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Feb 28 • 4 tweets • 3 min read
. @VictorDzau @theNAMedicine at @NorthwellHealth event:

As of 2013 there was virtually no data or research, thx to Dickey Amend.

(2020 is when funds were finally made available.)
We know what we need to do next to change the patterns of this epidemic. Glad to be partnering today w/ hospitals, community leaders, #publichealth to finally go upstream on #gunviolence.🙏
nature.com/articles/d4158…
@MichaelJDowling @drchethansathya @TheHAVI
Here are 5 key questions we can - and must - answer to bend the curve:

washingtonpost.com/opinions/2023/…
The time is now.

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More from @meganranney

Megan Ranney MD MPH 🌻 Profile picture
Feb 14
5 years ago, I wrote with @Rsbeidas about how the drumbeat of trauma was changing our kids.

Since then, the frequency of shootings has accelerated. #Gunviolence has overtaken car crashes as the LEADING cause of death for American youth.

nbcnews.com/think/opinion/…
We then examined the data scientifically. YES there is a link between exposure to gun violence, & future #mentalhealth issues among youth.

(Caveat: our review also found incomplete evidence in many areas, & very little on interventions.)

psycnet.apa.org/record/2019-45…
This morning, on the wake of the #michiganstateshooting, I had to tell my daughter that there was a social media threat against our school system yesterday. (The threat was deemed not credible, but there will still be an increased police presence today at school.)
Read 7 tweets
Megan Ranney MD MPH 🌻 Profile picture
Feb 6
Key q for discussion: How will #climatechange address the timing and severity of infectious outbreaks in the years to come?

🦠 influenza, #covid19, & other respiratory dx’ed
🦟malaria & other vector-borne illnesses
🚽diarrheal & other fecal-oral disease

@Brown_SPH
1. Heat, cold, & water/drought change these pathogens’ evolution

2. Heat, cold, & water/drought also change how humans act

3. And health systems are changed, too! (Just look at the effect of Katrina)
We are at a unique moment of “coupled risks”: urbanization, easy trans-national travel, large agricultural industries…

We get to make decisions every day both to adapt & to prevent. @Craig_A_Spencer
Read 7 tweets
Megan Ranney MD MPH 🌻 Profile picture
Jan 30
Research can help us fix our nation’s firearm injury epidemic - and maybe not in the ways you think. My new piece for @washingtonpost outlines 5 key questions we need answered:

washingtonpost.com/opinions/2023/…
1. What are the actual numbers (of injuries, defensive gun use, stolen guns, averted shootings, etc)?

Believe it or not, we don’t know. (This is why CDC websites mostly discuss death rates - that’s what we actually have semi-reliable data on.)
2. Who is at risk?

We can’t reliably identify what makes someone higher risk for gun suicide, homicide, mass shootings…. (Kudos to folks who are trying… but we need better data and prediction tools, both in the moment and over time.)
Read 7 tweets
Megan Ranney MD MPH 🌻 Profile picture
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
Megan Ranney MD MPH 🌻 Profile picture
Jan 22
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…
Read 4 tweets
Megan Ranney MD MPH 🌻 Profile picture
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

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