Once again, we are the country with all the resources yet such a dysfunctional social fabric that we can literally hoard vaccines & still remain unvaccinated
2/ This says a lot more about us than many are perhaps considering
This isn’t just about people disagreeing about stuff
It’s about a lack of leadership AND the lack of equity as an American societal principle
3/ I suspect that among many who are untrusting of our government now trying to get them vaccinated — we have many who are surprised that the government or politicians care about them or their communities at all.
That problem didn’t start yesterday. It won’t be solved overnight
3/ While the attack rate here is high among even fully vaccinated w/ mRNA vaccines, our number one goal is to prevent severe disease, hospitalizations, deaths.
With that said, as variants continue to emerge, we must monitor very closely.
🧵🧵 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.
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.
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
2/ We felt that short-range aerosol transmission most likely explains our key finding. Better ventilation & #betterMasks are essential in addition to vaccine rollout.
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.