Twelve Forgotten Principles of Public Health

#1 Public health is about all health outcomes, not just a single disease like #COVID19. It is important to also consider harms from public health measures. #totalharms
collateralglobal.org @collateralglbl
#2 Public health is about the long term rather than the short term. Spring #COVID19 #lockdowns simply delayed and postponed the pandemic to the fall.
thelancet.com/journals/lance… @JohanGiesecke
#3 Public health is about everyone. It should not be used to shift the burden of disease from the affluent to the less affluent, as the #COVID19 #lockdowns have done.
torontosun.com/opinion/column…
#4 Pubic health is global. Public health scientists need to consider the global impact of their recommendations.
apnews.com/article/lifest… @lhinnant @sammednick
#5 Risks and harms cannot be completely eliminated, but they can be reduced. Elimination and zero-COVID strategies backfire, making things worse.
theatlantic.com/ideas/archive/… @JuliaLMarcus
#6 Public health should focus on high-risk populations. For #COVID19, many standard public health measures were never used to protect high-risk older people, leading to unnecessary deaths.
newsweek.com/we-should-focu…
#7 While contact tracing and isolation is critically important for some infectious diseases, it is futile and counterproductive for common infections such as influenza and #COVID19.
inference-review.com/article/on-the… @MikkoPackalen
#8 A case is only a case if a person is sick. Mass testing asymptomatic individuals is harmful to public health.
web.archive.org/web/2020111407…
#9 Public health is about trust. To gain the trust of the public, public health officials and the media must be honest and trust the public. Shaming and fear should never be used in a pandemic.
thehill.com/opinion/health… @camakridis
#10 Public health scientists and officials must be honest with what is not known. For example, epidemic models should be run with the whole range of plausible input parameters.
statnews.com/2020/03/17/a-f…
#11 In public health, open civilized debate is profoundly critical. Censoring, silencing and smearing leads to fear of speaking, herd thinking and distrust.
scientificamerican.com/article/the-co… @JeanneLenzer1
#12 It is important for public health scientists and officials to listen to the public, who are living the public health consequences. This pandemic has proved that many non-epidemiologists understand public health better than some epidemiologists. / END

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More from @MartinKulldorff

23 Jul
As a key architect of UKs deadly and inefficient lockdowns, @wellcometrust director @JeremyFarrar is now trying to blame the fiasco on @SunetraGupta and @carlheneghan, for having had one meeting in which @BorisJohnson ignored their advice. Ridiculous! 1/5
Unfortunately, @JeremyFarrar won the UK pandemic policy fight. Now he is trying to evade responsibility for the biggest public health mistake in history, with too many COVID deaths among the old and workers, and enormous collateral public health damage on children and adults. 2/5
Moreover, @JeremyFarrar is making false accusations against @SunetraGupta. Either he is deliberately distorting her science, or, he never bothered to read her papers and the @gbdeclaration, instead basing his slander on the inaccurate writings in e.g. the @guardian. 3/5
Read 5 tweets
12 Apr
Dance Again / “Danser Encore”

The Anti-Lockdown Anthem from around the World (1/10)
France, Paris (2/10)

"We will keep on dancing"
Switzerland, Fribourg (3/10)

"Neither meek nor mild
We’ve come to break the silence"
Read 10 tweets
24 Dec 20
@drjenndowd @VPrasadMDMPH @melindacmills @BillHanage Dear Jenn/@drjenndowd. Thank you for engaging in a scientific exchange. I really appreciate that. In the next few tweets, I will respond to your posts/questions in backward order. 1/8
@drjenndowd @VPrasadMDMPH @melindacmills @BillHanage Vaccines are great for focused protection if we prioritize older high-risk people and their care takers, like Florida. To minimize deaths, we must also urgently improve protection of the old through standard public health measures listed in the @gbdeclaration & FAQ. 2/8
@drjenndowd @VPrasadMDMPH @melindacmills @BillHanage @gbdeclaration Nursing home residents have highest risk, but <1% of US population. People >60 who should work from home or take short sabbaticals are fewer than those currently working from home. There are many retirees, but protecting them with e.g. grocery deliveries is relatively easy. 3/8
Read 8 tweets

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