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Céline Gounder, MD, ScM, FIDSA

@celinegounder

23 Nov

@statnews

1/ The new COVID antiviral medications won't be game-changing

UNLESS

we game-change the health system.

statnews.com/2021/11/23/cov… with @statnews' @levfacher

2/ Even if fully vaccinated & boosted, immunocompromised & other vulnerable people remain at risk for SARS-CoV-2 infection & severe COVID.

We should scale up access to monoclonal antibodies for highly immunocompromised people as PRE-EXPOSURE prophylaxis.

3/ And we should scale up access to COVID antiviral medications for highly immunocompromised people & residents of long-term care facilities and other congregate settings as POST-EXPOSURE prophylaxis.

Read 5 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

23 Nov

@neilphillipsnet

1/ "I think back over the last 18 months & all of the justified, inspiring, hopefully, effective activism that has resulted from other forces claiming the lives of Black men at higher rates than that of other segments of our population." -@neilphillipsnet
iframe.dacast.com/vod/28ba256706…

@neilphillipsnet

2/ "We should be furious at this virus. We should be enraged by it. We should mobilize against it in the ways that I have seen our community mobilize against other forces. We have to look at it that way." -@neilphillipsnet

@neilphillipsnet

3/ "Why are we so adamant against some force that takes our lives at higher rates than others, yet we are so accepting of this force? We cannot be." -@neilphillipsnet

Read 5 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

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

@celinegounder

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…

3/ covid.cdc.gov/covid-data-tra…

Read 7 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

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.