Categories
Health

How New York Metropolis Vaccinated 6 Million Individuals in Much less Than a Month

“It’s a remarkable achievement in every way,” said Dr. DiMaggio. “It was a public health triumph.”

Dr. Weinstein stepped back from his post in November 1947, seven months after the smallpox outbreak. He left a blueprint for containing an infectious disease in a large, dense city.

But this time New York is facing a logistical hurdle with the coronavirus pandemic. Infectious disease experts point to erosion of public health infrastructure – not just in the city, but across the country. However, they believe that the biggest obstacle is not its proliferation, but rather the public’s distrust of government, academia and media.

“We come from a communications train wreck,” said Dr. Speeches. “We learned that politics is poisonous for a public health initiative, especially during a crisis. Honesty and straightforward, clear messaging are absolutely important. “

In 1947 Dr. Weinstein the only voice with a megaphone. He spoke and the people listened.

“Back then, the media landscape was much simpler,” Ms. Sherman said as she unveiled the Ad Council’s campaign, due to begin early next year. “In today’s environment we are dealing with highly fragmented media. We will rely on micro-influencers who are the trusted voices. “

When the introduction of the Covid-19 vaccine began in New York City last week, one important question remains: can the city get close to what it achieved 73 years ago?

Dr. Redlener, who advises Mayor Bill de Blasio on emergency response, believes New York will rise to the challenge again. But he added, “It is almost inconceivable that we will be able to do something similar so quickly and effectively.”

Categories
Politics

Pence Will Be Vaccinated on Dwell TV, Including to Administration’s Combined Virus Message

WASHINGTON — At 8 a.m. on Friday, Vice President Mike Pence will roll up his sleeve to receive the coronavirus vaccine, a televised symbol of reassurance for vaccine skeptics worried about its dangers. President-elect Joseph R. Biden Jr. is scheduled to receive his injection on camera next week.

Notably absent from any planned public proceedings is President Trump, who has said relatively little about the vaccine that may be seen as a singular achievement and has made it clear that he is not scheduled to take it himself.

The vaccine may provide a ray of hope at a time when the surging coronavirus is regularly killing around 3,000 Americans a day. But the message on the virus from the Trump administration’s highest officials remains muddled and often contradictory as they continue to toggle between facing reality and trying to dictate an alternate one.

Mr. Pence, who will receive his first vaccine shot and encourage Americans to follow suit almost six months to the day after he published an op-ed in The Wall Street Journal titled “There Isn’t a Coronavirus ‘Second Wave,’” hosted a holiday party at his residence this week where guests mingled in an outdoor tent and posed for pictures without masks, according to attendees.

Secretary of State Mike Pompeo was forced into quarantine after being exposed to someone who had tested positive for the coronavirus after hosting a string of large, indoor holiday parties at the State Department and attending a private party Saturday to watch the annual Army-Navy football game. Only one unofficial adviser in the president’s circle has performed a public mea culpa for his earlier disregard of public health guidelines: Chris Christie, the former New Jersey governor, who on Wednesday released a television ad urging Americans who do not wear a mask to learn from his own harrowing medical experience and wear one.

The president, who recovered from his own bout with the virus after being treated with experimental drugs at Walter Reed National Military Medical Center, is described by aides and allies as preoccupied with the election results he still refuses to accept, and has shown no interest in participating in any kind of public health message.

Even in private conversations, they said, Mr. Trump rarely even brings up the vaccine that the White House press secretary, Kayleigh McEnany, described this week as a “medical miracle” that the president, “as the innovator,” deserved credit for.

Instead, Mr. Trump has been focused on his efforts to overturn the election results and consumed by his anger at Senator Mitch McConnell, the majority leader, who this week finally congratulated Mr. Biden on his victory and said that “the Electoral College has spoken.” And he remains frustrated that the vaccine was not available before Election Day, people who have spoken to him said.

But the president is also aware that a large part of his political base is made up of supporters who refuse to wear masks and so-called anti-vaxxers suspicious of the Covid-19 vaccine. After months of positioning himself in opposition to public health experts, people familiar with his thinking said, Mr. Trump feels on some level as if he does not want to be seen as caving in the end to the advice of the same people he has disparaged.

