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sdbaral's profile
Stefan Baral
Stefan Baral
Stefan Baral
Verified account
@sdbaral

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Stefan BaralVerified account

@sdbaral

🇨🇦🇸🇪, MD, MPH FRCPC (CM) & CCFP (GP), 🏳️‍🌈 ally ID Epi @JohnsHopkinsSPH (own views) No $COI Papers: https://bit.ly/37nPMlX  Course: https://bit.ly/3rl28F0 

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jhsph.edu/faculty/direct…
Joined April 2009

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    1. Stefan Baral‏Verified account @sdbaral 24 Jan 2021

      Controversial Take The morbidity and mortality benefits associated with #COVID19 vaccination will be more directly associated with who rather than how many people are vaccinated. Aligning coverage with risks is not just more equitable, it is critical to vaccine effectiveness.

      28 replies 90 retweets 481 likes
    2. zeynep tufekci‏Verified account @zeynep 24 Jan 2021
      Replying to @sdbaral

      How is this controversial? 😢

      8 replies 1 retweet 47 likes
      Stefan Baral‏Verified account @sdbaral 24 Jan 2021
      Replying to @zeynep

      I think there is such a focus on 100 million people being vaccinated right now. And if the motivation is the number--programs will generally vaccinate those easiest to access to achieve targets. If equity drives--we will ensure better alignment of coverage with disparities.

      11:07 AM - 24 Jan 2021
      • 7 Retweets
      • 90 Likes
      • flyonthewall Kasper Planeta Kepp Isaac Bogoch Yvon Wang 王弋文 Michael D. Green Proud European from Austria🇪🇺🇦🇹 🌏 Heidi Bilas frosttowel Michael Schwandt (he/him)
      7 replies 7 retweets 90 likes
        1. New conversation
        2. Alex Menter‏ @Alexmenter 24 Jan 2021
          Replying to @sdbaral @zeynep

          If you had to choose one, what’s more important for reducing morbidity and mortality: vaccinating by age or equity?

          2 replies 0 retweets 3 likes
        3. Stefan Baral‏Verified account @sdbaral 24 Jan 2021
          Replying to @Alexmenter @zeynep

          It would be vaccinating by risk status. We know there are grave disparities associated with living and working conditions irrespective of age--older folks still in higher exposure jobs, multigen households. All to say, I see age as part of the story, but not the whole story.

          1 reply 0 retweets 16 likes
        4. Show replies
        1. zeynep tufekci‏Verified account @zeynep 24 Jan 2021
          Replying to @sdbaral

          Yeah

          0 replies 0 retweets 3 likes
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        1. New conversation
        2. Paul Masiowski‏ @PaulMasiowski 24 Jan 2021
          Replying to @sdbaral @zeynep

          Unfortunately, the focus on the total number of vaccinations may have more to do with the timeline of relaxing restrictions than with reducing morbidity and mortality

          1 reply 0 retweets 7 likes
        3. Stefan Baral‏Verified account @sdbaral 24 Jan 2021
          Replying to @PaulMasiowski @zeynep

          Thanks and that's also it. Restrictions likely will be lifted when ICUs and hospitals are emptier and these tragic death counts come down. To me, that is achieved with more meaningful implementation strategies to align equity and effectiveness rather than just a numbers game.

          1 reply 1 retweet 14 likes
        4. Show replies
        1. New conversation
        2. David Mengert‏ @david_mengert 24 Jan 2021
          Replying to @sdbaral @zeynep

          After medical, eldercare and then next line of healthcare workers, EMTs fire, police, teachers. Then the much propagandize retail and distribution sector workers. Then lastly people who can stay at home sipping quarantinis.

          1 reply 0 retweets 0 likes
        3. Cate Eland‏ @RomancingNope 24 Jan 2021
          Replying to @david_mengert @sdbaral @zeynep

          A lot of the people staying home "sipping quarantinis" are actually folks with disabilities and major medical issues who have literally been unable to leave their homes for 10 months and risk their lives every time they go to the doctor, often the only time they leave the house.

          3 replies 0 retweets 2 likes
        4. Show replies
        1. Vinayak‏ @I_Am_VinayakB 24 Jan 2021
          Replying to @sdbaral @zeynep

          It also feels as if the quest for an affordable, reliable, widely accessible rapid test for COVID has been downplayed. In the absence of vaccines, this is critical to reopening economies, public services, spaces, etc.

          0 replies 0 retweets 0 likes
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        1. Anne Sosin‏ @asosin 24 Jan 2021
          Replying to @sdbaral @zeynep

          Thanks, we have to get much better at explaining this in a way that is accessible.

          0 replies 0 retweets 1 like
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        1. New conversation
        2. Meaghan Thumath‏ @MeaghanThumath 24 Jan 2021
          Replying to @sdbaral @zeynep

          Have been having this exact conversation with @gina_ginao @BuiltJustice @mirandakcompton So important vaccine data is disaggregated with an equity lens by gender, ethnicity, class, etc. Such pressure to vaccinate masses but missing key vulnerabilities of racism & homelessness

          1 reply 1 retweet 5 likes
        3. Stefan Baral‏Verified account @sdbaral 25 Jan 2021
          Replying to @MeaghanThumath @zeynep and

          Thanks Meaghan! We don't even need to create relationships--CBOs exist with established service ties to historically marginalized folks. And these are the same communities often affected by #COVID19 Hope we start engaging these partners to deliver...and measure accordingly.

          0 replies 0 retweets 1 like
        4. End of conversation

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