Unpopular opinion: There is no such thing as a “pandemic of the unvaccinated.” That is not how pandemics work.

While the unvaccinated remain at greatest risk for COVID, rising cases renders EVERYONE vulnerable to exposure and disease, including some people who are vaccinated.
The COVID vaccines are highly effective at preventing COVID infection, complication and spread. But folks who are vaccinated AND immunocompromised or vaccinated AND living/working among those who are largely unvaccinated will also be affected by (and contribute to) surges.
Language that suggests the unvaccinated are the only ones still in a pandemic ignores the reality that people live in households, work in community and traverse public spaces. Our lives are intertwined and as more of the unvaccinated get sick, the more EVERYONE will be affected.
The truth is a sizable number of the unvaccinated are not yet eligible for an authorized vaccine (think of our children under 12) OR don’t have access to one (folks our health system historically underserves and most of the world). That means we need additional ways to stay safe.
1. Wear a mask indoors and when you visit public spaces, regardless of your vaccination status
2. Avoid crowded places
3. Maximize ventilation indoors
4. Everyone who enters a school who is older than age 2, should wear a mask (thanks @AmerAcadPeds for making this clear!)

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More from @RheaBoydMD

17 Jul
Last week I spoke to over 5000 people in rural Georgia. Most were not vaccinated because they still had questions. EVERY question they asked was legitimate and important.

Stop telling people to “just get vaccinated” if you aren’t willing to put in the work to help them do it.
That “work” is MUCH more high touch than spouting condescension online.

“The unvaccinated” are not a monolith of defectors. They are people our health care system has long underserved - Black folks, rural folks, un and un/under insured folks and young folks.
That work requires daily acts to dispel and decrease the rampant disinformation people are contending with. It requires laws that prevent media organizations from willfully distributing disinformation about science during a pandemic when peoples lives depend on vaccine science.
Read 7 tweets
2 Jun
Fam -

Child care providers across the country are offering FREE child care to all parents and caregivers getting vaccinated OR recovering from vaccination from NOW until July 4th!

Here is a list of participating organizations (please share!):
KinderCare and Learning Care Group locations across the country will offer FREE, DROP-IN appointments to ANY parent or caregiver who needs support to get vaccinated or recover from vaccination! If you live near these organizations, drop by or give them a call to learn more.
More than 500 YMCAs in nearly EVERY STATE will offer drop-in care during vaccination appointments. That means you can just show up. No appointment needed. If you have a neighborhood YMCA, call and ask if they are participating or just drop by!
Read 6 tweets
1 Jun
My latest is out today in @TheHillOpinion!

It’s about our two Americas - one that is vaccinated and the other, includes most of our nation’s our kids.

It’s about why vaccine equity remains critical and how to achieve it (spoiler: Family Vaccination!) thehill.com/opinion/health…
While others have argued that vaccinating children is important to increase rates of population protection (kids make up 20% of the US population) I argue that it is also critical to protect the Black and Latinx children who have suffered inordinate COVID complications and death.
While our nation has largely failed to equitably vaccinate adults, it is possible to get it right for kids and communities most impacted by COVID.


Every site that vaccinates children must offer vaccination to eligible caregivers and siblings.
Read 5 tweets
29 Mar
In medicine, the people who know the least about structural racism have the most power to control how our field understands and addresses racism's impact on health. These folks are hospital executives, NIH leaders, journal editors, and chairs. They are also mostly white (men).
As a result, the medical canon remains in this perpetual cycle of racism 101, where scholars are asked to simply explain racism. So rather than funding, publishing, and implementing critical work that might address (or even eliminate) racism and its impacts, we just describe it.
Imagine if a cure for kidney disease was developed. But every article on the cure had to begin with a review of basic kidney anatomy, "because some people just aren't comfortable enough with the basics to talk about cures." There would be an outcry! And rightfully so.
Read 5 tweets
17 Mar
Spending my adult life in large cities has taught me how to assess the level of neighborhood tension based on the position of clothes in and near laundry mats. Based on my experience, here is how to recognize brief insults, signs of escalation and when folks are all out BEEFING.
If you see an entire load of laundry on the floor, this is probably a one-off offensive, the kind that transpires in response to someone removing their things from machine before they returned. This brief insult may not escalate beyond this load. Proceed with your washing.
Once I saw wet clothes thrown into the tree just outside the laundry mat. And I'm not talkin gently placed in the tree to dry, I'm talkin aggressively thrown with mad disrespect. That was an absolute escalation and a sign I should change my wash day. Crisis averted.
Read 4 tweets
13 Mar
Just reviewing some of the national vaccination data by race and ethnicity and WOW the inequities are alarming!

Look @KFF data for Black folks as of March 3. In Washington DC, Black folks make up 45% of the population, 76% of COVID deaths (!!), and only 26% of those vaccinated.
You see similar, but not as striking, racial inequities in states like Alabama, Mississippi, Delaware, North Carolina, and Maryland. These states have sizable Black populations who have suffered disproportionate rates of COVID deaths and yet have lower COVID vaccination rates.
States that are vaccinating Black residents commiserate with their percentage of the population and rates of COVID deaths are: Colorado, Massachusetts, Oregon, Utah, Vermont, and West Virginia. However, these states overall have much smaller Black populations (less than 5%).
Read 6 tweets

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