Two years too late. Okay, it was the former guy then, so just 1 year too late for this administration.

I recommended household distribution of small packs of masks in March 2020.

Image
Korea and Taiwan did that for their citizens. Taiwan gave out a few free medical masks per week per person. Korea allowed purchases but limited per person and price-controlled.
nytimes.com/2020/04/01/opi…
In the US, pushback to medical masks for all was based on the myth that there were not enough to go around. But this was simply not true. There were 100s of millions of masks, but HHS took them all for the hospitals. Hence a prevention opportunity was lost
Indeed there was such a plan considered in the Trump administration but they sent 600M masks to states and non-profits instead. None of those seemed to make their way to individual homes.
nbcnews.com/health/health-… Image
Here in California, Newsom ordered 420M masks for hospitals.

Of course it's necessary hospitals get masks, but with a population of 40M, each person could have gotten 3 masks and the hospitals would still have 300M, just for starters.
To make masks and rapid tests free for households now is nice, but it would have been much better earlier. Now we're near herd immunity (via vax and infection), and Omicron will be over soon. This is closing the barn door after most of the horses have escaped.

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More from @michaelzlin

11 Jan
Making a new COVID-19 metathread for 2022.

Previous 2020-2021 COVID-19 metathread is below

2022.01.01. Recommending the 3M Aura as a speakable, breathable, comfortable, affordable N95 mask.
2022.01.04. Reiterating my concerns that molnupiravir's low efficacy is not worth the risk of creating highly mutated viruses, with similar opinions from Danish MDs and an admission from a Danish official that its approval skipped normal requirements.
Read 6 tweets
11 Jan
Some Omicron trends that we can now definitively see:
• Case hospitalization and fatality rates (CHR, CFR) in SA, Denmark, UK, Australia, US
• A guess at true infection hospitalization and fatality rates (IHR, IFR)
• Omicron peaking in many regions of the US
This follows a previous thread where we inferred from early SA data that the CHR was lower for Omicron than earlier waves due to prior immunity and lower virulence, and it would be similar in the West. (But still bad news due to very high case # s)
The SA data as of 2021/12/28 showed Omicron CHR and CFR at ~50% and ~15% of the 2021/01 peak.

The CHR is clearly ~50% of the year-ago peak. Deaths however are still creeping up and CFR now 20% of year-ago. Others observed older people got Omicron later in SA; may relate to that.
Read 25 tweets
7 Jan
Since my analysis concluding 3 shots are required for the broad response needed against Omicron, and that #JnJers will need 2 shots of RNA, others like former Surgeon General @JeromeAdamsMD have reached the same conclusion
16M Americans are stuck in pre-Omicron limbo. We just need to admit J&J was like one shot of RNA, so they were behind 2xRNA-vaxxed and should be allowed to catch up. (And a 2nd J&J is not as good due to immunized clearance of the adenovirus vector)
Most #JnJers understand past mistakes of CDC and FDA on this and other topics have already degraded their credibility. This is why people are turning to writing articles to point out the problem. Credibility on this topic can only go up by addressing it
usatoday.com/story/news/hea…
Read 4 tweets
6 Jan
On-the-ground look at Omicron from the Marin County PH officer.

- Cases peaked 2 wks ago
- 18/19 hospitalizations non-ICU (most don't even need O2, some asymptomatic)
- Older vaccinated well protected

Not sure Omicron truly done here but still...

sfgate.com/coronavirus/ar… Image
As @Merz mentioned Marin is one of the highest-vaxxed counties in CA. However it's not particularly young. The experience is "anecdotal" anyway but the PH officer relates it to past experience in the same location. It may serve as an example of what high vax rates can achieve.
@Merz The observation about low ICU rates is similar to what we've seen in London so far
Read 5 tweets
3 Jan
While our attention was diverted by Omicron, FDA approved the viral mutagen molnupiravir (MOV) on the last business day before Christmas. The same time, Merck published that MOV doesn't reduce virus levels in the first 3 days. So patients will be shedding mutated virus for 3 days
I wrote in the Washington Post pointing out that widespread use of the drug increases the risk that we will create new immunoevasive variants. This could come from Delta; it may not be milder like Omicron. Since my piece is no longer browsable, I post it here as a public service
It's not just me. Most scientists or clinicians who know the data are worried. They include @JamesEKHildreth, Defense Health Agency director @peterweina, and former BARDA director @RickABright who were overruled either by FDA or by the prev admin on their MOV concerns
Read 7 tweets
1 Jan
For a new year tried out a new mask, the 3M Aura N95 mask. Wow what a night and day difference. Didn't realize a mask could be this comfortable. Most amazing thing: speech comes through clearly.

My colleague @AbraarKaran is correct: CDC should be pushing better masks like these
These are $3 each and worth it. You can buy a 3pack (or 10pack) and rotate between them. On the 3 days off you let the mask air out to evaporate odors and let any viruses in them die off. More info on this thread.
Not only did HHS and CDC failed to push for mass manufacturing of these masks earlier (a problem since the previous administration when @RickABright was overruled on the matter) but CDC continued to push wrong or obsolete ideas about N95s
Read 13 tweets

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