COVID Update: Watching the reactions & meltdowns to the proposal that Americans are required to get vaccinated (or tested) to be around others.

There is so little actually controversial here but the sideshow is first rate. 1/
Real people by large majorities support vaccine requirements. We’ve had them for decades, even centuries with little controversy.

No governor has threatened to light himself on fire & blow himself up (until now). 2/
Like traffic lights, as inconvenient as they sometimes are, people are pretty ok with rules if they do things like keep kids safe, reduce deaths, and allow businesses to be open safely. 3/
One of the reasons this had to be done is that people like rules better when they’re fair & applied equally.

The case of @UnitedAirlines_ is a good one. Their ceo, Scott Kirby, required his employees to get vaccinated. 4/
Scott is what’s called a “leader.” Several times he invited other CEOs to do the same. Some did.

But none of the other airlines did. They’re “not leaders.” But that put United at a disadvantage for doing the right thing. 5/
In a statement the largest companies in America, the Business Roundtable, of which the airlines belong, heartily endorsed the new requirements on businesses.

The followers thought it was a good idea of everyone has to do it. Biden made it easier for them.6/
Biden was more than willing to be the target to get people who were afraid to act to act. The principal difference between this president & the last is this one is willing to be accountable for managing the pandemic. 7/
If you look at what is being asked of businesses— once a week testing or proof of vaccination, it’s hardly enough to cause JD Vance to lose his shit like this. 8/
I know that getting something put up your nose once/week to make you’re not spreading isn’t exactly a day at the beach, but it’s also hardly coffee rations or sleeping in trenches.

We’re sort of in the category of the least we could possibly ask. 9/
According to surveys, about 25 million people have already said that what it would take for them to get vaccinated is having it required. I’ve done research on this group when in the White House so let me tell you about them. 10/
Inconvenience is a reason they aren’t vaccinated
They’re young.
They don’t think much about COVID.
They have the rest of their vaccines.
They’ve never heard of JD Vance, but if they did, they’d think he’s a whiner.

The last point is pure speculation. 11/
Many people who work by the hour haven’t been able to get time off & worry that if they feel under the weather after a shot, they would get fired.

Biden is requiring paid time off for vaccines & any recovery. Causing several near-constitutional scholars 👇much confusion. 12/
There is a confusing protest that vaccination requirements are anti-business.

You know what’s anti-business? People getting COVID. Photo C/O @VinGuptaMD 13/
Who else is facing a vaccine requirement? People in health care settings, federal employees and fed contractors. How will they react?

Well, look at the military & the VA. They’ve gone from 50% to 85-90% vaccinated & their deadline is ahead. 14/
Are there people with legitimate concerns? Of course there are.

But it’s also true that 80% of hardcore unvaccinated people believe one of 5 falsehoods about the vaccine.15/
One important thing now is that trusted sources must supply reliable information during this period. Doctors, clergy, employers.

If people find reliable sources, great. If they get vaccinated because they feel coerced, I’ll spare my tears for those ineligible or at-risk. 16/
Those making a spectacle of themselves & throwing their toys out of the stroller shouldn’t confuse the fact that these steps are very routine & common sense by normal standards.

By pandemic standards, they’re in the “well, duh” category. 17/
Even though we started before them, 45 countries have now vaccinated more of their population. We are a world hot spot. 2400 reported deaths yesterday.

We’re not enjoying freedom. We’re paying respect to people who perpetuate ignorance & liars. 18/
People who are unvaccinated have a choice to make. It’s the same one they’ve had all along. It hasn’t changed.

What has changed is that their freedom to breathe all over us in crowded places will diminish.

Sadly for them, the constitution doesn’t give us that right.
Over to you Twitter.

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More from @ASlavitt

12 Sep
This chart is interesting.
What it says is that Delta is spreading within households (that’s what Secondary Attack Rate means) at the same level as peak flu season.
Note the increase over last September.

It implies at least 3 things we should try to understand better. 1/ Image
First, kids are getting COVID at school and infecting family members.

Policies preventing schools from protecting kids are failing the entire family including seriously at risk adults. 2/
Second, household infections are going to grow over the Fall and early Winter without more layered interventions. 3/
Read 4 tweets
9 Sep
COVID Update: After recent FDA approval, society is moving towards, requiring vaccines at a rapid pace.

And that’s about to get another jolt. 1/
Over 5.5 billion vaccines have been administered around the world. Think about this from a safety standpoint. Rare things happen when they occur a few times per MILLION. So we’ve seen it all.

At this point the safety record would have to be called impeccable. 2/
Over 5.5 billion shots, given to people of all ages & health, you would expect everything to occur. Yet there are only very modest & rare adverse events.

Even anti-vax strategies seem to acknowledge this reality. 3/
Read 20 tweets
7 Sep
COVID Update: How big a problem will future variants be?

I got an update from several top scientists. 1/
Quick review. Viruses continually mutate but can only mutate when they replicate. And so far we’re giving SARS-CoV-2 plenty of opportunities to replicate. 2/
Most mutations aren’t worth noting. They don’t increase hospitalizations. They don’t increase infectiousness. And they don’t cause problems for prior immunity. 3/
Read 26 tweets
4 Sep
COVID Update: Over the long term the US could be among the countries with the highest cases, greatest risks of outbreaks, and largest home to new variants.

With people refusing vaccinations here, the globe is lapping the US very quickly.

1/
We’ve now given out 5.4 billion shots across the globe.

45 countries, almost all of whom began well after the US, have now fully vaccinated more of their population than the US. 2/
Our low vaccination rates relative to the globe has put the US up there with 3-4 mostly unvaxxed nations as a leading hot spot.

And because of our lower vaccination rate, unlike other early vaccinated countries like Israel & the UK, US death rates are 2-3x higher. 3/
Read 16 tweets
27 Aug
COVID Update: We are now nearing 5 billion cumulative global vaccinations. This is welcome news & our most important priority.

1/3 of the globe has now had 1 dose, 25% with 2. We can do this.

But if we don’t do it fast & with global equity we will have failed. 1/
This is both straightforward & exceedingly complex.

What’s straightforward is we must vaccinate the majority of the globe before an immune escape variant. That would mean needing to start all over.

Let’s avoid that. 2/
With 8 billion people & a 2 dose regime (will come back to that!), we would need 16 billion doses to vaccinate everybody. To vaccinate 70% of the globe (which experts use as a benchmark & accounts for kids) would mean 11.2 billion doses (or 6.2 billion more than today). 3/
Read 22 tweets
25 Aug
COVID Update: There are few more important or sensitive topics than kids & their health.

They are being made pawns in a dangerous game. We need to be put a stop to it. 1/
There is a fairly loud camp that believes the focus on kids is overblown & mask mandates are harmful.

Much of their logic if there is any has to turn on the fact that very very few kids have died from COVID. Thankfully most indeed recover.

That argument misses a lot. 2/
Let’s start with data. There were over 130,000 reported cases of COVID-19 in kids this week. Up 4x from a month ago. But we’re just getting started & before school is back in much of the country. 3/
Read 20 tweets

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