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zeynep's profile
zeynep tufekci
zeynep tufekci
zeynep tufekci
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@zeynep

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zeynep tufekciVerified account

@zeynep

Complex systems, wicked problems. Society, technology, science and more. @UNC professor. @NYTimes columnist. My newsletter is @insight: http://www.theinsight.org 

floating in a most peculiar way
theinsight.org
Joined August 2009

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    1. Walid Gellad, MD MPH‏Verified account @walidgellad 11 Jan 2021

      Walid Gellad, MD MPH Retweeted zeynep tufekci

      I both agree and disagree with this thread. Agree about @&@! vaccinate. Disagree that even low priority vaccinations are a plus. Certainly better than trash can. But right now, every low risk/low exposure vaccination does nothing to reduce deaths or maintain functioning societyhttps://twitter.com/zeynep/status/1348627964578168832 …

      Walid Gellad, MD MPH added,

      zeynep tufekciVerified account @zeynep
      Enraging. Every single person who gets vaccinated is a contribution to ending the pandemic. Even if they are low risk themselves, it’s a plus. Just @&@! vaccinate. A misguided attempt at “equity” is turning into a bureaucratic tragedy that *harms *equity and high-risk folks. https://twitter.com/ashishkjha/status/1348489177491501063 …
      Show this thread
      3 replies 0 retweets 5 likes
      Show this thread
    2. zeynep tufekci‏Verified account @zeynep 11 Jan 2021
      Replying to @walidgellad

      Why? My main objection to this bureaucracy is that it is slowing down efforts to higher-risk folks and we should let people self-certify... but vaccinating even low-risk for severe disease people will reduce transmission (to some degree—possible a lot but definitely somewhat).

      2 replies 0 retweets 12 likes
    3. Walid Gellad, MD MPH‏Verified account @walidgellad 11 Jan 2021
      Replying to @zeynep

      Agree that if we open things up we likely get more high risk folks vaccinated. Every vaccination to a low-risk person helps that low risk person. Maybe it has a tiny impact on overall disease transmission. But that vaccination would have much higher impact in high risk person.

      1 reply 0 retweets 0 likes
    4. Walid Gellad, MD MPH‏Verified account @walidgellad 11 Jan 2021
      Replying to @walidgellad @zeynep

      every vaccination to a low risk person also puts one additional vaccine dose in the freezer for 3-4 weeks unavailable to a high risk person. You and I both disagree with that policy, but it's reality now.

      1 reply 0 retweets 0 likes
    5. zeynep tufekci‏Verified account @zeynep 11 Jan 2021
      Replying to @walidgellad

      I am for—and was very much for vaccinating by risk, primarily age, even back before ACIP changed its final draft (moving away from completely focusing on younger essential workers because of equity & transmission concerns)—but lowering transmission is still a gain, not a waste.

      2 replies 0 retweets 1 like
      zeynep tufekci‏Verified account @zeynep 11 Jan 2021
      Replying to @zeynep @walidgellad

      But, yeah, the main problem is that this bureaucratization is contributing to slower roll out for high-risk people. Along with a mobilization for speeding things up, I think we can let people self-certify—if a few people cut-in line, it's not a huge loss. So I think we agree.

      7:07 AM - 11 Jan 2021
      • 1 Like
      • Walid Gellad, MD MPH
      1 reply 0 retweets 1 like
        1. New conversation
        2. Walid Gellad, MD MPH‏Verified account @walidgellad 11 Jan 2021
          Replying to @zeynep

          we agree almost completely here. I just don't want to overstate the benefit of vaccinating low risk people right now, or understate the opportunity cost.

          1 reply 0 retweets 2 likes
        3. zeynep tufekci‏Verified account @zeynep 11 Jan 2021
          Replying to @walidgellad

          If it were up to me, I'd start with risk of illness, which mostly means age (simplest schema and biggest risk) so I agree, though I think we're beyond "unproven" for transmission reduction—just don't know how much—but even with that, I'd agree risk of illness/mortality is key.

          2 replies 0 retweets 3 likes
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