📍“I AM AFRAID FOR MY STATE”—On July 12, Dr. Michelle Fiscus, the top vaccine official in Tennessee, was fired. She was scapegoated to appease Republicans angry about efforts to vaccinate kids. After losing her job, Fiscus wrote a blistering statement. 🧵
tennessean.com/story/news/hea…
2) “Today I became the 25th of 64 state and territorial immunization program directors to leave their position during this pandemic. That’s nearly 40% of us. And along with our resignations or retirements or, as in my case, push from office, goes the institutional knowledge…
3) “and leadership of our respective COVID-19 vaccine responses.  I will not sit quietly by while our public health infrastructure is eroded in the midst of a pandemic.”
4) “On May 6, 2021, in advance of the approval of the Pfizer COVID-19 vaccine for 12-15 year olds and in response to multiple questions I had received regarding the rules around vaccinating minors, I reached out to Tennessee Department of Health’s general counsel
5) “to request a statement regarding Tennessee’s Mature Minor Doctrine that resulted from a Tennessee Supreme Court Ruling in Cardwell v Bechtol in 1987.
6) “In response, I received a document attached to an email stating, “Sure—Attached is the new summary of the doctrine that has just recently been posted to the website and is blessed by the Governor’s office. This is forward facing so feel free to distribute to anyone.”
7) “On May 10, 2021, I copied and pasted the language provided to me into a memo that was distributed only to providers who were administering COVID-19 vaccines.
8) “A recipient of that memo was upset that, according to Tennessee Supreme Court case law, minors ages 14-17 years are able to receive medical care in Tennessee without parental consent and posted the memo to social media.
9) “Within days, legislators were contacting TDH asking questions about the memo with some interpreting it as an attempt to undermine parental authority.”

🤷🏻‍♂️
10) “Let me be clear: this was an informational memo containing language approved by the TDH General Counsel which was sent to medical providers by the medical director of the immunization program… on guardrails set by the Tennessee Supreme Court for providing care to minors.
11) “What has occurred in the time between the release of this memo and today, when I was terminated from my position as medical director of the vaccine-preventable diseases and immunization program at the Tennessee Department of Health, can only be described as bizarre.” 🔥
12) “On May 19th, TDH was asked to appear before the Government Operations Committee due to the concern that the memo was “a bit of a prodding or encouraging to vaccinate children without parental consent.”
13) “This was followed by a series of requests from members of the Committee for data around the impact of COVID-19 on children and a request to appear before the Committee again on June 16.
14) “It was at that June 16th meeting… one member went on to call for “dissolving and reconstitution” of the Department of Health in the midst of a pandemic where one out of every 542 Tennesseans has died from #COVID19 on their watch & <38% of Tennesseans have been vaccinated.”
15) “It is the mission of the Tennessee Department of Health to “protect, promote and improve the health and prosperity of the people of Tennessee” and protecting them against the deadliest infectious disease event in more than 100 years IS our job.
16) “It’s the most important job we’ve had in recent history. Specifically, it was MY job to provide evidence-based education and vaccine access so that Tennesseans could protect themselves against COVID-19. I have now been terminated for doing exactly that.
17) “Instead, our leaders are putting barriers in place to ensure the people of Tennessee remain at-risk, even with the delta variant bearing down upon us.
18) “What’s more is that the leadership of TDH has reacted to the sabre rattling from the Government Operations Committee by halting ALL vaccination outreach for children. Not just COVID-19 vaccine outreach for teens, but ALL communications around vaccines of any kind.” 🔥 😡
19) Folks— this hasn’t sunk in for most of you… but Tennessee has now suspended **all vaccine** outreach for kids for all diseases, not just #COVID19 vaccine. That’s how ridiculous the GOP retribution is.

