Vincent Rajkumar @VincentRK Twitter profile

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Vincent Rajkumar

29 days

Our one stop website for myeloma risk: -MM risk stratification -SMM risk stratification -MGUS risk stratification -AL amyloid risk stratification New: -IFM Frailty score -Waldenstrom prognosis - iSTOP MM guide for marrow in MGUS

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Vincent Rajkumar

@VincentRK

2 years

South Korea followed the textbook principles of epidemiology. Kept deaths 40 times lower all the way till 75% of population fully vaccinated. This is success.

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Vincent Rajkumar

@VincentRK

3 years

Just heard that it only costs $3 per dose for Pfizer and Moderna to make their COVID vaccine. But they sell it for $15-40 to the world. Given the amount of publicly funded research that went into development of these vaccines, & the current crisis, this is unacceptable.

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Vincent Rajkumar

@VincentRK

3 years

India has more confirmed COVID cases per day than 𝗔𝗟𝗟 other countries in the world 𝙘𝙤𝙢𝙗𝙞𝙣𝙚𝙙.

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Vincent Rajkumar

@VincentRK

3 years

A lot of COVID deaths in India in young people who should be doing well & recovering. I am making a plea to doctors in India to cut down the use of STEROIDS. Please. Steroids are only useful after the patient is hypoxic. Harmful if given early, or given for too long

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Vincent Rajkumar

@VincentRK

3 years

Florida becomes first US state where the daily deaths in current wave have exceeded previous waves.

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Vincent Rajkumar

@VincentRK

3 years

This is a plea to the US government to help India. What you can do: -Help with Oxygen & Oxygen generators -Release Astra Zeneca vaccine supplies -Lift the export ban & send them raw materials for vaccines As bad as this looks. It's 10 times worse. The Indian people need you.

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Vincent Rajkumar

@VincentRK

4 years

Singapore should be a warning to us. They had COVID under excellent control. Now it’s out of control: 728 new cases yesterday. When we relax social distancing measures prematurely we risk a second wave. Places where groups of people work/live close to each other are at high risk.

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Vincent Rajkumar

@VincentRK

2 years

Omicron who? South Korea continues to be the role model. I hope they can sustain their science driven strategy which so far has saved hundreds of thousands of lives.

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Vincent Rajkumar

@VincentRK

3 years

India has 1.3 billion people. 4 times that of the US. What’s going on is just amazing and needs in depth immunologic studies. These are raw numbers!

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Vincent Rajkumar

@VincentRK

3 years

One piece of positive news speaking to leaders of 2 large hospitals in India where most healthcare workers were fully vaccinated: No serious COVID cases among any of the vaccinated healthcare workers during this current crisis. The vaccines are working.

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Vincent Rajkumar

@VincentRK

4 years

There are at least 4 possible reasons why some people with COVID have little or no symptoms. 1) A rapid immune response that conquers the virus 2) Pre-existing cross reactive immunity 3) Genetic factors 4) Low viral load at time of infection We have emerging data for each. 👇

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Vincent Rajkumar

@VincentRK

3 years

In randomized trials with 6 different COVID vaccines involving ~175000 persons: 0 hospitalizations for COVID in persons who received the recommended schedule of vaccine. That is ZERO.

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Vincent Rajkumar

@VincentRK

2 years

The only people who have been consistently right on Covid have been those who have consistently raised the alarm.

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Vincent Rajkumar

@VincentRK

3 years

You hear COVID vaccines are highly effective, & protection will last years. But you also hear people are getting COVID even after 2 doses of vaccines, & some have died. What gives? Here are 4 reasons why excellent vaccines sometimes appear not to work: Thread below 👇

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Vincent Rajkumar

@VincentRK

3 years

After 11 years of med school and residency training, and >20 additional years of research on the cells that make antibodies & help us fight infection, I'm not as confident as some people seem to be on how the immune system works and how natural immunity protects them from COVID.

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Vincent Rajkumar

@VincentRK

2 years

I've written about how South Korea controlled the pandemic. But nothing captures the dramatic difference like cumulative deaths over 2 years. It's a painful watch.

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Vincent Rajkumar

@VincentRK

3 years

Almost 25% of daily US COVID deaths are in Florida. This wave is striking because it is pretty hard to go above pre-vaccination waves. It's almost double. Thankfully has not happened in any other state. In fact, very few countries have had this happen either.

