In 2018, @WHO set an ambitious global goal to eliminate artificial trans fat by 2023. Despite significant progress, five billion people remain unprotected from this toxic substance in their food supply today. The world still has a way to go—countries must take action.
@WHO Trans fat, put into packaged foods, baked goods, cooking oils and spreads, kills up to half a million people per year.
@WHO Since #REPLACEtransfat was launched, 2.8 billion more people have been protected, including recently in Argentina, India, Bangladesh, and Oman. This is a great start, but many countries with the highest trans fat burden have yet to act.
@WHO Progress in eliminating trans fat is at risk of stalling, but trans fat has not stopped killing people. Every government can stop these preventable deaths by passing a best-practice policy now. bit.ly/3kB9apM
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Rather than make America safer, recommendations in this piece would endanger the health of people throughout the country. Here are six (of many) particularly dangerous factual and conceptual errors. 1/thread
Error 1: Misunderstanding CDC’s role. Infectious diseases such as Covid and flu are far from the only diseases that kill people, and the core mission of CDC reflects that: protect people from ALL health threats. 2/
Tobacco control, tracking and preventing drug overdose, response to suicide trends and clusters, water and other environmental contaminants that cause cancer and other problems, heart health, traffic safety and other important CDC programs protect Americans and save lives. 3/
An early, severe flu surge in the United States, together with increased spread of Covid, could put a damper on the holiday season. To mask or not to mask? Here's what to consider in the days and weeks ahead. 1/thread
Masking up is a risk/benefit calculation. If you’re young, healthy, up-to-date on your vaccinations and you're not worried about long Covid, it may be reasonable to unmask. But if you're medically vulnerable or around people who are, or worried, you might want to adjust. 2/
Respiratory viruses spread most easily in crowded, poorly ventilated places. This is where masks make the most sense. On a trip to a busy supermarket, you may choose to mask. But at a small get-together with grandchildren, you may, being up-to-date on vaccines, choose not to. 3/
Reflecting on those who have died this year, including the wonderful Mike Pertschuk.
When I started working on global tobacco control, I read Mike's eye-opening book, Smoke In Their Eyes, called him, and learned more in a few hours than I could have learned in months. 1/
Reflecting on health progress, including promoting primary health care, I learned so much from his book The DeMarco Factor. What a difference one committed person can make, working as part of a team and movement. 2/
His inspiring book, When the Senate Worked for Us is a reminder that public service can change the world for the better. An inspiring reminder of the great potential of political change to protect and improve health. 3/
Risk of myocarditis after receiving an mRNA vaccine is rare in teens and young men. Among males ages 12-17, the risk of heart problems was 1.8 to 5.6 times higher after a Covid infection than after mRNA vaccination, according to CDC data.
There are risks with any vaccination, but vaccination benefits far outweigh risks. bit.ly/3f9WEuZ
The CDC's Advisory Committee on Immunization Practices (ACIP)—made up of top external doctors and scientists—closely and continually tracks vaccine safety. Meetings are public and everyone can review the data they collect and share. bit.ly/3DxxAr5
Screening for non-communicable diseases such as cancer, diabetes, and heart disease is a major focus around the world. But a revealing new study from Denmark found screening for heart disease has little value on its own—it must be tied to effective management. 1/thread
The study, published in @NEJM, was designed to maximize the likelihood that screening for heart disease would improve health outcomes. bit.ly/3VOnQjw 2/
A very high-risk population was selected—men ages 65-74—and they received intensive screening and more than five years of follow up in a well-functioning health care system. The result? No benefit of screening. 3/
The world failed to prevent millions of deaths and trillions of dollars in economic damage from Covid. We wouldn’t do much better if a disease threat of similar or larger magnitude emerged tomorrow. That’s a big problem. Here’s a solution. 1/thread
First, we need a renaissance in public health. Faster and more effective public health action at all levels, with real-time disease surveillance, better communication and community engagement, and rapid response. 2/
Sustained investments in preparedness and response systems are essential. Governments and partners must provide at least $5 billion per year for the next 5 to 10 years to increase preparedness in low- and middle-income countries. 3/