If you’re policing terminology (again) and wondering why the public has tuned you out, then look in the mirror. 280+ million adults aren’t the problem. You are

Please spare us a redux of the airborne debates

PS— #VaccinesSaveLives *and* #DeltaVariant requires that we #WearAMask
Also, where were you when it mattered?
I’m *really* close to calling people out by name rn

If you want to reinforce your priors, go right ahead, but stop amplifying academic esoterica that is not grounded in *what we know is happening in the real-world*

This ⤵️👀 is textbook. #DeltaVariant is real life. Wake up.
#Mississippi: 11% of hospitalizations and 11% of deaths are among fully vaccinated persons

Take home point: get #vaccinated *and* #WearAMask because #DeltaVariant is a more formidable virus than we’ve seen before

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More from @DataDrivenMD

22 Jul
⚠️ PSA: #COVID19 in vaccinated persons can present as generalized fatigue. If you feel tired or run down for no apparent reason, #WearAMask and go get tested
2/ This is taking off, so I’ll expand this into a short Q&A

Q: What is fatigue in the setting of COVID-19?
A: Not the same as normal feelings of being tired or sleepy— it’s extreme tiredness or feeling ‘wiped out’ that persists despite resting

see: covid.joinzoe.com/post/covid-sym…
3/ Q: How common is fatigue in the setting of COVID-19?
A: 8 in 10 adults with COVID-19 experience fatigue early in the disease, but just because you are fatigued that does NOT automatically mean you have COVID-19. That’s why you need to get tested.

see: covid.joinzoe.com/post/early-cov…
Read 6 tweets
22 Jul
👀 The results of this study are more in line w/ what I'm seeing in real-world data for #DeltaVariant *but the study has big caveats*

Pfizer: ~30% effective after 1 dose, 88% effective after 2 doses

AstraZeneca: ~30% effective after 1 dose, 67% effective after 2 doses
Without getting into the weeds: the study tips the scales a bit in favor *and* against the vaccines. The net effect likely washes out, but I wouldn’t be surprised if future studies disagree by up to 5% in (either direction)

see:
nejm.org/doi/full/10.10…

nejm.org/doi/suppl/10.1… ImageImage
⚠️ The study should NOT be applied to children b/c:
🔸kids under 16 were *excluded*
🔸at the time of the study (May 16), < 7% of the entire UK population under 30 years old had been fully vaccinated (read: very few kids)

see:
coronavirus.data.gov.uk/details/vaccin…

ethnicity-facts-figures.service.gov.uk/uk-population-… ImageImageImage
Read 4 tweets
21 Jul
We’re seeing a rise in pediatric #COVID19 cases. Did we know this was coming? Yes, because: data
I stand by this statement from June 15th
🔥 Pediatric #COVID19 cases are rising. Delays in reporting from counties —> states —> CDC vary from jurisdiction to jurisdiction. So, if you’re looking at the national level, you’ll be *falsely* reassured. Examples from #Arkansas #California #Georgia #Nevada 👀⤵️

cc @PeterHotez ImageImageImageImage
Read 5 tweets
21 Jul
⚠️ Why does this pop-up vaccination site look so empty? Because many people don’t know it exists. It’s not included in vaccines[.]gov, vacunas[.]gov, via the text message service, or Google Maps

This isn’t unique to Detroit— it’s happening all over the country /1
cc @DetHealth ImageImage
Q: Is the site new?
A: Not really, it’s one of a several #COVID19 vaccination hubs set up by the Detroit Health Department in partnership w/ Detroit Public Schools Community District

That particular site offers doses every Wednesday /2
detroitk12.org/Page/15621

cc @Detroitk12 Image
Q: Are there other options?
A: Not for kids living in that zip code. In fact, according to vaccines[.]gov there are only 35 pediatric vax sites in *all* of Detroit, #Michigan that have doses in stock

~50K kids eligible to get vaxed live in #Detroit

That’s ~1425 kids per site
/3 Image
Read 10 tweets
21 Jul
⚠️ This thread does not apply to #DeltaVariant. This was applicable between January and early June. It no longer applies because the assumptions made by the author are invalid.
🔸 hospitalization rates vary
🔸 vaccination rates vary

Get #vaccinated and #WearAMask
If you’re a verified account that amplified this, I urge you to spend be next few days catching up on the data from Scotland, England, Israel, and Australia. *Look at the actual data*

The headlines may be a little off, but they’re directionally accurate
The same can be said about a pre-print study on pediatric deaths due to COVID. If you amplified the Marty Makary post, spend some time reading through the critiques in this thread. The upshot is the same: *look at the actual data* before you amplify whatever aligns w/ your priors
Read 9 tweets
20 Jul
Here’s what worries me most about #DeltaVariant: folks like me, the ones willing to speak truth-to-power, are burning out

Politicians are making decisions based on poll numbers, and a lot of that has to do with public perception. We keep them honest, and influence policy.

/1
Academics have a million things going on, they tend to be reactive. They’ll respond to specific prompts or comments. Whether they agree or disagree, we help keep them engaged up to speed on the data.

/2
Since Biden took over, it’s been a struggle to steer politicians in the right direction. The honeymoon period made it harder to shift public sentiment, and the current White House is far better at leveraging access to help deflect bad press

/3
Read 18 tweets

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