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Vincent Rajkumar

@VincentRK

2 years

When someone says get vaccinated and someone else says no need to get vaccinated, the truth is not in the middle. One is right. One is not. So don't look for false balance: it's true versus not true.

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Vincent Rajkumar

@VincentRK

2 years

What caused this massive difference in COVID deaths? Not lockdowns; not lack of democracy; not new treatments. It was testing, contact tracing, avoiding crowds, masks, controlling new cases entering the country, leadership, clear strategy, & unified messaging to public.

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Vincent Rajkumar

@VincentRK

3 years

I would like to share the story of how a patient with cancer came up with the idea for a randomized trial, & how listening to him saved a lot of lives. 1/ In 2002, I had just completed a randomized trial with the notorious drug thalidomide for the cancer, multiple myeloma.

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Vincent Rajkumar

@VincentRK

3 years

Mother of a young ICU doctor in Missouri told me today that 5 young patients died of COVID in their unit, and doctors and nurses are at their breaking point. Fatigued, worn out. Folks please get vaccinated. The vaccines we have are incredibly effective.

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Vincent Rajkumar

@VincentRK

2 years

It is too early to remove recommendations for masks in the US. I will continue to mask.

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Vincent Rajkumar

@VincentRK

3 years

This drop in confirmed COVID cases in India is an illusion. First, due to limited testing, the total number of cases is a huge underestimate. Second, confirmed cases can only occur where you can confirm: the urban areas. Rural areas are not getting counted. @BDUTT

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Vincent Rajkumar

@VincentRK

3 years

On Jan 24, 2020 @DrEricDing posted a massive warning about the impending pandemic: The Holy Mother of God thread. "We are now faced with the most virulent virus 🦠 epidemic the world has ever seen," Eric wrote. As I read his thread again today, all of it has sadly come true 1/

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Vincent Rajkumar

@VincentRK

2 years

Since I praised South Korea's handling of COVID 4 months ago, I should also comment on the Covid crisis that is happening there now. 1) We see what omicron can truly do when it enters a country where very very few have had COVID before.

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Vincent Rajkumar

@VincentRK

3 years

1/ When you get vaccinated you don’t make just one type of antibody. You make a whole portfolio of antibodies against various epitopes. So unless there is a huge number of mutations, vaccines will protect you, especially from severe disease. #VaccinesWork #Covid_19

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Vincent Rajkumar

@VincentRK

3 years

If we have more COVID vaccines than people, but cannot get to herd immunity due to vaccine hesitancy then we have messed up the messaging. The message should be clear and should come from every leader in the country.

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Vincent Rajkumar

@VincentRK

2 years

Revised CDC guidance on COVID does not make sense. We are still losing 500 people a day to COVID. It’s a big risk. It’s like we are giving up. As a cancer doctor I am also worried for my vulnerable patients. #CovidIsNotOver

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Vincent Rajkumar

@VincentRK

2 years

Covid vaccines represent one of the greatest medical advances of all time. They have dramatically reduced risk of severe disease and death. But they have worked less well in terms of preventing infections, transmission, or durability. Why? 1/

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Vincent Rajkumar

@VincentRK

3 years

This is not a curve or a wave. It's a rocket. A straight vertical line. If this is a bad COVID variant causing this, it will be prudent for all countries to help India with vaccines and raw materials for vaccines. I'm not aware of the details. I just hope we do the right thing

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Vincent Rajkumar

@VincentRK

4 years

On being a good doctor. The number of research publications don’t tell you how good a doctor is at being a doctor. Neither do the number of book chapters or grants. Or academic rank. It’s a different skill set. Good doctors have stellar clinical acumen & empathy. #MedTwitter

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Vincent Rajkumar

@VincentRK

3 years

When the CDC said vaccinated people can take off their masks in May, I supported the move (thinking it may encourage people to get vaccinated). Well. I was wrong. Eric disagreed with me strongly at the time. He was right. With cases soaring, please wear masks even if vaccinated.

Eric Feigl-Ding

@DrEricDing

3 years

5) “Grave mistake” - this @JohnsHopkins trained epidemiologist you know has been arguing against the CDC since they announced their mask relaxation in May.

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Vincent Rajkumar

@VincentRK

2 years

After >2 years of COVID, this is where we are. @FT

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Vincent Rajkumar

@VincentRK

3 years

What's happening in India now is prima facie evidence of what this virus can do to a susceptible population when there is premature breakdown of social distancing and universal masks. (Rise of variants doesn't help this cause either). Vaccinate first. Relax next.

