COVID Update: The loss of Colin Powell to complications from COVID provides an overpowering lesson: get vaccinated. 3 million people with compromised immune systems depend on you. 1/
Most importantly, my condolences to Alma and General Powell’s family. Even the loss of such a public person is a deeply personal one.

We don’t just have 700,000 losses. We have a deeply personal death 700,000 times.

Less famously, this is still happening 2000 times a day. 2/
Amidst our overall reaction to this national loss is surprise from some that a fully vaccinated person could die from COVID.

Vaccinated people can die of COVID if their immune system isn’t strong enough to benefit fully from a vaccine. This is why we all need to protect them.3/
A vaccine reduces the risk of dying dramatically (by 12:1), but that is lessened a little for the elderly (6:1 reduction for people over 80) & even more if people have an immune system that isn’t working properly. 4/
Colin Powell was 84 years old and was battling multiple myeloma— cancer of the white blood cells which create antibodies & immunity.

General Powell was in the same position as millions & millions of Americans— fully dependent on the rest of us not to spread COVID. 5/
Delta is the fastest spreading respiratory illness in recorded history. It spreads in 2 days— faster than a test can detect it. If you’re unvaccinated, it can spread to 7 people in that time.

But what do you do if like Colin Powell, vaccination doesn’t offer full protection? 6/
If you can’t be fully protected yourself, you need to rely on everyone around you to get vaccinated.

That’s not just people with medical conditions & older people, but kids & many hourly workers. Unvaccinated people are a threat to them all. 6/
Some like General Powell do everything they can to protect themselves & others but all of it can be negated by people who refuse to do a thing. 7/
This is why businesses, schools, medical facilities & other establishments are increasingly requiring people to be vaccinated or tested if they are going to be around others. 8/
If COVID were like heart disease, no one would create laws prohibiting people from eating fattening foods or requiring them to get blood pressure screenings.

But today is a vivid example that WE DEPEND ON EACH OTHER to stay healthy. 9/
Each loss from COVID is a personal & sad story of a life cut short. So many of these losses can be prevented. But we can’t just rely on self-sufficiency. We depend on those around us caring. /end

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More from @ASlavitt

18 Oct
COVID Update: There’s lots of evidence that the country has made up its mind about vaccine requirements.

Now time to get our leaders to follow. 1/
OK so… policy is a series of trade offs.

For example, environmental regulations vs. unfettered economic growth. That’s a trade off.

In the case of vaccine requirements to enter places where lots of people can get infected, there’s also a trade off. 2/
Benefits of requiring vaccinations at school, work, travel: Saving lives & ending the pandemic earlier

vs

Harm of requiring vaccinations: violating the incorrect perception of a few that this violates the constitution & is equivalent to martial law

As I say, trade offs 3/
Read 16 tweets
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
15 Oct
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.
Read 4 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

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