Huge—nearly 60 major medical organizations, including the American Medical Association and the American Nurses Association, called on Monday for mandatory vaccination of health care workers.

nytimes.com/2021/07/26/hea…
2) As the highly contagious Delta variant drives a new surge of coronavirus cases, vaccination is an ethical obligation for health care workers, the groups said in a joint statement. acponline.org/acp_policy/sta…
3) ““Due to the recent Covid-19 surge and the availability of safe and effective vaccines, our health care organizations and societies advocate that all health care and long-term care employers require their workers to receive the Covid-19 vaccine,” the statement said.
4) “This is the logical fulfillment of the ethical commitment of all health care workers to put patients as well as residents of long-term care facilities first and take all steps necessary to ensure their health and well-being.”
5) “Health care organizations rarely agree on anything, but this is one thing where they are speaking with one voice and unanimity,” said Dr. Ezekiel Emanuel @ZekeEmanuel “I think that attests to the wide recognition that this is the right thing to do for this country.”
6) In New York, for instance, roughly 1 in 4 hospital workers have not yet been vaccinated, according to state data. Nationwide, just 58.7% of nursing home employees have been fully vaccinated, according to the Centers for Disease Control and Prevention.
7) Hospitals already been stepping up…

small group of employees sued Houston Methodist Hospital over its mandate. The suit was dismissed last month, and more than 150 workers at the hospital were fired or resigned over their refusal to be vaccinated.

nytimes.com/2021/06/22/us/…
8) Dr. Emanuel said that some hospitals and health care organizations were using the lack of full approval as an excuse to push off vaccine mandates. The joint statement noted that the Covid-19 vaccines have proven to be both safe and effective.
9) “With more than 300 million doses administered in the United States and nearly 4 billion doses administered worldwide, we know the vaccines are safe and highly effective at preventing severe illness and death from Covid-19,” Dr. Susan R. Bailey, past president of the A.M.A.
10) “The joint statement said that exceptions could be made for the small subset of employees who are unable to be vaccinated for medical reasons.”
11) here is the full statement demanding vaccine mandates for healthcare workers. acponline.org/acp_policy/sta…
12) Here is the list of signatories of major healthcare organizations demanding vaccine mandates for healthcare workers.

If your still vaccine hesitant— ask yourself, are you honestly smarter than the healthcare experts in all these organizations???
acponline.org/acp_policy/sta…
13) All California state employees must vaccinate or wear a mask and test regularly.
14) Huge— Dept of Veterans Affairs Issues Employee Vaccine Mandate, a First for a Federal Agency. The VA is the main healthcare provider for veterans of the US armed forces.
nytimes.com/2021/07/26/us/…
15) the drunk driving analogy is spot on! You do no have a right to go out and drink and drive to endanger others. Thx @GavinNewsom
16) What if there is only one ECMO machine left in the ICU? Coin flip? Most people in this Twitter poll strongly think it should goto a vaccinated than an unvaccinated. Doctors decide but they are human too.

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More from @DrEricDing

28 Jul
📍”It’s clear all the signals are that there are groups that need booster shots in a couple of months” says @Bob_Wachter. I agree. The groups most likely are: immunocompromised, have major risk factors, the elderly, and those who had gotten shots earliest.
2) “it’s up in the air… what is clear is that if you got J&J as your first and only shot, you shouldn’t get another J&J, you should get either Pfizer or Moderna” says UCSF chair of medicine, @Bob_Wachter, on need for booster for J&J.
3) Why boosters? Couple reasons: #DeltaVariant is more evasive, vaccinations wane after 6 months, and elderly need more protection. See detailed thread 🧵 on these issues… ⬇️
Read 4 tweets
27 Jul
📈NEW RULES—@CDCDirector Walensky announces new mask guidance, regardless of #COVID19 vaccination, due to surging #DeltaVariant:

📌Wear masks indoors, in public areas with ‘high transmission’ (why not all?)

📌All K-12 schools wear a mask indoors. More—🧵
2) “some vaccinated people infected with the #DeltaVariant after vaccination may be contagious and spread the virus to others.”

We have known this for MONTHS. A little late but better than never.
3) @CDCDirector: “the big concern is that the next variant that might emerge, just a few mutations potentially away, could eventually evade our vaccine… for hospitalization & death.”

note: breakthrough mild infections allows transmission too. #Maskup
Read 10 tweets
27 Jul
📍75% of hospital #COVID19 admissions were unvaccinated, 9% were fully vaccinated without immune deficiencies, 5% were vaccinated with immune deficiencies, 11% `unknown', for all #DeltaVariant-surge hospitalizations last week, says Dutch govt report. 🧵 nos.nl/artikel/239113… Image
2) No differences were detected among vaccines for breakthroughs in terms of the risk of being hospitalized while fully vaccinated. Netherlands 🇳🇱 uses 4: AstraZeneca, Pfizer, J&J, and Moderna -. ➡️ We need CDC to report this for the US now!
3) we are seeing #DeltaVariant penetrating vaccines a lot, even Pfizer, among one of the best vaccines out there. It’s still good for #DeltaVariant hospitalizations— 88% efficacy, but this is lower than 93% last month and 98% in May. Must stay vigilant.
Read 5 tweets
27 Jul
BREAKING—CDC reverses course—CDC is expected to recommend on Tuesday that people vaccinated for the coronavirus resume wearing masks indoors. The change follows reports of rising breakthrough infections with the #Deltavariant. ➡️ ABOUT DAMN TIME! #COVID19 nytimes.com/2021/07/27/hea…
2) the new guidance would mark a sharp turnabout from the agency’s position since May that vaccinated people do not need to wear masks in most indoor spaces.
3) As recently as last week, an agency spokesman said that C.D.C. had no plans to change its guidance, unless there were a significant change in the science. Federal officials met on Sunday night to review new evidence that may have prompted the reversal. cnn.com/2021/07/27/pol…
Read 11 tweets
27 Jul
Damnit - there are again ZERO ICU beds available in the state of Arkansas (one of the lowest vaccinated states in the US). This means many others beside #COVID19 patients in the hospital awaiting beds may die. #vaccinate please for the love of god.

2) Anyone else see a vicious cycles happening if we know Covid infection and hospitalization also leads to IQ drop?
3) what’s worse is when we no longer have hospitals beds for kids. Pediatric hospitalizations soaring in multiple countries with #DeltaVariant
Read 11 tweets
27 Jul
⚠️“SUBSTANTIAL DROP” in intelligence—#COVID19 survivors suffer severe cognitive deficit. Patients hospitalised on ventilators saw the biggest drop in on intelligence tests—equal to a **7-point drop in IQ**!
Larger than suffering stroke or lead poisoning!🧵news.sky.com/story/covid-19…
2) researchers found those who had contracted COVID saw the greatest underperformance on tasks requiring reasoning, planning and problem-solving compared to those who had not had the virus. ➡️ but they found a significant (starred) drop **even in mild patients too**! #LongCovid
3) "These results accord with reports of long-COVID, where 'brain fog', trouble concentrating and difficulty finding the correct words are common." the authors report.

Link to study… peer reviewed. thelancet.com/action/showPdf…
Read 12 tweets

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