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Vincent Rajkumar Profile picture
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10 Aug, 4 tweets, 2 min read
A huge mistake that cannot be rectified. Bewildering that the CDC did not anticipate the need for a robust vaccine card. apnews.com/article/corona…
Lots of people have written about this months ago. @ddiamond
I wish I could post the type of vaccine card India, a country with far less resources issues that my parents got.
QR code and all.

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Vincent Rajkumar Profile picture
8 Aug
I have a different take. In both Iceland & Malta, both 90% fully vaccinated, a rise in cases has not resulted in a similar rise in deaths. We don't have herd immunity against flu or the common cold. Vaccines work. I am confident COVID will be reduced to the cold with vaccines. 1/
Now we are only in year one of vaccines and we will have boosters that help against variants.

I am not discounting the ability of Mild non life threatening COVID to cause long COVID type symptoms. A lot of viral infections do that. We have to find ways around it and treatments.
The reason we see a spike in cases is because the virus is mutating. And the variants are more vaccine evasive. This happens because we simply couldn't make or vaccinate 7 billion people overnight.

As more and more of the world is vaccinated this problem will reduce.
Read 9 tweets
Vincent Rajkumar Profile picture
8 Aug
USA with the best vaccine supply has now 17% of the worlds daily new COVID cases. In number of cases per day we are in a different level and trajectory than every other country in the world. Again.
115 million eligible adults are still not fully unvaccinated. Includes 90 million who haven't had a single dose.

#GetVaccinatedNow
If everyone was vaccinated, a spike doesn't lead to deaths and hospitalizations. The fact that 80% of the elderly in the US are fully vaccinated has kept deaths low.

More than 90-95% of hospitalizations and deaths we see in the US are almost all in people who are not vaccinated
Read 7 tweets
Vincent Rajkumar Profile picture
8 Aug
If you are unvaccinated and think why get a vaccine because even vaccinated people are getting infections... Wrong idea!

For vaccinated, breakthrough infection is like getting another booster dose of COVID vaccine.

For the unvaccinated, it is risk of hospitalization, death.
The purpose of the tweet is to convey to unvaccinated people not to take reports of breakthrough infections in vaccinated people as a reason to stay unvaccinated.

If you are vaccinated & taking appropriate precautions, you are doing everything you can thats is in our control.
Please read my pinned tweet on why breakthrough infections sometimes happen.

Concerned about long COVID? Best way to prevent long COVID is to not get COVID in the first place. Vaccines greatly reduce probability of getting COVID. Highly effective in preventing hospitalization.
Read 6 tweets
Vincent Rajkumar Profile picture
4 Aug
Florida has only ~50% fully vaccinated and no mask mandates. A rise in cases in this setting leads to a rise in deaths. About 12,000 people in the hospital now. Worrisome.
I had a patient who said today "I'm calling from the COVID epicenter in the US". Made me pause.
With so much vaccines we should not have an epicenter.
Read 4 tweets
Vincent Rajkumar Profile picture
4 Aug
Slow and steady may not win the race in this case. If they are going to approve why wait so long?
Someone show the FDA this. We will have over 2 million new cases by Sept 1.
Is there even the slightest possibility that mRNA vaccines are not safe and effective? The slightest possibility that the FDA won't approve? Is process really that much more important than saving lives?
Read 4 tweets
Vincent Rajkumar Profile picture
3 Aug
What on earth is long COVID?

1/ Long Covid is loosely defined as symptoms persisting weeks after COVID. Everyone has their own definition.

First, there is no single disease called "Long COVID".
Its a colloquial term given to a variety of conditions following COVID.

See thread
2/ There is a whole lot of problems and diseases that can occur after COVID. Unless we define which exact problem among this heterogenous group of conditions we are talking about we will get absolutely nonsense results.
3/ For some people "long covid" consists of continuation of symptoms of covid lung infection and resultant decrease in lung function: shortness of breath, fatigue, cough.
Read 8 tweets

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