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Vincent Rajkumar

@VincentRK

3 years

Do not miss what's glaring at us: COVID vaccines are among the best that medicine has accomplished EVER. Nothing short of a miracle. From completing trials with tens of thousands of volunteers in a matter of months to the spectacular results. Thankful now.

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Vincent Rajkumar

@VincentRK

3 years

Worth remembering that people who have raised alarm and advocated caution have been more right on COVID.

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Vincent Rajkumar

@VincentRK

3 years

I remember CDC deciding in June that fully vaccinated can take off their masks. I like many thought it was a reasonable call. Eric disagreed strongly. Turned out he was right. He is one of the people I'm glad I follow coz he is up to date on everything COVID. Thanks Eric. 6/

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Vincent Rajkumar

@VincentRK

3 years

There are 3 likely factors lowering death rate in India: -Younger age -Lower obesity -Cross reactive immunity from prior corona virus and other infections The first two alone cannot explain lower severity. There are enough older people to overwhelm the health care system.

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Vincent Rajkumar

@VincentRK

2 years

Mistake 1: Don't test so our cases don't look so high. (Early 2020) Mistake 2: Treating tests like drugs and being too rigid with approval. Mistake 3: Not ramping up production of tests Mistake 4: Recommending not to test before ending isolation Mistake 5: You are on your own

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Vincent Rajkumar

@VincentRK

3 years

I made my career on Dexamethasone. And how a lower dose saves lives. This is truly a double edge sword that when used without care can cause tremendous harm.

Lenalidomide plus high-dose dexamethasone versus lenalidomide plus low-dose dexamethasone as...

Lenalidomide plus low-dose dexamethasone is associated with better short-term overall survival and with lower toxicity than lenalidomide plus high-dose dexamethasone in patients with newly diagnosed...

www.thelancet.com

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Vincent Rajkumar

@VincentRK

3 years

Well we have the Covaxin results from @BharatBiotech now. Excellent efficacy. Congrats India.

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Vincent Rajkumar

@VincentRK

3 years

Astra Zeneca vaccine & blood clots. Summary. Rare form of blood clots plus low platelets. ~60% involve veins of brain. Almost all after 1st dose. Risk (UK MHRA): 1 in 250,000 people Risk (EU EMA): 1 in 100,000 people Risk of dying: 20-25% of people with these clots have died

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Vincent Rajkumar

@VincentRK

3 years

What about natural immunity? A thread. I'm not a virologist or vaccinologist. I'm addressing this issue as someone whose career has been focused on plasma cells, the cells that make antibodies, for over 20 years. 👇

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Vincent Rajkumar

@VincentRK

3 years

Did COVID cause remission of an advanced cancer? 61 year old man was diagnosed with Hodgkin Lymphoma. He then developed COVID. Only got supportive care. No steroids or immunotherapy. 4 months later, cancer had mostly resolved (left image vs right) 🪢

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Vincent Rajkumar

@VincentRK

3 years

India needs help. Unimaginable humanitarian crisis occurring at an unprecedented speed and scale.

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Vincent Rajkumar

@VincentRK

2 years

Shock and Awe. What omicron can do (Left). What vaccines do (Right). 1/

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Vincent Rajkumar

@VincentRK

3 years

Top 5 worst declarations during the COVID pandemic. 5. It's harmless in young people 4. Masks cause hypoxia 3. Vaccines have microchips 2. Ivermectin 1. Great Barrington Declaration Feel free to add.

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Vincent Rajkumar

@VincentRK

3 years

In the first week of the illness when the virus is dividing, the use of steroids can suppress the immune response and make the virus divide even more. Steroids are not antivirals. There was a trend to more deaths in RECOVERY trial in patients who were not hypoxic.

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Vincent Rajkumar

@VincentRK

3 years

Looking back it was not one lucky prediction. Throughout the pandemic @DrEricDing has been right numerous times while many other experts who were a lot more optimistic ended up being wrong. From duration of vaccine efficacy to variants to issue of masks. 5/

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Vincent Rajkumar

@VincentRK

3 years

Two headlines, 6 months apart. Want a good economy? Control COVID first. @ASlavitt @DrEricDing

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Vincent Rajkumar

@VincentRK

5 months

This is a disaster waiting to happen. How can Indian regulators allow this? A teratogenic cancer drug and a diabetes pill with the same name. cc: @nramind @nambath @ramyakannan

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Vincent Rajkumar

@VincentRK

3 years

If someone asks, do you know the risk of the vaccine long term, ask do you know the risk of the virus long term.

