Atul Gawande

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The Safe Childbirth Checklist helps ensure every person giving birth gets the right care at every point in delivery. We're excited to welcome @Atul_Gawande for a keynote address for our final SCC webinar, "Ensuring a Safe and Successful Start." RSVP:…
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"Noncommunicable diseases kill slowly in normal times and quickly in pandemic times." These data are remarkable, suggesting why the burden of death from COVID is so much higher in North America and Europe.…
"We're not seeing a lot of pediatric hospitalizations in the Northeast," @PeterHotez says. "Why? Because all of the adults and most of the adolescents are vaccinated, and kids are often getting their infection from their unvaccinated parents."
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"We don’t drink contaminated water. Why do we tolerate breathing contaminated air?"…
Clear, extremely helpful thread on ventilation measures to prevent COVID19.…
It is absolutely possible to safely have in-person schools But you can't just wing it You need to 1. Vaccinate adults 2. Ventilate classrooms 3. Test folks weekly 4. Wear masks indoors If adults acted responsibly Kids could be safe in classrooms Lets not fail our kids again
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“As the pandemic ebbs, countries will be assessing what went wrong with their public-health systems,” @Atul_Gawande writes. What can Costa Rica’s model teach us?
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"The boost at 6 months is going to look very impressive and substantially greater than what has already been reported in terms of the 2 month boost... In my opinion, the boost should not be at two months, but it really should be at six months or later," Barouch told CNN.…
The UK and Israel are testing at a rate 3-4x higher than the US. US test positivity is spiking. In the US, we have both a huge increase in cases, and a huge under diagnosis of Covid.
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Costa Rica has made public health central to the delivery of medical care - a plan that is “at once breathtaking in scope and beautifully simple,” writes @atulgawande. Fascinating story on what happens when countries prioritize public health.
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In 1950, US life expectancy was 68, Costa Rica’s 55. By 1985, it was 75 in both countries. Now it’s 79 here and 81 there. Fascinating inspiring @Atul_Gawande story about how their ingenious public health care system did and does it.…
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In Costa Rica, public health and individual health are braided together—a plan that’s “at once breathtaking in scope and beautifully simple,” @Atul_Gawande writes.
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BREAKING: After reviewing 340,000 pages and record amount of data, the FDA has given full approval to the Pfizer vaccine.
Retweeted by Atul Gawande
Absolutely love the triple-scale chart @TravellingTabby implemented for Scotland here:… so I thought I'd show one for the whole UK. I've offset the admissions and deaths numbers (6 and 14 days respectively) to make the main point more clearly.
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My newest investigation -- on how Costa Rica's commitment to public health has given its people a life expectancy among the longest in all of the Americas.…
Additional data from Israel on infections (but not hospitalizations/deaths) by immunization status.…
"Third-dose recipients appear to be 2.5 times more protected from infection than those who only received the first two doses of the Pfizer vaccine." But again no info on whether protection against serious illness is markedly different.…
This kind of data from Israel seems to be leading the administration to favor boosters. Shows high case rates among fully vaccinated but not among >60-yr-olds who got a 3rd dose. (h/t @celinegounder) But how many are sick? We need to see this breakdown for hospitalization/death.…
"There were too many cases to count." The experience of fighting a pandemic with an underfunded and understaffed public health infrastructure is ugly. We have valorized the medical professionals facing the COVID onslaught. But your local public health officials are heroes too.…
Here are two key Qs I hope CDC’s Advisory Committee on Immunization Practices meeting today can answer: *Who does and does not meet this level of immune compromise? *What about such people who got the JNJ vaccine?…
Just published @NEJM A randomized trial of a 3rd dose of mRNA vaccine for people who have had an organ-transplant shows markedly improved immune response compared w/ placebo (<-and why it's ideal to have this arm)…
Retweeted by Atul Gawande
Seeing Dorothy Oliver bring vaccines to her town and persuade people to take them, in this short film, is extraordinary and beautiful. She does it with love. And love works. A stunning 94% of Panola, Alabama, is vaccinated because of her.…
This is a brilliant visualization of how, as vaccinations increase, COVID hospitalizations will decrease dramatically--and the vaccinated will necessarily become a larger and larger % of the hospitalizations. Math.…
I’ve arrived in #Sudan, a country moving towards a civilian-led democracy after courageous Sudanese brought down a dictatorship. I’m here to meet with the leaders, civil society & citizens driving this transition, and to explore how we can build on the US-Sudan partnership.
