Professor of Global Health & Public Policy
@DukeU
. Director, Center for Policy Impact in Global Health. DJ
@wxdu
. TIME columnist. He/him. Tallest Jew on Earth.
OK, it’s on.
Gonna tweet out my 1,000 favorite tunes, aiming for one per day over the next 3 years (ish).
Lots of jazz, funk, soul, gospel, hip-hop, electronica, post-punk, post-rock, dub & Brazilian.
We start with Yusef Lateef’s “Like It Is.”
1/1000
“There’s no need to worry about all these Covid deaths in US kids, because the ones who die have pre-existing conditions” is a viewpoint that I never thought I’d read during this awful pandemic. Yet here we are.
What is happening? How did we get here? I’m so tired of this s**t.
Minimizing childhood Covid in the US—a play in 4 acts
Act 1️⃣ “Kids don’t get Covid”
Act 2️⃣ “Kids get Covid but don’t get ill”
Act 3️⃣ “Kids die from Covid but don’t worry, only kids with pre-existing conditions die”
Act 4️⃣ “Don’t worry, kids also die from drowning or car crashes”
At the birth of the NHS, this is the leaflet that every household received; I have a copy of it on my office wall. It's one of the most profoundly beautiful social contracts in history. A contract now broken by the current British government.
I see that over in Britain the BBC is giving air time to people like Sunetra Gupta & Toby Young to spread their astonishingly dangerous misinformation in the middle of the worst pandemic in 100 years with hospitals under strain & cases rising. Why? What is the "public interest"?
Folks, please don’t listen to Julia Hartley Brewer or her pals Carl Heneghan/the Great Barrington crew.
From a London doctor friend of mine last night:
“No one should go out in London. A & Es are full, ambulances are lined up unable to unload & no mention of this in the press”
I would love the anti-vaxx community to stop comparing life-saving public health measures to the torture & mass murder of 6 million Jews, including members of my family
It is deeply offensive
Covid unleashed vile antisemitism & Holocaust denialism:
We make this sheet pan dinner once a week, cuz it’s easy, delicious, comforting, & healthy (a rare quadfecta)
Baby tomatoes, chick peas, onion, feta, oregano, salt & pepper, drizzle with olive oil, stick it in the oven, roast, then drizzle with balsamic
🧪 One thing Britain got very right: free home antigen tests
In Durham, North Carolina, USA (my home), it’s close to impossible to find such tests
From time to time, I spot a box for sale: 2 tests for $25
Here in London, you walk into a pharmacy & they give you 14 for free 👏
It’s very reassuring that there have been no cases of myocarditis in the 5 million children ages 5-11 who have been vaccinated here in the US
Childhood Covid vaccination is astoundingly safe & effective
It protects kids AND their families & communities
With at least 1 million people killed in the US from a preventable infectious disease, I will never really understand those who argue we did “way too much” to prevent the mass suffering, illness, disability, hospitalization, deaths & orphanhood
I believe we did way too little
The hospitalization rate for unvaxxed teens is 10 times as high as it is for vaxxed teens
Despite the epic amount of hate mail I get for supporting childhood vaccination, I’ll continue to make the case that
#VaccinesWork
OK, back to my Twitter break😉
The best takes I’ve seen today on polio being discovered in London wastewater have been from medical historians, especially those who studied polio campaigns & the history of vaccination
And they have a LOT to say on how anti-vaccine sentiment during Covid has been perilous
Naomi Wolf of The American Institute for Economic Research, the Koch-funded conservative think tank that sponsored the dystopian, unethical Great Barrington Declaration, has finally been suspended.
I am pleased.
Dr Wolf peddles horrific, dangerous anti-vaxx nonsense.
1/3
@Azeem_Majeed
Watching British Twitter from here in America, it seems to be very much: marmalade sandwiches, vile racist harassment of Meghan Markle, criticism of anyone who questions the impacts of colonialism & empire, & a total shut down of the nation to mourn.
Am I missing anything?
The Great Barrington Declaration just published a piece arguing that Covid vaccines don’t reduce mortality
I’m not linking to it, as it is dangerous disinformation (it’s on the website of their new right wing think tank, Brownstone)
I wish they’d stop peddling this harmful BS
We have a surge in pediatric Covid hospitalizations. My colleagues have never seen anything like it. They’ve never seen this many sick kids with Covid on ICUs. We’re vaxxing kids fast. But the hospitalizations are in unvaxxed kids
Please stop telling my colleagues to “calm down”
My university is NOT messing around
I'm so here for it👏
Faculty & staff who do not get vaccinated "will be terminated & will not be eligible for rehire"
The Great Barrington Declaration is campaigning to try & stop universities from issuing mandates. They can go fly a kite!🪁
I'm starting to think, perhaps, just maybe, perhaps, Covid-19 isn't a benign illness in children? There are many Op-Eds by famous doctors telling us not to worry since 'kids don't get sick.' Maybe we should also listen to the Physician-in-Chief at Children's Hospital New Orleans?