Some supporters with large online followings have even criticized him in recent days for promoting the vaccine at all. “You know, Trump, probably 80 percent of your base does not want that vaccine,” DeAnna Lorraine, a QAnon conspiracy theorist with a large following on Infowars, said on her program last week. “I don’t care who takes it. I don’t care if Jesus takes it. I’m not taking the vaccine.”

As Mr. Trump hesitates, lawmakers and Supreme Court justices are expected to begin receiving vaccines in the coming days, though the doses will be limited. Dr. Brian P. Monahan, the Capitol physician, wrote to lawmakers on Thursday that he had been notified by the National Security Council that his office would receive a “specific number” of doses to “provide for continuity-of-government operations.” He told lawmakers they could begin scheduling appointments to be vaccinated and suggested eventually some “continuity-essential staff members” could also receive doses.

“My recommendation to you is absolutely unequivocal: There is no reason why you should defer receiving this vaccine,” Dr. Monahan wrote. “The benefit far exceeds any small risk.”

Covid-19 Vaccines ›

Answers to Your Vaccine Questions

With distribution of a coronavirus vaccine beginning in the U.S., here are answers to some questions you may be wondering about:

    • If I live in the U.S., when can I get the vaccine? While the exact order of vaccine recipients may vary by state, most will likely put medical workers and residents of long-term care facilities first. If you want to understand how this decision is getting made, this article will help.
    • When can I return to normal life after being vaccinated? Life will return to normal only when society as a whole gains enough protection against the coronavirus. Once countries authorize a vaccine, they’ll only be able to vaccinate a few percent of their citizens at most in the first couple months. The unvaccinated majority will still remain vulnerable to getting infected. A growing number of coronavirus vaccines are showing robust protection against becoming sick. But it’s also possible for people to spread the virus without even knowing they’re infected because they experience only mild symptoms or none at all. Scientists don’t yet know if the vaccines also block the transmission of the coronavirus. So for the time being, even vaccinated people will need to wear masks, avoid indoor crowds, and so on. Once enough people get vaccinated, it will become very difficult for the coronavirus to find vulnerable people to infect. Depending on how quickly we as a society achieve that goal, life might start approaching something like normal by the fall 2021.
    • If I’ve been vaccinated, do I still need to wear a mask? Yes, but not forever. Here’s why. The coronavirus vaccines are injected deep into the muscles and stimulate the immune system to produce antibodies. This appears to be enough protection to keep the vaccinated person from getting ill. But what’s not clear is whether it’s possible for the virus to bloom in the nose — and be sneezed or breathed out to infect others — even as antibodies elsewhere in the body have mobilized to prevent the vaccinated person from getting sick. The vaccine clinical trials were designed to determine whether vaccinated people are protected from illness — not to find out whether they could still spread the coronavirus. Based on studies of flu vaccine and even patients infected with Covid-19, researchers have reason to be hopeful that vaccinated people won’t spread the virus, but more research is needed. In the meantime, everyone — even vaccinated people — will need to think of themselves as possible silent spreaders and keep wearing a mask. Read more here.
    • Will it hurt? What are the side effects? The Pfizer and BioNTech vaccine is delivered as a shot in the arm, like other typical vaccines. The injection into your arm won’t feel different than any other vaccine, but the rate of short-lived side effects does appear higher than a flu shot. Tens of thousands of people have already received the vaccines, and none of them have reported any serious health problems. The side effects, which can resemble the symptoms of Covid-19, last about a day and appear more likely after the second dose. Early reports from vaccine trials suggest some people might need to take a day off from work because they feel lousy after receiving the second dose. In the Pfizer study, about half developed fatigue. Other side effects occurred in at least 25 to 33 percent of patients, sometimes more, including headaches, chills and muscle pain. While these experiences aren’t pleasant, they are a good sign that your own immune system is mounting a potent response to the vaccine that will provide long-lasting immunity.
    • Will mRNA vaccines change my genes? No. The vaccines from Moderna and Pfizer use a genetic molecule to prime the immune system. That molecule, known as mRNA, is eventually destroyed by the body. The mRNA is packaged in an oily bubble that can fuse to a cell, allowing the molecule to slip in. The cell uses the mRNA to make proteins from the coronavirus, which can stimulate the immune system. At any moment, each of our cells may contain hundreds of thousands of mRNA molecules, which they produce in order to make proteins of their own. Once those proteins are made, our cells then shred the mRNA with special enzymes. The mRNA molecules our cells make can only survive a matter of minutes. The mRNA in vaccines is engineered to withstand the cell’s enzymes a bit longer, so that the cells can make extra virus proteins and prompt a stronger immune response. But the mRNA can only last for a few days at most before they are destroyed.