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Vincent Rajkumar

@VincentRK

3 years

When I adjust to population, the differences are even more striking.

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Vincent Rajkumar

@VincentRK

3 years

Now consider that the number of confirmed cases is a fraction of the true cases to get a sense of the humanitarian crisis.

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Vincent Rajkumar

@VincentRK

3 years

I'm beginning to worry that COVID mutant variants may be playing a significant role in the crisis in India, causing infections even in people who may have escaped with mild COVID during the 1st wave. This has implications for the world on how soon vaccine boosters may be needed.

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Vincent Rajkumar

@VincentRK

4 years

Kerala (population 35 million) was the first state in India to get COVID. Today for the 2nd day in a row they have ZERO new cases! @nramind @nambath @ramyakannan How did they do it? 1/

Coronavirus | For second day in a row, no new case in Kerala

Two deaths in Karnataka; 67 fresh cases in A.P.; only 3 cases in Telangana

www.thehindu.com

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Vincent Rajkumar

@VincentRK

3 years

3 reasons why I'm worried the pandemic in India is different: -Rapidity with which the disease seems to progress -High transmissibility in family contacts -Severe disease & deaths in young people I wish we had hard numbers. This my opinion based on following events closely.

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Vincent Rajkumar

@VincentRK

3 years

The current vaccines are outstanding but not perfect. They give excellent protection against severe COVID. They save lives. Do not be worried about reports of vaccine failures which may occur due to one or more of the reasons I listed. They are the exception. #GetVaccinated

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Vincent Rajkumar

@VincentRK

3 years

My earlier thread on Florida and why this is happening. Some not in our direct control: delta variant. Some in our control: 50% fully vaccinated is simply not enough. Relaxing mask requirements and preventing mask mandates is not good policy. #GetVaccinated #WearAMask

Vincent Rajkumar

@VincentRK

3 years

Where did we see this curve before?

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Vincent Rajkumar

@VincentRK

3 years

BREAKING: The US will immediately make available raw materials that India needs for COVISHIELD. Emergency supplies will be also made available. Grateful beyond words. Thanks on behalf of a billion people.

Andy Slavitt 🇺🇦

@ASlavitt

3 years

Important statement regarding support for India in combatting COVID-19.

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Vincent Rajkumar

@VincentRK

3 years

Want to control COVID? The Top 3 things we can do Individuals -Wear a mask when indoors with people u don’t live with -Social distance as much as possible -Good ventilation indoors Governments -Communicate above 3 measures clearly -Provide tests & PPE -Leaders set examples

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Vincent Rajkumar

@VincentRK

2 years

Yesterday someone who is on Medicare Part D asked in disbelief: Will my annual prescription drug costs really be capped because of the new Senate bill? Yes All drugs Every drug All drugs combined Total $2000 for whole year Shout it from the rooftops. #MedTwitter

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Vincent Rajkumar

@VincentRK

3 years

What's different in Florida is that relative to the vaccination rate (~50%) the relaxation of distancing and masking was disproportionately high. Leaders expressed disdain for masks and mask mandates. The total number of people unvaccinated is high. And hospitals got overwhelmed.

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Vincent Rajkumar

@VincentRK

4 years

This saddens me. ALL of the news media should be non-stop highlighting how so many other countries have crushed COVID. And how everyone is doing way better than us.

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Vincent Rajkumar

@VincentRK

3 years

The #1 purpose of vaccines is to prevent deaths and serious morbidity. COVID vaccines are almost 100% effective in doing that. That's the message.

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Vincent Rajkumar

@VincentRK

3 years

In patients who have hypoxia, it signals that there is lung involvement. By now the virus is likely controlled by the body and the damage is from the immune system. Only at this stage are steroids useful: at small dose (Dex 6 mg) and short duration (5 days).

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Vincent Rajkumar

@VincentRK

3 years

There are 4 other factors people have hypothesized but I don’t think they play a big role -BCG vaccination -High temperature -Vitamin D levels -Use of chloroquine, ivermectin etc

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Vincent Rajkumar

@VincentRK

3 years

You cannot undercount ten times the death rate. That would also mean also undercounting 20 times the hospitalizations. With friends& reporters I’m in touch with across the country, India has had nowhere near the deaths the US has per capita. Life is normal even in big cities

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Vincent Rajkumar

@VincentRK

2 years

Even if Omicron causes a problem in South Korea, they have already won. At this point 93% of adults are fully vaccinated. Over 40% have been boosted. So their deaths and hospitalizations will stay much lower than here.

