I think Gregg will empathize, given his history. I'm seeing projections of billions remaining unvaccinated in 2021—mostly global south, as it goes. The mRNA vaccines have been spectacular beyond expectation but their trials are also short term. We can/should trial for options.
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Depressing part about discussion of maximizing benefit of scarce vaccine is that even under existing regime (reserving 1/2 of doses in freezer for booster) we don't seem to be immunizing people as fast as the vaccine arrives on site. Also, definition of HCW is BROAD.
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I will also note that the system of decision making in Canada is different for who is eligible in the short term--more akin to UK. Prioritization is not based on being HCW, but who you provide care for. https://canada.ca/en/public-health/services/immunization/national-advisory-committee-on-immunization-naci/guidance-key-populations-early-covid-19-immunization.html … As a provider in Canada, I think makes great sensepic.twitter.com/7la8tJlXPj
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I think public health leaders like Bonnie Henry will not wait for an official recommendation and just use one-dose for more coverage. Sometimes we wait for a model...and sometimes we just make the call because there is plausibility and established need.https://www.cbc.ca/news/canada/toronto/vaccine-canada-second-dose-1.5854670 …
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That is in Canada, isn’t it? They have a functional health care system. It’s # different in the US. It seems to me that this difference is something that matters in thinking about how to produce a maximal vaccination rate.
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