Dr. Monahan began notifying lawmakers who were eligible for vaccines, and Mr. McConnell and Speaker Nancy Pelosi indicated they would be among the first vaccinated.

Public health officials said they were pleased that the vice president was going to be vaccinated in public, along with Surgeon General Jerome Adams, despite the president’s own lack of interest in sending a similar public health message.

“It’s the right thing to do,” said Dr. Vinay Gupta, an assistant professor of pulmonary and critical care medicine at the University of Washington. “The question is why don’t they do it together, six feet apart? It would be really powerful for the president, who has gotten exceptional treatment, to say that even in spite of getting the best care, it’s important that I get this vaccine.”

Mr. Trump’s decision, so far, to not get vaccinated, Dr. Gupta said, risked undermining any confidence that Mr. Pence might instill among skeptics who take their cues from the president alone.

“The fact that he is not getting it makes one wonder if he’s worried,” Dr. Gupta said. He also said the muddled messages from the administration — hailing the vaccine while hosting holiday parties — risked “giving false reassurances to the American people that the vaccine is here and vigilance is no longer required.”

White House officials have said Mr. Trump does not need to get vaccinated because he still has the protective effects of the monoclonal antibody cocktail that was used to treat him for the virus in October. But Dr. Gupta said that was a misinterpretation of the results and that there was “no scientific reason not to get vaccinated.”

The first lady, Melania Trump, who tested positive for the virus in October and credited her recovery to a regimen of “vitamins and healthy food,” also has no plans to receive the vaccine in public. A spokeswoman, Stephanie Grisham, declined to say whether Mrs. Trump would get vaccinated.

Mr. Trump said on Sunday that he would delay a plan for senior White House staff members to receive the coronavirus vaccine in the coming days, hours after The New York Times reported that the administration was planning to rapidly distribute the vaccine to its staff.

“I am not scheduled to take the vaccine,” Mr. Trump added, “but look forward to doing so at the appropriate time.”

But many White House officials are eager to receive the vaccine, even as the president has made it clear he wants them to wait.

Doctors from Walter Reed this week set up vaccine stations inside the Indian Treaty Room in the Eisenhower Executive Office Building. There, they began vaccinating staff considered critical to the functioning of government: That included Secret Service members, some medical staff and some other support staff who work near Mr. Trump.

But Mr. Trump made it clear he does not like the optics of West Wing aides receiving the vaccine, and the White House declined to detail who exactly was receiving it. The number of doses they had received, an official said, was classified.

“His priority is frontline workers, those in long-term care facilities, and he wants to make sure that the vulnerable get access first,” Ms. McEnany said this week. When it came to staff working in the West Wing, she added, “it will be a very limited group of people who have access to it, initially.”

Mr. Pence declined to get the vaccine on the first day it was available to him, despite pressure from aides who wanted him to do so quickly, publicly — and before Mr. Biden held his own public event. Mr. Pence, people familiar with his thinking said, was concerned about the optics of jumping the line, when he wanted the administration to receive credit for the distribution of an effective vaccine to frontline medical workers without any distractions.

Instead, Mr. Pence chose to delay his own vaccination until Friday, when his office has asked all of the television networks to carry him live.

Lara Jakes and Nicholas Fandos contributed reporting.

Categories
Health

If academics get vaccinated rapidly, can college students return to highschool?

In Arizona, where several schools have gone online in the past few weeks due to a flood of viruses, Governor Doug Ducey said teachers would be among the first to be vaccinated. “Teachers are essential to our state,” he said. Utah Governor Gary Herbert spoke about the possibility of educators being shot this month. And Los Angeles officials urged teachers to be given priority over firefighters and prison guards.

But in areas where kids spent much of the fall staring at laptop screens, it can be too early for parents to hope that public schools will open their doors soon or that students will return before the next time all day in the classroom are falling.

Given the limited number of vaccines available to the states and the logistical hurdles to distribute them, including the fact that two doses are needed several weeks apart, experts said that vaccination of the three million school teachers in the United States would States could be a slow process that lasts well into the US spring.

