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Vinay Prasad, MD MPH 🎙️📷 Profile picture
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14 Jan, 4 tweets, 2 min read
Joe Rogan is right. At some ages, for Men, for some doses of specific mRNA shots, the risk of vaccine induced myocarditis exceeds the risk of myocarditis from infection. It was proven by the UK group 👇

We have to be honest about this fact to have productive conversations
If people were less dismissive of @joerogan (who is correct on this issue) the USA might actually

1. Suspend Moderna in Men < 40 like lots of European Nations (higher risk)
2. Further space out dose 1 and 2 in young men (as other nations do)

This would immediately lower harm
PS we wrote this in JUNE!
medpagetoday.com/opinion/second…

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More from @VPrasadMDMPH

Vinay Prasad, MD MPH 🎙️📷 Profile picture
16 Jan
Being pro vaccine means optimizing the # of doses (3,2,1), interval & specific product to maximize benefit and min harm

Let's consider some examples and you decide
🧵🧵THREAD
80 yo in nursing home (starting easy)
The best # of mrna is
20 year old healthy college student. Star soccer player. Already had 2 of Pfizer, and just had Omicron how many more shots is best?
60 year old. HTN, DM and overweight. Never had COVID
Read 11 tweets
Vinay Prasad, MD MPH 🎙️📷 Profile picture
14 Jan
Some think that this Fig. from UK group does not prove myocarditis post vax > myocarditis post infection because only 2.3 mil/3 mil people in the RED bar had infection prior to vax 👇 (ergo the pure myocarditis from infection risk)

here is their error
🧵
vinayprasadmdmph.substack.com/p/uk-now-repor…
For the sake of argument assume the worst case scenario that vax made them completely invulnerable to post infec. myocarditis and all the myocarditis being divided by 3 mil should be divided by 2.3 mil.

That is worst case scenario, and not likely true (almost certainly not)
It would increase the red bar 1.3x, which will still pale in comparison to the Blue bar for Moderna dose 2

Next, consider the biases present in the other direction

The red bar uses documented cases as the denominator NOT SEROPREVALANCE...
Read 8 tweets
Vinay Prasad, MD MPH 🎙️📷 Profile picture
12 Jan
All of health care policy falls like dominos when you accept this FACT about mother nature & omicron

🧵
Wearing an n95 is pointless
You won't do it the rest of your life
Exposure is inevitable
It merely delays the inevitable at personal inconvenience & anchors the mind in fear mode

vinayprasadmdmph.substack.com/p/should-you-w…
Vaccine mandates are now intellectually bankrupt
All the boosters mandates in the world cannot halt spread
A key prerequisite to mandates is gone
They are a personal health choice (which BTW you should opt for, esp. if you are an older adult!)
vinayprasadmdmph.substack.com/p/vaccine-effe…
Read 7 tweets
Vinay Prasad, MD MPH 🎙️📷 Profile picture
12 Jan
COVID didn't do this; We did 1/4
1. No data supported day care workers wearing cloth masks w infants all day
2. Masking kids 2-4 was contradicted by WHO, but American Peds Assc. did it anyway
3. Keeping kids without playdates had no data
4. We closed playgrounds!
5. risk to kids was always much lower than risks we routinely tolerate
6. School closure did massive harm/ had no upside/ strangely occurred in liberal urban strongholds w strong unions & had nothing to do with virus factors
2/4
7. We rushed into boosting adolescents despite the resignations of top 2 FDA officials & dissent of Offit, man who makes vax
8. we imposed vax mandate for school & activities, under promise it would return life to normal
9. we then escalated demands to make kids wear n95s
3/4
Read 7 tweets
Vinay Prasad, MD MPH 🎙️📷 Profile picture
11 Jan
👇👇x1000
A couple journals had a couple sessions, and one seminar at Hopkins, but besides that, universities largely abdicated the role as a forum for debate.

Huge disservice to the public.
Jama had a session, before Howard was terminated

BMJ had a few sessions, before. Fiona left.

@sdbaral hosted one session, And there was an early angry one at Stanford.

But besides this, institutions nearly abdicated this responsibility entirely
I suspect they did so for the same reason so many people engage in preference qualification, or are scared to comment on issues. Which is that the culture among elites is so hostile to differences of opinion.

Universities probably worried that they would offend their donors.
Read 5 tweets
Vinay Prasad, MD MPH 🎙️📷 Profile picture
8 Jan
Great article, but I fear the CDC director is doomed. Here's why.

In the next few months, we will have to accept the inevitable, that all people will be infected with the virus at some point in the future. Better to be vaccinated/ or have nat immunity when you meet it...🧵
.. But avoiding it is not an option

Draconian mitigation efforts to delay the time to meet the virus make no sense.

Makes no sense for a vaccinated person to wear an n95 or equivalent. Certainly makes no sense, and is borderline insane, to make a child wear such a mask.
It is also borderline insane to make college students who have already had multiple vaccines keep getting more, or sit all day in their dorm room to avoid meeting it.

It is coming for them.

They're sacrifice won't change broader dynamics.
Read 25 tweets

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