Dr. Mark Kline Physician-in-Chief at Children's Hospital New Orleans: "This delta variant is every infectious disease specialist's worst nightmare.. There was a myth.. that children were somehow immune... It has become very clear that children are heavily impacted"
What an extraordinary public health achievement
In this Swedish study, the risk of invasive cervical cancer among those who received the HPV vaccine before the age of 17 was almost 90% lower than among those who had never been vaccinated
A friend died from anal cancer, which could have been prevented with HPV vaccination, & I am tired of the “edgy” health professionals on Twitter who advise people to “exercise, sleep & eat good food” instead of getting HPV vaccination
Actually, not just tired, kinda angry
I don’t understand why a health professional is telling people not to get vaccinated; asking them to sign a pledge not to get vaccinated; urging them not to get tested for Covid when they have Covid symptoms; & telling them not to get Paxlovid if sick. Can someone explain to me?
@stkirsch
Taking photos of identifiable people without their consent and posting them online isn’t public health
Shaming people for wearing a mask isn’t public health
I’ve said it before, I’ll say it again. If you want to see what a progressive, child-centered, community-based approach looks like, see Vermont. It led the US in getting kids back to school safely (they closed bars so schools could reopen) & it has vaccinated 70% of 12-17 yr olds
This is an important question
There are several people close to me whose lives have been upended by Long Covid
One of them is my age & has taken medical retirement (they are a doctor), as their illness is so debilitating (lung & cardiac damage)
The complacency is infuriating
This is not a sub-tweet (honestly, it is not)
I’m politely & respectfully asking Brits to refrain from calling my pediatric colleagues “hysterical.” In the last 2 days, Brits have said American pediatricians are “alarmist,” “fearmongers,” & “panic prone” with the wrong “tone”1/2
Only 7% of people in low income nations are vaccinated
So when I read a tweet saying “the pandemic is over,” I really cringe
It’s “over” for the healthy, wealthy, highly vaccinated folks who are bored of public health measures—but it’s not “over” for much of the world
Wow. The UK’s Joint Committee on Vaccines & Immunisation is advising AGAINST vaccinating teens. Baffling decision, given that the benefits are much greater than the risks. Delta has changed everything.
Same at Duke. We sequenced every case, so we know where transmission happened. My colleagues who work on Covid control tell me that with universal indoor masking & a vaccination requirement, there were 0 documented cases of classroom transmission. Public health for the win 💪
Nice study showing very little in-class transmission, assessed by whole genome sequencing, at Boston University in fall 2021 with vaccine mandate and mask mandate, no distancing.
I’m outside my kid’s school right now, doing pick up. Every single kid is in a fun, cool, stylish mask. No kid seems oppressed. There have been zero infections in these kids in 8 weeks since in person teaching resumed. Why is Britain having such a moral panic about masks on kids?
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’m so confused
Help me out
Anti-maskers say masks don’t protect you from Covid—they argue the holes are WAY TOO BIG & so the viral particles sashay through
But, um, now they say the holes are WAY TOO SMALL & you can die if you fall asleep while wearing one
Which is it? 🤔
My kind & gentle dad died suddenly & unexpectedly 2 days ago—I’m on my way to London.
I’ll quarantine with mum & then attend the funeral after quarantine ends.
In his 70s, the Royal Free hired him as an administrator. It gave him more joy & meaning than any job he’d ever had.
It is with great sadness that Mervyn, our wonderful AEC administrator, passed away suddenly on Friday. He worked tirelessly for patients and ambulatory care. He was a joy to work with and we will miss him immensely.
There’s someone in my life—my age—who took medical retirement due to Long Covid
It has damaged their lungs, heart, joints & spleen
They get breathless walking upstairs
Previously fit & healthy
I don’t think we as a society have fully understood all the consequences of Covid
Friday night reflection after a beer or two:
How did we get to a place where supporting childhood vaccination is seen as “extreme”?
It’s been a bit unsettling to see the demonization of those who advocate for vaccination rather than infection
Why did the goal posts move?
If the vax is shown to be safe & effective, my spouse & I will be first in line to vax our 5 yr old (just as he gets his annual flu vax)
I’ve never taken a penny from a vax company
It’s offensive to suggest that doctors who support childhood vax must be in the pay of Big Pharma
Observation:
When
@PeterHotez
was one of the first to warn of a possible Delta surge in the US, he received some of the most vile, hateful, grotesque, antisemitic abuse.
