Wednesday, May 12, 2021

Where docs go to talk to teens about vaccines

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May 12, 2021 View in browser
 
POLITICO Nightly logo

By Sarah Owermohle

With help from Myah Ward and Joanne Kenen

DOCTORS RECOMMEND RESPONSIBLY GOING VIRAL — Short-video platform TikTok boomed during the pandemic. Even if you don't use the app, you're familiar with the videos: Unescapable dance trends, memes that have become lexicon and videos that capture a moment — and then change the world.

I'm not proud of being a 30-something who scrolls through tweens' hottest social media platform. But I'm not alone, either. As people withdrew to their houses last March, they turned to their phones. And scores of doctors, scientists and other health professionals became unlikely stars in the search for pandemic information along with escape.

TikTok's young audience is now more important than ever in the fight against the virus. There is a coronavirus vaccine for teens, with others on its heels. But just over half of surveyed teenagers said they will definitely or probably get the shot, according to data CDC presented today. Parents aren't totally bought in either: Black and Hispanic parents especially are ambivalent about getting their children vaccinated, according to that data.

The medical establishment's problematic history with Black Americans and lack of representation are part of what motivated identical twins Jeremy and Jermaine Hogstrom, both internal medicine residents at a Detroit hospital, to boot up a TikTok account last summer and begin sharing a mix of comedic videos about their lives as doctors with educational Covid-19 clips.

TikTok from twin doctors talking about Pfizer vaccine

"Representation is important, especially in this field, and especially in what we're going through," Jermaine said. The brothers shared videos of their viewers saying they were convinced to get vaccinated. But in their real life, things haven't been so easy: Michigan's coronavirus surge means a stream of new and increasingly younger patients because of a strain first found in the U.K.

TikTok videos can be anywhere from 15 to 60 seconds, making them just bite-size enough that viewers can absorb some details before scrolling to the next (and next, and next) clip.

"I was like 'I'll never be on TikTok, that's for teenagers. And [friends] said that's where your audience is,'" recalls Jennifer Lincoln , an obstetrician who joined the platform in November 2019 and immediately went viral with a video about sex and consent. As the pandemic ramped up the next March, Lincoln began recording videos about coronavirus spread and eventually, vaccine concerns.

Yet TikTok is also a "double-edged sword" of fast-spreading information, said Lincoln, who is based in Oregon. "The ability to go viral is great until it's terrible," she said, referencing a surge in anti-vaxx videos and broader health misinformation.

The app has also been plagued by accusations that its algorithm for highlighting videos — the all-important 'For You' page that boosts people to viral status — can elevate problematic or predominantly white voices. Jeremy and Jermaine Hogstrom joined a TikTok program for Black creators this year that they said is trained on sharpening content and bolstering their voices.

"Not everyone is going to watch and get the vaccine," Jeremy said. "But I feel like if you can have representation there, it definitely helps open that door."

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First In Nightly

"As a conservative transgender woman, I am excited, and nervous, to watch Caitlyn Jenner run for governor. A Republican trans candidate in particular signals that trans people aren't just an interest group. We're complicated, multi-faceted people who can't change our opinions even if we change our gender identities — and for a great deal of us, that means even after our transition, we remain conservative and Republican."

— Barbara Minney, in "Why a Republican Trans Candidate Is Good for Trans People," out Thursday in POLITICO Magazine. And don't miss Nightly's Renuka Rayasam in conversation Thursday at 1 p.m. ET with a group of elected officials who are transgender to explore their experiences running for and holding public office.

Nightly Interview

Motorists use gas pumps at a refueling station in Benson, N.C. Most stations in the area along I-95 are without fuel following the Colonial Pipeline hack.

Motorists use gas pumps at a refueling station in Benson, N.C. Most stations in the area along I-95 are without fuel following the Colonial Pipeline hack. | Getty Images

DID BIDEN'S MEETING WITH CARTER CHANGE THE TIMELINE? Nightly's Myah Ward emails from North Carolina:

I was driving from Charlotte to Boone, N.C., for my brother's college graduation on Tuesday when I realized it wouldn't be an easy task to fill up my gas tank. Most of the stations I passed were filled with lines of cars and had more pouring in from the main road. If they weren't slammed, there were yellow empty bags covering the pumps. I had half a tank and decided to wait until I made it to a smaller mountain town. When I pulled off the highway, the gas station only had premium gas left. It cost $50 — instead of the usual $25 — to fill up.

