In New York City, Covid killed more people than any other cause in the pandemic’s first year and caused life expectancy to drop by 4.6 years on average, according to the newly released annual report of NYC vital statistics. Confirmation of a devastating toll. 1/thread
What gets measured can be managed, which is why reports like this are crucial. More than 200 New Yorkers die every day, including >50 people under age 65, a data point I tracked closely as NYC Health Commissioner and focused intently on bringing down. bit.ly/41cFZcm 2/
Every life counts. A moving piece published last week in @nytimes shows vividly the necessity—and challenge—of tracking all births and deaths. 3/ bit.ly/3Gmll1O
In 2020, Covid was the leading cause of premature death, killing people under age 65 at a higher rate than any other cause that year. 4/
Life expectancy plunged citywide, but especially among the Black community, which saw a decrease of 6 yrs. Compare that to a drop of 5.5 yrs for Hispanic people and 3 yrs for White people. The discrepancies speak to underlying health & social inequities that must be addressed. 5/
Overall, Covid was the second leading cause of death in 2020, behind heart disease which decade after decade is the top killer. Drug overdoses have also risen precipitously. 6/
Thanks to public health action, we’ve come a long way since the days when yellow fever, smallpox, cholera, and other diseases were wreaking havoc on NYC’s population. But as this chart shows, Covid was the deadliest health emergency in a century. 7/
Across the U.S., 1.1M people died from Covid by the end of 2022. Had it not been for vaccines and public health action, twice as many would have died. But with more adherence to these lifesaving measures, half of the deaths could have been prevented. 8/ bit.ly/3TpEXqP
We must invest in public health systems to find, stop and prevent health threats. 9/
As we mark #WorldHealthDay and continue to recover from the pandemic, let’s commit to supporting the power of data, measured accurately and acted upon effectively, to save and prolong lives. 10/end
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The past three years of fighting Covid feel like a fog of war. Although everyone wants to move on, we must reckon with how bad the pandemic was—and how much worse it could have been. 1/thread
20 million excess deaths have occurred during the Covid pandemic—more than all but the two other leading causes of death, cardiovascular disease and cancer. Without vaccination, measures to reduce infections and lifesaving medical care so many more lives would have been lost. 2/
Those who are intent on undermining public health action argue that there was nothing we could have done to counter Covid, that all of the infections and deaths were inevitable. But they ignore that some places had much lower rates of infections, hospitalizations and deaths. 3/
Masks have been an effective tool throughout the Covid pandemic, despite erroneous claims to the contrary. 1/thread
The widely cited Cochrane review on masks was poorly done and even more poorly communicated. Regrettably, researchers analyzed the wrong datasets, in the wrong way, and overstated their conclusions—leading to sweeping and inaccurate characterizations. 2/
Many nuances around mask type, setting, behavior, and policy are explained in this helpful piece by @dr_kkjetelina. bit.ly/3ErwuNN 3/
Over the past decade, global smoking rates dropped by 23% and 750 billion fewer cigarettes are sold annually. But despite this progress, tobacco is still the world’s leading cause of death and unless we do more, will kill ONE BILLION people in this century. 1/thread
The FDA recently announced a national ban on menthol cigarettes and a new California law to curb flavored tobacco was overwhelmingly affirmed by voters in November. Big Tobacco's reaction to these two recent public health wins underscores the fight we have ahead of us. 2/
Why are these wins significant? Big Tobacco has a long history of targeting Black communities with menthol cigarettes. The FDA ban could undo shocking disparities in lung cancer deaths suffered by Black Americans compared to their white counterparts. bit.ly/3JtXQWQ 3/
Amid discussion of the future of Covid vaccination, we can’t lose sight of the present: Only 1% of immunocompromised people in the US received a full set of Covid vaccinations as of Aug. That’s a colossal failure. The 5 steps to avoid failure in public health explained 1/thread
500 people are still dying from Covid every day. That’s not normal and it doesn’t have to happen! Immunocompromised people—along with the elderly—are at the highest risk of dying from Covid. 2/
Vaccines are remarkably effective against severe disease, but their protection must be reinforced, especially for vulnerable people. Boosters reinforce our protection, and a new CDC study underscores their importance. bit.ly/4062XCq 3/
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.
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/