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Vincent Rajkumar

@VincentRK

3 years

Monoclonal antibodies are like the chemo we give after the cancer occurs. Vaccines and masks are like stopping smoking so you reduce the risk of getting cancer. Monoclonal antibodies don't help the poor, the uninsured, & don't prevent transmission. Vaccines and masks do.

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Vincent Rajkumar

@VincentRK

3 years

Pfizer COVID Vaccine. Amazing! The numbers speak for themselves. I’m sure Moderna has similar numbers. One of the greatest achievements in medicine of all time. I’m all in. @ASlavitt

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Vincent Rajkumar

@VincentRK

4 years

Stunning fact: Not even one single developed country has >1000 COVID cases per day. We have >50,000 per day in the United States. Epic failure of leadership at National level, as well as at the State level in many states. @ASlavitt @choo_ek @MelissaJPeltier @jeremyphoward

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Vincent Rajkumar

@VincentRK

2 years

5) But all is not failure or despair. This is only the first real wave in South Korea. The wave in terms of deaths is much less than 4 of the waves in the US. Total deaths is much lower. How well South Korea handled the pandemic for 2 years has still saved a huge number of lives

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Vincent Rajkumar

@VincentRK

2 years

Some have noted that the marked disparity was apparent very early on in April of 2020. Yes. See how we responded when this was pointed out then.

Vincent Rajkumar

@VincentRK

4 years

With all due respect: This is South Korea. Not North Korea. Making test available Rapidly identifying people who need isolation Quarantining contacts Having enough masks This is what a free country should do. We should not blame our freedom and democracy for mistakes made.

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Vincent Rajkumar

@VincentRK

4 years

From a doctor who does clinical trials for a living: Not true.

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Vincent Rajkumar

@VincentRK

3 years

Dr. Fauci has a H index of 227. Which means he has 227 papers that have been cited 227 times or more. There are few people in the history of medicine who have a higher H index. It speaks to how much he has contributed to medicine. Be respectful.

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Vincent Rajkumar

@VincentRK

3 years

Less than 10% of people in India have had one dose of vaccine. Although the number of people who have received 1 dose of vaccine is not that much lower than the US, the sheer population size of India makes the task much harder. It is why India needs help with vaccine supplies.

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Vincent Rajkumar

@VincentRK

3 years

I recognize that part of the problem in India may be a more virulent virus or a totally overwhelmed health care system. That's not in our immediate control. But we can do things in our control: Use steroids only when necessary, at the right time, for the right duration.

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Vincent Rajkumar

@VincentRK

3 years

Everyday I hear about someone very young in India, in the best of health, dying or critically ill with COVID. In many, the clinical course is one of rapid progression. Added to what's going on in the UK, makes me nervous about B.1.617 variants. Get vaccinated. That does work.

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Vincent Rajkumar

@VincentRK

2 years

In every age group, COVID vaccines reduce the risk of severe disease or death by >90%.

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Vincent Rajkumar

@VincentRK

3 years

Giving steroids at high dose, or steroids for prolonged duration can cause secondary infections from mucor, drug resistant candida, and drug resistant bacteria. Add to it muscle weakness and high blood sugars and any number of other problems.

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Vincent Rajkumar

@VincentRK

3 years

I don't have a book to sell, job to secure, or money from Pharma. If I'm promoting vaccines it's because they save lives and I became a doctor to do just that.

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Vincent Rajkumar

@VincentRK

3 years

70% vaccinated Netherlands had a bad wave in July. Deaths hardly budged. Need more proof that COVID vaccines work? #GetVaccinated

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Vincent Rajkumar

@VincentRK

3 years

He wrote: "possibly an unchecked pandemic that the world has not seen since the 1918 Spanish Influenza. Let’s hope it doesn’t reach that level but we now live in the modern world 🌎 with faster ✈️+ 🚞 than 1918. @WHO and @CDCgov needs to declare public health emergency ASAP!" 2/

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Vincent Rajkumar

@VincentRK

2 years

Reminder: You cannot compare seriousness of Omicron with delta or wild strain by comparing crude rates of hospitalization or deaths Omicron faces a different, more immune population: half the world is vaccinated and/or had Covid. Millions of vulnerable have died due to COVID. 1/

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Vincent Rajkumar

@VincentRK

3 years

I'm ok with profits. But not on this scale, where it places many countries at huge financial and public health crisis.

