Discover and read the best of Twitter Threads about #PublicHealth

Most recents (24)

“Despite significant differences in the thermodynamic stability between non-ionic Omniscan and ionic Magnevist, the [#gadolinium ☠️] concentrations were about the same in the brain,” nibib.nih.gov/sites/default/…
#radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” paresthesias, dysesthesias, clouded mentation, skin discoloration, skin changes, skin thickening, bone pain, bone/joint pain, muscle spasms, arthralgia, muscular weakness—nibib.nih.gov/sites/default/…
“Chronic symptoms attributed to [gadolinium-based contrast agent] exposure:” fatigue/asthenia, digestive symptoms, nausea, vomiting, diarrhea. nibib.nih.gov/sites/default/…
#gadolinium #radiology ☢️ #patientsafety #publichealth #neurology 🧠 #dermatology #nephrology #rheumatology
Read 14 tweets
I guess I better speak out on my own thread. @GRamsey_LatAm is gushing over how PAHO/WHO are "intervening" in the disastrous Venezuelan health situation.

Dude: I have been watching #measles and #malaria case numbers here in South America for the past few years.

1/5.
The deterioration of the health situation in South America is glaringly evident.

A couple of years ago, I watched #malaria case numbers climb over 240,000 in Venezuela, after having been much lower than that for years, and almost eradicated in the 1950s and 1960s.

2/5
Soon thereafter, I personally witnessed the #migration out of #Venezuela , which had once been the most prosperous South American nation.

I saw some people so thin they could have been in the horrors of WW2.

3/5
Read 6 tweets
Low vaccination rates are a #publichealth crisis, leading to outbreaks of deadly diseases like #measles. My new research in Vaccine/@ElsevierNews provides insight into the characteristics of people who post #antivax content on #Facebook: dx.doi.org/10.1016/j.vacc…
First, I want to credit my fantastic co-authors: @MTH_Pitt @emfelter @DrToddWo @ChadTRM @PittPubHealth. This research stemmed from thousands of #antivax comments on a video on the @kidspluspgh Facebook page: facebook.com/watch/?v=10159…
We used social network, quantitative, and qualitative analyses to examine 25% of people who left these comments. Our goal was to answer questions about who these people are, the information they post, and how they are connected.
Read 11 tweets
I'd like to offer an alternative perspective on the world of Anna and Elsa in @Disney's "Frozen:"

Elsa was a leper, and a traumatic brain injury suffered as a child led Anna to experience a fanciful world divorced from reality.

A #PublicHealth thread: (Ping @Surgeon_General)
Arendelle is beautiful, +almost certainly represents Norway in the mid-1800s. Opposite to the rest of Northern Europe, leprosy was prevalent-indeed, rampant-in Norway well into the mid-19th Century. In 1816, Norwegian leprosariums were called "graveyards for the living."
Confined to her room all day, covered from head-to-toe with long robes and forbidden to touch anything without wearing her gloves, it's no stretch to imagine that young Princess Elsa was stricken at a young age with this disease that raged across the Norwegian countryside.
Read 12 tweets
Now reading the the #TopolReview report - Preparing the healthcare workforce to deliver the digital future. It's an illuminating read topol.hee.nhs.uk #DigitalHealth
It's clear that a lot of effort has gone into the #TopolReview - it paints a glorious vision of what healthcare would look like over the next 20 years (for both staff and patients) - enabled by technology such as #genomics, #AI and #robotics
For me the #Topolreview has too narrow a focus. It's been commissioned by healthcare, yet we know that with an aging population, many people with long term conditions have to rely upon #socialcare as well. We need joined up thinking, imho.
Read 34 tweets
A report from the Public Accounts Committe (@CommonsPAC) finds "Local authorities face enormous pressure: their financial position is continuing
to deteriorate as demand for vital services increases." #publichealth (1) publications.parliament.uk/pa/cm201719/cm…
"The cost of adult and children’s social care has forced many local
authorities to reduce spending on services in other areas." #publichealth (2)
"Overall spending by local authorities on services fell by 19.2% in real terms between 2010-11 and 2016-17." #publichealth (3)
Read 6 tweets
My thread on WHY @narendramodi ji's @AyushmanNHA (आयुष्मान भारत-प्रधान मंत्री जन आरोग्य योजना) is MY personal reason for #ModiOnceMore
Y'all know that @AyushmanNHA provides Family Floating Coverage of ₹5 Lakhs per family and that its the world's largest #PublicHealth Insurance scheme . What then is the USP of this scheme? Here are a few:
1. It subsumes two earlier schemes, Rashtriya Swasthya Bima Yojana, and Senior citizen health Insurance Scheme, along with a few others.
Benefit: CLARITY in END-POINT DELIVERY! No more confusion as to whether you're eligible.
Read 20 tweets
80% of people accused of a crime in the US are too poor to afford a lawyer

(obviously this doesn’t map to actual crime being committed - rich people unlikely to be policed)...
So poor people are overwhelmingly who ends up in prison/jail in the U.S.

