Carlos del Rio
@CarlosdelRio7
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Executive Associate Dean Emory Univ SOM; co-Director Emory CFAR; International Secretary of NAM. Posted opinions are own. RT not endorsements.
Atlanta, GA
Joined December 2011
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“When a Clown moves into a Palace, he doesn’t become a King.
The Palace instead becomes a Circus.” A Turkish proverb.
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Her Royal Highness Queen Elizabeth II at age 94 and having rules for 66 years and gone through enormous challenges shows leadership (and style) by wearing a face mask during
#COVID
ー19 If she can do it so can you!
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Ivermectin-COVID-19 Study Retracted; Authors Blame "File Mixup". The authors of a study purportedly showing that ivermectin could treat patients with SARS-CoV-2 have retracted their paper after acknowledging that their data were garbled.
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Got my
#CovidVaccine
today and could not be a more emotional moment. Less than a year after the
#COVID19
pandemic begun science has delivered so far not one but two highly effective vaccines.
#Researchmatters
@moderna_tx
@pfizer
@BioNTech_Group
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Como infectologos en EUA, México y Chile les pedimos, es más, les rogamos, usen un cubrebocas! As ID physicians in the US, Mexico & Chile we ask you, we beg you, please
#WearAMask
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1. Ómicron Se transmite a una velocidad 30-50% más alta que Delta
2. La efectividad de dos dosis de AZ vs Ómicron es muy baja
3. Pfizer y Moderna siguen siendo efectivas pero pierden efectividad
4. Pfizer o Moderna + refuerzo de Pfizer o Moderna funcionan bien. Se pueden mezclar
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In the last 72 hrs my phone has exploded with calls/texts/emails of people who have tested positive and are asking for advice. Thus I put together a 🧵with answers:
1. If I have symptoms and my RT is neg do I don't have COVID? Maybe or maybe not. Get a 2nd test 24 hrs later.
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Watching the debate is giving me a pre-existing condition
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Omicron is everywhere! All evidence still suggests:
- Mild infections in vaccinated
- Lower risk of infection in boosted
- Prior infection not protective
- Unvaccinated will get infected
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Iceland has been a vaccination success. Why is it seeing a coronavirus surge? Iceland proves vaccines work, out of the 1,300 people currently infected, just 2% are in the hospital and the country hasn’t recorded a virus death since late May.
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“At this point you are either vaccinated or you are going to get infected with Delta” says
@profshanecrotty
@UCSFMedicine
Grand Rounds.
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I am deeply disturbed that an expert like Fauci, member of
@theNAMedicine
&
@theNASEM
Lasker Award winner (2007) and Presidential Medal of Honor awardee (2008) is being not only sidelined by but also smeared by
@WhiteHouse
This is THE EXPERT. Doing so makes us weaker!
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Hospital surge capacity requires space (rooms, ICUs), stuff (ventilators, PPE, tests, Remdesivir) and staff (physicians, APPs & nurses). You can build SPACE, you can buy STUFF but STAFF (in particular nurses) is the real issue. There is simply not enough staff.
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As an Inf Diseases clinician I am very worried about the current surge in COVID. The overwhelming majority of patients I am seeing are unvaccinated. If you are still waiting to be vaccinated find a vaccine today, if you don’t, Delta will find you.
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Talked to a group of most unvaccinated persons today. Realized that their problem is not lack of information but actually excess of misinformation. Really hard to counter that!
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The Delta variant is now responsible for 20% of recent COVID cases in the US, it was 3% only 4 weeks ago.
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Today
@EmoryUniversity
WHSC leadership announced that Sept 1st I will become Chair of the
@EmoryDeptofMed
I am excited about this next stage and look forward to leading the department as the first graduate of the residency program, the first IMG and first Hispanic.
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They came over and I listened to their questions and concerns. Major one was about infertility and testicular damage. Told them both not true. We talked a bit more and finally convinced them to get vaccinated! They are on their way now. Made my day!
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Tonight I am sad, I am mad, I am angry. There is a pandemic that has killed > 350,000 Americans & there was an orchestrated attack on the US Capitol incited by a President that is unwilling to accept he lost a democratic election. America is better than this, or maybe not?
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“Every single American should be wearing a mask when outside for the next 3 months at a minimum....it’s not about your rights it’s about your responsibilities”.
@JoeBiden
👏🏻👏🏻👏🏻
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More than 3,000 people died yesterday from
#COVID
ー19 that’s 125 each hour or 2 every minute. Why are we not seeing outrage? Why are we not seeing leadership action? Congress can’t stand idle, something has to be done now!
