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Céline Gounder, MD, ScM, FIDSA Profile picture
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16 Nov, 4 tweets, 2 min read
1/ One extremely expensive drug—Aduhelm for Alzheimer's—with questionable/marginal benefit

is driving up Medicare Part B premiums by $10 per month for all 63 MILLION enrollees.
cnn.com/2021/11/16/pol… Image
2/ @KFF's @tricia_neuman: Image
3/ Image
4/ Image

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA Profile picture
17 Nov
1/ ~37% of people 65+ in the U.S. have gotten a COVID booster.

~36% of residents of long-term care facilities (like nursing homes) have received a booster.
2/ Who's at highest risk for hospitalization & death from COVID right now?
- Older people
- Residents of long-term care facilities like nursing homes

covid.cdc.gov/covid-data-tra… Image
3/ covid.cdc.gov/covid-data-tra… Image
Read 7 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
17 Nov
1/ How should you use rapid antigen tests to keep yourself safe over the holidays?

If you making short day trips to visit family/friends outside the home, take a rapid antigen test before you get in the car.
- If you're positive, stay home.
- If you're negative, have fun.
2/ If you're making longer trips & staying outside the home, plan to take a rapid antigen test every other day.

Why every other day?

It's the minimum to prevent transmission with Delta's short incubation period.

- If you're positive, stay home.
- If you're negative, have fun.
3/ The cost of rapid COVID tests in the U.S. is "TOO DAMN HIGH."

Other countries, like the UK, deliver free rapid tests to anyone upon request.

Israel & Singapore also provide free rapid tests.
Read 6 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
16 Nov
1/ Another amazing piece by @edyong209 for @TheAtlantic:
theatlantic.com/health/archive…

One that hits really close to home. Image
2/ If you haven't yet been vaccinated, please please please don't let this be you this holiday season: Image
3/ @choo_ek Image
Read 12 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
15 Nov
1/ Incentives galore to help get more kids vaccinated ahead of the winter COVID wave:

$100 Visa gift cards in
Louisiana
ldh.la.gov/news/6393
& Chicago
chicago.gov/city/en/sites/…
2/
 $100 debit card OR
Tix to @NYCFC, Brooklyn @BKCyclones, @StatueEllisNPS of Liberty, @NYCferry OR
Membership to @PublicTheaterNY, @CitiBikeNYC, or @SnugHarborCCBG
& more
www1.nyc.gov/site/coronavir…
3/
 $100 gift card to @HEB grocery store chain
in San Antonio
sanantonio.gov/Health/News/Ne…
Read 9 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
15 Nov
1/ Why is there so much confusion about boosters?

Let's start with who would CLEARLY benefit from an additional dose of vaccine NOW:
- Elderly
- Nursing home & long-term care facility residents
- Immunocompromised persons
- People who got a single J&J vaccination
2/ @MSNBC's @SRuhle is right: what do we mean by "indicated"?

This is what's driving much of the disagreement among scientists on whether additional doses of vaccine are needed.
3/ Are we trying to prevent severe disease, hospitalization, & death?

Are we ALSO trying to prevent ALL infections & transmission?

We have yet to agree on this, but we need to have a frank conversation about what we're trying to achieve.
Read 6 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
15 Nov
1/ I joined @MSNBC's @SRuhle & @ddiamond today to discuss his important reporting on gov't interference with @CDCgov science & messaging:

washingtonpost.com/health/2021/11…
2/ Almost 760K Americans have died from COVID to date.

If the risks of COVID had been clearly communicated early in the pandemic, there would certainly have been less resistance to mitigation measures like masking.
3/ People make decisions weighing risk and benefit.

But when they are misinformed about the risks, they can't make good decisions.
Read 8 tweets

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