He was accused of being a fearmonger & causing panic.
Yet here we are.
IMHO, we should listen to Peter.
I have long been deeply disturbed by the dystopian, unethical Great Barrington Declaration.
But you have to hand it to them: they gained access to the highest levels of government in the US, UK & beyond & were able to shape Covid policy. They got much of what they wanted. Ugh.
💉Vaccination rates at these 4 universities:
Columbia: 99.7%
Yale: 99.5%
Cornell: 99%
Princeton: 99%
It’s almost as if….wait for it….wait for it….wait for it….here it comes…requiring vaccination increases vaccination rates
I know, I know, I’m really going out on a limb😎
Those opposed to Covid vaccination for 5-11 year olds often scream “Covid never harms or kills kids!”
This is nonsense & one of the strangest myths of the pandemic
If you’re opposed, are you ALSO saying we must NOT vaccinate kids against rubella, rotavirus, meningitis, etc.?
Why do some people put Long Covid in quotation marks (like this: “Long Covid”)?
There are people in my life with disabling Long Covid
When folks use quotation marks, I worry they’re suggesting the condition doesn’t exist or is overhyped
What next? “Cancer”? “Diabetes”?
1/2
It has been *very* instructive seeing who Elon Musk calls on to write his “Twitter Files” series—& what Musk hopes to achieve from the series
It’s now the turn of, um, Alex Berenson, who has peddled some of the most extreme anti-vaccine disinformation during this pandemic 1/2
Yikes, just 2 weeks into term, over 100,000 kids in England are off school with confirmed or suspected Covid
An educational & health policy crisis, no?
Why didn't England adopt masks, ventilation & other measures? Why so late offering vax to adolescents?
💉💉💉My household is all vaxxed💉💉💉
Didn't realize how emotional I'd feel
My spouse and I are vaxxed x3
Our 6-year old son is vaxxed x2
We feel blessed and immensely grateful to scientists, to Duke & UNC (who gave us the shots) & to Moderna and Pfizer
We the Jews are very tired of anti-vaxxers, anti-maskers, lockdown skeptics & “natural herd immunity” enthusiasts comparing life-saving public health measures with the annihilation of 6 million Jews. Please stop. Thank you.
Biden has deployed his Needle Nazis to Mesa County.
The people of my district are more than smart enough to make their own decisions about the experimental vaccine and don’t need coercion by federal agents.
Did I wake up in Communist China?
I said to my spouse: what on earth am I going to do with all my masks at the end of this pandemic?
Without missing a beat, she said: keep them for the next one.
🙁
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!🧵
We're going to get a million columns written about her outfit. So to redress the balance, here's my commentary on HIS outfit.
TL;DR It really works 1/n
Let me just say one thing.
Until the new CDC pronouncement, NC had a smart policy: remove indoor mask mandate once 2/3 are vaxxed.
Then CDC declares “America is vaxxed, no masks needed!”
NC follows CDC guidance & yesterday drops its mask mandate.
This. Is. Infuriating.
I’m starting to think that perhaps, maybe, perhaps Bret Stephens just isn’t the right guy to now be writing about, um, science for the NYT? Like, maybe?
H/T
@gregggonsalves
I took a much needed Twitter break
On return, I see that anti-vaxxers are targeting a Jewish vaccine scientist,
@PeterHotez
, with horrific, violent threats
This guy, with almost 100,000 followers, is literally a weapons manufacturer
Musk’s Twitter has become an utter cesspit
I regret to inform you that my tweets are going to get angrier & almost certainly more expletive-laden in the coming days
We have an astoundingly safe, effective tool—Covid vaccines—but we’ve decided, here in the rich world, that only rich nations can benefit from it
1/2
@VPrasadMDMPH
And as a Jew who gets a lot of antisemitic hatred from anti-maskers, anti-vaxxers, anti-lockdowners & Covid denialists, your instrumentalization of the Holocaust to argue against life-saving public health measures is deeply disturbing. I wrote this piece.
I’ve noticed:
The people who minimize adolescent Covid-19 ALSO tend to argue that no school mitigations are needed AND ALSO tend to argue that adolescents must not wear masks AND ALSO tend to argue that it is MUCH better for adolescents to get infected than to get vaccinated.
If we develop a COVID-19 vaccine, it will not be a British vaccine, it will not be an American vaccine, it will not be a Chinese vaccine, it will not be an Indian vaccine. The vaccine will have no nationality. It will be a global public good. Enough with the nationalistic claims!
