Despairing with @morningireland coverage of vaccination in children this morning until Dr Lucy Jessop came on. Uptake rates not reflective of hesitancy. They reflect the ongoing wave of COVID in this age band & the numbers infected before we upped our mask game. short 🧵
My 9 & 11 year olds will be getting the vaccine as soon as they can after they were infected in December like lots of their classmates & after-school friends. Why? #VaccinesSaveLives and viral infections, even those dubbed ‘mild’ can do serious damage.
Through work I had considerable access to information on COVID vaccines in Children. We discussed this as a family with the children and they’re super keen to get protected. Parents should discuss the vaccine with their Pharmacist or GP. Go to reputable information sources.
If you want more details, there are great podcasts out there podcasts.apple.com/ie/podcast/cov… This one focuses on the vaccine in children. It’s a couple of months old and there’s a lot of extra REASSURING safety data now.
This one is more recent and more general. It talks about the vastly reduced risk of Multisystem inflammatory syndrome among a lot of other general COVID updates podcasts.apple.com/ie/podcast/cov… Double Speed is your friend.
The key thing for me is the risk of rare events. Things like MIS-C and death. Look at the US data available here: data.cdc.gov/NCHS/Deaths-by… Look at all those preventable deaths.
Huge amounts of safety evidence, more than most other commonly used drugs, is accumulating now. US data indicated the myocarditis risk is low in this age band. COVID on the other hand has a vastly higher risk of myocarditis. cdc.gov/vaccines/acip/…
The US is at more than 9 million doses in the 5-11 yr age group. If there was a serious safety problem, it would have emerged and been detected by now.
Do your own reading. Be a good bullshit detector There are lots of sources of misinformed comment or downright lying to sell stuff. Andrew Wakefield & associated arseholes did untold damage. Read about the experience of parents who lost children from vaccine preventable illnesses
Seek information and make an informed decision. If you are hesitant, that’s normal. There is a spectrum. Gemma O’Doherty & the folks in the Irish Light would love to have everyone on the far right of this graph. If you’re still reading, you may be in the ‘movable middle’
There are people out there who spout antivax propaganda and without pausing for breath will try to sell you a tinfoil hat with a straight face.
I like to think that the incredible uptake of the vaccine to date comes from the general cop on & soundness of the Irish population We know a spoofer when we see one Make the right decision for you, your family & all the people that you’ll meet (including the immunosuppressed)
Love this paper. Majorly jealous of the Scottish Health Informatics/Research infrastructure that enables this. A 🧵on #MedsInPregnancy TL;DR- get the vaccine, protect yourself, protect your baby. Ignore other messaging- they’re either misinformed or trying to sell you something
To place COVID vaccines in context, we now have more pregnancy outcome data for them than for a lot of other commonly used medicines. This study adds data on over 18,000 pregnancies to a constantly evolving evidence base.
Vaccine coverage in pregnancy is disappointing with less half the level of vaccine uptake in pregnancy compared with the general female population 18-44yrs: 32.3% vs. 77.4%
Some thoughts on risk perception/risk communication in light of this week's @EMA_News statement on the possible link between the AZ #COVID19 vaccine & rare blood clots. A thread 🧵
Low probability, high consequence events are called dread risks. pure.mpg.de/rest/items/ite… There is a risk in avoiding risk. People can make decisions to avoid a rare risk that put them at a greater risk of a more common adverse outcome.
We don't know right now if the observed association between the vaccine and very rare clotting/bleeding issues is causal or if there may be some underlying factor involved. We don't know the baseline risk of these events in the context of the pandemic.
This tweet (especially the graph below-definitely a feasible outcome) is gravely concerning as we think about the 4th wave. Imagine the scenario in October where we’re looking back on this carnage & wondering where it went wrong. A few things that I think we would regret:
There was interprofessional sniping within the vaccination programme with vested interests arguing that they’re the best at vaccination instead of pooling skills and resources to maximise vaccine coverage.
There was no centralised continuous assessment of the optimal processes to maximise yield per vial, considering available consumables.
It is fantastic to see the #COVID19 vaccination programme begin #VaccinesSaveLives. Some initial thoughts for now & the weeks/months ahead (personal views): 1. All hands on deck approach in hospitals led to efficient systems vaccinating large numbers in a short space of time
2. True multidisciplinary working meant that expertise to solve problems & evolve the process was on hand 3. The hospital facilities that were used for this will have ~ 2 week lull before the second dose (accepting some delayed vaccines in between)
4. Mass vaccination centres won’t be set up over night so these suggestions focus on the next few weeks 5. Legislation is in place enabling a broad range of health professionals to vaccinate