Don’t know that this is best framing…
1) It’s always been a pandemic of the unvaccinated
2) Don’t agree that blaming the pandemic on people who still have unanswered questions or access issues is the path forward
3) The pandemic doesn’t stop for the vaccinated. Ask LA County…
More context on the “ask LA County” statement, since a colleague asked:

Today on newsmax I was asked why LA County is going back to a mask mandate if CDC says you don’t need masks if vaccinated. I.E.- the consequences of the pandemic aren’t just for the unvaccinated.
The messaging whiplash is frustrating citizens and public health workers. And the blame game isn’t engaging anyone. I don’t think either of the above was the intent from @CDCDirector, but some (and perhaps the very people we need to build trust with) may take it that way.

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Keep Current with Jerome Adams

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More from @JeromeAdamsMD

17 Jul
Last year Tony Fauci and I famously, prematurely, & wrongly advised against masks. I felt it was the best call at the time, but now regret it.

I’m worried the CDC also made a similarly premature, misinterpreted, yet still harmful call on masking in the face of ⬆️ delta variant.
What Dr. Fauci and I said was based on the science & conditions at the time, and amounted to “save the medical masks (which were all that was available) for the medical workers.”

Both the conditions & the science changed, but what people heard and held to was masks don’t work…
What @CDCgov said was based on the science & conditions at the time, and amounted to “you’re safe IF you vax it OR mask it.”

Both the conditions (rising cases) & the science (delta variant) changed, but what people heard and held to was masks were no longer needed…
Read 5 tweets
17 Jul
Ive no clue why it took this long for ⁦@US_FDA⁩ to communicate this information to the public, but this an important step towards transparency. A timeline helps people make decisions and plan.

Pfizer Doesn’t Expect Final Vaccine Approval Until 2022 forbes.com/sites/graisond…
12% of adults (equal Democrats and Republicans) want to “wait and see” before getting the vaccine per a May KFF poll.

Forbes says: “FDA approval might have a greater impact on vaccination rates for Blacks and Hispanics, who are overrepresented in the “wait and see” group.”
Beyond individual decisions, many orgs (including the US military) have said they are waiting for @US_FDA approval before considering mandates.

Now both individuals and organizations know that that means waiting until January 2022, and through winter, and a nasty delta surge.
Read 6 tweets
16 Jul
I had a colleague I respect & trust ask me if I was mad at @CDCgov & @US_FDA because of my criticism of them.

1) I think they’re both best in the world at what they do.
2) I think no matter who’s in charge (of the agencies and the WH) what makes them the best is accountability.
I also think people don’t see the many times every day I reference and defend the great science from those agencies (linked to @CDCgov mask data multiple times today).

There’s overwhelming excellence, but like any large agency, there’s room for improvement.
And there’s too much at stake to be afraid to point out areas of potential improvement. In processes, in guidance, and in communication.

Or to let our political biases impact our view of these agencies (they weren’t Trump’s and they aren’t Biden’s- they belong to America).
Read 5 tweets
18 Jun
This was missed by a lot of people last year in the midst of #covid19, but the ⁦@US_FDA⁩ and ⁦@RedCross⁩ changed relaxed blood donation eligibility guidelines for many groups.👇🏽#giveblood

Red Cross to Implement FDA Eligibility Changes redcross.org/about-us/news-…
For those previously prevented from donating blood due to having spent time in Europe, now you can donate!
#GiveBlood
The deferral period for the following groups was ⬇️ from 12 months to 3. Still not where we need to be IMHO, but a step in the right direction.

Male donors who have had sex w/ another man (MSM);
Female donors who have had sex w/ an MSM
Donors with recent tattoos and piercings
Read 4 tweets
16 Jun
Some have asked for the “data” supporting my tweet. The risk of a correlating death after vaccination is less than 2/1000th of a percent. (And that’s all reported deaths but correlation doesn’t = causation). The correlation actually ⬇️ the younger you are.
cdc.gov/coronavirus/20…
About 2600 people under age 30 have died in US from Covid. As best as I can find (hard to get a breakdown of such rare events) that’s 100s to 1000x the number of correlated deaths after vaccine in that age group. Hence risk of vax clearly less than risk of Covid. Even for young.
This is all in the context of continuing viral spread. Because risk from Covid is obviously directly related to risk of being infected in first place. IF we get Covid under control, the risk/ benefit ratio could change. But right now risk of infection still high in places.
Read 4 tweets
15 Jun
Glad to be at ⁦@IndianaRHA⁩ annual meeting hearing from ⁦@StateHealthIN⁩ Commissoner Dr. Box about 2020 #covid19 challenges and 2021 opportunities! “Hindsight is 2020- but the future is now!”
#ruralhealth Image
One lesson learned (that I completely agree with) from Dr. Box - “the strategic National Stockpile was never designed/ intended to provide supplies to the entire country, for a prolonged period of time.”

We must figure out local redistribution and surge planning for future.
More from Dr. Box- “at this time last year we’d have been ecstatic to have been assured of one vaccine with 50% efficacy by this point in 2021. Instead we had 2 vaccines with >90% efficacy by December. This is a National success story. “
Read 4 tweets

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