Some counties and hospital systems launched reservation websites, only for them to quickly become booked or crash. Others announced appointments only through Facebook, with slots filling before some residents knew to look. And many have not revealed how the vaccine will be made available to anyone beyond health-care workers and long-term care residents and employees, the focus of the first round of vaccinations.
Um, not everybody is on Facebook. That demographic seems a little skewed.
National Trends in the US Public’s Likelihood of Getting a COVID-19 Vaccine—April 1 to December 8, 2020 JAMA. “In this nationally representative survey, self-reported likelihood of getting a COVID-19 vaccine declined from 74% in early April to 56% in early December 2020, despite the early November press releases of high vaccine efficacy for 2 vaccines in phase 3 trials, although prior to Emergency Use Authorization. Low likelihood of getting a COVID-19 vaccine among Black individuals and those with lower educational backgrounds is especially concerning because of their disproportionately higher burden from COVID-19 disease.” Obviously, we need to shame people more and harder.
Taleb on vaccination priorities:
Most effective is to focus on 1) superspreaders (when they can be identified), 2) integral of exposure over time (hospital workers) & 3) vulnerability (older etc.), but (2) overlap with (1). Current focus is on (2)& (3), less optimal. (1)>>>(2)+(3) https://t.co/XkCzbO51qN
If only our Failed State could track the superspreaders….
HCW vaccine hesitancy:
And I think there’s a lot to unpack here. First of all, don’t conflate HCW COVID vax hesitancy with the narrative about anti-vax movements & MMR refusal. This is different, there are reasonable concerns that would cause a HCW to refuse. (2/22)
Airborne Transmission of COVID-19: Aerosol Dispersion, Lung Deposition, and Virus-Receptor Interactions ACS Nano. Ambitioius scope. Well worth a read if you’ve got the stamina. Key sentences: “In contrast to direct and fomite transmissions, by which SARS-CoV-2 first infects the nasal cavity, replicates itself in the upper airways, and eventually propagates into the lung periphery, SARS-CoV-2 transmission mediated by aerosols may directly infect the lung interior, thus leading to a rapid onset of the most severe third-phase alveolar infection of COVID-19.” And but: “[P]lausible, direct clinical evidence for lung infection by virus-laden aerosols is still lacking.” Sounds like not being a mouth-breather is linked to survival (assuming the direct infection theory is true). This layperson is not sure about saying lungs = aerosols, nose = fomites. Surely aerosols can be inhaled through the nose too?
This is the air powered costume an employee wore in the Emergency Dept.of Kaiser Permanente San Jose Medical Center Xmas day to spread cheer. Turns out employee unknowingly had covid , now 43 employees have covid .Kaiser investigating if costume blower helped spread the virus. pic.twitter.com/DLLi8z5e2T