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I was asked what did we learn from the horrible
#COVID19
outbreak in NY, NJ and CT and my answer is, NOTHING. We were dismissive of their crisis, we thought it could not happen to us, we did not learn, and now TX, AZ, FL and GA are about to have their own “NY moment”.
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I am honored and deeply humbled that today
@ossoff
honored by with a Senate Commendation for my work in infectious diseases and particularly in HIV and COVID-19
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Voted but not without a challenge as my last name “Del Río” but my GA ID says “DELRIO” (no space as GA DMV does not allow a space). So first told I was not registered and, when I showed my registration, told my name did not match. Was able to rebuff and vote but had to
#resist
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My “daily
#COVID19
rapid test” can I smell the coffee? Can I smell the flowers? If yes and I am afebrile and feel ok I am “good to go”.
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Love to look at this figure: first wave: not many cases (but likely under diagnosing) but many deaths; second wave: many cases & deaths; third wave: many cases and very few deaths. That is the power of vaccines!
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In this environment where there is little PPE available I have found a supplier that has plenty of PPE available in China but due to trade policies enacted by this Administration they are prohibited from exporting to the US. Can we try to get
@WhiteHouse
to change that?
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Al día de hoy van 132 muertos por
#Coronavirus
en China, en
#Guanajuato
van más de 421 ejecutados (14-15 por día o un asesinato cada 98 min). Hay más posibilidad de sobrevivir en China, que en Guanajuato. No es ya momento de declarar la violencia en Mexico una emergencia?
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As
@JoeBiden
pulled ahead in GA this morning I stopped to visit
@repjohnlewis
on my way to work to pay tribute to a great man who work to ensure the right to vote a legacy now in the hands of
@staceyabrams
“The vote is the most powerful nonviolent tool we have”.
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.
@GoldmanSachs
makes it abundantly clear that a national face mask mandate can decrease transmission of
#COVID19
by ~ 60% and allow the economy to remain open. So,
#WearAMask
is not only about saving lives it is about saving the economy. Why is this so hard to understand?
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Entre los que no se quieren vacunar y los que quieren volver a vacunarse me estoy volviendo loco!
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Today I am using
@the_clearmask
Should this be the type of face masks teachers of young children be using so that the kids can see their faces?
#WearAMask
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#WeAreID
I want to recognize my colleagues at
#EmoryID
who are working hard 7 days a week fighting
#COVID19US
Do your part and
#StayHome
We need you to do that so we can
#FlattenTheCurve
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The world has reached 1 M
#COVID19
deaths; 22% are in US (209,454), Brazil (141,779), India (95,600) and Mexico (76,430). What do these 4 have in common? ⬆️diabetes and/or obesity rates, ⬆️income inequalities (GINI index) and populist leaders with non-science based response.
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@ScottGottliebMD
I am very concerned that 30,000 new cases/day and 2,000 deaths/day is now considered “the new normal” by many.
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Airport screening is largely futile, research shows . For those who still believe airport screening of passengers works in situations like
#COVD19
please read this article.
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2nd mRNA vaccine today. Grateful to science, to research and to
@emoryhealthcare
for running a model vaccination clinic.
#igotmyshot
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A year ago today I received my first
#CovidVaccine
Today I am vaccinated and boosted. For that I am thankful to science, to the investigators and their teams and to the volunteers who participated in trials. Today I reached 50K followers and for that I am thankful to all of you!
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Walked over to the Municipal Market near
@GradyHealth
for lunch. An older AA lady stopped me and said “are you the one that talks about COVID on Tv?” Told her, yes and then she asked me if I could speak to her two sons about getting vaccinated. Told her sure so she called them.
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The delay in the
@US_FDA
full approval of the mRNA
#covidvaccines
is costing thousands of lives.
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#WomenInMedicine
are leaving
#AcademicMedicine
&
#Healthcare
We need to all work together to
#GiveHerAReasonToStay
Support her, mentor her, pay her equally, make gender equity a priority.
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I wish a speedy recovery to
@lopezobrador_
if he indeed is infected despite having already been vaccinated with the CanSino
#Covidvaccine
and urge him to start wearing a face mask.
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The spike in cases we see now can be directly related to Memorial Day weekend when people went out in force. Each one person infected then has caused 406 infections in 30 days. Any plans for 4th of July weekend? Please
#WearAMask
#SocialDistancing
&
#WashYourHands
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MEXICO COVID-19 POSITIVITY RATE AT OVER 50%. IF YOU TEST LITTLE THE PERCENT POSITIVE WILL BE ⬆️. En Mexico más del 50% de las pruebas de COVID19 son +. Si hay pocas pruebas el porcentaje + será alto. Lo ideal es que sea < 10%. Hay que hacer más pruebas
@HLGatell
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There was basically no vaccine distribution plan that the Trump Administration left for the Biden administration. Now they are having to start from scratch
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Effect of Face Masks on Gas Exchange in Healthy Persons and Patients with COPD | Annals of the American Thoracic Society | Articles in Press . In case you were wondering, wearing a face mask has no effect on oxygen levels, even in those with COPD.
