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
I have spent many years speaking w vaccine hesitant ppl and not once have I found someone choosing to not vaccinate out of spite
It is nearly always out of a combination of love and fear and confusion about who to trust.
In this pandemic, we have lost the trust of many…
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The US has bungled the response to this virus in nearly every way pre-vax.
There have been many times when the public health decisions have had to be walked back. “We” have made many mistakes.
Yet we assume that everyone should auto-trust public health decisions
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The reality is ppl are just trying to get by in an ecosystem where knowing what policies are based on “true data” and what are not is a privilege.
Scientists and public health ppl often assume that the true data should be evident to all. But this is an incorrect assumption
4/
Many ppl in my own extended family are not vaccinated
This isn’t out of spite or negligence
It is out of confusion & concern about safety of vaccines and dangers of the virus. In many circles, the ppl that ppl trust most are saying things that conflict w “official” messages
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We can’t ignore the reality that we live in a world where “truth” is obscured by media, social pressures, social media, even the news and recent Presidents and current governors.
These are the issues that sit at the foundation of decisions to not get vaccinated.
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Ignoring these realities and stigmatizing unvaccinated allow us to miss the core problems we are grappling with in a politicized “post-truth” society.
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I hope we can develop nonstigmatizing approaches to help ppl understand the biology of vaccines, recognize we need to build back trust in public health, and learn to get ppl comfortable w putting a needle filled w an unknown-to-them substance into their loved ones arms
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Finally, this isn’t a comment on mandates. That is an entirely different question that requires a combination of ethics, infectious disease epidemiologists, immunologists, politics, lawyers, public input, and much more.
This is a comment on recognizing underlying causes.
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🧵 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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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