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Local doctors and infectious disease experts say they are “thrilled” after President Joe Biden announced a broad new “action plan” on Thursday to combat the latest COVID-19 surge driven by the highly contagious delta variant.
The plan includes a range of steps, including sweeping vaccine mandates, mask requirements for interstate travel, expanding free testing, and urging governors to require school district employees to get the COVID-19 vaccine.
During the announcement at the White House, Biden criticized the millions of Americans who have not yet gotten vaccinated, despite the widespread availability of the shots.
“We’ve been patient,” the president said. “But our patience is wearing thin, and your refusal has cost all of us.”
The administration is now requiring federal workers and contractors be vaccinated with only a few exceptions; private employers with 100 or more workers must require vaccines or weekly testing and provide paid time off for vaccination; millions of health care workers in facilities that accept Medicare and Medicaid payments must get vaccinated; and employees of Head Start and other federal education programs must get fully vaccinated.
During an appearance on the “Today” show on Friday, Dr. Ashish Jha, dean of the Brown University School of Public Health, said the mandates will make a big impact in the fight against the coronavirus and data has already shown they are effective at getting more people vaccinated.
“The virus is not going away,” Jha said. “So this is not what do they need to do over the next few weeks — it’s how do we get our society back, how do we get workers back, and how do we do it safely. And I personally can’t think of how you bring people back into indoor offices safely unless you actually require that people be vaccinated or you’re doing regular testing. So from a pure worker safety point of view, this makes a lot of sense.”
“From a pure worker safety point of view, this makes a lot of sense.”@ashishkjha, dean of Brown University's School of Public Health, joins us to discuss President Biden’s sweeping vaccine mandates and when children under the age of 12 might be eligible for the vaccine. pic.twitter.com/vslI91q7oX
— TODAY (@TODAYshow) September 10, 2021
On Twitter, Jha said the United States is on track to see 40,000 deaths from COVID-19 in September.
“This relentless, preventable suffering must end,” he said. “We should absolutely discuss whether the President’s policy solutions will work or not. But doing nothing new can’t possibly be an option.”
30,000 Americans died of COVID in August
— Ashish K. Jha, MD, MPH (@ashishkjha) September 10, 2021
We're on track for 40,000 deaths in September
This relentless, preventable suffering must end
We should absolutely discuss whether the President's policy solutions will work or not
But doing nothing new can't possibly be an option
The public health researcher isn’t the only local doctor cheering the new plan from the Biden administration, though the experts weighing in also said that more steps are still needed.
Below, see how Jha and other medical professionals are reacting to the new plan — what they said hit the mark and what more still could be done — to slow the spread of the virus and protect Americans as the pandemic rages on.
2. Testing: this is a VERY big deal
— Ashish K. Jha, MD, MPH (@ashishkjha) September 9, 2021
We have way underestimated the power of rapid, frequent, ubiquitous testing
Ramping up testing is exactly what our nation needs
3. Boosters — President says we need a plan for 3rd shot for the vulnerable
Science on this increasingly clear
And a few other things like therapeutics (monoclonals, etc)
— Ashish K. Jha, MD, MPH (@ashishkjha) September 9, 2021
The big controversial issues here will be vaccine mandates for private employers
My view?
Hey OSHA sets safety standards and it is unsafe to be in an indoor work place without vaccines or testing
And Boosters
4/5
Vaccine mandates for interstate travel
— Ashish K. Jha, MD, MPH (@ashishkjha) September 9, 2021
I think this last one is marginal (not a lot of spread on planes) but might have been useful
But overall, very solid plan
And if we implement it right
Will make a VERY big difference
End
1. It is absolutely true that this is currently a "disease of the unvaccinated" (although I don't love this phrase). Better is his emphasis that #vaccineswork to prevent severe disease, hospitalization & death – even against the #deltavariant.