Prison populations have much higher incidences of 1) mental illness 2) substance use disorder 3) survival of serious trauma, than does the “general population”...
Mental illness, substance use disorder & healing survivors of violence (& other trauma) are all #PublicHealth issues. If a person is fortunate they most likely get medical help in the free world. If a person is poor, that is much less likely...
Read 5 tweets
This #ManufactureOfDoubt script has been used by the #formulaindustry from the very beginning. You can see it from 19th century advertisements through today. The script is a #social one, exactly as @prof_goldberg says - and where #culturalideologies & #politicaleconomy intersect.
Perfect for some #anthropological analysis. In case of #formulamarketing, the social script for #ManufactureofDoubt exploits & enhances existing #culturalideologies of anxiety abt #breastfeeding which have been around since late 19th cent among white, upper class women & spread
#Biomedicalization of #childbirth & #infantfeeding played a key part in deepening these anxieties & facilitated the #normalization of #infantformula by mid 20th cent, esp via medical experts & hospital practices that entailed routine separation & scheduled feeding
Read 8 tweets
One week ago, #thisisourlane exploded on Twitter. At the request of may, here's a tweetatorial to address some of the most common questions and answers about the epidemic of #gunviolence - why it matters to docs - and what we can do about it:
***Q1: What are the patterns of #gunviolence injury and death in the US? ***

A: 100 people die and 200 are injured each day across the US. Most deaths (~2/3) are suicide; these are mostly white middle-aged men from rural areas.
Approximately 30% are homicides: mostly young minority men from inner cities. The rest are accidental and mass shootings.

#DomesticViolence deaths from firearm injury are estimated at ~50/month.

And firearm injury is the 2nd leading cause of death for American youth.
Read 25 tweets
Gun suicide deaths by state for 2016. For 20,000 people, mostly men, guns are the means. States in red have seen sharper increases. 85% of suicide attempts by gun are fatal. #gunsuicides #publichealth

Stats of the State - Suicide Mortality cdc.gov/nchs/pressroom… via @CDCgov
The CDC can track data on gun deaths, but since 2001, the passing of the Dickey Amendment effectively blocked expansive CDC research on the public health effects of firearms.
2016 CDC budget :

$50,000: to track data on all injuries nationwide, including firearm-related ones.

$11 million: for research and prevention of arthritis 

$6 million for research into prion disease, a fatal illness that affects an estimated 300 people each year.
Read 19 tweets
12 more parents have lost their children. Another community is traumatized. I have had #enough

I am DONE with @NRA telling me I can't talk about this. DONE accepting federal limits on #research

And I know you are, too.

This is what you can do:
nyti.ms/2DaBzLG
1. Share your stories. After #Parkland, people across the country told about the horrors they had seen as #Docs4GunSense. Stories matter. This is not a glamorous movie. These injuries are REAL LIFE. This us OUR LANE.

2. Talk about guns. Talk about guns with gun owners and non gun owners. We are on the same side. Create consensus. Want some tips? Listen to me and @ERdisasterdoc - try it out for size.
Read 6 tweets
#PublicHealth Alert🔥🔥🔥

1/6. @prophetw_magaya are you aware of ss 92-96 & 135 of the Health Professions Act? mdpcz.co.zw/wp-content/upl…

Are you a registered medical practitioner?

@MoHCCZim @ZimMedicalAssoc @UNICEFZIMBABWE
2/6. Section 86(2)(b) of the #ZWConstitution limits fundamental rights & freedoms over "public health," among other limitations.

#PublicHealth "the science & art of preventing disease, prolonging life & promoting human health thru organized efforts & informed choices"
3/6. These are specific crimes:
1. illegally practice medicine or pharmacology
2. falsification in violation of consumer-protection laws & advertising standards
3. endanger or medically violate another's life, individual dignity, physical well-being or mental health.
Read 6 tweets
Former Kansas Gubernatorial Candidate Becomes Warrior Fighting Against State-Sponsored #CPS Child Kidnapping medicalkidnap.com/2018/10/05/for… 🗣#ChildProtectionServices, because it sounds better than #SexTrafficking👊
#Minnesota #ChildSexTrafficking #PedophileRing Rooted in #HumanServices #PublicHealth #PublicServant #ELITE #FOUNDATIONS #GOVT! 3 GENERATIONS OF MY GIRLS ME, MY DAUGHTER, & HER DAUGHTER TARGETED VIA THE #FOSTERCARE/#ADOPTION RACKET LYNNAYA WAS ALSO KILLED😭m.facebook.com/story.php?stor…
Read 3 tweets
A lot of brouhaha in the #gunviolence world about this well-reported article showing that @CDCgov data on the number of NON-FATAL gun injuries is not accurate. fivethirtyeight.com/features/the-c…

I want to highlight a few things about this article.
1. First, kudos to the writers for highlighting an issue that all of us #gunviolence researchers bemoan: that there are NO GOOD SOURCES OF DATA on non-fatal gun injuries. As the article reports, even the CDC admits that its data on #gunviolence injuries are unreliable.
2. Please note that this issue is not unique to #gunviolence non-fatal injuries. It’s also observed for other types of injuries (like drownings).