And even if enough educators are vaccinated for school officials and teacher unions, who have considerable power in many large districts, to hold classroom reopenings safe, schools will most likely need masks and detached students for many months to come, experts say the community’s expansion has decreased significantly, possibly by summer.

“I think some people have in mind that when we get the vaccine we will start and all of these other things will go away,” said Marcus Plescia, chief medical officer for the Association of State and Territorial Health Officials. represents public health authorities.

But in schools as in everyday life there will be no quick fix. “I have a feeling we will all be wearing masks and keeping our distance and trying to be careful with each other for probably most of 2021.”

Categories
Business

Why Paying Folks to Be Vaccinated May Backfire

The approval of the first Covid-19 vaccine in the US was celebrated over the weekend as the beginning of the end of the pandemic. However, the road between giving off the first doses and getting widespread vaccination at rates that inhibit the spread of the coronavirus is far from easy. In addition to the logistical challenges of distributing the vaccine, people also need to be ready to take it. A new poll found that more than a quarter of Americans hesitate.

Two prominent economists, N. Gregory Mankiw and Robert Litan, and politicians John Delaney and Andrew Yang have proposed or supported paying Americans for the vaccine. At first glance, this seems like a reasonable idea; The economy teaches us that people respond to incentives. However, behavioral research suggests that this strategy could backfire.

Humans do not respond to incentives like rats pull levers for food. You are trying to interpret what it means to be offered. In this case, there is a risk that the vaccine will not be a valuable asset.

Studies cited in an article titled “Tom Sawyer and the Construction of Value” (referring to a famous section in the Mark Twain book where Tom convinces his friends that whitewashing a fence is a desirable activity ) have found that people are unsure whether something is good or bad, the prospect of payment helps them make negative decisions.

In one of the studies, a professor asked his students if they would attend a reading of Walt Whitman’s Leaves of Grass, and offered half of the students payment to attend the reading while the other half asked if they would would pay to attend. Those who were offered payment reported less interest in participating. For those who are unsure of whether to get vaccinated, like those who are unsure of whether to attend the poetry reading, paying will most likely send the message that this is something you are not want to do without compensation.

It’s also likely that people will conclude from the payment that the vaccine could be risky. In our research with Kevin Volpp and Alex London, we found that people naturally assume that payments are a risk. In a series of experiments, we have described clinical studies that offered different payment amounts for participating in a study with an unfamiliar test procedure. We found that when the payment was higher, people believed that the risk of a study was greater, even though the descriptions of the study procedures were otherwise identical. Paying people to be vaccinated could also lead them to conclude that it is riskier than they would otherwise assume.

Data so far suggests that Pfizer and Moderna’s early Covid-19 vaccine candidates are safe and effective – evidence that has already led to the Pfizer candidate’s emergency approval. Although direct payments for vaccinations could increase acceptance for some people in the short term, the effects just described could ultimately produce the exact opposite of the intended effects, especially for those unsure whether the risks of vaccination are outweighing the benefits.

Payments not only make the vaccine appear riskier, but they may also reduce the likelihood that people will be vaccinated for the selfless goal of helping others. Research shows that paying people for altruistic measures often backfires. In one study, Israeli students who raised for charity on a given day of the year raised less money than they were paid a small commission.

The report on the study, entitled “Pay Enough or Not Pay at All,” argued that the amount paid was too little to motivate students but enough to ask questions about students’ motives for doing have raised a lot of money in the minds of the people watching these students, and possibly even on the part of the student collectors themselves. The same logic would suggest that paying people for vaccination might decrease the motivation of those who are or like to be altruistic would do.

A more promising approach might be to make desired activities such as travel dependent on vaccination. Australian airline Qantas reports that it and other airlines are considering making vaccination compulsory for international air travel. When vaccination is associated with positive results, such as B. Travel and access to large public events, the vaccination itself is rated positively. When people see the various benefits of vaccination, skepticism will likely go away for at least some.

Ultimately, the circumstances surrounding the introduction of the vaccine can affect attitudes towards it. Given the complexities of making and distributing the vaccine, it is almost certain that it will be in short supply for months. The silver lining is that much research in marketing has shown that scarcity can be a huge demand stimulator. Seeing others want to be vaccinated and desperately waiting to get to the top could increase the likelihood that people will see the value of the vaccine and want it for themselves.