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
https://t.co/aboN52ltuY
3. I am *thrilled* that:
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
– all healthcare workers at facilities receiving medicare/medicaid funds will be required to get vaccinated. As my friend & colleague @ashishkjha wrote 2 months ago: this is the least we can do. https://t.co/sHa0QaDX9x
4. Now, to boosters….
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
I'm with @jeremyfaust here: there is absolutely data for boosters for SOME groups (the immunocompromised; and likely the elderly).
But for the rest of us? TBD. https://t.co/qhQ7sf1dgJ
6. I'm cheering about testing (& I'm sure @michaelmina_lab is too).
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
-> Rapid tests are one of our key tools to get through this surge.
-> But they aren't available.
Activation of the DPA is critically important to get more supplies (versus our mistakes last year on PPE….)
7. Masking! You all know my stance on this one. Feds can't mandate universal masking, but clearer standards & enforcement are helpful.
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
(The best news? If testing/ventilation/vaccination are fully deployed: masks=less necessary.)https://t.co/0X3oFefXbi
– and of course, the nod to equity. I can't over-emphasize this: the pandemic has exposed what was already there. Racism & socioeconomic disparities were baked into people's health, & our healthcare system, long ago.https://t.co/p6C0O7O5jk
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
9a. I wish I'd heard more about ventilation. It's a critically important, easy, too-often-overlooked technique for stopping the spread of #COVID19 **today**.
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
It's right up there with masks & vaccines TBH.
9c. I wish I'd heard more about real community-centered outreach. Vaccine mandates help, but they are only part of it. We also need:
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
– childcare
– transportation
– engagement of community groups to combat misinfo
Overall?
— Megan Ranney MD MPH 🌻 (@meganranney) September 9, 2021
I give this an "A-". It's action – woohoo!!!! It's doubling down on the things that work!!! Thrilled.
But I want a little more.
Plan also reinforces the importance of testing.
— Thomas Tsai, MD, MPH (@Thomasctsai) September 9, 2021
Testing needs to be accessible and affordable.
This would be an opportune moment to implement the Pandemic Testing Board to scale rapid antigen tests more widely.
This is the testing plan that we've been waiting for.
— Thomas Tsai, MD, MPH (@Thomasctsai) September 9, 2021
Defense Production Act to ramp up rapid antigen tets
Major retailers to sell COVID tests at cost.
Expanding free testing at pharmacies. https://t.co/xM2OzwJIxx
With the new @WhiteHouse Path Out of the Pandemic Plan, we can refocus on #FlattenTheCurve through vaccinations, testing, ventilation, and masking
— Thomas Tsai, MD, MPH (@Thomasctsai) September 10, 2021
We did this in 2020 to protect the elderly in nursing homes.
We can do this now to protect our children in schools. https://t.co/nk599EUmTb
While I am tremendously happy to hear the President say this.
— Michael Mina (@michaelmina_lab) September 9, 2021
I do have my reservations:
Time is of the essence. If we start the scaling process now, it will take a long time.
Meanwhile many many tests exist globally. We could be using those for the time being.
2/
The fact that this is on the president's radar as a major tool in this fight, and the interest to help get them out to people is a big step forward. My hope is that this still will allow the administration to see the benefits, for this pandemic and for future prepardness
— Michael Mina (@michaelmina_lab) September 9, 2021
4/
As long as these tests are regulated as medical devices, the FDA has to regulate them not as critical public health tools, but as medical tools, with all of the onerous clinical trials that slow everything down 100-fold.
— Michael Mina (@michaelmina_lab) September 9, 2021
6/
As long as rapid tests are regulated as Medical Devices, FDA is compelled to compare them to Medical Devices (lab based PCR) for EUA
— Michael Mina (@michaelmina_lab) September 9, 2021
As I've discussed SO many times, this comparison doesn't make sense bc use of rapid tests in a pandemic is not medicine, it's public health
8/
So, I do hope we can see our way to understanding that public health testing is not medicine and the regulatory environment, including the "gold-standard", should change for evaluation of a public health test.
— Michael Mina (@michaelmina_lab) September 9, 2021
10/
Information from the Associated Press was used in this report.
Dialynn Dwyer is a reporter and editor at Boston.com, covering breaking and local news across Boston and New England.
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