An older man who looked to be in his seventies had five massive, multi-gallon jugs and was filling them up with premium gas, one by one.

I wasn't surprised by the shortage. I knew there would be some ripple effects from the Colonial Pipeline shutdown. But the extent to which it's affecting the East Coast, and particularly North Carolina where roughly 70 percent of stations are out of gas, mainly has to do with panic buying.

The White House tried to calm the situation today, asking people not to hoard fuel. The pipeline restarted operations today.

Being in my twenties, I didn't have flashbacks to the 1970s as I panicked over where I might get my gas. But as I watched the older man to my left hoard the fuel, I wondered if he was scarred from two oil crises that decade.

I called University of Nebraska-Lincoln historian Thomas Borstelmann, the author of "The 1970s: A New Global History from Civil Rights to Economic Inequality," to ask if history — gas lines, inflation fears, conflict in the Middle East — is repeating itself. This conversation has been edited.

Are we reliving the 1970s?

No. There are ways in which certain patterns do come back, but they always come back in different forms and different circumstances. So things can look recognizable, but they're not the same.

But does this gasoline shortage feel familiar to you?

The American obsession with access to automobiles, and to endless, inexpensive fuel for those automobiles is an enduring 100-year pattern now, of Americans feeling that that's something close to our constitutional rights. And our failure for 50 years now to do anything serious about becoming much more efficient in our use of fuel and moving past internal combustion engines.

From a bigger perspective, which is what historians do, the gas shortage looks like a shorter-term problem. It could get much bigger and could become national, but that has to do with larger questions about the quality of our infrastructure and the danger of ongoing attacks, Russian-backed or Chinese-backed or simply criminal-backed.

We missed the opportunity in the '70s to seriously reduce our usage of fossil fuels.

How about inflation fears?

Inflation that emerged in the early 1970s, in '73 and '74, right when the first oil crisis kicked in as a result of the 1973 war between Israel and its neighbors, that pattern of inflation was specific to the two factors: the spending on the Vietnam War, on top of the spending on Lyndon Johnson's Great Society programs. And that double whammy is what really, without increasing taxation to pay for either of those, created an inflationary spiral that lasted essentially for nine years, until it was beaten back in the early 1980s.

That's not where we're at now, to put it mildly.

We've also seen a lot of social unrest this year, particularly surrounding police killings of Black people.

It always feels like we're both getting worse and getting better at the same time. For anybody who's of my generation, it's wildly obvious that we are much more effectively integrated here in the public sphere, at least, racially integrated and a more diverse and tolerant society on matters of gender and sex and everything else, in ways that would be unrecognizable. If you brought back somebody who died in 1961, they would be stunned at what we look like in 2021. And they would be deeply impressed by it. But then they would also be like, "Really? The cops are still killing Black people? We thought maybe you guys would stop doing that."

Do you think we remember the 1970s unfairly?

Yes. In my book, I'm making an argument that we misremember the '70s in some really profoundly problematic ways. People thought of it for at least for 30 or 40 years afterward as just kind of a lost period of people with bad haircuts and bad disco music, sideburns and those ugly wide ties. And then also of defeats. Political defeats in terms of the Watergate scandal in the U.S. and the loss of respect for public figures. The military defeat in Vietnam. The economic defeats of inflation and stagflation, really. Plus unemployment being very high.

But the other part of the story is that there's this vigorous reassertion of reformism that emerges out of there. You can't be a female person and think that the '70s is anything but an amazingly exciting time period. Because that's the first time that women are beginning to be treated like full human beings in this country. To see the '70s as a time of defeat is a male view of the world. My argument essentially is that the U.S. became a much more egalitarian place in its public sphere in the 1970s — more accepting, more tolerant of gay people as well.

So it becomes a less repressive place, but it also becomes less equal. The U.S. has become economically less and less equal since the 1970s, in terms of the distribution of wealth, in terms of patterns of salaries and wages as well. So we've become both more equal sort of socially, culturally, and less equal economically. That happens in the '70s, as I see it.

