1/ “state authority handoff... to escape blame" nytimes.com/2020/07/18/us/… This administration is all about scapegoating.
2/ "States' rights"? If you believe in local, then why is it OK for state governors to preempt local leaders' public health measures? nymag.com/intelligencer/…
3/ “Only in Washington, D.C., do they think that they have the answer for all of America.” & states always know what's best in cities & small towns? Seems like a double-standard to me. If you really want to talk about policy based on local data, commit to LOCAL, not political.
4/ #DeborahBirx ranges from patronizing & condescending to cheerleader-ish. nytimes.com/2020/07/18/us/… "a constant source of upbeat news for the president and his aides, walking the halls with charts emphasizing that outbreaks were gradually easing"
5/ "Mr. Trump..." said "he alone had authority to decide when the economy would reopen to pushing that responsibility onto the states." nytimes.com/2020/07/18/us/… Our president is #NotALeader.
6/ "Mr. Trump began criticizing Democratic governors who did not 'liberate' their states." nytimes.com/2020/07/18/us/… Liberate? From what? You want liberation from the virus? Then you need to face reality.
6/ "Dr. Birx was more central than publicly known... her model-based assessment nonetheless failed to account for a vital variable" nytimes.com/2020/07/18/us/…
7/ What vital variable? "how Mr. Trump’s rush to urge a return to normal would help undercut the social distancing & other measures that were holding down the numbers." nytimes.com/2020/07/18/us/… Models are only as good as the underlying assumptions. They were wrong.
8/ "The president quickly came to feel trapped by his own reopening guidelines. States needed declining cases to reopen... But more testing meant overall cases were destined to go up... Mr. Trump’s remarkable public campaign against testing" nytimes.com/2020/07/18/us/…
9/ When the science is inconvenient to your political interests? Discount, dispute, deny the science.
10/ "Even now there are internal divisions over how far to go in having officials publicly acknowledge the reality of the situation." nytimes.com/2020/07/18/us/… LEADERSHIP IS ACKNOWLEDGING WHEN YOU'RE WRONG AND LEARNING FROM YOUR MISTAKES.
11/ "WH officials came to feel that they had in fact accomplished... giving governors the tools they needed to deal with remaining outbreaks as infections ebbed." Wait what? Do they have no understanding of state vs federal power to tax & make policy?
12/ "By June the president was regularly making nonsensical statements like, 'If we stop testing right now, we’d have very few cases, if any.'" nytimes.com/2020/07/18/us/… Right, because tests give you COVID, not viral transmission.
13/ "Mr. Trump declared... his role as something akin to a 'wartime president'" nytimes.com/2020/07/18/us/… Wartime presidents ask their countrymen to sacrifice on behalf of their nation.
14/ "it would be his decision about whether to reopen the country. ... 'the biggest decision I’ve ever had to make.'” nytimes.com/2020/07/18/us/… Our president blew it. And tens... hundreds of thousands will die as a result.
15/ "3 days later, he reiterated his responsibility. “When somebody is the president of the United States, the authority is total" nytimes.com/2020/07/18/us/… Total responsibility? Or total dictatorship? OUR PRESIDENT HAS A DUTY TO CARE FOR ALL AMERICANS.
15/ "Dr. Birx was the chief evangelist for idea that the threat from the virus was fading... a strong believer in models that forecast the course of an outbreak." nytimes.com/2020/07/18/us/… Models make poor forecasts when your assumptions are wrong. Garbage in, garbage out.
16/ "real-world outcomes depend on how people respond to calls for changes in behavior... sacrifices that required a sense of shared national responsibility" nytimes.com/2020/07/18/us/… OUR NATIONAL LEADERSHIP DOESN'T BELIEVE IN SHARED NATIONAL RESPONSIBILITY.
17/ "Among the models Dr. Birx relied on most... looking back on its predictions from 3 weeks earlier, it turned out to be hit or miss." nytimes.com/2020/07/18/us/… Hit or miss? That's how we're handling American lives.
18/ "Dr. Birx regularly delivered what the new team was hoping for. 'We’ve hit our peak,' she would say, & that message would find its way back to Mr. Trump." nytimes.com/2020/07/18/us/… Telling people what they want to hear when it's not true, that isn't leadership. It's cowardice.
19/ Dr #DeborahBirx insisted the US would follow Italy. nytimes.com/2020/07/18/us/… But "Italians had been almost entirely compliant with stay-at-home orders and social distancing... Americans, by contrast, began backing away by late April... egged on by Mr. Trump."
20/ Good public health isn't just about good biomedical science. It's also about understanding psychology, politics, anthropology, history, and so much more.

