Discover and read the best of Twitter Threads about #CommunityHEALTH
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Microwave Weapons, Electromagnetic Weapons, Electronic Weapons, Psychotronic Weapons, Neuroweapons: Call it what you will but these are NEUROHACKING and BIOHACKING Weapons: Basic Education for "Law" Enforcement employees who KNOWINGLY use DEWs yet hope no-one notices the FACTS 👇 
Those responsible for setting up a Smart Grid, for approving the use of Electronic Weapons on people (without telling them so) in #PublicSafety #CommunityHealth #CommunityPolicing #WeaponsTesting et al Covers are All #TopCrims, who've sanctioned, ok'd, approved, allowed TORTURE.
📣 It's time for another #CommunityHealth Research Round-Up! Welcome to Issue 095! 💫
🧵 Check out this thread where we explore CHW motivation, the impact of geographical placement on CHWs SAM coverage...and so much more!
Inspired? Subscribe below! 🤓
#researchroundup
🧵 Check out this thread where we explore CHW motivation, the impact of geographical placement on CHWs SAM coverage...and so much more!
Inspired? Subscribe below! 🤓
#researchroundup
1. Salary matters, and so do other factors according to this article. What do you think of the provocative title? gh.bmj.com/content/7/10/e…
2. A close look at the epidemiological burden of the big three killers of children under-five (pneumonia, diarrhea, malaria) and the important role of CHWs in saving childrens' lives in a Ugandan sub-county. malariajournal.biomedcentral.com/articles/10.11…
This is what targeted racial harassment looks like: nitpicking things like “smiled” or “wore clothes like a celebrity, as a celebrity” or “bought cookware.” It is part of the “gold digger” narrative.
This is common in #healthcare “#professionalism” where there is hazing & bullying by racist &/or classist made up non-rules lacking standards…yet people are called “breaking the rules.”
It’s exactly how bullies operate: double standards, mislabel/smear, exclude, marginalize.
It’s exactly how bullies operate: double standards, mislabel/smear, exclude, marginalize.
In the U.K., “BAME” includes the formerly colonized, thus making race constructs or power different from U.S. as latter had race-based chattel slavery.
Thing is, those formerly colonized have many who have internalized self hate & racism.
psycnet.apa.org/record/2021-69…
Thing is, those formerly colonized have many who have internalized self hate & racism.
psycnet.apa.org/record/2021-69…
In July of 2021, the @CDCgov announced a decrease in US life expectancy of 1.5 years, the biggest one-year decline since #WWII. Even before COVID-19, however, the US has seen several years of declining life expectancy in the past decade. #ph260720 #COVID
cdc.gov/nchs/pressroom…
cdc.gov/nchs/pressroom…
Meanwhile, we see a widening gap in medical care between those with high and low status, leading to much larger declines in life expectancy for black and brown populations during #COVID19. How do you think these gaps came to be? #ph260720 #Healthcare
#hospitals continue to #Innovate and improve their medical care, following charters to improve health and care for the needy. However, they often fail to address the non-medical needs of their community, the “social determinants of health” #ph260720 #CommunityHealth
Generally speaking #infrastructure is defined as the basic #physical systems of any #business, #region, or that of any #nation... including #transportation systems, #communication #networks, #sewage, #water supply & #electrical #grid systems. #BuildBackBetter #logistics #stimulus
Various types of #infrastructure #construction based projects typically drive the bulk of conversations amongst those of us vested in the arduous process of "progress" moving forward.
#Highway improvement, #street & #road maintenance & #bridge building commonly take center stage.
#Highway improvement, #street & #road maintenance & #bridge building commonly take center stage.
Mass #transit, #airport & #airways, #municipal #WaterSupply, #waste management along with waste #Water #management,
#power generation & #transmission, #HazardousWaste removal & #storage ALL must be considered while addressing basic underlying societal frameworks. #sustainability
#power generation & #transmission, #HazardousWaste removal & #storage ALL must be considered while addressing basic underlying societal frameworks. #sustainability
Will we EVER learn about #PublicHealth?