What'd I Miss?

Video player of House Minority Leader Kevin McCarthy

— McCarthy after ousting Cheney: 'I don't think anybody is questioning the legitimacy of the presidential election': House Minority Leader Kevin McCarthy today papered over the significant skepticism of the 2020 presidential election within the GOP just hours after his conference deposed Rep. Liz Cheney for criticizing fellow Republicans over that very issue.

— Biden orders cyber upgrade: The executive order, which has been in development for months, addresses federal computer networks — not the critical infrastructure operated by private companies such as Colonial Pipeline. It requires agencies to encrypt their data, update plans for securely using cloud hosting services and enable multi-factor authentication. It also creates a cyber incident review group, modeled on the National Transportation Safety Board that investigates aviation, railroad and vehicle crashes, to improve the government's response to cyberattacks. And it sets the stage for requiring federal contractors to report data breaches and meet new software security standards.

— Chip Roy weighs a last-minute challenge to Stefanik for House GOP No. 3: Roy, a member of the hardline Freedom Caucus, is one of several conservatives to publicly express concern about elevating Rep. Elise Stefanik (R-N.Y.), a moderate turned Donald Trump ally who's moving swiftly to lock down support for the No. 3 post. Notably, Stefanik has the backing of the former president and GOP leaders.

— 'I have reassessed': Former Pentagon official now says Trump may not have incited riot: Two top Trump administration officials testified today that President Donald Trump never contacted them on Jan. 6 as rioters overran the Capitol and engaged in brutal combat with police officers. Former acting Attorney General Jeffrey Rosen and former acting Defense Secretary Christopher Miller said at a House Oversight Committee hearing that they had no interaction with Trump during the riot.

— Facebook says no formal response this week to oversight board's decision, Trump review underway: The Facebook oversight board's bylaws require that the company has seven days to respond to any binding decisions, but Facebook said that does not apply in this instance because the board did not make a definitive ruling on what action Facebook should take on Trump's account.

AROUND THE WORLD

BIDEN SUPPORTS ISRAEL, CALLS FOR END TO FIGHTINGBiden waded into the latest Israeli-Palestinian crisis today , assuring Israeli leaders that America supports Israel's right to defend itself against Palestinian-fired rockets and other violence, but calling for an end to the fighting that has already killed dozens of people.

After days of staying silent amid escalating tensions in the region, Biden spoke to Israeli Prime Minister Benjamin Netanyahu. Secretary of State Antony Blinken also spoke to Netanyahu, while Defense Secretary Lloyd Austin spoke to his Israeli counterpart, Benny Gantz. All three condemned Hamas militants' launches of rockets into Israeli territory. But all three also urged calm and de-escalation.

 

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Nightly Number

7 percent

The proportion of the roughly 9 million people vaccinated for Covid-19 in Florida who are Black, a figure that has Gov. Ron DeSantis administration officials and advocates pledging to do more to boost vaccination rates in Black communities.

Parting Words

THE KIDS ARE ON TIKTOK, BUT THEIR PARENTS ARE ON TWITTER — TikTok is not the only social media platform where health care workers are trying to make people feel safe and motivated about getting the coronavirus vaccine — and help get it to more teens, health care editor at large Joanne Kenen points out. She emails Nightly:

The people most in need of persuasion and reassurance are not necessarily showing up in their doctors' offices looking for a dose of persuasion and reassurance.

So a few days ago — even before the FDA gave emergency authorization for the Pfizer vaccine for kids age 12 and up — doctors started flocking to Twitter with a new preemptive message, combining their roles as health care professionals with their roles as moms and dads. They began tweeting that they were going to make sure their kids were vaccinated ASAP.

It's too soon to know whether — and perhaps too much to hope that — an avalanche of tweets will help change parental minds. But it may be a lot easier for people worried about vaccinating their kids to listen to a fellow parent who happens to be a doctor, than someone who is just one or the other.

"I'm a pediatrician and my husband is an orthopedic surgeon," Jessica Lazerov wrote in the Twitter thread. "We are getting both of our kids vaccinated as soon as they are eligible because science is pog and science deniers are sus."

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