1/ Have we vaccinated enough people to transition from PANDEMIC to ENDEMIC transmission of SARS-CoV-2?

No, not nearly enough.

nytimes.com/live/2021/11/2… with @nytimes' @MaggieAstor Image
2/ There's a lot of confusion about what we mean by PANDEMIC vs EPIDEMIC vs ENDEMIC.

Note that ENDEMIC doesn't mean the virus has gone away.
3/ A good way to think about the difference is the shape of the case curve.

Once almost everyone is immune, then most susceptible people in the population fall into a couple categories:
- newly born
- migrating into the population
- waning immunity (esp elderly) Image
4/ SARS-CoV-2 will eventually become ENDEMIC.

How we go from PANDEMIC to ENDEMIC is up to us:
- lots of infection, disease, & death?
- OR vaccinate, vaccinate, vaccinate?

Think of vaccination like ripping off a bandaid🩹.
The faster we get it over with, the fast we can move on.

• • •

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More from @celinegounder

24 Nov
1/ Thanksgiving🦃COVID safety tips:

What about kids who aren't yet vaccinated?
- Kids 5+ years of age: go to vaccines.gov for an appointment
- Rapid test at least every other day over the holidays

with @MSNBC's @ChrisJansing
2/ My 2-year-old niece isn't yet eligible for COVID vaccination.

My sister has been rapid testing her every few days because my niece, like most 2-year-olds, has a runny nose much of the time now.
3/ This weekend, my niece's rapid test came back positive.

My mom cancelled her trip to spend Thanksgiving with my sister and her family.

Rapid COVID antigen tests work! They're keeping us safe this holiday.
Read 7 tweets
23 Nov
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
23 Nov
1/ Where are we at in vaccinating the world?

politico.com/news/2021/11/2… by @politico's @ErinBanco

Many will have to wait until late 2022.
2/ The rest of the world remains an afterthought.

A new variant emerging elsewhere in the world could put our pandemic recovery in jeopardy, as did the rise of the Delta variant this spring.
3/ Our pandemic response continues to be driven by political considerations.
Read 5 tweets
23 Nov
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…
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
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
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
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…
Read 7 tweets

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