This uniquely American epidemic of #gunviolence leaves none of us untouched.

Our communities & our country deserves better.
Waiting on details.

But I will bet 1000:1 that (as with almost every one of these) there were missed signs. Someone that should not have been allowed to own a gun. Hatred & desperation.

theviolenceproject.org/key-findings/
We can fix it.

Recent bipartisan steps will help - they have not had time to work.

More is needed. Policies make a difference but are not sufficient. WE CAN DO IT.

theatlantic.com/health/archive…
My heart is with the #AAPI community today on what - as @NancyChenNews reminds us - should have been a day of celebration. 💔

#enough

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More from @meganranney

Jan 24
Lots of talk about the new @US_FDA proposal for yearly, updated #covid19 vaccines.

This is not surprising.

It’s been being signaled for months.

It’s also how we handle other shots - like flu.

Still, I have some questions.

nbcnews.com/health/health-…
1. Who chooses the variant strain?

For the flu vaccine, we (in US) choose based on what’s circulating in the southern hemisphere. But we have no data to support that approach for Covid. FDA is proposing a June decision on dominant variant… ok.
2. Why bivalent, vs updated monovalent?

This is the big debate in the scientific community & lots of folks have strong theories. The OG (Wuhan) strain is clearly passé. Will monovalent (single variant) be more effective? Stay tuned.

medpagetoday.com/infectiousdise…
Read 7 tweets
Jan 9
Important new study on #covid19 vaccines and *non-Covid* mortality, published over the holidays — looking at SAFETY of these vaccines.

(We already know they work to reduce #covid19 death)

sciencedirect.com/science/articl…
They matched people in a HUGE database - > 6 million recipients of the 3 most common vaccines (Pfizer, Moderna, J&J) and > 6 million people with similar age/race/gender/co-morbidities/neighborhood characteristics who had not been vaccinated.

They matched well (tables 1-3).
They then examined, using standard statistical techniques, the likelihood (“hazard ratio”) of:
1. any death other than Covid (the primary outcome of interest)
2. hospitalization for trauma (vaccines shouldn’t affect incidence of trauma!)
Read 7 tweets
Jan 3
Qs from my ER doc brain:
- was it commotio cordis?
- an unstable Cspine injury (Unlikely given that he got up right away)?
- a regular cardiac arrest?
- a ruptured aneurysm?

Regardless, waiting; & thankful for great medical professionals in Cinci. @BuffaloBills #billsmafia 🙏🙏
If not breathing spontaneously, but still had a pulse, more consistent w/ c-spine injury (Although the mechanism is admittedly not typical)

sciencedirect.com/topics/medicin…
Read 6 tweets

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