🧵 When ppl give anecdotes about public health efforts not working - please proceed cautiously
It is rare that public health success makes headlines or goes viral Bc success in public health almost always represents the absence of anything interesting.
Bias is tough to spot
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Imagine for example if a vax failure in a single person was the only times vaccines made headlines. We’d think they didn’t work. But this is why we have trials - to ensure that we put any Vax failures into proper perspective and measure rates of success vs failure
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The same goes for anecdotes around tests, for example:
The White House Rose Garden outbreak made headlines and made everyone think that tests don’t work.
What was not discussed were the hundreds of WH events w no outbreaks owing exclusively in that WH to testing.
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Outbreak prevention is always imperfect & control in public health is always a probability
So there will always be room for failures to be highlighted in media
We can do better than this and use data to understand rates of success, rather letting headlines carry us astray
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When we say “pandemic of the unvaccinated”, it is stigmatizing & inaccurate - this is a pandemic of a virus that is disproportionately afflicting unvaccinated
I urge us to consider root causes of why so many are unvaccinated
Millions have unfortunately already been infected - we can’t undo that
Let’s not ignore it but use it to our benefit
Data shows Infxn + 1 dose Is as good as 2 dose in uninfected
Here’s a simple strategy to conserve vax and reduce burden
Thread
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When kids show up to get their first dose of a vaccine, they are simultaneously offered an antibody test. The sample for the antibody test can be a simple mouth swab of the gums (or a blood draw - but I prefer a swab of gums personally since it’s painless and easy.
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Now that the kid has their first vaccine AND a sample for antibody test, there will be 3-4 weeks to confirm if the child has antibodies to COVID.
This long period of time offers tons of flexibility to ensure a highly accurate result is obtained - I’ll give examples below
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Recognizing a need for boosters in vulnerable when it comes to Delta & recognizing their benefit - which thus far seems high (even if turns out to be temporary)…
Why are we still vaccinating w mRNA sequence of the now obsolete Wuhan strain when we know the sequence for Delta.
This is only half sarcastic as a question.
Is it purely bc full trials haven’t been completed? Is it bc we don’t agree w an added benefit of using a sequence matching the most common and destructive variant?
My opinion is there would be benefit (or at least equivalency)
If we continue to Reenforce a response to the 1st virus, we may find ourselves stuck in that version of a response when we do want to make an update to the vaccine later on. Better to stay current.
Also, we know Delta has evasive mutations vs original immune response