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Céline Gounder, MD, ScM, FIDSA Profile picture
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16 Nov, 12 tweets, 4 min read
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
4/ It's only getting harder in many respects: Image
5/ Image
6/This problem pre-dated COVID. The pandemic has just made it that much clearer.

Our healthcare system isn't built to care for people. It's built to see goods & services. Those aren't the same thing. Image
7/ The new symbol of American medicine? Image
8/ @FutureDocs Image
9/ Not captured by our COVID dashboards: Image
10/ For people working in medicine, our jobs become hardwired into our identities: Image
11/ Image
12/ Image

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA Profile picture
18 Nov
1/ We will eventually move from the emergency pandemic phase of COVID
to
the endemic phase of COVID.

This means that we'll have ongoing SARS-CoV-2 transmission in the community.

At what level? That depends on us & how well we control it.
2/ I think we should move beyond a focus on COVID
to
a focus on all viral respiratory illnesses combined.

Ultimately, what people care about is whether they're sick, in the hospital, &/or dead. The cause matters less.
3/ Many of our interventions vs COVID
are also effective vs other viral respiratory illnesses.

We also have flu vaccines & antivirals for influenza.
Read 5 tweets
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/ 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
Read 4 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

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