🧵🧵
1/ The moment we begin to reframe unvaccinated people as people vulnerable to malicious misinformation, & still deserving of protection from a deadly virus, the sooner we will figure out ways to bridge this gap.

Shaming them isn’t going to work. It will further the divide.
2/ People seem to argue that because they could understand how to see through misinformation (& get vaxx’d), that there is no excuse for others to also not have come to the level of understanding that they have

This thinking quickly turns into blame/anger, but it doesn’t help
3/ When we tried to use blame/shame this year, we lost access to those who were on the fence.

In some cases, this meant losing access to contact tracing when people were hesitant to reveal they had tested positive.

bostonglobe.com/2020/11/30/opi…
4/ Closing the vaccination gap isn’t about me or you, or how we feel about there being a gap at all; it’s about figuring out the most effective way to vaccinate more people.

Leaving millions ‘behind’ to remain vulnerable to this virus is NOT how we lead ourselves out of this
5/ Our efforts to inform must be more systematic, efficient, and convincing than the efforts trying to do the opposite.

This is our task at hand.

Anything short of this will ultimately become a problem for us all whether we like it or not
6/ At that point, it doesn’t matter who we blame. We will all be stuck in the same sinking ship. So- do not waste your energy complaining about anti-vaxxers; it would be better spent figuring out ways to vaxx more people.

Remember- no one wants to die from this virus.

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More from @AbraarKaran

22 Jul
Very concerning. Especially with millions still unvaccinated, and rates of vaccinations slowing.

And do not say this is 'their fault'; people are literally being fed anti-vaxx BS daily in this country.

These are patients, these are people; they don't deserve to be sick.
2/ Our oath as doctors is to protect our patients; our oath as public health leaders is to protect the health of our communities-- it is NOT good enough to say that it's the public's fault for not being vaccinated at this point.

That's not how public health works.
3/ This is a constant battle between information and misinformation. People have a right to be hesitant to new medical interventions. Our job is to dispel myths and lessen fears; to bring public health to communities, not wait for them to come to us. Esp not during a crisis.
Read 6 tweets
17 Jul
Our op-ed summarizing the findings of our recent study in CID @IDSAInfo from @BrighamWomens looking at risk of #SARSCoV2 transmission from index cases to their hospital roommates. ~40% secondary attack rate; and beds are 7 feet apart w/ curtain in between

medpagetoday.com/opinion/second…
2/ We felt that short-range aerosol transmission most likely explains our key finding. Better ventilation & #betterMasks are essential in addition to vaccine rollout.

Cc @kprather88 @j_g_allen @linseymarr @DFisman @carlzimmer @jljcolorado @RanuDhillon @sri_srikrishna @zeynep
3/ Important to note that over several months, the incidence of roommate transmission was exceptionally low- 0.1%; the key takeaway is that IF you end up roomed w/ someone that has a #covid19 infection w/ a low CT value (high viral load, infectious)- very high risk of spread.
Read 4 tweets
17 Jul
The rapid spread of new variants is a *symptom* of a deeper issue. We can continue to try & protect ourselves against variants--talking third doses in rich countries--OR, we can address one of the biggest underlying drivers: most of the world having little access to vaccines.
2/ I'm frankly disappointed- because 'global solidarity' has once again proven to be all talk.

Go to any global vaccine tracker website right now and look at the countries that are at the bottom. Are you surprised? I am not.
3/ We have to acknowledge that our global power structures are ones that even before #covid19 existed to propagate inequities; they exist to extract resources from impoverished places; they exist at the expense of entire populations who are now facing dangerous variants w/o vaxx
Read 6 tweets
15 Jul
Los Angeles County to mandate indoor masking in public spaces, regardless of vaccination status

Only 52% of residents in the county are fully vaccinated

261% increase in new daily #covid19 cases compared to two weeks ago, driven by Delta variant

latimes.com/california/sto…
2/ 1,537 additional new cases reported Thursday

Indoor shared spaces, esp crowded ones w/ poor ventilation, are highest risk for transmission

Public health is local first; measures must be taken at the local level to stay ahead of larger surges
3/ Vaccinated individuals have a significantly lower chance of severe disease, hospitalization, or death.

They also have a lower risk of transmitting too. Get vaccinated.

But bigger point here is the large # of *unvaccinated*/partially vax- in LA County, over 5 million people
Read 6 tweets
12 Jul
Another new study worth looking into-- Delta variant #covid19 outbreak in a London nursing home.

Many residents/staff were <14 days since receiving dose 2 of Astra Zeneca vaccine; secondary attack rate among partially vaxx residents was 81.3% (13/16)

eurosurveillance.org/content/10.280… Image
2/ Table 1 has a break down by demographics and vaccination status

Unique situation here as most residents/staff were getting dose 2 right when the index case was diagnosed with #covid19
3/ Reassuring- hospitalization uncommon; no deaths here. And this was among a care home population where we know #covid19 has caused immense suffering/death this past year.

Index case here was described as getting dose 1 in January, but unclear whether they ever got dose 2.
Read 6 tweets
11 Jul
1/ New CDC report on #covid19 outbreak caused by Delta variant in Oklahoma gym, causing 47 cases.

Notably- over 90% of cases were among *unvaccinated or partially vaccinated* people.

Very high household secondary attack rate (53%)

cdc.gov/mmwr/volumes/7…
2/ Risk factors here:
-larger groups
-inconsistent mask use
-poor ventilation
-low vaccination rates

#covid19
Read 7 tweets

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