3rd wave “expert” committee is nearly-ALL #Pediatricians (to keep Devi Shetty’s non-#evidence-based assertion on #children will be entirely affected), #AllMale #Manel, nearly-all #clinicians headed by #PrivateSector #Cardiologist
3rd wave “expert” committee is nearly-ALL #Pediatricians (to keep Devi Shetty’s non-#evidence-based assertion on #children will be entirely affected), #AllMale #Manel, nearly-all #clinicians headed by #PrivateSector #Cardiologist
I request this committee members:
- Please QUESTION Devi Shetty’s credentials to lead this
- Please hold to account #Manel #AllMale membership
- Please include #RuralHealth #CommunityHealth #PublicHealth
- Expertise is NOT only CLINICAL; also social; include grounded voices
- Please QUESTION Devi Shetty’s credentials to lead this
- Please hold to account #Manel #AllMale membership
- Please include #RuralHealth #CommunityHealth #PublicHealth
- Expertise is NOT only CLINICAL; also social; include grounded voices
Unfortunately no time & bandwidth; but putting this out there
We need:
- campaign for a DIVERSE expert committee including #Citizen #CommunityEngagement #Dalit #Adivasi voices
- Devi Shetty’s position as Chair is NOT tenable; appoint a #PublicHealth expert in his place
We need:
- campaign for a DIVERSE expert committee including #Citizen #CommunityEngagement #Dalit #Adivasi voices
- Devi Shetty’s position as Chair is NOT tenable; appoint a #PublicHealth expert in his place
I would say that society is at fault. The government was not behind Jenny McCarthy, Oprah, Dr. Oz, etc.
#vaccine #VaccinesSaveLives #VaccinesWork #MedTwitter #ScienceTwitter
#vaccine #VaccinesSaveLives #VaccinesWork #MedTwitter #ScienceTwitter
What the government DID do wrong: “#security” & espionage via vaccines Frankenstein monster unleashed on Muslims
If the US government does do things like this it’s not a “#conspiracy”
...all while what led to #CapitolRiots was brewing 🤦🏻♀️
@PeterHotez
npr.org/sections/thetw…
If the US government does do things like this it’s not a “#conspiracy”
...all while what led to #CapitolRiots was brewing 🤦🏻♀️
@PeterHotez
npr.org/sections/thetw…
If Prius-driving Whole Foods-consuming suburbanites would STOP #misinformation #disinformation to #trauma ridden #refugee populations
(trauma->fear)
the jobs of minority & Muslim doctors would not be so hard
This is lack of *societal* control
of the most privileged
who HARM
(trauma->fear)
the jobs of minority & Muslim doctors would not be so hard
This is lack of *societal* control
of the most privileged
who HARM
When you want to know why
-women & minorities leave medicine
-why research lacks data to serve needs of anyone not white & male
and/or
-why different mortality rates in patients by gender, race, SES
this is why
This is #MedBikini “#professionalism” again
#MedTwitter
#MedEd
-women & minorities leave medicine
-why research lacks data to serve needs of anyone not white & male
and/or
-why different mortality rates in patients by gender, race, SES
this is why
This is #MedBikini “#professionalism” again
#MedTwitter
#MedEd
Is insidious
but highly effective
maintains
-segregation
-different access
-barriers
As women, LGBTQ, minorities, disabled enter or advance in medicine, this professor’s public stance will be cited to mislabel having #ethics as “lacking #professionalism”
bioethics.net/2020/07/medbik…
but highly effective
maintains
-segregation
-different access
-barriers
As women, LGBTQ, minorities, disabled enter or advance in medicine, this professor’s public stance will be cited to mislabel having #ethics as “lacking #professionalism”
bioethics.net/2020/07/medbik…
#medbikini is not one article
=attitude of many physicians
=drives this
We saw this happen with @ayshakhoury and @uche_blackstock and so many others. It especially happens at midcareer to WOC, especially black. Also if Muslim, LGBTQ, disabled, #mentalhealth
#MedEd
#MedTwitter
=attitude of many physicians
=drives this
We saw this happen with @ayshakhoury and @uche_blackstock and so many others. It especially happens at midcareer to WOC, especially black. Also if Muslim, LGBTQ, disabled, #mentalhealth
#MedEd
#MedTwitter
Doctors, especially female doctors, are rushing to defend Dr. Birx
“male-centered” world is problem = latest knee jerk “feminist” defense
Men cause female doctors to not speak on scientific facts in public?
Huh?
Why isn’t female doctors saving lives of WOC part of “feminism”?
“male-centered” world is problem = latest knee jerk “feminist” defense
Men cause female doctors to not speak on scientific facts in public?
Huh?
