Well done @jonstewart @TheProblem:

YES individuals are the problem
YES hatred is the problem
YES poverty & racism are the problem
But YES guns in the hands of people who want to hurt themselves or others is, most of all, the problem.

#gunviolence is a #publichealth problem.
There are lots of ways to change this.

One very important way: recognizing risk & acting on it.

This can be done BEFORE or AFTER someone has a gun. It can be done by family members, friends, healthcare providers, or (last ditch option) law enforcement.
acpjournals.org/doi/full/10.73…
Another very important way: reducing the risk before it gets to an emergency stage.

This is about structural change. Teaching conflict resolution. Reducing substance use. And more.
theatlantic.com/health/archive…
A third very important way: making sure that people with a history of harming others, can't get guns. This is about policy and enforcement.

By reducing gun trafficking.
By reducing gun thefts.
By preventing access for those with, say, a history of #domesticviolence.
Etc.
At the end of the day, the most important thing is to make sure that someone who wants to shoot someone cannot do so. 🤷‍♀️

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More from @meganranney

Feb 28
. @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/…
Read 4 tweets
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
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
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
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 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

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