I’ve now seen life saving Covid measures—vaxx, masks, distancing—compared with:
-The Holocaust
-Mengele’s experiments on Jewish kids
-The Vietnam war
-The US-led invasion of Iraq
-War crimes
-Internment of Japanese Americans in WWII
-Afghanistan under the Taliban
Please stop.
It’s interesting being in the UK right now, with 2 scientists from the JCVI arguing for kids to get infected.
I’d be interested to see the supposed wealth of science showing “natural immunity” is superior to vaccination—can someone share those data?
Thx
Y’all, they were planning to TAKE HOSTAGES. They brought equipment to tie people up. Planned, pre-meditated white supremacist domestic terror, incited by Trump.
We knew it was coming. Today Jay Bhattacharya, author of the Great Barrington Declaration, wrote a piece advising on India’s horrific surge. Here’s what he said in Jan: most Indians are immune & it would be UNETHICAL to vaccinate them. Remind me why we need to hear from him now?
Supporters of the Great Barrington Declaration say to me "the GBD is not pushing Covid vaccine misinformation!"
Shall we take a little trip down memory lane? There's a MASSIVE steaming pile of vax misinformation peddled by the GBD, I don't have all day, here's a sample..
1/n
I respectfully disagree. THERE AREN'T 2 SIDES. The public health science on pandemic control is established, & nations that followed the science did better, both from a health AND economic view. Shouldn't we be basing policy on, um, science? We need VACCINE herd immunity FFS. END
The Great Barrington Declaration are all over the media saying they’re the true victims of the pandemic
Excuse me, what?
They said people under 65 need not worry about Covid-19 👀
200,000 Americans under 65 were killed by Covid-19
I don’t think GBD are the real victims here
Crucial to remember:
Unvaccinated children are 10 times more likely to be hospitalized for Covid than vaccinated children
💉 Vaccines work, and science is our way out of this pandemic
I agree with Dr Fauci.
"I think we have underestimated the impact on children," Dr. Anthony Fauci said Monday. "Look at the pediatric hospitals throughout the country... they're seeing a lot of children in the hospital with severe infection."
"Herd immunity from natural infection" is back in the news again (again). We now know it was the explicit policy of the Johnson government. There's also evidence that Trump/Atlas embraced it (& that the Swedish & Dutch governments did too). I have thoughts. A mini-thread. 🧵1/n
A friend of mine just lost his beloved uncle to COVID-19. Another friend just lost his beloved aunt to COVID-19.
I’m having a hard time with the emerging narrative that we must only focus on the great times ahead. There’s a shit load of grief, suffering, & loss still going on.
La campa��a masiva de vacunación pediátrica con las vacunas
#Soberana02
alcanzó 1.7 millones de niños entre 2-18 años, lo que representa el 96.6% de ese grupo poblacional.
Se han aplicado 5.1 millones de dosis de
#Soberana02
y
#SoberanaPlus
a los niños cubanos
#CubaPorLaVida
Current mood
Sending a box of rapid tests by FedEx to friends in New York, who are unable to find any tests, anywhere in the city
(I got some free boxes, with 7 tests in each, when I was in the UK)
I'm starting to think the U.S. govt has not, um, managed this pandemic well ☹️
With Johnson & Javid adopting a right-wing libertarian approach to the pandemic (“freedom day,” “individual responsibility”), it is very valuable to read
@edyong209
’s stunning piece on the risks of this strategy (disclosure: I was interviewed for this).
Antivaxxer: Show me peer-reviewed studies!
Me: OK, here are multiple trials, systematic reviews, meta-analyses & safety studies, showing impressive efficacy & safety
Antivaxxer: But this opinion piece from Brownstone Institute/RFK Jr/GBD/Epoch Times says the vax is useless!
🤷♂️
Without fail, whenever I meet a person in real life who I've only previously interacted with on Zoom/Teams, they say, "wow, OMG, I didn't realize you were so tall"
[reader, I am 6'5", one of the tallest Jews on earth]
I need a witty comeback....any suggestions?
"new figures showed that Covid infections have spread rapidly inside England’s schools, following the government’s decision to end the use of preventitive measures such as masks, social distancing and self-isolation"
That was an, um, interesting decision
Today, I have been very grateful to the many pediatric cardiologists who spent time on Twitter carefully & diligently explaining that myocarditis from Covid is much more common & more serious than myocarditis after Covid vaccination.
Thank you 🙏🏼🙏🏼🙏🏼
Post-COVID vaccine myocarditis: a
#tweetorial
from a pediatric cardiologist
First off this complication is reasonably scary for parents deciding whether or not to vaccinate their kids. I do hope that this 🧵 helps clarify the data and dispel some myths.