Why isn’t female doctors saving lives of WOC part of “feminism”?
The same doctors who will jump on the “racism!” bandwagon vs @JAMA_current if vs a *man*
will rush to cover up for a woman/peer who *operationalizes* structural racism
The face of structural & medical racism is female
And women will defend women rather than be held accountable
will rush to cover up for a woman/peer who *operationalizes* structural racism
The face of structural & medical racism is female
And women will defend women rather than be held accountable
@DrJRMarcelin published this in @JAMA_current. Women of color, specifically black women, need to be leading the conversation on #COVID19 in America because when #publichealth systems fail on top of medical racism, you get exactly the results we got.
jamanetwork.com/journals/jaman…
jamanetwork.com/journals/jaman…
Trump was propped up by everyone standing besides him. Birx has blood on her hands.
“Leaders”, sadly, often sadly, women, like her are exactly why I left public service. Why would I rubber stamp death?
Birx and others like her are responsible for my mother’s #COVID19 death.
“Leaders”, sadly, often sadly, women, like her are exactly why I left public service. Why would I rubber stamp death?
Birx and others like her are responsible for my mother’s #COVID19 death.
Compare Birx, who is on a reputation management tour, to a true #publichealth #servantleadership role model like Dr. Hasan Gokal
Is Birx defending him, her peer?
No, she’s playing victim exactly per the playbook of American-style feminism.
khou.com/article/news/h…
Is Birx defending him, her peer?
No, she’s playing victim exactly per the playbook of American-style feminism.
khou.com/article/news/h…
It was evangelical “science” that ruled the last administration - Birx included.
Where was Birx’s loyalty?
To vetted, verified facts and preserving human life?
I judge by actions and outcomes, not by “narrative” spun after a change of administration.
khn.org/news/religious…
Where was Birx’s loyalty?
To vetted, verified facts and preserving human life?
I judge by actions and outcomes, not by “narrative” spun after a change of administration.
khn.org/news/religious…
Dear #MedTwitter please, please, if you are a licensed medical professional and/or in school to be, do NOT delete your tweets or comply with anyone telling you to do so. It will harm you far more than leaving them up and explaining. Nothing is ever deleted. Can be used in court.
When I was at Harvard Med School and at an esteemed children's hospital, a case against an esteemed professor, that NO lawyer would touch cuz this was someone who had WRITTEN the textbooks and trained every expert, was won ..based on "a document was deleted" - creating suspicion
"Sunlight is the best disinfectant" you will hear me say OVER and OVER - wins & losses *should* be on data/standards but unfortunately wins & losses are in the court of public opinion. So be reliable, credible, and trustworthy. Transparency is one way to achieve that reputation.
Just because I am perpetually wading into controversy...as a BIPOC but not a Black woman... here I go again.
#BlackExcellence in #healthcare is VERY needed. Thanks for tweeting this @mdawriter
That includes #blackexcellence as physicians AND every other type of #HCW
#BlackExcellence in #healthcare is VERY needed. Thanks for tweeting this @mdawriter
That includes #blackexcellence as physicians AND every other type of #HCW
This is super complicated. Traditionally, #healthcare has been physician-led "therefore" the ills of healthcare also fell squarely on the heads/shoulders (malpractice insurance) of physicians. That said, now most physicians are employed. Then the "therefore" of #accountability?
Workforce and representation very much are important for the 1:1 care. We know this to be true, for instance:
hbr.org/2018/08/resear…
But it is a long pipeline to get a practicing, licensed physician and requires a lot of debt/resources
hbr.org/2018/08/resear…
But it is a long pipeline to get a practicing, licensed physician and requires a lot of debt/resources
This. Black nurses like @mclemoremr who not only have authentic clinical and community experience, not only know the disparities data, but also are winning grants to do the studies themselves belong on the transition committee or COVID Task Force.
In contrast when I have taught medical students straight from @AmerAcadPeds policy statements on racism in a hospital with a disparities center, have been told by a division chief that nurses find me “too political” which exactly is this that @COCoQC lays out
Not safe spaces
Not safe spaces
Repeatedly I “break ranks” - I don’t spend my time on outrage over “scope creep” - who is serving in the communities where Black women die at a 12x higher rate from maternal mortality? Not the doctors or nurses battling on own job & pay.
