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Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
@celinegounder
Jan 10, 2022 • 9 tweets • 7 min read • Read on X
Scrolly
1/ I joined @uche_blackstock & @MSNBC's @AliciaMenendez to discuss the 3 @JAMA_current Viewpoints in which colleagues @ZekeEmanuel @mtosterholm @llborio @RickABright @drdavidmichaels & I outline an updated national strategy for controlling COVID:
2/ What would this change in strategy look like?

We've got to keep vaccinating. 💉💉💉

BUT

We've ALSO got to:
- Up our mask😷game to KN95 or N95 masks (order here: projectn95.org)
- Optimizing indoor ventilation🪟& air filtration
- Testing to isolate & treat💊
3/ How much will the emergence of new variants complicate our ability to control COVID?

Omicron is a triple threat:
- More immune evading
- More infectious than any SARS-CoV-2 variant to date
- Shorter incubation period than any prior variant

More here: theatlantic.com/ideas/archive/…
4/ @uche_blackstock breaks down what a public health response looks like & what individuals may have to do.
5/ @uche_blackstock breaks down what a public health response looks like & the importance of policy & good leadership.
6/ What does the "new normal" of adapting & co-existing with COVID look like?

Students & staff can safely return & stay in the classroom if:
- Everyone age 5+ gets vaccinated
- Everyone wears a mask
7/ Where can you buy KN95 masks for kids?

shopvida.com/products/kids-…

wellbefore.com/products/kids-…

greensupply.com/products/kids-…
8/ @uche_blackstock: "Schools can be open only if they have all the tools to stay open safely, and I don't think we're there yet. ... We should consider remote learning options for certain communities. That's an equity-focused answer to some of the school issues we're having."
9/ So fun doing that with you @uche_blackstock!
💪🏾💪🏿💪🏾💪🏿

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 11
1/ A new study from South Korea suggests the shingles vaccine may do more than just prevent shingles—it might also protect your heart 🫀.
on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson
2/ Researchers followed over 2 million adults for a decade.

Those who got Zostavax—the older, live shingles vaccine—had a 23% lower risk of heart disease, including heart attacks, strokes & heart failure.
3/ That cardiovascular protection wasn’t short-lived.

It lasted for up to 8 years after vaccination.
Read 14 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Apr 9
1/ My colleague @DrLaPook's interview with @HHSGov @SecKennedy raised critical questions about public health, vaccines & government responsibility.

on @CBSMornings
2/ RFK Jr, a longtime vaccine skeptic, now recommends the measles vaccine during an outbreak.

This is a significant shift, but his statements on vaccine safety testing need clarification.
3/ Vaccines undergo rigorous testing in Phase 3 & 4 clinical trials, often lasting years to decades.

Claims that vaccines are tested for only "3-4 days" without placebos are misleading.
Read 16 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Mar 21
1/ Billions of dollars in @NIH medical research at risk amid Trump cuts
with @jdickerson on @CBSEveningNews
cbsnews.com/video/billions…Image
2/ The total @NIH budget is $48.6B.

It's hard to say how much will be cut in total as the cuts are still in progress, but BILLIONS of dollars will be cut.
3/ This is in addition to NIH dollars that have been held up by delays in approval processes.

If universities can't make payroll, they can't hire & have to let people go.
Read 32 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Mar 7
1/ A lesser-known fact about measles is how the virus can damage the immune system, leaving someone at greater risk of other infections even after a person has recovered.
with @nateburleson @GayleKing @AdrianaDiaz on @CBSMornings

It's called MEASLES IMMUNE AMNESIA.
pmc.ncbi.nlm.nih.gov/articles/PMC85…
2/ Let’s say you have 2 babies.

As they grow, their immune systems mature & they both gain immunity to different infections – as represented by the different colored marbles. Image
3/ One baby gets vaccinated against measles at age 1 & later at age 4.

It's recommended that babies get their 1st dose at 12-15 months (when antibodies from mom fade away) & 2nd dose at 4-6 years (when kids start school). Image
Read 12 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Nov 17, 2024
1/ I explain how RFK Jr's plans could affect Americans' health.

He is known for falsely claiming that vaccines cause autism & other health issues.

cbsnews.com/video/doctor-e…
2/ RFK Jr: "The problem with the measles vaccine is that it's a leaky vaccine. It doesn't provide sterilizing immunity."

It's true that the measles vaccine doesn't prevent ALL infections.

It's ~97% effective after 2 doses.
3/ In rare cases, vaccinated people may get infected & transmit the virus to others.

This is all the more reason for vaccinating everyone in a community, not just those who feel like it.
Read 13 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Nov 16, 2024
1/ RFK Jr. to lead @HHSGov US Dept of Health & Human Services

with @AdrianaDiaz & @tonydokoupil on @CBSMornings
2/ Kennedy has criticized multiple public health agencies he could now lead.

He's said the @US_FDA's "war on public health is about to end," claiming the agency suppresses anything that "advances human health & can't be patented" by pharmaceutical companies.
3/ But Kennedy's statement demonstrates a common misunderstanding about public health authorities in te US.

We are the United States of America — public health powers reside at the state level.
Read 23 tweets

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