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Back on the ID consult service at
@GradyHealth
This is the first time I am rounding “fully vaccinated” and also my team is vaccinated. The feeling of relief is palpable!
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When will we understand that failure to vaccinate is far more important than vaccine failure in the
#Deltasurge
we are currently experiencing.
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I am vaccinated because I want to be protected from COVID, because I want to protect my family and loved ones, because I want to protect my patients and because I want to end this pandemic. I am a "Vaccine champion", ask me
#WhyIVax
#VaccinesSaveLives
@GradyHealth
@EmoryMedicine
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We have crossed 70,000 new
#COVID__19
infections in the US in one day says
@maddow
for perspective, China, where the epidemic started has had 83,000 TOTAL cases. We are going to have “a China per day” next week.
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A few thoughts after hearing Trump: at this point, we are past containment. Containment is basically futile. Containment efforts won’t reduce the number who get infected in the US.
Now we’re just trying to slow the spread, help healthcare providers deal with the demand peak.
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Be sure to use the “Coronavirus Checker” developed by
@EmoryMedicine
colleagues David Wright et al in Emergency Medicine.
@emoryhealthcare
@GradyHealth
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Today
@Twitter
verified my account. Guess that means that my account is of “public interest and authentic”. Thank you for doing that!
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Best disclosure slide ever…”I am not an expert and I make mistakes”.
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More than ever I want to ask you to wear a face mask.
#COVID19
cases are spiking in many states including GA and I am afraid that hospitals will be overwhelmed. Believe me, you DON’T want to get infected. Don’t be fooled, this is not a mild illness for many.
#WearADamnMask
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Please listen to Dr. Fauci caution us to be patient and avoid leapfrogging lifting
#SocialDistancing
restrictions too soon as “almost certainly cases will rebound”.
@theNASciences
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@Reforma
@lopezobrador_
Una estrategia sin bases epidemiologicas. En la Ciudad de México han ocurrido > 25,000 muertes y la tasa es de 281 por 100,000. Ahí es donde hay que vacunar urgentemente.
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Spending this morning at Grady administering
#CovidVaccines
to
@GradyHealth
employees. We need to get as many HCW vaccinated as quickly as possible.
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As politicians and public health leaders are incapable of saying loud and clear “wear a face mask” I invite everyone to say that in social media, at work, at home, with friends, to strangers. It is our collective responsibility to slow down this outbreak, we can do it!
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For healthcare to manage a COVID surge one needs space, stuff and staff. During the first wave the issue was lack of space and stuff, during this wave the issue is lack of staff. One can build space and purchase stuff but staffing shortages are really the hardest one.
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Vacation these days means packing a supply of
@AbbottNews
antigen tests for frequent testing of the family. Trying to stay safe by not going to restaurants or bars, masking with a high quality mask in public places and, thanks to the weather, mostly staying outdoors.
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I want to wish a Happy Thanksgiving to all healthcare professionals who have been the heart and soul of the
#COVID19
response. They have cared for patients, comforted families and supported each other during trying times. Please be safe and wear a mask in their honor.
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When your local
@cvspharmacy
has to post a sign like this outside the store you realize once again that our response to the pandemic has failed. Why can’t there be enough Rapid Tests available & affordable in the middle of a huge surge?
@michaelmina_lab
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I lost my dad in Sept 09 during the H1N1 pandemic. As I was working with
@drsanjaygupta
covering the news from Mexico it allowed me to be with him his last few days. He taught me English, to stand for justice and to defend the most vulnerable. Happy Father’s Day!
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38 years ago today I started my medicine residency at
@GradyHealth
now I am an
@EmoryInfectDis
faculty member and Executive Associate Dean for
@EmoryMedicine
at Grady. I love what I do and I am thankful for the superb training and mentorship I received.
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The
#Covid_19
mortality thus far is quite puzzling in China ~ 4%; Italy ~ 8%; Spain ~ 5%; France ~ 3.5%. Then there is South Korea ~ 1.15%, Switzerland ~ 0.9% & Germany ~ 0.3%.. US thus far ~ 1.4%. Lots of theories but nothing convincing to explain why Italy ⬆️ and Germany ⬇️
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20 years ago we were attacked and ~ 3,000 people died. We came together as a country and changed life forever. TSA was established and rules were passed so everyone can be safe. Today we are in the middle of another attack, this one by a virus. We need to come together and unite
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This slide from
@HelpEndHIV
puts vaccine research in perspective. The fastest we got from discovery of a virus to a vaccine among the pathogens in this list was 12 years for Influenza. Can you see how ridiculously hard will be to have a
#COVID19
vaccine next year?