Is these ppl: mededportal.org/doi/full/10.15…
Is these ppl: mededportal.org/doi/full/10.15…
🔑Takeaways from @Chemonics @USAIDGH @HRH2030Program #HSR2020 Session: How do #healthworker #data & decisions improve #healthsystems #resilience? 🧵(1/n)
#ReimagineHealthSystems
#ReimagineHealthSystems
1⃣ Awareness. Most policymakers are challenged to understand how many #health workers they have, their locations, status & latest qualifications when making #health decisions. These challenges are exacerbated during crises like #COVID19 where real-time data are essential.
2⃣ Self-regulation. Effective human resource information systems are not built overnight. Most resulted through #healthpolicy mandates & required #multisectoral governance & buy-in, including health, IT, education, labor, finance, private sectors, as done in the #Philippines.
@sinanaral on false news
#tweetiatrician peeps, @AmerAcadPeds, @AmerMedicalAssn and @PublicHealth @DrTomFrieden @DrPaulOffit @SaadOmer3 @ASlavitt this is a must watch and Prof Aral’s work is so critical.
People>bots are source of misinformation spread
#tweetiatrician peeps, @AmerAcadPeds, @AmerMedicalAssn and @PublicHealth @DrTomFrieden @DrPaulOffit @SaadOmer3 @ASlavitt this is a must watch and Prof Aral’s work is so critical.
People>bots are source of misinformation spread
Must watch @TEDTalks by @sinanaral of @MIT & @MITSloan
Fake news spreads as it invokes surprise & disgust. It is also tied to novelty.
Being negative & relying on creating anger & disgust “wins” over positivity. *sigh*
@AmerAcadPeds #tweetiatrician
Fake news spreads as it invokes surprise & disgust. It is also tied to novelty.
Being negative & relying on creating anger & disgust “wins” over positivity. *sigh*
@AmerAcadPeds #tweetiatrician
On now #ResponsibleMining #SDGs via @UDelaware @saleem_ali @PactWorld @RMF_foundation @CCSI_Columbia with +1000 strong community of practice on the webinar 👏🏽👏🏽
.@ECA_OFFICIAL's Antonio Pedro notes that in #COVID context, discussion on #ASM, #SDGs cannot afford to be neglected.
.@J_McQuilken from @PactWorld Mines to Market program speaks to #ASM impact on #SDGs 2,3 & 6. #Nutrition & Healthy Lives.
Hear, hear
As a confident WOC willing to enter male dominated, non-diverse spaces (women >20% of my class & rare in tech)
I hear from men and women:
I take up too much space, I talk too much, etc, etc.
If invited 6x to podcasts in 2019, is that "too much"?
Who decides?
As a confident WOC willing to enter male dominated, non-diverse spaces (women >20% of my class & rare in tech)
I hear from men and women:
I take up too much space, I talk too much, etc, etc.
If invited 6x to podcasts in 2019, is that "too much"?
Who decides?
In the marketplace of ideas, lack of women o BIPOC in a space, what is the metric of too much/little? A recent thread on leadership coaching specific to #WIM: importance of having manners if one wants a seat at the table
How about results as the metric?
nehalgroup.com/news
How about results as the metric?