I’m genuinely stunned at the results of this public poll (39% identify as Democrats, 40% Republican, the rest independent)
Public support for vax mandate for teachers (62% support) & students (52%), & for school mask mandates (60%), is MUCH higher than I would have predicted
Fascinating: shingles vaccine may reduce dementia risk
We are starting to better understand the links between viral infections & long term neurological conditions (eg EBV & multiple sclerosis, SARS-CoV-2 & long COVID)
This is the defining issue of the pandemic, and we are failing
Here in the US, every day we see OpEds in the WSJ and The Atlantic from highly vaccinated, wealthy, healthy people saying “they’re done” with Covid-19
The smiley faces, cherry blossoms, Great Barrington Declaration fans, "natural herd immunity" enthusiasts & anti-maskers do not approve of our new
@GlobalHealthBMJ
analysis on lockdowns 😉
So, here's a long-ish thread on what we did & did not find 1/n
I forgot to bring my glasses to work, I only had my prescription sunglasses, so this is how I taught my class and one day I will dial down the eccentricity but I am not sure yet when that day will arrive, and yes we are still required to mask indoors at Duke, thanks for asking 😎
In Portugal, There Is Virtually No One Left to Vaccinate
Portugal is among the most highly vaccinated countries in the world. Vice Adm. Henrique Gouveia e Melo, who led the campaign, said there was a key to his success: Keep politics out of it.
@NYTimes
Good things sometimes do happen
One of the world's worst peddlers of dangerous vaccine disinformation
His supporters will scream "censorship!" but I for one am happy that his horrific nonsense about vaccines won't feature on Twitter
I type this with shaking hands
One of my high school friends died last year from CJD—a dreadful illness
Seeing Robert F Kennedy Jr weaponize the suffering of people with CJD—& their loved ones left behind—in order to make money off his anti-vaccine books is utterly grotesque
OMG, I made it to the front cover of The Lancet with this subtle, very understated, not-at-all-in-your-face quotation!
Next time, I’ll say what I *really* mean 😉
I still believe COVAX was a beautiful solidarity-based idea.
But rich nations decided “me first, me only” instead.
Some people get very angry indeed when they see the evidence showing suicides were stable or declined during Covid.
Why the anger?
Isn’t it somewhat reassuring to know there wasn’t a “tsunami” of suicide?
Regardless of the data, we must provide robust mental health services.
Some folks say "don't vaxx kids, mail the doses to a poor nation instead!"
Rich nations will have 1 billion unused doses in 2021 due to their hoarding & they're blocking low income nations from making their own doses
Vaccinating 5-11 yr olds is NOT why we have vaccine apartheid
McCarthy vows to repeal some IRS funding and Marjorie Taylor Greene responds with applause. McCarthy then promises to stop "woke indoctrination in our schools."
Thank you, Professor Hotez, for sharing the new piece that
@ENirenberg
& I wrote for TIME
RFK Jr is peddling an extraordinary amount of disinformation about vaccines on an almost daily basis; scientists need to point out how flawed & dangerous his views are
He is dead wrong
This is an unbearably painful piece to read
A very extreme, very ghastly group of anti-vaccine activists terrorizes the grieving parents of dead children; what kind of person does this, and why?
@wanderer_jasnah
@BallouxFrancois
Yes, my infectious disease epidemiology & child health colleagues all argue that it would be best to vaccinate kids before they're exposed to the virus, not the other way around
I'm happy our 6 year old & all his friends are fully vaccinated
Fascinating!
Famous Twitter doctors who raged non-stop against child Covid vaccines, fear mongering incessantly, are now expressing concern that parents have lost confidence in OTHER safe, effective child vaccines
I wonder what made parents lose confidence?
Such a mystery🤔
I received a wonderful Friday night gift!
There’s an anti-vaxx, anti-mask organization in the UK, the HART Group
Recently their chat records leaked
Guess who they’ve been chatting about?!
They do NOT approve of my support for vaccines, masks & other science-based measures 🤣
In the US alone, 37% of 12-17 year olds have been given at least one dose of a Covid vaccine (67% in Vermont!). That’s over 9 million kids.
IMHO, it is a bit disingenuous of vaccine critics to say that too few kids have been given the vaccine to know if it is safe & effective.
If a 3rd shot provides good protection against the new variant, that’s really wonderful news….for those who have access to a 3rd shot
Much of the world hasn’t even had access to a 1st shot
Shouldn’t we be marshaling every single ounce of our global solidarity to fixing this?