A thought about expertise.
Stroke of luck. The same people who are Twitter pandemic experts are also supply chain experts.
For a country that abhors experts, it’s amazing how many there seem to be.
When the teacher said “do your own homework” she didn’t finish by saying “on Facebook.”

And a Google search is not research.

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More from @ASlavitt

16 Oct
COVID Update: There’s always a way to do it right.

When we do the payoff is huge. 1/
Let’s start with Merck. Merck historically pays a lot of attention to global health equity.

As they roll out their highly effective anti-viral, molnupiravir ,they have already contracted with 5 generic manufacturers in India with records for effective global distribution. 2/
Poorer countries around the world and some foundations report that Merck has been coordinating to make distribution there as good or better than in wealthy nations.

Merck donates other drugs to poor nations that treat horrible illnesses where most other pharma companies don’t.3/
Read 17 tweets
12 Oct
COVID Update: When cases drop, we should rejoice. But in other circles, it’s when trouble begins. And as often happens, it’s beginning in Texas. 1/
Last time cases were dropping, Gov Ron DeSantis felt the time was right to get cocky. To tell the world that he wasn’t about to allow the state to fall victim to “Faucism.” Instead he was for freedom.

What did that mean?

2/
What did this mean?

-Boats can’t dock if they ask people if their vaccinated
-Schools can’t require masks
-Why vaccinate when you can treat sick people?

Ultimately it meant the plurality of people who died this year in the US died under his watch in Florida. 3/
Read 14 tweets
11 Oct
COVID Update: COVID has been defined by its unpredictability. But what happens next is as predictable as it’s ever been.

Our job now is to beat away any potential surprises. 1/
1. Case & death rates should decline in much of the country & most hospitals should get a reprieve.

Danger areas will be in rural areas in the Upper Midwest & Great Plaines. 2/
The hard way or the easy way…

Big states like Texas and Florida have seen their surge & our thankfully recovering.

The Northeast & California have high levels of vaccinations. Those states should have low levels of COVID relative to last winter. 3/
Read 21 tweets
2 Oct
COVID Update: 700,000 lives lost and a nation’s soul damaged to COVID. 1/
We are going through a period of extended trauma. We witnessed it all. Denial of science, a health system marked by neglect, massive disparities between rich & poor and black & white, cruelty & bullying, unmourned losses.

And then COVID happened. 2/
Our accumulated sins which have played out slowly and in shadows over many years got to be seen in high speed as the pandemic fished out suffering both cruel & levied at the many who had a harder time protecting themselves. 3/
Read 17 tweets
1 Oct
COVID Update: First data from an oral at-home anti-viral from Merck are in.

50% reduction in hospitalizations. Trial halted, EUA on the way. 1/
Game changer for COVID-19.

Will be able to be taken orally either post diagnosis or even after routine exposure. 2/
Added protection for some:
-breakthrough cases
-health care workers

Real potential for:
-countries/areas w low vaccine access or acceptance
-immunosuppressed
3/
Read 8 tweets
28 Sep
COVID Update: When vaccine requirements are announced, whether in the military, a company, or a hospital, there is attention paid to the often dozen(s) who protest.

Less attention is paid to the thousands who get vaccinated. 1/
The story is told over & over.

Hospitals in Texas and Oregon had protests & lawsuits from staff when they announced vaccine requirements early this year.

Yet a much larger a number became vaccinated. 2/
The US military, at one point 50% vaccinated, is now at 90%.

Most NCAA teams are now between 85% & 100%. The NFL 94%.

A slew of early companies who put in requirements are now at 90%. 3/
Read 19 tweets

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