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Céline Gounder, MD, ScM, FIDSA Profile picture
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29 Mar, 8 tweets, 4 min read
1/ In the aftermath of the Parkland shooting, my team at justhumanproductions.org and I produced season 3 of the @AmericanDxFM podcast: 36-episodes on gun violence in America.

Here are some important lessons that the media seems still not to have learned:
2/ We spend too much time focused on the shooter and not enough on the victims. Shooters want notoriety. We should never name them. justhumanproductions.org/podcasts/e25-g…
3/ The media focuses too much on the perpetrator's motive and not enough on evidence-based solutions.
nytimes.com/2021/03/27/bus…
4/ The media covers a very narrow range of solutions. There's so much more than for/against 2A, universal background checks, and a ban on assault weapons. nytimes.com/2021/03/27/opi…
5/ What are some evidence-based approaches to preventing gun violence?
- It has to start with research: what works and what doesn't. justhumanproductions.org/podcasts/e1-an…
- Violence interruption: justhumanproductions.org/podcasts/e16-g…
- Cracking down on illegal gun trafficking: justhumanproductions.org/podcasts/se17-…
6/
- Focusing resources on groups of high-risk individuals (like social services, job training): justhumanproductions.org/podcasts/e18-g…
justhumanproductions.org/podcasts/e19-g…
7/
 - Strengthening communities. Self-policing, not over-policing. justhumanproductions.org/podcasts/e20-g…
- Suicide prevention: justhumanproductions.org/podcasts/e24-g…
- Red flag laws:
justhumanproductions.org/podcasts/e26-g…
justhumanproductions.org/podcasts/e27-g…
8/
 - Partnering with gun shop owners to provide gun safety and suicide prevention resources to their community: justhumanproductions.org/podcasts/e28-g…
- Safe storage: justhumanproductions.org/podcasts/e29-g…
- and so much more...

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA Profile picture
29 Mar
1/ Lesson #1 from the coronavirus pandemic:

Do NOT politicize a public health crisis.
Politicians need to get out of the way & let public health workers, doctors, nurses & scientists do their jobs & lead the response.
This applies to ALL politicians.
2/
Politicization can cut both ways.
The harms of politicization are not unique to any political party.
Republicans now say they fear the pandemic was weaponized against them and are uncertain whether they want to be vaccinated.
That fear harms us all.
3/
When people don't trust public health, they don't follow public health guidance (e.g. masking, social distancing, vaccination).
If people don't follow public health guidance, it will take that much longer to get back to life and recover from the pandemic.
Read 4 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
25 Mar
1/ We can't underestimate SARS-CoV-2.
We've been wrong time and again. science.sciencemag.org/content/371/65…
- Viruses evolve through mutation PLUS natural selection
- When the virus replicates, it mutates.
- The more people the virus infects, the more it replicates, the more it mutates.
2/ Natural selection favors traits that allow the virus to
- replicate better
- transmit better
- and evade our immune systems better.
3/ So it makes sense that the mutant COVID variants are more infectious (e.g. B.1.1.7, B.1.526), more virulent (B.1.1.7), or evade immune responses to natural infection (e.g. B.1.351, P.1).
Read 8 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
25 Mar
1/ Pregnant and breastfeeding women have a robust responses to the Pfizer & Moderna COVID vaccines and pass the immunity on to their babies:
pubmed.ncbi.nlm.nih.gov/33758889/
2/ Importantly vaccinated women pass on much higher levels of protective antibodies to their fetus or newborn than do women who've had COVID.
3/ As with influenza, pregnant women are at higher risk for severe disease when they get COVID. Women are also at higher risk for pre-term birthif they get COVID while pregnant.
Read 6 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
18 Mar
1/ On February 15th, Drs. @RickABright @brosseau_lisa @drlynngoldman @jljcolorado Yoshihiro Kawaoka @linseymarr @drdavidmichaels @Don_Milton @mtosterholm @kprather88 Chip Schooley and Peg Seminario sent this letter to the WH/CDC/NIH:
cidrap.umn.edu/sites/default/…
2/ The CDC has yet to follow the science and fully recognize that SARS-CoV-2 is an airborne virus.
The CDC has yet to recommend appropriate protections to limit the spread of SARS-CoV-2 in high-risk workplaces.
Note that airborne DOES NOT EQUAL freak out.
3/ Airborne means we focus on preventing spread through the air. This means that masks and ventilation are crucial in preventing the spread of COVID.
Read 16 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
16 Mar
Read 9 tweets
Céline Gounder, MD, ScM, FIDSA Profile picture
24 Feb
1/ “The Great Recession of 2008 hit all sectors of local government hard, but whereas other sectors were able to bounce back, funding for public health did not recover."
-- Jennifer Kertanis, Director of Health at the Farmington Valley Health District, testifying before Congress
2/ "...average local health department expenditures per capita decreased 30%, from $80 in 2008, to $56 in 2019.”
"Local public health budget cuts show themselves most clearly in workforce reductions that have made the current pandemic response even more challenging…"
3/ "local health departments have actually lost 21% of their workforce capacity since 2008, with the number of full-time equivalent employees dropping from 5.2 per 10,000 people in 2008 to 4.1 per 10,000 people in 2019.”
Read 4 tweets

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