mail, barely looking at them before throwing them away. But they reveal the deep inequities and flaws in our system. This is one I recently received for my wife. You must look beyond the summary- insane as it is- to see the real problems. 🧵
$31,000 billed- for a single medication?! How is that reasonable? But insurance only paid 13 cents on the dollar. So what if you didn’t have insurance? Well you’d be billed the entire amount, which both insurer and healthcare institution tacitly agree is 87% too much...
You don’t have $31,000? Well a collections agency can buy your “debt” from the healthcare institution- who may end up with almost as much as insurance would’ve paid them anyway. The debt collector agrees to settle with you for half of what you “owe” ($15k), and keeps the margin.
Read 6 tweets
Jerome Adams Profile picture
23 May
Honest question that has bothered me for quite a while. When the headline or the framing of the article is more (or solely) about the interviewer and his/ her questioning than the responder and his/ her answers- is that really objective “news”?
Put another way, should the goal of “news” tilt towards “this is what person of interest X” thinks on the subject of the day, vs “this is the awesome question our reporter asked to own person X”? Because it frustrates me to see more headlines about the reporter vs the subject.
I mention this is because I’ve got friends on both “sides” who are blind to it. But you can go to the websites and see it clearly at any point in time. Do people really care about the pithy question- or the answer? And what does it say about us if we focus on/value one vs other?
Read 4 tweets
Jerome Adams Profile picture
16 May
I understand many are concerned about lack of ability to verify who is vaccinated, but it became pretty clear that “passports” were unlikely to be tolerated/ implemented in most public settings. IMHO the missed opportunity was not focusing more on level of spread as a criteria.
It’s really about your state/ community/ facility’s defense (ie masks, distancing, and overall vaccination plus prior infection rates) vs #COVID19’s offense (local spread). That’s a logical and evidence based way to decide about lifting or creating/ enforcing requirements.
Examples: if high viral spread and/ or low vax rate in the community- makes sense to keep state and local mask mandates. Are you a business that’s willing to have a vax mandate for employees or somehow verify vax status of those entering? Then say no mask if you’ve been vaxxed.
Read 4 tweets
Jerome Adams Profile picture
10 May
Mask wearing is confusing, frustrating, and becoming less necessary as more get vaccinated. But viral transmission is still high in 1/3rd of the counties in this country (home to almost 42% of the population) so officials are hard pressed to relax public health measures...
With no way to tell if one has antibodies (from immunization or infection), officials are left to look at community vax rates plus overall viral spread. Once vax rates are high enough (they aren’t yet) and/ or community spread is low enough (it isn’t yet), mask benefits will ⬇️.
Here’s the bottom line- protecting public health & safety is hard. Officials must make guidance and rules for the outliers vs averages /those acting safely- especially when one persons actions can affect the entire community. Want to see masks go away? Support ⬆️ vaccinations!
Read 4 tweets
Jerome Adams Profile picture
21 Apr
There was blatent provocation by some and blatent fearmonging by others regarding post verdict conflict. We should acknowledge that America handled an historic and emotionally charged moment with a stunning calm, dignity, and perspective that should be applauded. #chauvinverdict
I also encourage anyone with any doubts to challenge yourself to watch the video of Chauvin kneeling on George Floyd’s neck- watch the entire 9.5 minutes. This isn’t about politics. This was about a stunning callousness and lack of respect for humanity that deserved rebuke.
The video is so disturbing (if you can make it through the entirety) that anyone who watches it -regardless of your politics or skin color or feelings about police- knows it was wrong, and is left asking how did our system let this happen. IMO that unity of disgust unites us.
Read 4 tweets
Jerome Adams Profile picture
10 Apr
When did we allow words that describe such admirable qualities to become so politically charged?

Why am I not allowed to be a flag waving, gun owning, god loving, patriot who believes in protecting equal rights, preventing firearm deaths, and preserving our environment? 🤷🏽‍♂️
And admit it- at least one of those words/ descriptions triggered you- though all are defined in either our dictionaries or our Constitution as things we should aspire to.

How do we come together if we have been taught to speak (and be offended by) different languages...🤔
-Preventing Covid vs reopening
-Public safety vs adequate + common sense mental health & drug policy
-Respecting women’s autonomy vs caring about unborn children

And others you can think of?

These aren’t mutually exclusive beliefs. But we are told (and act like) they are.
Read 4 tweets

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