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Clear, concise, and excellent explainer on what we know about Delta.…
An additional 1 million US-donated vaccines have arrived in #Paraguay. The Millennium Falcon wasn't available, so we used the next best aircraft. Building on our prior donation of 1 million vaccines, we are proud to support Paraguay in protecting 20% of its adult population.
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Boy, do we need to see the actual data.…
Incredibly informative thread, with a little immunology education thrown in for good measure,…
US coronavirus cases/day via @CNN: Right now: 30,887 cases/day 7 days ago: 18,489 cases/day 14 days ago: 13,562 cases/day 21 days ago: 10,525 cases/day
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This is must read. “Today I became the 25th of 64 state and territorial immunization program directors to leave their position during this pandemic. That’s nearly 40% of us.”…
500,000 @pfizer vaccine doses donated by the US have arrived in #CostaRica. Great to see our two countries banding together to fight the pandemic 🇺🇸🇨hGfS
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The Delta variant impact in Arkansas (US leading edge) is resembling that of the UK's more with each passing day. Cases/100,000 here. Similar pattern for hospitalizations and deaths, too.
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Good morning, but especially to those who understand that Covid is simultaneously 100x less deadly for kids than seniors *and* that it was the leading cause of infectious disease death among kids last year, which, unlike most other top causes of death, is now preventable.
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I’m honored to be nominated to lead global health development at @USAID, including for COVID. With more COVID deaths worldwide in the first half of 2021 than in all of 2020, I’m grateful for the chance to help end this crisis and to re-strengthen public health systems worldwide.
This is disastrous for the health of children in Tennessee.…
1/ New data in the last day on how well natural immunity and vaccine-induced immunity protect us against the Delta variant. Here's the take-home message: 2 doses of Pfizer or Moderna vaccine will protect you, even against the Delta variant.
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What can happen when Delta achieves dominance in a country with low vaccination rates? This. @OurWorldInData and, updated (green shade is Delta)
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A small study of 96 patients treated for COVID (32% hospitalized). But indeed striking. At 12 mos, the most common symptoms were reduced exercise capacity (54/96), fatigue (51/96), shortness of breath (36/96), concentration problems (38/96) and problems finding words (31/96).…
Maryland is the first state I've seen tracking COVID cases, admissions, and deaths by vaccination status. They found that ALL deaths in June were among the unvaccinated. If you're vaccinated against COVID, you're protected. If you're not, you're not.…
Great new study on #HEPA air cleaners by Lindsley et al. out today via @CDCMMWR: masks reduced aerosol by 72%, HEPA by 65%, together by 90%. Conclusions are consistent with messages for months, but important that #CDC amplifying this strategy. Short 🧵…9
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We have more than enough data showing these vaccines to be extremely safe and incredibly effective. Important piece on the urgent need for full FDA approval by @EricTopol:
Retweeted by Atul Gawande
Covid vaccines are extremely safe and incredibly effective. These five facts could make the choice to get vaccinated easier for you or someone you know.
Retweeted by Atul Gawande
Excellent piece from @DrJayVarma on why some requirements must persist. “As the worst threats wane, the most sensible approach to public-health decision making will fall somewhere between “We’re all in this together” and “Your fate is in your own hands.””…
Just published @TheLancet Largest mix-and-match, randomized, clinical vaccine trial of people with AZ first dose, Pfizer 2nd dose. Safe and notable improved neutralizing antibody and T cell response with mix vs controls (no 2nd dose)…
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“He never went out, so he didn’t think he would catch it,” said his grieving sister, Karen McKnight. She wondered: “Why take the risk of not getting vaccinated?”
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