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We need
@GovKemp
to act now, the point of “no return” for GA is rapidly closing. To prevent a catastrophe in the healthcare system due to
#COVID19
we need for him to shut down GA now.
@drmt
@Armstrws
@colleenkraftmd
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I am thrilled to let everyone with
@EmoryMedicine
working ag
@GradyHealth
that the Grady leadership has secured enough goggles and N95 masks for everyone. My team is working quickly to get them distributed and in the hands of frontline providers ASAP.
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Today is
#MatchDay
2023. A special day for M4s across the country but also a special day for me as this is my first
#EmoryMatchDay
as Interim Dean and also because 40 years ago I matched in
@EmoryDeptofMed
@GradyHealth
as PGY-1.
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C.D.C. Chief Overrules Agency Panel and Recommends Pfizer-BioNTech Boosters for Workers at Risk . By overruling the ACIP
@CDCDirector
aligns the CDC recommendation with that of the
@US_FDA
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First day in the
@EmoryMedicine
Dean’s office and nice to see this thoughtful message left for me by outgoing Dean Vikas Sukhatme.
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He even looks younger!
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The US has passed 13 million Coronavirus cases. We passed 12 million cases only 6 days ago. That means 115 new cases each minute the last week. Please wear a mask!
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An excellent talk by Dr. Brooks
@CDCgov
1. Vaccines are extremely effective; 2. Get vaccinated; 3. Delta is bad but vaccines are still protective, especially against severe disease and death.
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Honored to be joining Dr. Fauci
@NIAIDNews
Director and
@kkariko
as recipient of this year’s Bill Foege Global Health Award from
@mapintl
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Temperature screening with infrared thermometers has a sensitivity of 9.43% for PCR+ COVID.
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The map of GA showing % of the population living in poverty looks remarkably similar to the map of
#Covid_19
deaths in the State. Coincidence? Of course not, simply a replication of how poverty is a major social determinant of health.
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Kemp bars local officials from requiring businesses to adopt virus restrictions. As
@SenatorWarnock
said “When did viruses become partisan?”
@ajc
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I keep hearing that we are “overblowing” this outbreak and that with a ~ 1.5% mortality
#COVID19
is nothing more than a “bad flu season”. I want to remind people that flu mortality is ~ 0.1% and thus this is 10x worse. If 10% of US pop infected that means ~ 500K deaths!
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#COVIDvaccines
being given to kids 5-11 y/o in Brooklyn today. So great to see so many parents and kids doing their part to end COVID.
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Great advice from Tony Fauci
Dr. Anthony Fauci lays out three ways future scientific communicators can build trust:
1) Always go by the data
2) Admit when you don't know something
3) The goal is not to show how smart you are. It's to get people to understand what you're talking about.
#FauciAtYale
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Why are
@AldredgeAmalia
and I dressed in full PPE? Because patients with COVID are hospitalized! All “young”, all unvaccinated, all surprised they have COVID. Don’t be a statistic, get vaccinated now!
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Today I begin a 4-year term as the Foreign Secretary of
@theNAMedicine
I am looking forward to be serving the NAM in this capacity, in particular at this time when the US position as a leader in Global Health is being diminished.
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We are 5% of the world population but now 30% of
#COVID19
deaths. This is simply wrong and sad. Please take care, please take this virus seriously. Continue practicing social distancing, wear your face mask when in public, wash your hands and avoid getting infected!
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I always fine these warnings against travel disingenuous given the fact that the US has more COVID cases than any country. Given number of cases per 100,000 pop they should also warn against travel to Rhode Island, Wisconsin, South Carolina, Utah & Hawaii
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@jimsciutto
@MaxBoot
Jim, quoting
@repjohnlewis
“when you see something that is not right, not fair, not just, you have to speak up. You have to say something, you have to do something”.
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The CDC shouldn’t have removed restrictions without requiring proof of vaccination.
@DrLeanaWen
they could’ve said: it is still appropriate to continue masking in places where unvaccinated and vaccinated people are mixing such as grocery stores
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Braves legend Hank Aaron, civil rights activist Andrew Young get COVID-19 vaccine in Atlanta - They hope to send a message to Black Americans in particular that the shots are safe. via
@11AliveNews
. Thank you both for getting your
#CovidVaccine
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All of us in Infectious Diseases are spending too much time rationing testing rather than doing our job. We need more access to testing now so we can stop spending time on the phone telling people that they don’t need to be tested
@IDSAInfo
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