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Analysed 31,122 tweets, tweets from the last 224 weeks.
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Last 50 tweets from @meganranney
In reply to @comilla_s
Oh goodness yes if there are data that show a sustained benefit in outcomes of interest and that show lack of harm for all populations included, we of course would revise. That’s our point. Then it would be a question of equity and other secondary benefit analyses.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
In reply to @comilla_s
Oh goodness yes if there are data that show a sustained benefit in outcomes of interest and that show lack of harm for all populations included, we of course would revise. That’s our point. Then it would be a question of equity and other secondary benefit analyses.
 
New from @CDCgov: Interactive access to weekly-updated-survey-data on vaccine status, vaccine confidence, & more, by demographic group (& yes, it includes race and ethnicity!) cdc.gov/vaccines/imz-m…

Not perfect. But so useful. @uche_blackstock @oni_blackstock @bhrenton
 
👇👇
"This reveals the crux of the problem in the US...not always connecting our advice or policy recommendations to clear goals. The conflict is not about masks or boosters, it’s about the often unstated objective..."

me+@jenkinshelen

nytimes.com/2021/08/30/opi…
 
Megan Ranney MD MPH 🗽 Retweeted ·  
In a virtuous cycle, we can
- Control the virus
- Boost the economy
- Support our incredible health care workers

Here's a start:
➡️ Mask policies to control surges
➡️ Vaccine delivery to work, schools, homes w/ support counseling, including where there are mandates
 
We’re #36🎉🎊💉

…. We could be #1.

Sigh.😢
I wrote about a very American paradox: Among developed nations, the US has perhaps the highest reluctance to accept mRNA vaccines that we did more than any country to invent, produce, and distribute.

theatlantic.com/ideas/archive/…
 
Megan Ranney MD MPH 🗽 Retweeted ·  
A helpful tweet sequence by @marwa_zaatari on some simple tips to observe how air is handled in a hotel room, and what to do to keep it is safe as possible from air shared from other sources.

Also tips in this article (reminder via @LoyalStingray):
twitter.com/linseymarr/sta…
 
Megan Ranney MD MPH 🗽 Retweeted ·  
For the record.

I am approaching 56. Have complex past medical & surgical history but not in any of the Covid "high risk groups." Work in an ED 2X per week, but w/minimal patient contact.

Am approaching 9 month mark of my 2nd shot.

I am in NO RUSH to get a booster.
 
This chat goes along with the research.

Our staffing at hospitals is horrific right now - but that’s *pre*-mandate.

When mandated, most get the vaccines.
#VaccinesWork
For health systems that have passed their employee vaccine deadlines, this chart show the total number of employees and the number of employees released due to not vaccinating or receiving an approved exemption. pic.twitter.com/0sJakF3rgG
 
In reply to @bhrenton
These charts are amazing -- brilliantly done.
I was literally about to ask where they were from… & then noticed his name on the bottom. Stellar, @bhrenton 🎉
 
Megan Ranney MD MPH 🗽 Retweeted ·  
In reply to @bhrenton
Above all, we cannot lose sight of our main goal: Vaccinating the unvaccinated. There are still around 70 million Americans whose individual vaccine efficacy is at 0%, having not received a single dose. Let's do all we can to help get these people protected.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
In reply to @bhrenton
Concerned about breakthrough cases? This new preprint helps estimate the risk of contracting one and possible factors that may increase your odds. One of the most important is COVID-19 prevalence in the community — lowering transmission helps us all.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
Another week with lots of news, but here is the key takeaway: The vaccines continue to work, especially at preventing severe outcomes. While cases in lower-vaccinated states have decreased dramatically, the gap in death rates has widened. Thread on data:
 
Megan Ranney MD MPH 🗽 Retweeted ·  
How it started. How it’s going.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
👋Hello, awesome journal editors!
🤓Behavioral scientist here w/some tips on how to get busy reviewers to accept your invites!

Tip #1: See those LLOOONNNG gnarly URLs that are only partially hyperlinked? When I click, I get an error. And...that's it. I'm out. Fix those links!
 
In reply to @meganranney
Oh, I guess I missed this part, thanks for pointing it out! So is this your central argument - that boosters for Americans come at the expense of the (more crucial) global vaccination effort?
Replying to @asafperes @DrsMeena
No - central argument is that boosters-for-almost-all are not supported by the science, and are not where our energy should be spent. The vaccines still at work for most of us. Instead of rushing for most of us, let’s do 1st vaxx local & global.
 
In reply to @asafperes
...talking about the global need for 1st shots and the US giving up some of its supply at the expense of boosters, that would make more sense, but if that's what they mean, it wasn't clear in the op ed.
 
In reply to @KathaleenPortr1
The pediatric vaccine is a given, its not even a question. Dismissing booster shots (after she got one) which stops transmission and increases immunity shouldn't be a question. She's anti booster shots
Both are lovely for the right people. Boosters for the elderly & immunosuppressed right now, vaccines (once shown safe & effective) for all.
 
