2/ while the US is going to be purchasing “hundreds of millions” more doses to donate— winning a pandemic that hinges on the generosity or altruism of wealthy countries w/ histories of exploitation is problematic & likely short lived.
3/ The global vaccine supply issue & need for more decentralized production + technology transfers for scale up is likely the most urgent global dilemma facing the world.
Is it being regarded with the same level of urgency?
It doesn’t seem or feel like it but hard to say
4/ Those more intimately involved with vaccine manufacturing will have a better sense of where this stands now.
But needing a booster in the US for a variant that came from a country that (at the time) needed more vaccines sounds like a problem we will keep dealing with.
5/ this isn’t an FDA advisory committee issue per se— their task at hand was to understand the need for boosters in the US right now
But it needs to be a serious part of the conversation at the highest levels
Inequity in vaccine distribution is a threat to *everyone*
People who test positive for #SARSCoV2 with a high viral load who are sent back home to isolate should be given a box of surgical masks for their family members to reduce home-based cluster spreading.
I wish we had done this last year. We can still do this now.
2/ Ideally this would be N95 masks— if we can get there, that would be ideal.
But at minimum, surgical masks which I think can be done immediately; & equipped with mask fitters, if possible.
This is most important in crowded homes with high risk folks, & poor ventilation
1/ As much as people push the “personal responsibility” narrative, so too should they remember when we were telling people to “stay home” when their very livelihoods depended on not staying home— the same low wage workers who ended up being the majority of patients we treated
2/ Personal responsibility to avoid getting infected with #covid19 - for many of my patients last year- ended when it meant they couldn’t get a living wage. For them, the decision was really health v health- w/ no good options.
3/ We are quick to view the lives & challenges of others through our own lens of responsibility- one that is often biased towards the privileges we have in our own lives. This is precisely how “stay home” became a social media movement early on by those who could stay home
CDC has added a new line about use of N95 masks for the general public now that “availability…has increased”
We should have used the Defense Production Act last year to overcome the supply issue
But more importantly- we must ensure we aren’t caught w our pants down next time
2/ In May 2020 we wrote our first piece about how we can get out of this epidemic— a key part of it was ensuring the general public had access to #bettermasks
This was well before vaccines. This was when the debate was focused on ‘virus vs economy’
1/ This week I have treated multiple cases of #covid19 that were fully vaccinated several months ago; all were elderly & mostly immunocompromised. A few became quite sick.
A short thread
2/ This is a reminder: if you have high risk folks at home who were vaccinated near the start of 2021, it is worth being extra careful around them.
Avoid high risk areas of transmission; & if you must, then please wear a surgical mask or higher grade if you have it. #covid19
3/ While spread from fully vaccinated folks to others is unlikely, it’s not impossible.
It happens. And risk higher if community transmission is high; also highest indoors, crowds, poor ventilation
On Biden #covid19 update- yes to vaccine mandates + paid time off for workers; yes to increasing rapid tests— but we need more on masks than increasing fines. Cloth masks are better than nothing; but that’s too low of a bar now
Need: Surgical masks + fitters; or high filtration
2/ Risk is dependent on where you are & who is around you
That’s a given but that’s also hard to control
Esp important for those with children or unvaccinated / elderly / immune compromised in their homes
3/ Important not just for now but for future variants, future respiratory threats
Has to be about more than fines
Must be about access and the right communication about why #BetterMasks are key for a virus primarily spread via aerosols #covid19
Almost 9 months ago, @RanuDhillon@sri_srikrishna & I called for exactly this — that the federal government should take this into their own hands & ensure every household had access to high filtration masks.
2/ And this was right when vaccines were beginning to roll out— it’s astounding that for most of last year, the gov asked unvaccinated Americans to just wear whatever they could find— including folding up a t shirt.
“Do-it-yourself” during the worst pandemic of our life time…
3/ Our call for better masks was not just for #covid19 at that time— it was because of concern for future variants (this was well before Delta)
And it is still for future threats, be they variants or completely novel pathogens