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Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
@celinegounder
Jun 27, 2022 • 12 tweets • 10 min read • Read on X
Scrolly
1/ America Is In the 'Figure It Out Yourself' Era of the Pandemic
theatlantic.com/health/archive…
by @edyong209

Débrouillez-vous!
2/ I spent the earlier part of my career focused on #tuberculosis #TB & #HIV.

We are most definitely seeing the TB-ification of COVID.

3/ There's a long slog ahead.

4/ This is also why the US spends more than any other country per capita on health care, but has worse outcomes than other high-income countries.
commonwealthfund.org/publications/i…
5/ But there are reasons to hope.

Investment in community health workers in one such reason:
time.com/6138465/covid-…
6/ Community health workers:
🔹have the trust of the community
🔹build greater trust between the community and the public health system
🔹are an excellent return on investment
7/
8/ We need to imagine bigger.

My latest reading was focused on how to get there:

Imaginable by @avantgame
Curious by @mrianleslie
The Optimist's Telescope by @binajv
Contagious by @j1berger
Where's My Flying Car by J. Storrs Hall
Wonder by Frank C. Keil
Humankind by @rcbregman
9/ For example, imagine 🤔 this:
10/
11/ I am fighting hard to stay optimistic
because "only optimists change the world."
- @AlecJRoss, "The Raging 2020s"

But meanwhile, I worry about the upcoming SCOTUS decision on West Virginia v EPA:
cnn.com/2022/02/26/pol…

At stake?
Regulatory authority of ALL federal agencies
12/ Essential reading by @edyong209
with me, @KBibbinsDomingo @mwfrick @MatiH_ID @ShreyaKangovi @ewrigleyfield @AmyLFairchild @kdurquiza @luckytran @LisaAMcCorkell @rsgexp @DrJayVarma @DorfmanDoron @mattbc @akapczynski @ProfLWiley @Theresa_Chapple @realLandsEnd & more

• • •

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More from @celinegounder

Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Jun 1
1/ FDA Commissioner Makary joined @CBSNews' @margbrennan on @FaceTheNation this morning: cbsnews.com/video/fda-comm…

Full transcript here:
cbsnews.com/news/marty-mak… Image
2/ Brennan: "...you with the HHS Secretary in this video announcement on Tuesday where Secretary Kennedy said the CDC was removing the COVID vaccine for healthy children & healthy pregnant women from its recommended immunization schedule"
3/ She's referring to this social media post:
Read 34 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 31
1/ Trump Administration's MAHA report is being called out for fabricated citations, AI-generated errors & misattributed authorship.

on @CBSNews with @Alexander_Tin & @MajorGarrett6cbsnews.com/video/white-ho…Image
2/ What makes this especially troubling is the report’s claim to be “evidence-based” & “gold-standard.”

Misrepresenting science while claiming to elevate it is not transparency—it’s Orwellian double-speak for sloppy, dangerous pseudo-science.
3/ At first glance, the report warns of serious issues: screen time, mental health, overmedication in children.

Important topics, yes, but the foundation of the report is now in doubt because many of the studies it cites simply aren’t real.
Read 17 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 27
1/ Very concerning news from HHS today:
CDC is no longer recommending the COVID vaccine for healthy children & healthy pregnant women.

Why does this have me worried?
2/ Healthy infants may not die from COVID, but they’re at higher risk for ER visits and hospitalizations… both scary & costly.
3/ Pregnant women ARE at higher risk for severe COVID (& influenza).

Pregnancy is a period of immunosuppression (so that the woman’s immune system doesn’t reject the fetus as a foreign body) & stress on the lungs & heart.
Read 9 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 23
1/ What’s fueling the surge in childhood chronic illness in the US?

The MAHA Commission blames ultra-processed foods (UPFs)—& their assessment offers a sweeping critique of America’s food system.
2/ Nearly 70% of American children's calories now come from UPFs—foods high in added sugars, refined grains & industrial fats, but low in nutrients.

The MAHA report links this to obesity, diabetes, even behavioral health.
3/ UPFs are designed to override satiety signals (i.e. feeling full).

Kids eat more & gain weight faster.

Plus, many UPFs contain additives that may affect metabolism, mood & gut health.

Think: emulsifiers, artificial colors & sweeteners.
Read 15 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
May 11
1/ A new study from South Korea suggests the shingles vaccine may do more than just prevent shingles—it might also protect your heart 🫀.
on @CBSMornings with @GayleKing @vladduthiersCBS @nateburleson
2/ Researchers followed over 2 million adults for a decade.

Those who got Zostavax—the older, live shingles vaccine—had a 23% lower risk of heart disease, including heart attacks, strokes & heart failure.
3/ That cardiovascular protection wasn’t short-lived.

It lasted for up to 8 years after vaccination.
Read 14 tweets
Céline Gounder, MD, ScM, FIDSA 🇺🇦 Profile picture
Apr 9
1/ My colleague @DrLaPook's interview with @HHSGov @SecKennedy raised critical questions about public health, vaccines & government responsibility.

on @CBSMornings
2/ RFK Jr, a longtime vaccine skeptic, now recommends the measles vaccine during an outbreak.

This is a significant shift, but his statements on vaccine safety testing need clarification.
3/ Vaccines undergo rigorous testing in Phase 3 & 4 clinical trials, often lasting years to decades.

Claims that vaccines are tested for only "3-4 days" without placebos are misleading.
Read 16 tweets

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