In reply to @JesseTMcCann
Brown University and one of MSNBC "COVID19 experts"
Hi! I’m an emergency physician, researcher, & public health specialist. I am not affiliated w/any network. I am very pro-booster for the right ppl - but the current vaccines still work great for most of us. Sadly, vaccines for kids are a topic of hot debate; many don’t want them.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
If there is one oped to read this wknd, I think this is it.
"The most impt thing the US can do to avoid severe dz, hospitalization, death & long Covid is ⬇️ spread of COVID19...not through boosters for people who may not benefit, but by getting unvaccinated people vaccinated."
 
In reply to @meganranney
Question: Do even need a J&J booster? Seems like it’s working
Replying to @ldbattlethomas
Tbd ❤️ for the elderly or immunosuppressed it is likely needed
 
In reply to @drjohnm
It's not that I don't think discussion is warranted. It's essential. Most people just read the headline "CDC put boosters ahead of science" Newsflash, we didn't have data for masks either. Sometimes a little common sense is ok. We are eroding trust in our own institutions
Replying to @sweetdoodmd @drjohnm and 1 otherfalse
We didn’t write the headline. 🤷‍♀️
 
This matters WAY more than boosters for the 18-49 set.
NEW: Pfizer is ready to ask the FDA for authorization to use its Covid-19 vaccine in children 5-11 “within days,” Pfizer CEO Albert Bourla told ABC.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
Thanks @meganranney for not just being on top of the science but also continuing to share it clearly and concisely.

Vaccines work. This isn't 2020.
 
In reply to @meganranney
Signed, 2 ER docs who have been on the frontlines since the beginning and who really really don't want to get sick, either.
Replying to @meganranney
Oh & if you got J&J? There's good news for you, too. cnn.com/2021/09/25/opi…
 
In reply to @Walt1075
Or this may be a situation that we will have annual boosters? Much remains unknown. Why is this seen as political when other countries are already doing what the CDC just decided?The remaining unvaxxed will likely stay that way or die from Covid. Heels are dug in for many.
Replying to @Walt1075 @JReinerMD and 1 otherfalse
Oh goodness, we aren't taking it personally. Just trying to remind folks to take a deep breath. Our current vaccines work. What UK is doing is boosting the elderly. We agree. Let's put all our resources *there*. reuters.com/world/uk/uk-pm…
UK plans COVID boosters for over 50s to cope with "bumpy" winter
reuters.com
 
In reply to @meganranney
There’s no one who has worked harder than you, on the frontlines, for public health, and as an advocate for protecting HCWs. Every day I learn so much from you.
Right back at you. Team science, team effort. I just wish it weren't still such a muddle - we didn't have to be here.
 
In reply to @meganranney
Will we all need boosters? Almost certainly, yes - that's how vaccines work. Do we all need to run out and get them today? Almost certainly, no. Are there better boosters coming? Quite likely. Unless you're in a high risk group (elderly, immunosuppressed), it's cool to wait.
Replying to @meganranney
Signed, 2 ER docs who have been on the frontlines since the beginning and who really really don't want to get sick, either.
 
We are missing the forest for the trees.

VACCINES STILL WORK. Yes there are some breakthroughs, but if you've received your 1st series, you are still REALLY protected (unless you're elderly or immunosuppressed) from the worst of #COVID19.
nytimes.com/2021/09/24/opi… w/ @jeremyfaust
Replying to @meganranney
Will we all need boosters? Almost certainly, yes - that's how vaccines work. Do we all need to run out and get them today? Almost certainly, no. Are there better boosters coming? Quite likely. Unless you're in a high risk group (elderly, immunosuppressed), it's cool to wait.
 
We are missing the forest for the trees.

VACCINES STILL WORK. Yes there are some breakthroughs, but if you've received your 1st series, you are still REALLY protected (unless you're elderly or immunosuppressed) from the worst of #COVID19.
nytimes.com/2021/09/24/opi… w/ @jeremyfaust
 
In reply to @jeremyfaust
I don’t understand why people are conceding this. Other vaccines are taken in sequences of three, and it makes sense that the Covid vaccine would be the same. Why not just educate people instead of trying to paternalistically psychoanalyze them inappropriately from the start?
Replying to @NKinNewEng @jeremyfaust and 1 otherfalse
Boosters will be needed for all. Today, they’re for older adults & the immunosuppressed. All the talk is however making many younger, conscientious people feel that vaccines aren’t protecting them. But they are protected!! Young vaccinated people are not getting really sick.
 
Who’s “squashing debate”? I agree with much of what @jeremyfaust and @meganranney wrote in their oped but not everything. I admire their advocacy and expertise but don’t agree with all their conclusions. The CDC says HCWs “may” get a booster. Don’t want one? Don’t get one.
I don’t think you are squashing debate, my friend.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
Squashing legitimate debate is not the way to build trust & confidence in the vaccines.

Thank you @jeremyfaust & @meganranney for raising very real issues regarding recent decisions on vaccine boosters.
 
