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Céline Gounder, MD, ScM, FIDSA

@celinegounder

13 Jan

1/ Big day at the Supreme Court today:
- UPHELD: vaccination requirement for staff working in facilities that accept Medicare & Medicaid funding
- BLOCKED: OSHA rule requiring vaccination or weekly testing for employers with 100+ workers
nytimes.com/2022/01/13/us/…

2/ It is now highly unlikely that the U.S. will hit the ~85-90% of Americans vaccinated to get to the other side of the pandemic.

@NYCMayor

3/ States & cities can impose their own vaccination requirements, as did @NYCMayor:

www1.nyc.gov/office-of-the-…

Read 5 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

11 Jan

@RobertDPutnam

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

Read 15 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

11 Jan

1/ What happens when hospitals are overwhelmed & understaffed?

People die.

gothamist.com/news/nycs-hosp…

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.

Read 7 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

10 Jan

@CBSMornings

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…

Read 4 tweets

Céline Gounder, MD, ScM, FIDSA

@celinegounder

10 Jan

@uche_blackstock

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:

https://twitter.com/celinegounder/status/1480189355113295872?s=20

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

@celinegounder

9 Jan

@dwallacewells

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

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