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Céline Gounder, MD, ScM, FIDSA Profile picture
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22 Dec, 4 tweets, 2 min read
1/ We've been asking too much from the COVID vaccines.

The vaccines are excellent at preventing severe disease, hospitalization, and death.

But the vaccines won't prevent all infections even with repeated boosting every ~6 months.

washingtonpost.com/health/2021/12…
2/
3/
4/ But what about long COVID? Don't we need to prevent all infections to prevent long COVID?

Vaccination ⬇️odds of long COVID but doesn't eliminate risk.

If we want to prevent long COVID, we currently need to use ALL AVAILABLE TOOLS to prevent infection:

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA Profile picture
22 Dec
1/ Should people be traveling over the holidays in the midst of an Omicron surge?
with @CBSMornings' @GayleKing

Here's how my family is managing our risk AND staying safe:
- We had a big lunch🥤🍝so we didn't have to eat/drink in the airport or on the plane✈️.

continued➡️
2/ Here's how my family is managing our risk AND staying safe (continued):
- We wore N95 masks😷in the car🚘with windows🪟open on the way to the airport.
- We wore N95 masks😷in the airport and on the airplane✈️.
3/ Here's how my family is managing our risk AND staying safe (continued):
- We're rapid testing daily. ImageImage
Read 7 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
22 Dec
1/ How accurate are the COVID rapid antigen tests?
How should you interpret the results?
with @CBS @CBSMornings' @tonydokoupil

Rapid antigen test positive➡️you have COVID

Rapid antigen test negative
BUT had a high-risk exposure or have symptoms of COVID
➡️get a PCR test
2/Here's some preliminary data from @US_FDA:

fda.gov/medical-device…

But evaluation of the rapid antigen tests vs Omicron is ongoing. ImageImage
3/ Again:

Rapid antigen test positive➡️you have COVID

Rapid antigen test negative
BUT had a high-risk exposure or have symptoms of COVID
➡️get a PCR test

🙏🏾🙏🏾🙏🏾 to the sports leagues & Bway theaters
who are testing daily, multiple times a day, with different kinds of tests.
Read 4 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
22 Dec
1/ I want to see the Biden administration refocus our attention on hospitalization & death.

We've been asking too much from the COVID vaccines.

The vaccines are excellent at preventing severe disease, hospitalization, & death.

with @CBS @CBSMornings' @TonyDokoupil
2/ You are 14x more likely to die from COVID if you are unvaccinated than if you are vaccinated:

covid.cdc.gov/covid-data-tra…
3/ You are far more likely to end up in the hospital with COVID if you are unvaccinated (blue🔵line) than if you are vaccinated (green🟢line):

covid.cdc.gov/covid-data-tra…
Read 5 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
22 Dec
1/ Why is it so hard 2 years into the pandemic to access rapid at-home COVID tests? Why are they still so expensive?
with @PBS @NewsHour's @TheStephSy

More from @KFF:
kff.org/report-section…

& @ProPublica:
propublica.org/article/heres-…

& @ArmAndaLegShow: armandalegshow.com/episode/why-ra…
2/ IN ADDITION TO VACCINATION, we need to be testing, to identify who's contagious and needs to isolate so as not to infect others.

What can the Biden administration do to increase access to rapid at-home COVID tests?
with @PBS @NewsHour's @TheStephSy
3/ Here's what the Biden administration announced this week that it would be doing to scale up access to free at-home rapid testing:
Read 4 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
22 Dec
1/ The COVID vaccines are working!

They're preventing severe disease, hospitalization, & death.

bloomberg.com/news/articles/…
2/ The COVID vaccines remain >80% effective in preventing hospitalization:

covid.cdc.gov/covid-data-tra…
3/ Hospitalization rates for COVID among unvaccinated persons have been on the rise since July.

Hospitalization rates for COVID among vaccinated persons have remained pretty flat.

covid.cdc.gov/covid-data-tra…
Read 4 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
22 Dec
1/ @IHME_UW projects:
- 3+ billion Omicron infections over the next 3 months globally
- % asymptomatic infections will go from 40% to 90% (many will be missed)
- infection fatality rate 97-99% lower for Omicron than Delta
2/ If the @IHME_UW model is accurate, the US will likely hit at least 2000 COVID deaths/day, & possibly 3000 COVID deaths/day.

Last year, we peaked at ~3500 COVID deaths/day.

covid19.healthdata.org/united-states-…
3/ If the @IHME_UW model is accurate, the US will likely hit almost 1 million deaths from COVID by March 2022.

covid19.healthdata.org/united-states-…
Read 5 tweets

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