George Loewenstein is the Herbert A. Simon Professor of Economics and Psychology at Carnegie Mellon University. Cynthia Cryder is an Associate Professor of Marketing at Washington University’s Olin Business School in St. Louis.

Categories
Business

Ought to Corporations Require Staff to Get Vaccinated?

In 1905, the Supreme Court ruled against a pastor, Henning Jacobson, who sued the state of Massachusetts for asking residents to take a vaccine after an outbreak of smallpox. “Genuine freedom for all could not exist under the application of a principle that recognizes the right of each and every person to use his or her own, be it in relation to himself or his property, regardless of the harm that may be done to others. ” Court ruled. “So it is the legally regulated freedom.”

This and other decisions have repeatedly reaffirmed this principle. Private companies can choose to hire, fire, or do business with employees unless they discriminate on the basis of a protected category.

There is still room for interpretation. Lawyers could argue that in previous cases, an emergency-only drug approved by the FDA was not considered, as will be the case with the early coronavirus vaccines. Or maybe a more conservative Supreme Court would be open to reiterating previous precedents.

The road to a coronavirus vaccine ›

Answers to your vaccine questions

With a coronavirus vaccine spreading out of the US, here are answers to some questions you may be wondering about:

    • If I live in the US, when can I get the vaccine? While the exact order of vaccine recipients may vary from state to state, most doctors and residents of long-term care facilities will come first. If you want to understand how this decision is made, this article will help.
    • When can I get back to normal life after the vaccination? Life will only get back to normal once society as a whole receives adequate protection against the coronavirus. Once countries have approved a vaccine, they can only vaccinate a few percent of their citizens in the first few months. The unvaccinated majority remain susceptible to infection. A growing number of coronavirus vaccines show robust protection against disease. However, it is also possible that people spread the virus without knowing they are infected because they have mild symptoms or no symptoms at all. Scientists don’t yet know whether the vaccines will also block the transmission of the coronavirus. Even vaccinated people have to wear masks for the time being, avoid the crowds indoors and so on. Once enough people are vaccinated, it becomes very difficult for the coronavirus to find people at risk to become infected. Depending on how quickly we as a society achieve this goal, life could approach a normal state in autumn 2021.
    • Do I still have to wear a mask after the vaccination? Yeah, but not forever. The two vaccines that may be approved this month clearly protect people from contracting Covid-19. However, the clinical trials that produced these results were not designed to determine whether vaccinated people could still spread the coronavirus without developing symptoms. That remains a possibility. We know that people who are naturally infected with the coronavirus can spread it without experiencing a cough or other symptoms. Researchers will study this question intensively when the vaccines are introduced. In the meantime, self-vaccinated people need to think of themselves as potential spreaders.
    • Will it hurt What are the side effects? The vaccine against Pfizer and BioNTech, like other typical vaccines, is delivered as a shot in the arm. The injection is no different from the ones you received before. Tens of thousands of people have already received the vaccines, and none of them have reported serious health problems. However, some of them have experienced short-lived symptoms, including pain and flu-like symptoms that usually last a day. It is possible that people will have to plan to take a day off or go to school after the second shot. While these experiences are not pleasant, they are a good sign: they are the result of your own immune system’s encounter with the vaccine and a strong response that ensures lasting immunity.
    • Will mRNA vaccines change my genes? No. Moderna and Pfizer vaccines use a genetic molecule to boost the immune system. This molecule, known as mRNA, is eventually destroyed by the body. The mRNA is packaged in an oily bubble that can fuse with a cell, allowing the molecule to slide inside. The cell uses the mRNA to make proteins from the coronavirus that can stimulate the immune system. At any given moment, each of our cells can contain hundreds of thousands of mRNA molecules that they produce to make their own proteins. As soon as these proteins are made, our cells use special enzymes to break down the mRNA. The mRNA molecules that our cells make can only survive a few minutes. The mRNA in vaccines is engineered to withstand the cell’s enzymes a little longer, so the cells can make extra viral proteins and trigger a stronger immune response. However, the mRNA can hold for a few days at most before it is destroyed.

For the past week, I’ve spoken to executives at companies in various industries to find out if they require vaccination of employees or customers. Nobody wanted to speak in the file.

Almost everyone said they wanted to recommend the vaccine but not make it mandatory. Some said they tried to create a culture of trust and a vaccine mandate would undermine that trust. Others were concerned about legal liability if an employee experienced adverse side effects from the vaccine. Some said they would like to commission the vaccine, but feared a backlash could turn into a public relations nightmare.

