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Céline Gounder, MD, ScM, FIDSA Profile picture
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26 Sep, 8 tweets, 4 min read
1/ When will we finally understand that WE'RE ALL IN THIS TOGETHER, in the US & around the world.

The Delta variant is proof that what happens halfway around the world can threaten us all.

Vaccinating the rest of the world is in our SELF-INTEREST.

nytimes.com/2021/09/25/opi… Image
2/ So we were worried about running out of COVID vaccine for ourselves, hoarded that supply, & then retrofit arguments to justify our actions?

politico.com/news/2021/09/2… Image
3/ politico.com/news/2021/09/2… Image
4/ politico.com/news/2021/09/2… Image
5/ politico.com/news/2021/09/2… Image
6/ politico.com/news/2021/09/2… Image
7/ politico.com/news/2021/09/2… Image
8/ politico.com/news/2021/09/2… Image

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA Profile picture
28 Sep
1/ @KFF September vaccine monitor survey:
- FEAR is a powerful motivator. Delta surge has been the PRIMARY MOTIVATOR for recently vaccinated.
- FDA approval & mandates have also played a role.

kff.org/coronavirus-co…
2/
 - Biggest increases in vaccine uptake among Hispanic adults & young adults 18-29.
- Similar % of adults vaccinated by race/ethnicity:
- White 71%
- Black 70%
- Hispanic 73%
- Gaps remain by partisanship, education level, age, health insurance status
3/ “When a theoretical threat becomes a clear and present danger, people are more likely to act to protect themselves and their loved ones,” said @DrewAltman, the @KFF's chief executive.

nytimes.com/2021/09/28/hea…
Read 4 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
27 Sep
1/ How do we convince the unvaccinated to get vaccinated?

Emphasize the CONCRETE & SHORT-TERM costs of getting COVID, esp missing out on things they love doing or care about.

Hospitalization & death might seem abstract & unlikely.

nytimes.com/2021/09/27/bri…
(h/t @DLeonhardt)
2/ Emphasize DUTY to family, neighbors, workplace, & community.

If you're sick and can't fulfill your obligations, who does that fall back on?

washingtonexaminer.com/opinion/risk-a…
3/ Have one-on-one conversations.

Start with what people care about & what impact the pandemic has had on them, their families, work, & school.

LISTEN

DON'T SHAME OR BLAME

justhumanproductions.org/podcasts/s1e73…
Read 5 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
24 Sep
1/ Overnight, @CDCDirector overrode the @CDCgov's ACIP recommendations on vaccinating workers in high-risk occupations.

politico.com/news/2021/09/2…

It's important that we be clear WHY.
2/ Are we giving boosters to people in high-risk occupations:
- To protect them because they're at high risk for severe disease?
OR
- For the safety of the workplace & to keep them on the job?
3/ There isn't good data to support giving boosters to people in high-risk occupations to protect THEM from severe disease.
Read 8 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
24 Sep
1/ @CDCgov guidance on who SHOULD get a booster 6+ months after *PFIZER*:
- 65+ & nursing home residents
- 50-64 with underlying medical conditions

Who MAY get a booster 6+ months after *PFIZER*:
- 18-49 with underlying medical conditions
- people in high-risk occupations
2/ What counts as an underlying medical condition?
Cancer
Cerebrovascular disease (stroke)
Cardiovascular disease (heart attack) & heart conditions
COPD (emphysema, chronic bronchitis)
Diabetes
Obesity (BMI 30+)
Current/recent pregnancy
Current/former smoker
3/ More here: cdc.gov/coronavirus/20…
Read 9 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
24 Sep
1/ What's the BIGGEST DOWNSIDE to giving ALMOST EVERYONE boosters?

REINFORCING MISPERCEPTIONS that:
- Vaccines are silver bullets
- Breakthrough infections mean vaccines are failing

Vaccines are necessary but not sufficient.
2/ Vaccines provide a relative risk reduction.

Your risk of a SARS-CoV-2 infection after vaccination remains proportional to the level of transmission in your community.

The best way to minimize your risk isn't boosters. It's to address transmission in your community.
3/ How do you reduce transmission in your community and thereby reduce your risk?
- Vaccinated the UNvaccinated
- Mask (at least for now)
- Indoor ventilation & air filtration (we don't do NEARLY enough of this)
- Test 2-3 times/week & isolate infectious persons
Read 4 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
23 Sep
1/ Q&A with @NewYorker's Helen Rosner @hels
about what COVID booster shots can and can't do
newyorker.com/news/q-and-a/w…
- who might benefit from a 3rd shot
- how to prevent breakthrough infections
2/ newyorker.com/news/q-and-a/w…
3/ How do vaccines work?
newyorker.com/news/q-and-a/w…
Read 12 tweets

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