Update on our vaccination guidance: Late last week, the @US_FDA and @CDCgov recommended that people with certain immunocompromising conditions get a third dose of COVID vaccine. 🧵
This follows studies that have found a lower immune response after two doses of an mRNA vaccine – that’s Pfizer or Moderna – in some people who are moderately to severely immunocompromised, such as someone who’s received a kidney transplant.
The good news is that some of these individuals were shown to have an improved response to a third dose.
The types of conditions covered in the update include active treatment for cancer, organ transplant recipients who are taking immunosuppressive therapy, people who’ve received a stem cell transplant within the past two years or people with advanced or untreated HIV.
For other health conditions, like diabetes or heart disease, we do NOT recommend a third dose at this time.

Other New Yorkers may also be asking, “What about me? Should I get a third dose? Will I need one in the future?”
The simple answer is that right now, you do not. But scientists are working around the clock to learn more about how vaccines can best protect us, particularly in the context of the delta variant.
New Yorkers who are immunocompromised should discuss getting a third dose with their doctor. Learn more about which medical conditions qualify and how to make an appointment for your third dose: nyc.gov/covidvaccine

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Keep Current with Commissioner Dave A. Chokshi, MD

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More from @NYCHealthCommr

31 Aug
Lessons from an evaluation of an @nycHealthy program, ActionHealthNYC, to increase health care access for the uninsured published in @AMJPublicHealth: pubmed.ncbi.nlm.nih.gov/34111367/
ActionHealthNYC was a health access pilot program that allowed New Yorkers to get low-cost health care, even if they were not eligible for health insurance. It included regular check-ups, screenings, mental health and substance use services, family planning, dental care and more.
We partnered with community based organizations, FQHCs and public hospitals to implement the program – focusing heavily on addressing institutional linguistic and cultural barriers to accessing care.
Read 5 tweets
14 Jul
NEW: NYC’s vaccination campaign prevented a quarter-million COVID cases and saved over 8,000 lives. @nycHealthy data show that between January and June, 98.9% of cases, 98.4% of hospitalizations, and 98.9% of deaths from #COVID19 were in people who were NOT fully vaccinated. 🧵
My message to everyone today—if you have been waiting, if you have been on the fence—is to please sign up to get vaccinated as soon as possible. As the City’s doctor, what keeps me up at night is thinking about the New Yorkers who are still unvaccinated.
I think about how much suffering COVID-19 caused in our city over the past year and a half. I think about the grief, the trauma, the empty chairs at the dinner table. The good news is: SO MUCH of the suffering is now avoidable because of vaccines. We have evidence to prove it.
Read 13 tweets
14 Apr
Vaccines are lifesaving: The 7-day average rate of admission into hospitals for COVID-like illness among New Yorkers 65 and older has fallen by 51% since mid-January, compared to 29% for those under 65. Chart of Daily Admissions for COVID-like illness per 100k by
Consider the example of older adults who were prioritized earlier and received vaccinations at nursing homes and in the community. As more of these New Yorkers were vaccinated – now over 61% of our seniors have received at least one dose – we are seeing hospitalizations drop.
But we should not mistake progress with victory. This virus has shown us time and again how deadly it can be. We have to keep that in the front of our minds even as we follow the science on the safety of vaccines.
Read 6 tweets
14 Apr
As the City’s doctor, I like to tell New Yorkers what I would say to my own patients – when it comes to vaccines, there are no bad questions. My starting point in answering them is empathy, followed by the facts. 🧵
Over the last 24 hours, we have fielded a lot of questions due to the news about the Johnson & Johnson vaccine. You could say yesterday was a "curveball." But it was a pitch we look for.
Adverse events are reported to a national database precisely so that we can monitor for patterns that call for greater study, which is what we’re doing now.

This monitoring acts as a highly sensitive warning system.
Read 11 tweets
13 Apr
Federal partners have recently alerted us about a small number of serious adverse events involving the Johnson & Johnson (Janssen) vaccine.
fda.gov/news-events/pr…
While these events appear to be extremely rare, out of an abundance of caution we have paused the administration of the Johnson & Johnson vaccine in New York City, effective today, Tuesday, April 13.
Adverse events are reported nationally and the actions being taken reflect how seriously we take signals from our warning system.
Read 4 tweets
9 Apr
Update for Friday, April 9 on #COVID19 metrics in NYC:

🔹As of today, we have administered over 4,842,849 vaccine doses in the city!

See the latest vaccine data: on.nyc.gov/vaccinedata Chart showing vaccine doses...
🔹170 people were admitted to NYC hospitals with COVID-like symptoms on April 7, and 67% were positive for COVID-19. Bar graph showing daily num...
🔹The rate of admissions was 3.42 per 100,000 people on April 7. We want to be below 2 per 100,000 people. Bar graph showing new NYC C...
Read 6 tweets

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