This is not a hypothetical thought experiment. When the executive director of Qantas, the Australian airline, said he would require passengers to be vaccinated – “certainly for international visitors and people leaving the country, we consider it a necessity,” he said – the backlash was quick. A travel agent in the UK stopped booking flights with the airline, stating: “We believe that physical autonomy in relation to medical interventions is a personal choice and should not be imposed by companies on people.”

It’s understandable that leaders would be afraid to promote potential controversy, but leadership is about making tough decisions when the stakes are high. Just recommending the vaccine may not be enough.

Categories
Health

Trump Administration Plans a Rushed Effort to Encourage People to Be Vaccinated

“There’s a whip effect,” said Joel White, a Republican strategist focused on health policy. “If Trump makes a big stink out there about people getting the vaccine and needing it, I could see Democrats being turned off – and blacks and Latinos in particular. But if he doesn’t do anything, Trump supporters may not be vaccinated because they would see that as a sign. “

Since the president had Covid-19 he should technically be at the back of the line of people waiting to be shot, but the sight of him being injected could be useful. At the White House, officials said it “certainly will be considered” for Mr Trump to take the vaccine publicly, although they stated that it might not affect public opinion as people know he has recovered. (Experts say those who survived Covid-19 may be at risk of re-infection and could benefit from vaccination.)

Dr. For his part, Fauci intends to “be publicly vaccinated,” he said on Friday, “as soon as the vaccine is available to me” in order to increase public support. Vice President Mike Pence’s advisors are considering when and how he will be vaccinated, and whether he would do so publicly.

Mr Trump’s three presidential predecessors – Barack Obama, George W. Bush and Bill Clinton – have all announced that they are ready to be vaccinated on camera. In 2009, Mr. Obama and his wife, Michelle, put on a public show getting vaccinated against the H1N1 influenza virus and waiting for their turn to wait for the children to get the vaccine.

“People need to understand that this vaccine is safe,” Obama said at the time. A photo was posted on the White House website of him rolling up his sleeve to be shot.

Mr. Biden is already using his platform to encourage Americans to get vaccinated.

“I want to make it clear to the public: This is what you should trust,” he said Friday at an event in Wilmington, Del. “There is no political influence. These are top notch scientists who take the time to look at all of the elements that need to be considered. Scientific integrity has led us to this point. “

Dr. David A. Kessler, a former Food and Drug Administration commissioner who advises the president-elect on the pandemic, said in an interview that the Biden team is working with medical organizations and other groups to find “the most creative.” transparent and effective ways to educate the public, including using a number of respected voices – both local and national.

Categories
Health

Some States Balk After C.D.C. Asks for Private Knowledge of These Vaccinated

“This is a new activity for us because we don’t typically report this level of detail to the federal government at this frequency,” Doug Schultz, a spokesman for the Minnesota Department of Health, said in an email. He added, “We will not provide a name, zip code, race, ethnicity or address.”

Tracking vaccinations, including collecting personal information, is not a new practice, and experts say this is especially important with a vaccine that requires two doses. But in the United States, it was a purely state effort. A push two decades ago to develop a federal registry that imploded after an uproar over patient privacy and the use of the data.

“The general philosophy in this country is that states manage public health. Therefore, the concept that we keep track of identified information at the federal level is important,” said Dr. Shaun J. Grannis, professor of medical informatics at Indiana University, who advised the CDC on data collection.

“We are 50 different states with a patchwork of regulations and different perspectives on privacy and security,” added Dr. Grannis added. “And I think people will ask the question: what does the CDC do that we cannot do regionally?”

However, the state registers differ in terms of sophistication and quality. Speaking at Monday’s briefing, Colonel RJ Mikesh of the Army, the information technology director for Operation Warp Speed, said the data collection was part of an “all America approach” to vaccine distribution.

And some experts say that amid a pandemic that has already cost nearly 284,000 lives in the US, privacy must give way to the public good and that vaccinating all Americans is a monumental task that requires federal intervention.

“We’re in a pandemic,” said Dr. Carlos del Rio, an infectious disease expert at Emory University in Atlanta. “Privacy has its role, but it can’t be what drives decision-making when you’re trying to do a monumental task like vaccinating millions of Americans with one vaccine that requires two doses.”