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More from @DrEricDing

15 Jul
CDC says #DeltaVariant surging—now dominant ~58% of #COVID19 cases in US. Two weeks ago—31%. 6 weeks ago? Only 3%. Someone warned in May it would endanger the 🌎. Someone warned it will overtake US. Yet CDC didn’t declare Delta a VOC until June 15th. #DeltaVariant is no joke—🧵
2) Let this sink in - 7 kids in the ICU, 2 of which are on life support In Mississippi. And there are breakthrough hospitalizations and breakthroughs deaths with almost certain #DeltaVariant too.
3) Shielding kids and elderly and immunocompromised and chronic disease patients now critical, regardless of their vaccine status. Great move by @TCBPubHealth.
Read 8 tweets
15 Jul
📍A 24-year-old man refused the vaccine, but then contracted #COVID19 (in Florida), got hospitalized, intubated, on ventilator, got ECMO, and required a double lung transplant… expresses his regret not vaccinating. Don’t let this be you or your family! 🧵
news.yahoo.com/24-year-old-wh… Image
2) “He wanted to wait a few years to see, you know, if there’s any side effects or anything from it,” said Paul Nuclo, his stepfather. “As soon as he got in the hospital, though, he said he wished he had gotten the vaccine.”
3) Once hospitalized, however, he asked to be inoculated. 

“The night before he was intubated, he wanted it,” Nuclo said. “So it was a little bit too late then.”

Bargatze had **no preexisting medical conditions**!
Read 9 tweets
14 Jul
⚠️Gosh—7 Mississippi children are now currently **in the ICU** due to #COVID19, with 2 even on “life support” with ventilators, says Mississippi Health Officer @TCBPubHealth. Now 7% of MS deaths in vaccinated—“worrisome”. Pretty much all #DeltaVariant. 🧵 thehill.com/homenews/state… Image
2) As of Tuesday, just about 37 percent of Mississippi's total population had received at least one dose of the COVID-19 vaccine, with 33 percent fully vaccinated. That’s pretty low.
3) The same Dr Dobbs @TCBPubHealth also recently issued a warning and recommendation for all elderly to avoid all indoor mass gatherings even if vaccinated. This was prudent. Kids aren’t vaccinated either. So we should also be super careful with kids while #DeltaVariant surging.
Read 6 tweets
14 Jul
📍Norwegian Cruise Line 🛳 now suing Florida over a state law that would fine businesses up to $5,000 if they force customers to provide proof of vaccination. The company accused Florida of preventing it from “safely and soundly” resuming trips.
nytimes.com/2021/07/13/bus… Image
2) “The filing represents the latest twist in a monthslong fight over the resumption of cruises from Florida, a hub for the industry. Under @GovRonDeSantis, the state has fought vaccine requirements by cruises and other businesses, claiming that such policies are discriminatory.”
3) “Supporters of vaccine requirements have argued that requiring vaccines is necessary to protect public health.
Under a state law approved in May, businesses that force customers to provide proof of vaccination could face fines of up to $5,000 per violation.
Read 4 tweets
14 Jul
~1000 infected out of 20,000-person music festival in the Netherlands. Maybe this type of thing is bad idea during a pandemic while #DeltaVariant ⬆️? NL also had the sharpest #COVID19 spike in the world last week. Now I worry for soccer ⚽️ even more. 🧵
ad.nl/utrecht/bijna-… Image
2) Another factor - when Dutch people goto bars and restaurants - they don’t mask.
3) Big public events are risky mainly because of the side gatherings of party goers. Been trying to warn about this for a while.
Read 11 tweets
12 Jul
📍THIRD SHOTS BEGUN—Israel’s 🇮🇱 Ministry of Health began offering a third dose of Pfizer vaccine to severely immunocompromised adults—likely the first phase to provide booster shots for older people and the most vulnerable, amid #DeltaVariant surge. 🧵
washingtonpost.com/world/israel-v…
2) “The recommendation clarified that the goal of the new program was to raise antibody levels among immunocompromised citizens — including cancer patients and recipients of liver transplants, and others who data shows have recently exhibited weakened vaccine protection”
3) “The decision comes as Israel, which was among the fastest to vaccinate and among the first in the world to begin reopening in the spring, is experiencing a surge in new cases, spurred by the prevalence of the more transmissible Delta variant first identified in India.
Read 8 tweets

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