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ashishkjha's profile
Ashish K. Jha, MD, MPH
Ashish K. Jha, MD, MPH
Ashish K. Jha, MD, MPH
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@ashishkjha

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Ashish K. Jha, MD, MPHVerified account

@ashishkjha

Physician, researcher, advocate for the notion that an ounce of data is worth a thousand pounds of opinion Views here surely my own Professor, Dean @Brown_SPH

Providence, RI
brown.edu/academics/publ…
Joined May 2009

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    Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

    So a lot of chatter happening on the slow vaccine roll out Personally, I'm incredibly frustrated. Did we not know that vaccines were coming? Is vaccine administration a surprise? Several complex issues so lets break things down a bit Warning, this is a bit of a rant Thread

    7:58 PM - 28 Dec 2020
    • 13,785 Retweets
    • 48,242 Likes
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    1,583 replies 13,785 retweets 48,242 likes
      1. New conversation
      2. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        First, we were told in October that we'd have 100 million doses by end of December 100 million Who said that? @SecAzar In The Hill. Like 10 weeks ago Then, by november, Azar was saying 40 million doses ready to ship out by end of Decemberhttps://thehill.com/changing-america/well-being/prevention-cures/520297-us-could-have-enough-covid-19-vaccine-for-every …

        80 replies 1,119 retweets 6,704 likes
        Show this thread
      3. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        Here's Azar in @thehill saying 40 million by end of the year In December, Operation Warp Speed says 20 million doses will be out by end of year, they'll keep the other 20M in reserve for 2nd dose. Fine 3/nhttps://thehill.com/changing-america/well-being/prevention-cures/526593-us-will-have-40-million-coronavirus-vaccine …

        47 replies 713 retweets 5,602 likes
        Show this thread
      4. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        Now, we'll miss 20M deadline but might be able to get to 20M by sometime in early January But this is really not the worst part The worst part is no real planning on what happens when vaccines arrive in states No plan, no money, just hope that states will figure this out 4/n

        93 replies 1,371 retweets 9,201 likes
        Show this thread
      5. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        So who manages state level? Departments of Health mostly These well-funded agencies (yes, I'm kidding) who manage all the testing, data analysis & reporting, providing advice to businesses, schools, doing public campaigns, etc Non-stop. For 9 months They get vaccines too 5/n

        39 replies 751 retweets 7,737 likes
        Show this thread
      6. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        So DOHs adding vaccines to their plate Most are super stretched and they are trying to make a plan They are trying to stand up a vaccination infrastructure Congress had given them no money. States are out of money So many are passing it on to hospitals, nursing homes 6/n

        40 replies 862 retweets 7,530 likes
        Show this thread
      7. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        Any of this familiar? Like our national testing debacle, being repeated And now, hospitals and clinics are scrambling to figure out how to implement This article from @CNN is helpful There is one line in this piece that drove me crazyhttps://www.cnn.com/2020/12/23/health/vaccine-rollout-slow-data-lags/index.html …

        38 replies 1,067 retweets 7,293 likes
        Show this thread
      8. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        The line when Mississippi health chief says its not state's job to ensure vaccines get into people's arms What? Whose job is it? Not the Feds. They just get vaccine to states Not the states. They just get vaccine to hospitals, clinics So its all on front line providers? 7/n

        91 replies 1,168 retweets 8,924 likes
        Show this thread
      9. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        To be sure, many states are taking real responsibility LOTS of overburdened public health folks are still making this work. Heroically But now hospitals trying to figure out where to set up vaccination sites. And folks sorting out who can do vaccinations in care facilities 8/n

        40 replies 621 retweets 7,023 likes
        Show this thread
      10. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        So that's where we are, but here are a few key data points 1. We have about 11.5 million doses distributed 2. About 2.1 million given 3. I think the real number of given is higher (reporting lag) but its still not that great But here's the part that is so frustrating 9/10

        17 replies 681 retweets 6,181 likes
        Show this thread
      11. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        There appears to be no investment or plan in the last mile No effort from Feds to help states launch a real vaccination infrastructure Did the Feds not know vaccines were coming? Shouldn't planning around vaccination sites, etc not have happened in October or November? 10/11

        166 replies 1,878 retweets 11,230 likes
        Show this thread
      12. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        Public health has always been a state/federal partnership States are stretched Feds are suppose to help But same folks who blamed states for testing mess now ready to blame states for vaccine slowdown They are again setting states up to fail But now, there is hope.... 11/12

        49 replies 1,089 retweets 8,566 likes
        Show this thread
      13. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 28 Dec 2020

        Congress finally passed $ for vax distribution States now building infrastructure. Should have been built by Feds months ago After a slow ramp up, it'll get better We're learning again we can't fight pandemic with every state on its own An effective federal govt helps Fin

        350 replies 1,733 retweets 13,561 likes
        Show this thread
      14. Ashish K. Jha, MD, MPH‏Verified account @ashishkjha 29 Dec 2020

        Addendum @SpoxHHS are pushing back on this thread Their point? Over past 9 months, on average, states/territories got $6M each, yes Million, for vaccine readiness True So not "no money" Just trivial $

        345 replies 506 retweets 6,573 likes
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      15. End of conversation

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