The CDC was entirely warranted in requiring a negative test for all international travelers before departure from China, Hong Kong, or Macau. China has experienced explosive spread since abandoning its #ZeroCOVIDpolicy. This fully justifies the US response.
China can hardly complain because the government has conducted far harsher travel restrictions into China for nearly three years, including intrusive quarantines.
CDC should have gone further by requiring a negative test within 24 hours of departure from China, and its testing requirement should have applied to children under two years of age. Children can spread COVID efficiently, which puts the elderly at risk
Most importantly, CDC should have imposed the testing requirement effective immediately rather than waiting until January 5th. We know from past experience that setting a date so far in advance could let in a flood of visitors who are not vetted.
Now that the US has entered into a new non-emergency phase of the pandemic for most of the population, it is wise to take precautions, at least until we have a handle on the COVID outbreaks in China.
Thus far, China has not been transparent in monitoring or reporting its cases, hospitalizations, or deaths. It is impossible to verify the reports coming from China and they cannot be trusted.

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More from @LawrenceGostin

Jul 21
I'm not surprised Biden has COVID-19. The White House has loosened masking and distancing protocols & he's interacting with foreign leaders. Biden is elderly & vulnerable. He has all the advantages of being up to date on his vaccinations & on Paxlovid, we shouldn't be complacent
People of Biden's age can be seriously ill, or even die, despite being vaccinated. This is a sure sign the pandemic is far from over. The complacency among the American public simply isn't justified. Many Americans have not been fully vaccinated
The belief that Omicron sub-variants are relatively mild is wishful thinking. We need to take COVID-19 more seriously. This also highlights Congress' failure to fund the next generation of vaccines this Fall. Vaccines may be in short supply
Read 4 tweets
May 7
White House predicts 1 mil cases in fall/winter, but has no clear plan to guide the nation on updating vaccines. By now we should have bivalent or multivalent vaccines targeting the original strain & omicron (which subvariant?) Companies are acting alone w/o FDA/CDC guidance 1/X
It's taking more time to develop COVID vaccines from scratch than targeted vaccines to fight omicron, the dominant strain. The promise of mRNA vaccines was their ability to nimbly change formula, but it isn't happening
We can't keep boosting every 4 months
We need better vaccines
It’s not acceptable the White House hasn’t been more aggressive in working with companies to update the vaccine to Omicron. Current vaccines aren't sufficiently effective against new sub-variants like BA.4/BA.5. We need spur development of better vaccines
Read 4 tweets
Sep 8, 2021
Biden's 6 point vaccine plan will be mostly domestic. What should he do? What is lawful?

1) Order CDC to offer technical guidance & funding for vaccine credentialing systems. That'd boost mandates among businesses, colleges, cities & state. Give the tool & others will mandate
2) Mandate vaccines for interstate & int'l travel. He has clear power to do it. Our allies are doing it. And he already requires masks (& testing for int'l arrivals).
3) Use federal funding to incentivize companies to mandate vaccines. This can be done with federal contractors as well as any business that gets federal funding

4) Also leverage federal funding to incentivize mandates by states & cities, especially among public service workers
Read 6 tweets
Sep 8, 2021
Biden will announce a 6-point plan for vaccinations. It'll mostly be domestic but may include a global vaccine summit at UNGA. Here, I'll say what his global plan should be at UNGA. Next tweet, I'll focus the domestic vaccine coverage

US global plan must be big & bold
The US knows how to rise to the occasion. Biden's plan must be as audacious as polio & smallpox eradication or PEPFAR. If we don't stop unchecked #SARSCoV2 circulation, we'll face dangerous new variants. Here's a plan that's realistic & would save millions of preventable deaths
1) Pledge 10 bil doses w/ our allies. That will protect the world's health workers & vulnerable people
2) Ramp up domestic production to meet that goal
3) Transfer tech & know-how for mRNA vaccines to regional hubs, esp in Africa, L. Amer & Asia
4) Build vaccine infrastructure
Read 7 tweets
Aug 18, 2021
CDC data on waning protection is hard to interpret. It's likely a combination of factors:

* Reduced vaccine protection over time
* Increased exposure as cases rise
* Less masking & distancing
* A far more contagious variant

Is boosting the full pop justified? Probably not 1X
The data support boosters for the most vulnerable: health workers, nursing home staff & residents & older adults. Younger, healthier people don't need boosters now. That would save scarce global vaccine supplies
We can't just view this from a US perspective. Each dose we use in the US is not available to save a life in a low resource country. It's also tone deaf to the mounting deaths globally & defies WHO's pleas against boosters
Read 4 tweets
Aug 17, 2021
Offering a 3rd dose to the entire US pop will create even more global scarcity, robbing low income countries of lifesaving doses for health workers & the vulnerable. It's a slap in the face to WHO which called for a booster moratorium. We can make this a "win-win." Here's how. 1X
Biden should limit 3rd doses only to the most vulnerable, including health workers, nursing home residents & the elderly

He also should pledge a major global vaccination campaign including billions of donated doses & ramping up global vaccine supplies
By simultaneously giving boosters to our most vulnerable and launching a major global vaccine campaign, Biden protects America while demonstrating compassion and solidarity
Read 5 tweets

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