1/ CDC's vaccine safety team finds a likely association between mRNA vaccines & myocarditis in adolescents & young adults. Onset usually within 7 days after dose 2, males >> females. But, risk is low compared with benefits of vaccination...
2/ Benefits of vaccination in preventing CoV-19 cases, hospitalizations & deaths are great compared w/ low risk of myocarditis, & vary w/ age/gender.

Since pandemic began, 2,767 CoV-19 deaths were reported in 12-29 year olds w/ 316 deaths reported since April 1, 2021.
3/ Additional benefits of vaccination not mentioned above include protection against multi-system inflammatory syndrome in children & adults (MIS-C, MIS-A), long-term symptoms (long Covid) from CoV-19 infections, & against new, more dangerous variants of concern.
4/ CDC & American Academy of Pediatrics continue to strongly recommend vaccination of adolescents, young adults & all eligible people. Ongoing study needed & in progress to identify potential risk factors & better quantify risk (esp. for adolescents) & any long-term concerns.
5/ Best way to protect everyone, including those who can't yet be vaccinated (or might not be well-protected because of immunocompromise) is for all of us who are eligible to be vaccinated as soon as possible, especially with Delta rising. #covidisnotover

cnbc.com/2021/06/21/cov…
6/6 Details about myocarditis associated with mRNA vaccines, benefits of vaccination, & more available in presentations from today's ACIP meeting here: cdc.gov/vaccines/acip/…

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More from @DocJeffD

14 May
1/ A few thoughts on CDC’s new mask guidance, vaccination & CoV-19 risk.

Vaccinated people have a VERY high level of protection vs CoV-19 compared to unvaccinated with a MUCH LOWER chance of getting sick if exposed or spreading CoV-19 to others.
2/ When unvaccinated people gather indoors, they are at risk of both getting CoV-19 themselves as well as spreading it to others, especially if masks are not worn.
3/ CDC recommends vaccinated people no longer need to wear masks for most activities indoors or out, while unvaccinated people should continue to do so, especially indoors.

However, it’s not easy to know who is/is not vaccinated in public spaces!
Read 13 tweets
12 Apr
1/ What does remaining in Phase 3 of the Governor’s Healthy Washington Roadmap to Recovery mean for King County?

⚠️ Don’t let your guard down! ⚠️ This is definitely not an “all clear” signal. We don’t stop wearing seatbelts just because we haven’t had a crash recently...
2/ We are MUCH closer to putting the worst of the pandemic behind us, but not quite out of danger yet. The potential for a severe surge in cases & hospitalizations remains real until more of us are vaccinated.
3/ For the time being, we all need to continue taking COVID-19 precautions seriously. This will protect us, our family members, friends, co-workers, our community & our economy as vaccinations increase.
Read 8 tweets
22 Feb
Why are COVID-19 cases falling and what does it tell us about where the pandemic is heading? A few thoughts:
1/
Factors contributing to recent surge(s) are decreasing. These include holiday travel/get togethers, more activities & socializing, & general increase in indoor time during fall & winter that facilitate CoV-19 transmission through airborne spread & effects of low humidity. 2/
Restrictions on indoor and other activities (Governor’s directives in WA state: travel advisory, mask use, distancing) work and helped decreased spread. 3/
Read 20 tweets
29 Jan
With more dangerous CoV-19 variants, we must improve CoV-19 prevention in all aspects of our lives, incl. mask quality & fit, limiting time w/others, avoiding crowded indoor spaces, increasing distance from others, & getting vaccinated when it’s your turn. On masks: 1/
Cloth masks are recommended by CDC for use by the public. Cloth face masks were initially recommended to prevent someone w/CoV-19 from spreading the virus to others. This is especially important because people can spread the infection to others before they appear or feel ill. 2/
Recent studies suggest cloth face masks can also provide protection to the wearer. How well it protects depends on how well it's made & fits (e.g. the type & # layers of fabric). At this time, CDC only recommends N95 masks & surgical masks for health care workers (HCW) 3/
Read 17 tweets
12 Jan
In 2010, I noted lessons from the 2009 H1N1 influenza pandemic, incl. epi/surveillance, healthcare system response, communication, mitigation strategies, & the vaccination program. Regrettably, most are just as relevant today, many opportunities missed. 1/
nap.edu/read/12799/cha…
In 2010, I described racial & ethnic disparities, inadequate public health resources/funding; value of enhanced surveillance methods; hospital overload & PPE shortages; drug distribution problems & perhaps most noteworthy at the moment, challenges w/ the vaccination program. 2/
A few key points on vaccination follow. "The need to rapidly plan and implement a large-scale vaccine distribution & administration system severely taxed local public health capacity..." 3/
Read 11 tweets
10 Jan
What went wrong in SoCal? "Part of the reason for the new surge appears to be the Thanksgiving effect. Many Californians, particularly those in & near LA, held small gatherings for Thanksgiving with family & friends, despite warnings from officials." 1/ nytimes.com/2021/01/09/us/…
"...the state’s early success in the pandemic may have given Californians a false sense of security...The very successes that we had built in a potential complacency from the part of people thinking it’s maybe not that severe.” 2/
"Young people who had isolated themselves gathered in large groups & stretched the limits of what constituted outdoor dining to include rooms with large windows. The taboos of the first months of the pandemic, like meeting friends inside their homes, fell away." 3/
Read 4 tweets

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