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More from @celinegounder

Nov 17
1/ I explain how RFK Jr's plans could affect Americans' health.

He is known for falsely claiming that vaccines cause autism & other health issues.

cbsnews.com/video/doctor-e…
2/ RFK Jr: "The problem with the measles vaccine is that it's a leaky vaccine. It doesn't provide sterilizing immunity."

It's true that the measles vaccine doesn't prevent ALL infections.

It's ~97% effective after 2 doses.
3/ In rare cases, vaccinated people may get infected & transmit the virus to others.

This is all the more reason for vaccinating everyone in a community, not just those who feel like it.
Read 13 tweets
Nov 16
1/ RFK Jr. to lead @HHSGov US Dept of Health & Human Services

with @AdrianaDiaz & @tonydokoupil on @CBSMornings
2/ Kennedy has criticized multiple public health agencies he could now lead.

He's said the @US_FDA's "war on public health is about to end," claiming the agency suppresses anything that "advances human health & can't be patented" by pharmaceutical companies.
3/ But Kennedy's statement demonstrates a common misunderstanding about public health authorities in te US.

We are the United States of America — public health powers reside at the state level.
Read 23 tweets
Sep 19
1/ A new report from the American Association for Cancer Research @AACR finds that excessive alcohol use is a risk factor for at least 6 cancers.

with @GayleKing @vladduthiersCBS @tonydokoupil
2/ Heavy drinking is associated with an increased risk of:
🔹head & neck cancer
🔹esophageal cancer
🔹stomach cancer
🔹liver cancer
🔹colorectal cancer
🔹breast cancer Image
3/ Drinking during pregnancy can also increase the risk of leukemia later in childhood.

At least 5% of cancers are attributable to alcohol.
Read 19 tweets
Aug 15
1/ Yesterday, the @WHO declared mpox a public health emergency of international concern (PHEIC).

This is the 2nd time in 2 years that the WHO has declared a PHEIC for mpox.

with @vladduthiersCBS on @CBSMornings
2/ There have already been more than 17K cases in Africa so far this year – more than the total for all of last year.
3/ @WHO announces a Public Health Emergency of International Concern (PHEIC) when there is a significant risk to global health & it requires an internationally coordinated response.

A PHEIC:
🔹helps marshal funding for a public health response
🔹pressures governments to act
Read 22 tweets
Jul 27
1/ COVID study shows mask and vaccine mandates saved lives

with @CBSNews' @LanaZak cbsnews.com/video/covid-st…
Image
2/ A new study published in the JAMA Health Forum yesterday found that:
🔹mask requirements & vaccine mandates were associated with ⬇️ deaths
🔹prohibitions on vaccine or mask mandates were associated with ⬆️death rates

jamanetwork.com/journals/jama-…
3/ Activity limitations (e.g. closing schools, restaurants, bars; stay-at-home orders; restrictions on leisure time activities & public gatherings) likely provided minimal benefit while imposing substantial cost.
Read 6 tweets
Jul 26
1/ New Hope Against Dementia: study says singles vaccine also appears to delay onset of dementia
with @CBSMornings' @tonydokoupil @AdrianaDiaz @nateburleson
2/ A study published yesterday in Nature Medicine found that the new Shingrix vaccine was more protective than the old Zostavax vaccine in delaying dementia.

The Zostavax shingles vaccine was discontinued after the Shingrix vaccine was approved.

nature.com/articles/s4159…Image
3/ The Shingrix vaccine is also more protective than Zostavax in preventing shingles.

Shingles is caused by the varicella-zoster virus (VZV), a herpes virus that also causes chickenpox.
Read 15 tweets

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