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Vinay Prasad, MD MPH 🎙️📷

@VPrasadMDMPH

28 Sep

@usnews

My NEW op-ed is out in @usnews!
Mandating 12-18 year old kids get 2 doses of COVID19 vaccine & throwing them out of school if they don't is one of the most regressive, dangerous, and misguided policies in recent years, and I condemn it

Some thoughts 🧵
usnews.com/opinion/articl…

1. How can LA mandate 2 doses for boys aged 12 to 22 when our peer nations do not support 2 doses, given risk of myocarditis?

Same science
Same data
Mandate 2 vs. optional 1?
You can't use power of mandate for science that is not settled

2. The current policies are so restrictive that you can't even space the doses out to 12 weeks, as Norway is attempting to lower risk of myocarditis.

Why is there no flexibility in these policies?

Read 10 tweets

Vinay Prasad, MD MPH 🎙️📷

@VPrasadMDMPH

24 Sep

The CDC director, a political appointee, siding with the President, & his pre-ordained plan, against the advice of the ACIP advisors, with 0 RCTs measuring clinical outcomes & no idea of adverse events is not "doing one's job" it is politics > science, precisely what we feared 🧵

The process that led up to Pfizer booster is someday going to be seen as what many dreaded during the Trump administration.

The White House decided during the week of Sept 20, boosters will be made available, and all gears of drug regulation made it happen

Consider the 24 year old male health care aid living in Seattle who received 2 doses of Pfizer vax, and is now granted a path to take dose 3.

Can any medical expert answer 2 questions:
Do the benefits exceed the harms to this individual?
Is he a 'safer' employee?

Read 16 tweets

Vinay Prasad, MD MPH 🎙️📷

@VPrasadMDMPH

17 Sep

The path back to normal will be rocky

Much of it is the fault of distorted news/ social media

People need to realize a few things
[thread]

nytimes.com/2021/09/07/us/…

First, the best thing an adult can do to lower their own risk of bad covid outcomes is get vaccinated

Second, over the next decade it is inevitable that all people on earth will encounter the virus. Just a matter of time, but cannot be avoided

Third, after vaccination, you will have as good chances as you can possibly have

Fourth, life is not zero risk; never has been, never will be
We have always accepted risk, and we will yet again (many already are)

Read 11 tweets

Vinay Prasad, MD MPH 🎙️📷

@VPrasadMDMPH

16 Sep

Asymptomatic testing of highly vaccinated young populations (e.g college) serves no purpose.
1. No one will follow similar restrictions off campus (aka pointless)
2. These kids are going to get SarsCOV 2 eventually (endemic)
3. It will disrupt their life
4. Policies...

In response make no sense
Masking outdoors
5. Most of the regions doing this are not the regions suffering from delta wave. In fact the place suffering from delta wave won't do it, and the places with high vaccination will do it.
6 mostly signaling

7. College kids protested Vietnam b/c they understood how pointless it was; They have not yet protested this b/c they have been deceived into thinking it helps. Sad times.

Read 4 tweets

Vinay Prasad, MD MPH 🎙️📷

@VPrasadMDMPH

15 Sep

This NEJM booster paper DOES NOT justify mass population boosting

4 issues
1. People who get boosters and those who do not are TOTALLY different people. Look at table 1.
This is confounding by indication/ diff. people/ diff behavior

2. The effect size for severe disease is RR 20!
Too good to be true.
An RCT will be fast to exclude a benefit of this size (its just resid. confounding)

3. The benefit on any disease is smaller than on severe disease, which makes less sense from an Ab point of view (should be opposite), and more from the type of people getting booster point of view.

Read 6 tweets

Vinay Prasad, MD MPH 🎙️📷

@VPrasadMDMPH

14 Sep

The goal of schools and kids is
1. Keep the kids in person as much as possible
2. Use the least amount of disruptions/ restrictions to achieve this so that
3. They can have as normal a childhood as poss.

So:
No to interventions that dont work: making them mask outside 🧵

Yes to cluster RCTs to test if indoor masking works and if so at what ages

Yes to experimenting with less quarantine

No to keep kids apart outside at recess

No to forcing them to gobble meals in 14 mins

No to deep cleaning and other hygiene theater exposing them to chemicals for no purpose

Every onerous restriction you place on them you must be testing to prove it works.

No more indefinite pass on generating evidence

Read 4 tweets

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