nehalgroup.com/news
I'm successful as an advocate, having been a Health Advocate of the Year in 2012 by @Drsforamerica in 2012. Part of being an advocate is bringing issues to the forefront that may not be the priority of decision makers. One communicates on it (albeit, at times, relentlessly)
This is the #DemPartyPlatform for 2020. This part is called: Strengthening and Supporting the Health Care Workforce
Only one party has a specific plan for ensuring the safety of our brave healthcare workers & first responders the other party has no plan at all 1/11
Only one party has a specific plan for ensuring the safety of our brave healthcare workers & first responders the other party has no plan at all 1/11
The #COVID19 pandemic has made plain to people across the country that our health care workers are heroes. 2/11 (cartoon by Mike Luckovich) #DemPartyPlatform #HealthcareHeroes
Our doctors and nurses,our home health aides & physician’s assistants,our public health professionals,our home care workers and nursing home workers, and our cleaners and service workers have shown up to work every day despite dire shortages of personal protective equipment. 3/11
This is the #DemPartyPlatform for 2020.This section is called: Securing Universal Health Care Through a Public Option
Only one party has a specific plan for ensuring EVERY American will have access to quality healthcare as a human right..the other fights to TAKE IT AWAY. 1/9
Only one party has a specific plan for ensuring EVERY American will have access to quality healthcare as a human right..the other fights to TAKE IT AWAY. 1/9
#Democrats also know that finally covering every American through the public and private insurance system alone is not enough to guarantee universal access. 2/9 #DemPartyPlatform #HealthcareIsAHumanRight
That is why #Democrats support doubling investments in community health centers and rural health clinics in underserved urban and rural areas, 3/9 #DemPartyPlatform #ConmunityHealth
Take a look 👀at this thread 👇🏾 to read excerpts my opening remarks at the @sodexoUSA virtual conference on building resilient businesses & communities! #CommunityHealth
(2/9) “We weren’t in the best of shape going into the pandemic. We had high rates of obesity & diabetes, high rates of poverty & income inequality, & though we had low unemployment & a robust economy, not everyone was benefiting…”
(3/9) “When the pandemic hit, it made things that much harder, especially for people who were not thriving to begin with. We need to figure out how to come back stronger from the pandemic and thrive together.” #SDOH #equity #PostCOVID
Let’s talk #safetyculture
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
This framework has been applied to reducing harm, mostly through medication error (though intended to achieve population health)
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
What has not been clearly stated in any of these #safety framework is disparities, structural inequity, or racism
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
Much debate on #SciComm. Little formal guidance exists. Those on academic committees that oversee ethics & professionalism are unfamiliar with social media. And now we are in a crisis and #pandemic of many levels. #publichealth very different from industry (1st vs rest).
In #publichealth one, the 1st points are be first & be right
There is an inherent tension between these two
With disrupted public health coordination, like cutting off from WHO, changing guidance from CDC (masks only for clinicians, no everyone wear them) how to be accurate?
There is an inherent tension between these two
With disrupted public health coordination, like cutting off from WHO, changing guidance from CDC (masks only for clinicians, no everyone wear them) how to be accurate?
In comparison, industry guidance #SoMe guidance. Industry has a lot more experience with this and uses it for marketing, market share, customer outreach, customer brand recognition, brand management. The focus is prestige, optics, reputation - there are monetizable traits.
A word to you ladies & femmes who are looking to advance equity:
Highly recommend studying cultures were women have historically held power, to understand use of power
I found this extremely informative, both on power & for my own cultural roots
m.startribune.com/daughters-kept…
Highly recommend studying cultures were women have historically held power, to understand use of power
I found this extremely informative, both on power & for my own cultural roots
m.startribune.com/daughters-kept…
A key attribute was that these women were daughters in tribal culture, therefore more trusted than an outsider
That can mean your university or company network, even religious group. For instance, Dr. Birx is evangelical as are current health advisors
khn.org/news/religious…
That can mean your university or company network, even religious group. For instance, Dr. Birx is evangelical as are current health advisors
khn.org/news/religious…
You still have to be qualified.
But final cut: usually “in group” gets in + staying power
“Group” can be defined in various ways. Options for me: #publichealth, #pediatrician, #communityhealth etc.
Know which groups have internal competition & dysfunction (Doctors, Academics)
But final cut: usually “in group” gets in + staying power
“Group” can be defined in various ways. Options for me: #publichealth, #pediatrician, #communityhealth etc.
Know which groups have internal competition & dysfunction (Doctors, Academics)
Love, LOVE @NicoleB_MD for doing this. Shout out to @DrToddWo & @DrJCoftheDC too for their savvy outreach to youth patients- am especially impressed with @DrJCoftheDC of @OHSUNews as a role model in communities of color. @AmerAcadPeds #TikTok #tweetiatrician #Pediatrics
*This* is what it means to create “safe space” - no shaming or judgement, only encouragement, kindness, affirmation from a #tweetiatrician who shares that she too was a #teenmom.
Meet patients where they are.
Be a role model.
@NicoleB_MD @AmerAcadPeds
https://t.co/iwJFeCfwsG
Meet patients where they are.
Be a role model.
@NicoleB_MD @AmerAcadPeds
https://t.co/iwJFeCfwsG
Am learning so much from @DrJCoftheDC of @OHSUNews - on engaging youth through new forms of #socialmedia like #TikTok and being a role model for #BlackExcellence here in partnership with @NFL players @NFLPA
@AmerAcadPeds #blackmensmiling
https://t.co/LMXf6ZwcC0
@AmerAcadPeds #blackmensmiling
https://t.co/LMXf6ZwcC0