Pfizer Reaps Hundreds of Millions in Profits From Covid Vaccine (Published 2021)

The company said its vaccine generated $3.5 billion in revenue in the first three months of this year.

www.nytimes.com

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Vincent Rajkumar

@VincentRK

3 years

We saw it in India: it's a combination of delta variant, policies, lack of masks and protective measures, crowding, overwhelmed hospitals. India unfortunately did not have vaccines. Florida does. So it's all the more tragic.

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Vincent Rajkumar

@VincentRK

2 years

If omicron appears milder, you can thank vaccines for that to a large part. Data from Switzerland.

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Vincent Rajkumar

@VincentRK

2 years

3) It shows how a country can completely shut out Covid for 2 years. It can get 75% of its population fully vaccinated. But it's still not safe from COVID. When precautions are relaxed, COVID is just lying in wait. It's disheartening. It shows the nature of the enemy we face.

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Vincent Rajkumar

@VincentRK

3 years

Please don't blame vaccines not working as the cause for rising death rate in Florida. Vaccines are working to prevent deaths in many other countries that have seen post vaccine spike in cases; and most other states in the US as well. Florida is different.

Vincent Rajkumar

@VincentRK

3 years

COVID Vaccines work in preventing severe disease and deaths. This is best demonstrated by massive real world data in populations by comparing deaths relative to cases in post vaccine wave to prior waves. Exhibit 1: Iceland and UK. Note low deaths this time around.

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Vincent Rajkumar

@VincentRK

3 years

165 million people (50% of the country) vaccinated within 6 months. A huge lifesaving accomplishment.

Andy Slavitt 🇺🇦

@ASlavitt

3 years

Biden’s accelerated vaccine rollout has saved over 1 million people from being hospitalized & hundreds of thousands of lives based on a new Yale study. More work to do but vaccines save lives.

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Vincent Rajkumar

@VincentRK

2 years

Controlling COVID until the public is well vaccinated saves a huge number of lives. See the huge difference between cases and deaths depending on when COVID occurred. 👇👇

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Vincent Rajkumar

@VincentRK

3 years

I am thrilled with the news that @ASlavitt is joining the Biden Administration COVID 19 task force. Throughout the pandemic Andy has been a person many of us trusted and looked up to. I trust him 100%. Let’s turn this thing around. #LeadershipMatters

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Vincent Rajkumar

@VincentRK

3 years

This is not only the right thing to do. It is also wise. If this absolutely stunning and dramatic spike is due to a bad COVID variant, then it is going to affect us. It will be self defeating to crush COVID only to let a bad COVID variant get us again. Please act urgently.

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Vincent Rajkumar

@VincentRK

3 years

And of course this is happening exactly when it shouldn't: when delta is at its peak. Familiar? Yes. We have seen this before. We just didn't quite think it will happen in a vaccine rich, resource rich state in 2021.

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Vincent Rajkumar

@VincentRK

3 years

USA with the best vaccine supply has now 17% of the worlds daily new COVID cases. In number of cases per day we are in a different level and trajectory than every other country in the world. Again.

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Vincent Rajkumar

@VincentRK

2 years

40,000 deaths in the last 3 months. 400 deaths a day. No. Covid is not over.

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Vincent Rajkumar

@VincentRK

3 years

I just think it would be wise to do in depth scientific studies in India and neighboring countries so we better understand resistance to severe COVID that seems to occur in these parts. Looking at the seroprevalence a huge proportion must have been asymptomatic. Question is how?

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Vincent Rajkumar

@VincentRK

2 years

This is concerning since Israel has been ahead of other countries on COVID boosters and also a huge omicron wave. It means despite all this 1) some people remain vulnerable due to inadequate or waning immunity and 2) new variants are immune evasive. 1/

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Vincent Rajkumar

@VincentRK

3 years

People quarreled with the R0 that was in @DrEricDing 's thread, but most epidemiologists and leaders and organizations missed the forest for the trees. We know what happened since: 240 million cases worldwide 5 million deaths 46 million cases in the US >750,000 deaths 3/

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