Replying to @CarolForden @sweetdoodmd and 2 others
How? The “you may” from CDC is, to me, what is confusing…. I think we were clear: if you are elderly or immunosuppressed get boosted. /fin/
 
In reply to @meganranney
I have been working for 18+ months to keep us safe in the workplace & will continue to do so. On a population level, today, this is not the best solution. That said, our piece was not really about HCWs. The larger point is that the vaccines *still work* for younger folks .
Replying to @meganranney @saraceciliamtz and 2 others
And it’s the elderly and immunosuppressed who NEED boosters. The rest of us need first shots. Let’s concentrate on that. Logistics matter & are a major issue (as we saw with PPE). Let’s focus.
 
In reply to @saraceciliamtz
Except that it isn’t - not yet. @jeremyfaust & I are both ER docs in our 40s, taking care of #covid19 patients on every shift. A Pfizer booster today will temporarily increase our Abs but the data does not show that it will stop us from getting ill. (N95s are better for that.)
Replying to @meganranney @saraceciliamtz and 2 others
I have been working for 18+ months to keep us safe in the workplace & will continue to do so. On a population level, today, this is not the best solution. That said, our piece was not really about HCWs. The larger point is that the vaccines *still work* for younger folks .
 
In reply to @saraceciliamtz
We trust pilots, respect meteorologists, protect firemen for their expertise. HCW need same credence for masks/vaccination. But, that doesn’t take away that booster may be the additional personal protection equipment to keep HCW fighting and strong.
Replying to @saraceciliamtz @JReinerMD and 1 otherfalse
Except that it isn’t - not yet. @jeremyfaust & I are both ER docs in our 40s, taking care of #covid19 patients on every shift. A Pfizer booster today will temporarily increase our Abs but the data does not show that it will stop us from getting ill. (N95s are better for that.)
 
Megan Ranney MD MPH 🗽 Retweeted ·  
Representation in research matters.

Super excited to see this @NEJM article showing the effectiveness of COVID-19 vaccine in real world use among health care workers that included #Alaska Native Providers. nejm.org/doi/full/10.10…
 
Megan Ranney MD MPH 🗽 Retweeted ·  
It has become painfully clear in this pandemic that when it comes to scarce vaccines, therapeutics & other materiel, global equity isn't high on many agendas.
 
Megan Ranney MD MPH 🗽 Retweeted ·  
1/School nurses are acting as de facto health departments because our country has not invested in public health infrastructure. My local health department is currently in surge capacity & unable to complete the full scope of contact tracing.
 
In reply to @CynthiaFlynn15
Agreed - though plummet was supply as well as demand. Still nearly ten percent of US vaccinated. Might help to reassure nervous recipients of all vaccines to know (a) demographics of so-called breakthrough infections (patterns?) and (b) risk reduction of “long COVID.” No data?
 
Megan Ranney MD MPH 🗽 Retweeted ·  
In @WebMD, prof @meganranney sees a busy winter ahead, says “Let’s be clear on why flu cases were so low last year. It’s because we were all masked and we were all distancing...Those things are not being done anymore in the vast majority of the country.” wb.md/3EStNn5
Pace of First COVID-19 Shots Drops to Lowest in Months
webmd.com
 
 
Megan Ranney MD MPH 🗽 Retweeted ·  
Very good Q&A on #Covid boosters with @celinegounder.
We got blinded by the ~95% VE the mRNA vaccines showed against all infection in the first couple of months. We're not going to hold that & chasing it with boosters isn't viable.
h/t @rkhamsi newyorker.com/news/q-and-a/w…
 
Megan Ranney MD MPH 🗽 Retweeted ·  
From day 1 of the pandemic, @DrKhaldun explained to the people of Michigan how to stay safe, used data to spot and address vulnerabilities, and fought misunderstanding and misinformation.

You couldn't ask for any more from a health leader. 🙏
 
A loss for Michigan.

A gain for wherever you go next.

Thank you for your awesomeness @DrKhaldun - looking forward to seeing you change the world even more.
Bittersweet, but today I am announcing my resignation from my role as Michigan’s Chief Medical Executive. I am grateful to @GovWhitmer for her outstanding leadership & the opportunity to serve the people of Michigan in these unprecedented times.

A few thoughts:
 
Megan Ranney MD MPH 🗽 Retweeted ·  
R/T @meganranney: “The most important thing…to avoid severe disease, hospitalization, death & long Covid is to reduce the spread of the coronavirus…the most effective way to do that is not through boosters…but by getting unvaccinated people vaccinated.”
nytimes.com/2021/09/24/opi…
Opinion | New Guidance on Booster Shots Gets Ahead of the Science
nytimes.com
 
Megan Ranney MD MPH 🗽 Retweeted ·  
In reply to @DavidJuurlink
The point is that for most fully-vaccinated people, and healthy young people in particular, we don’t yet have the data to know whether boosters are justified. @meganranney and @jeremyfaust make a similar point. nytimes.com/2021/09/24/opi…
 
Megan Ranney MD MPH 🗽 Retweeted ·  
Bizarre to see this @DrPaulOffit quote to @levfacher and @HelenBranswell being portrayed by some as wholesale opposition to boosters or as a change of heart among vaccine advocates.

No, no, no, no, no.
 
 
 
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