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Céline Gounder, MD, ScM, FIDSA Profile picture
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10 Jan, 4 tweets, 3 min read
1/ @CBSMornings' @nateburleson: "I know people that are vaccinated...boosted that are still getting COVID, so why should I go out there and get vaccinated & boosted."

Vaccinations prevent hospitalizations & deaths, NOT all breakthrough infections.

Saving lives? That's win!
2/ Vaccines are HIGHLY EFFECTIVE in protecting people against dying from COVID. 👇🏾👇🏾👇🏾

covid.cdc.gov/covid-data-tra…
3/ Vaccines are HIGHLY EFFECTIVE in protecting people against hospitalization from COVID. 👇🏾👇🏾👇🏾

covid.cdc.gov/covid-data-tra…
4/ Vaccines won't protect against all breakthrough infections.

But if most breakthrough infections are "mild," meaning you don't need to be in the hospital & don't need supplemental oxygen, that's a win.

theatlantic.com/ideas/archive/…

newyorker.com/news/q-and-a/w…

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA Profile picture
11 Jan
1/ America, we've got a lot of work to do.

But we CAN do it.

Here's how.

with @RobertDPutnam & @shaylynromney
many thanks to our editor @lucas_wittmann Image
2/ Image
3/ Image
Read 14 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
11 Jan
1/ What happens when hospitals are overwhelmed & understaffed?

People die.

gothamist.com/news/nycs-hosp… Image
2/ Image
3/ "Premium prices" to the point that traveling nurses are paid several times as much per hour as doctors.

I'm not saying that in a hierarchical, elitist way.

But rather to communicate how much scarcity is dictating prices at this moment. Image
Read 7 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
10 Jan
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/…
Read 9 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
9 Jan
1/ America’s Omicron Wave Already Looks More Severe Than Europe’s
nymag.com/intelligencer/… by @dwallacewells

Omicron may not be as benign in the U.S.
2/ The American context may be different:
3/ coronavirus.health.ny.gov/daily-hospital…

As of January 7th in New York State:
- almost 12K hospitalized with COVID
- almost 1.5K in ICU with COVID
Read 17 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
9 Jan
1/ @ZekeEmanuel @mtosterholm @llborio @RickABright @drdavidmichaels & I @celinegounder published 3 Viewpoints in @JAMA_current on an updated national strategy for controlling COVID.

1st: A National Strategy for the “New Normal” of Life With COVID
jamanetwork.com/journals/jama/…
2/ We've got to set realistic goals: to flatten the curve, & to suppress COVID hospitalizations & deaths.

Our health system is buckling under the weight of COVID. This is not sustainable.

The good news is that measures to control SARS-CoV-2 will also control influenza & RSV.
3/ Masking😷, ventilation🪟& air filtration will control COVID, influenza, RSV, & other viral respiratory illnesses.

Vaccines💉, rapid antigen tests & antiviral drugs💊can also help reduce influenza transmission, cases, hospitalizations & deaths.
Read 53 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
7 Jan
1/ @ZekeEmanuel @mtosterholm @llborio @RickABright @drdavidmichaels published 3 Viewpoints in
@JAMA_current on an updated national strategy for controlling COVID.

1st in the series:
A National Strategy for the “New Normal” of Life With COVID
jamanetwork.com/journals/jama/…
2/ We've got to set realistic goals: to flatten the curve, and to suppress COVID hospitalizations & deaths.

Our health system is buckling under the weight of COVID. This is not sustainable.

The good news is that measures to control SARS-CoV-2 will also control influenza & RSV.
3/ Masking😷, ventilation🪟 & air filtration will control COVID, influenza, RSV, & other viral respiratory illnesses.

Vaccines💉, rapid antigen tests & antiviral drugs💊 can also help reduce influenza transmission, cases, hospitalizations & deaths.
Read 46 tweets

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