1/3 Many thanks @yasminv for hosting me today. Apologies for throwing some cold water on the vaccination “victory lap” today, but there are some stark realities to consider...
2/3 first I don’t know where that 70% of adults goal comes from, but it’s not adequate. Yes the Biden Admin deserves credit for great successes, but we need 75-80% of entire US pop vaccinated, all of the adults adolescents. The South looks terrible, we’ll see a surge this summer
3/3 also there’s a humanitarian tragedy underway in South America, the Biden Admin needs to take some leadership here and help our neighbors. We must scale up and distribute vaccine for Latin America now, and ultimately all the LMICs. US State Dept invisible
Bottom line: Except for the Acela Corridor, California, and a few other states, mostly the Western Hemisphere is on fire
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Nationally yes Dr Jha, but here in the South we’re woefully behind. Very few getting vaccinated, Louisiana Mississippi Alabama, literally at one-half the vaccination rate of Vermont or Massachusetts. Our nation’s vaccination heat map looks like a Union-Confederacy map from 1861
This observation may have important USA implications, especially for American kids. Given how B.1617.2 is accelerating in the US affecting especially among the unvaccinated, including children. This may require us to accelerate the urgency immunize younger groups
Whether the illness is truly disproportionate in children compared with other variants of concern is still unclear to me, but hopefully @CDCgov might comment news18.com/news/india/cov…
1/5: In 2021, I've written a series of articles describing the globalization of antivaccine/antiscience movement that rose out of Texas in 2015, now a triple-headed monster: 1) Far right extremism/white nationalism 2) Organized and funded US groups, 3) Russian disinformation
1/10 Many thanks @chrislhayes for hosting me tonight @allinwithchris on the very important problem of Covid vaccine immunogenicity and takes on people receiving immunosuppressive Rx or with immune deficiencies.
2/10 it’s now a significant % of US population as much as 3-5% and increasing annually
3/10 includes those with 1) primary immunodeficiency, 2) leukemias lymphomas, 3) solid organ malignancies and chemotherapy, 4) bone marrow transplants, 5) solid organ transplants, 6) B cell mab Rx, 7) corticosteroids Rx, 8) CAR-T Rx, 9) splenectomy, 10) primary immunodeficiency
80 million doses is a "drop in the bucket," and the U.S. should pledge to manufacture and export 4-5-billion doses by the end of the year, Peter Hotez, professor of pediatrics and dean of the National School of Tropical Medicine, Baylor Coll Med, told CNN. axios.com/wealthy-countr…
Equally important, I also said that this should be done in an overarching frame work of coherent US foreign policy around vaccine diplomacy. We're not getting that out of Foggy Bottom (State Department).
Of course, I understand State Dept is up to its eyeballs this week in Middle East issues, but somehow we need to advance a foreign policy and approach to vaccinating the world with the following elements....
Talk about great men: I’ve gotten to know @drsanjaygupta even pre-pandemic. Honest to god, there’s no one who has worked harder and tirelessly to get it right and speak to the American 🇺🇸 people, a true tzaddik
But there’s so much more: truly great ones: @DrLeanaWen who has put herself out there articulating the complexities of the pandemic, I’ve learned so much
And @celinegounder and her years of infectious diseases experience who takes care of complex patients, I’ve learned so much