I'm not an ethicist but would love to get a public health ethicist's take on something that has been troubling me (@prof_goldberg?)
Some middle-income nations (e.g. Mongolia, Vietnam, Thailand) have done superbly at suppressing viral transmission ('elimination countries') 1/n
They did so by urgently & aggressively adopting proven, science-based, public health measures (e.g. test/trace/isolate/support). They listened to @who's clear guidance. A model for how all nations could have acted.
But now they're at the back of the queue to get vaccinations 2/n
The initial idea behind COVAX (disclosure: I was consulted during the design phase) was that all nations would get enough doses to vaccinate 15% of their population by end of 2021 (2B doses given, 2 per person) - health workers & high risk citizens in ALL nations. 3/n
I'm as excited as the next American/Brit that we now have another vaccine that will be given to Americans & Brits (the Novavax vaccine). But guess when South Africa is predicted to achieve widespread vaccination coverage?
On June 10 2020 Prof Dean Jamison @IGHSatUCSF & I wrote a column for @TIME comparing the US & China responses to COVID-19. At that time, the US COVID-19 death rate was around 340 per million residents, just over 100 times the rate in China. 1/3
We had >4,300 deaths in the U.S. on Tuesday. Yes, vaccination will bring the death rate down, but vaccine roll out has been slow & troubled. We can't just "accept" this horrific death toll while waiting for more doses. There are 5 things to do now. 🧵 1/n
I’m seeing a LOT of commentary saying “there’s nothing the US can do other than wait for vaccine roll-out.”
I profoundly disagree. We can’t accept 300,000 new infections & 4,000 deaths daily as a “new normal.” We need to drive down transmission. There are 5 things we CAN do!🧵
First, we need to get serious about high filtration masks for all.
Y’all saw Mitt Romney on Wednesday, right? He had a tightly fitting N95 mask under his cloth mask. That’s what every single Americam should have.
Let’s invoke the Defense Production Act & GET IT DONE 💪 2/
Why are ANY workplaces & schools still unsafe? It’s 1 YEAR since the first case of COVID-19 was diagnosed in the US & these settings are still unsafe! We now know they need ventilation, air filtration, universal masking, physical spacing, & reduced density. WE CAN DO IT! 3/
In addition to the privilege of coauthoring many COVID-19 policy papers with the fantastic @DukeCPIGH team, in 2020 I was lucky to have the opportunity to write 12 columns for @TIME & to co-author several @bmj_latest editorials. Here's my end of 2020 look back. THREAD! 1/n
In March, I was worried that access barriers would prevent many Americans from getting COVID-19 testing and care. I also feared that the lack of mandatory sick pay would lead infected people to turn up to work. 2/n
The Great Barrington folks & other "dissident" academics have vocal supporters. Who write to me! Some are rude. Others engage politely & meaningfully. The latter group tell me I'm wrong to suggest the dissidents influenced policy.
In this qualitative study, the researchers conducted 55 individual interviews and 8 focus groups with people with long COVID.
Their analysis revealed "a confusing illness with many, varied and often relapsing-remitting symptoms and uncertain prognosis" 2/n
What else did they find?
▶️a "heavy sense of loss and stigma"
▶️barriers to accessing care
▶️difficulty "being taken seriously & achieving a diagnosis"
▶️varying care standards (e.g. "inconsistent criteria for seeing, investigating and referring patients") 3/n
I want to share my thoughts, as someone who has been so alarmed by the so-called "dissident" scientists like Gupta, Heneghan, Kuldorff, Bhattacharya, & Ioannidis who consider themselves brave Galileos unfairly treated by "establishment scientists." I will try not to swear. 1/n
I want to talk about 3 things:
‼️Their fringe views are inhumane, unethical junk science that promotes harm
‼️They complain that they've been marginalized but this is simply untrue
‼️I am sick of people telling me we have to "listen to both sides." There aren't 2 sides here 2/n
These 'dissident' scientists have consistently downplayed COVID-19, urging policymakers not to take aggressive control measures. They claim it is not a serious threat. Gupta even went on TV saying people under 65 shouldn't worry about it!
In between my Zoom meetings today, I'm going to start a list of my favorite *reissue* albums of 2020! Tune out if this isn't your cup of tea. Some of this year's finest "new" music was "old" music. I'll include re-releases & also discoveries of unreleased "heritage" sounds 👩🎤⏳⏲️
1. @Habibi_Funk has been reissuing some stone cold classic Arabic funk from the '70s & '80s. This year they released an album of killer tunes by Sharhabil Ahmed, the so-called "King Of Sudanese Jazz." Fierce funk-rock meets surf meets horns meets guitar
2. Nina Simone, the greatest musician who ever lived (or maybe it's Alice Coltrane?), released an album in '82 "Fodder on My Wings" that critics hated. They were so freaking wrong. It got a 2020 re-release and it is PERFECTION. Play 'Vous êtes seul, mais je désire être avec vous'