It’s because of the way that the CDC is forced to collect non-fatal-injury data.
Read 19 tweets
Fifth and final session on #ResearchIntegrity Brandon Stell on #PubPeer pubpeer.com @FEBSnews
Stell: Scientists are not the only people whose work relies on accuracy of published work - also basis for current and future research, public policy, etc #ResearchMisconduct
Stell: cites the #Poldermans case and how flawed publication that made its way into guidelines led to 8000 deaths
Read 13 tweets
.@realsportshbo revealed another ugly aspect to @NFL concussion story: Under existing terms of settlement with @NFLPA, board administering funds has denied most claims & major diagnoses such as behavioral issues & depression are not even covered. #labor #publichealth #oligarchy
.@nfl claims that many applications r fraudulent. Of course, people should defer to the league, since it's an expert in fraud. It misled its labor force for years about dangers of the sport & it has misled municipal governments into subsidizing its stadiums #GameRecognizesGame
This story represents almost everything wrong in #USA. #Oligarchy begrudges slimmest slices of pie to #labor, & we the #Idiocracy buy billionaires' merchandise made by more oppressed workers elsewhere & use $ from public treasuries to replace functioning stadiums for those with
Read 8 tweets
Trump (i.e. Pence) has been initiating policies that hinder access to and info re: basic contraception for the past year. It turns out he is against run-of-the mill contraception, too. (Who knew?) I wanted to see what he has been up to...TAKE 10 MIN AND READ THIS #WomensHealth
He has initiated policies that promote the rhythm method (75 percent effective) over other forms of contraception. He is trying to get rid of comprehensive sex ed in school in favor of abstinence only (which has been shown to increase the teen pregnancy and STD rate in teens.)
He is changing Title X clinics to abstinence until marriage and rhythm method as funding priorities. Trying to defund Planned Parenthood enen though fedl funds to PP cannot be used for abortion but are used for breast/cervical/std testing, contraception, and preventative health.
Read 6 tweets
Trump's ill-informed changes for #TitleX programs, TTP, and sexual education will increase the number of patients that I see with preventable cancers at late stages and STD's and will result in increased numbers of unintended pregnancies in both teens and adults #WomensHealth
Title X clinics dispense preventative care: breast exams, pelvic exams, and tests to help women screen themselves for breast and cervical cancer, sexually transmitted diseases, and HIV. The program offers care to over 4 million in the US, largely women without health insurance.
I am dismayed at how contraception, sexual education, and women's preventative health care is being politicized by our leaders with real public health policy changes that will hurt people, but particularly women---especially the most vulnerable. #WomensHealth
Read 6 tweets
Please read article.  Bottomline: Incorrect publicized statements re: CPR post gunshots threatened to undermine the public education efforts of the trauma surgeons with their stop the bleed campaign. It’s serious business.. #publichealth #enough
slate.com/technology/201…
For citizens looking for the “tools and knowledge to provide immediate and effective hemorrhage control to stop or slow life-threatening bleeding after a shooting. Find classes here: bleedingcontrol.org/news-updates#en
“The Stop the Bleed program trains, equips and empowers the bystander to stop active, life threatening bleeding. You are the first link in the chain of survival. Free classes and training are available on March 31 as part of National Stop the Bleed Day."
Read 6 tweets
MARCO RUBIO’s HYPOTHESIS: Those against gun bans “want to prevent mass shootings, too. They view banning guns as an infringement on the Second Amendment rights of law abiding citizens that ultimately will not prevent these tragedies.”.
This is called the Scientific Method. To test his hypothesis (which means millions of lives), research is required.
RESEARCH BIAS; Rubio has an A+ rating from the gun rights group for supporting NRA-friendly legislation. According to the New York Times, he has received $3.3 million from the group. (Research bias,performing the research influence the results to portray a certain outcome.)
Read 13 tweets
Gun manufacturers and sellers are shielded from legal accountability. Bowing to N.R.A. lobbying, Congress enacted the Protection of Lawful Commerce in Arms Act in 2005 barring most suits against gun manufacturers and sellers for the harm they cause. nytimes.com/2018/03/24/opi…
#PUblichealth and #publicsafety measures regarding seat belts, airbags, second hand smoke protections were often accomplished through the courts. Policy makers have blocked this avenue for gunmakers. Is this just? #Enough
Congress leaders introduced a bill to repeal the Protection of Lawful Commerce in Arms Act. Congress should pass that bill. The gun industry doesn’t deserve a special legal perk that immunizes it from liability. And the victims of gun violence deserve their day in court.#ENOUGH
Read 4 tweets
Listen to your doctors!
Four physician groups band together to demand specific #gunreform measures from Congress for #publichealth and #safety.
aafp.org/news/health-of…
* Label violence caused by the use of guns as a national public health epidemic.
* Fund appropriate research at the CDC as part of the 2018 federal budget.
#gunreform #enough
* Establish constitutionally appropriate restrictions on the manufacturing and sale, for civilian use, of large-capacity magazines and firearms with features designed to increase their rapid and extended killing capacity. #gunreform #enough
Read 5 tweets

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