"Good protection for many (w/ 1 shot) is better than great protection for a few," Adams wrote in a Twitter thread on Monday. "2000 people a day are dying because they can't get a 1st #covid19 shot – not because they can't get a 2nd . . .
"One dose or two? Fauci says the U.S. must stick with a two-shot plan."
The post linked to a story published on The Washington Post.
Adams apparently cited studies that showed one dose of the vaccines produced by either Pfizer or Moderna at 80% effectiveness, and a study by Israeli & Canadian researchers showing one dose of either to be more than 92% effective in preventing infection. Israel is seen as the litmus test as they have been the fastest nation to vaccinate a majority of their population and therefore the data they have been documenting is helping Pfizer and Moderna as well as other health services to better serve up the vaccine.
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"Delaying a 2nd dose doesn't have to be a foregone conclusion – it just has to be an option, to unleash maximal 1st dose administration," Adams wrote. "If 2nd dose is delayed a bit, emerging data suggests the harm is minimal compared to the harm of someone else having no protection whatsoever."
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The Former Surgeon General also said he's hoping the Biden White House remembers America is "more than just the cities and the coasts" as rural communities are being decimated by the ongoing coronavirus pandemic.
In his first conversation since leaving his post as the "Nation's Doctor," the health advocate and longtime physician explained to "Face the Nation" moderator Margaret Brennan that rural America has been hit "just as hard by the pandemic as urban ones- albeit in different ways."
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Research from the Kaiser Family Foundation shows that rural communities face unique challenges in responding to the pandemic due to medical workforce shortages, fewer hospital beds per capita, limited access to telehealth and populations at elevated risk for COVID-19-related deaths because of age or chronic disease. Rural residents are also among the most vaccine hesitant groups.
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"Demographic data isn't just about race — it's about gender and geography and religion, and language," Adams contended. "One of the things I'm hoping the new administration does is remember that America is more than just the cities and the coasts. Most of America, and over half of minorities, live in the South and middle America. It can't be urban vs rural or red vs blue. COVID-19 affects all."
Adams noted that more rural communities were also already hard hit by the devastating opioid epidemic and substance misuse issues that rattled the prior administration pre-pandemic. "We were making progress, but much of it was erased due to the isolation from services, but also from each other, of the pandemic."
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As the federal government makes a full court press to minority communities to get more Americans access to a COVID-19 vaccine, Adams concludes that the nation now has an opportunity to change the trajectory of life expectancy for Black and Hispanic communities, but that we "must first understand not everyone has the same opportunities for health- equality isn't equity."
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