"...in the middle of adjusting medications for my 10:40 a.m. patient, I suddenly heard 10 shots fired in quick succession from an automatic weapon, followed by a shout from our lead medical assistant to 'get down!'" 🧵 1/ sfchronicle.com/opinion/openfo…
"I took off running with her to the clinic entrance, where we found a man in his early 20s lying on the sidewalk, suffering from at least six gunshot wounds...Hoping the shooter would not return, we rendered first aid while waiting for the ambulance to arrive."
"The young man shot in front of my clinic was one of the fortunate ones — he survived. However, countless others have not. Having seen how one shooting on-site caused trauma reverberating throughout our clinic community, I shudder to think about each of these tragedies..."
"...and the over 500 people with gunshot injuries treated at Highland Hospital in the first nine months of 2022 alone. This is a crisis inflicting physical and psychological trauma throughout our community."
- Andreas Mitchell, MD, Primary Care Physician, @RootsEmpowers
At Roots Community Health Center, we've been advocating alongside community leaders, physicians, and organizations for greater investment, transparency, and collaboration to address the drivers and impacts of gun violence on our community. We can not wait any longer!
Details of our requests for investment in public health surveillance, data sharing, and focused behavioral health and substance use interventions here. It's still just a drop in the bucket, but it's a start to align city and county efforts and investment for a better future.
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Perhaps the most important question that MUST be answered BEFORE removing masks in healthcare: What is the infection mortality rate of hospital-acquired covid? This is actually a straightforward question, and the answer is undoubtedly known/knowable - yet it's not shared. 🧵 1/7
The main way I've seen this data obtained is through a Freedom of Information Act Request. Why would we need a FOIA to get data that's critical to making decisions on the national, state, county, community, facility, & individual level? If we're doing "you do you," we need data!
This data from Australia is distressing. 10.62% of confirmed/probable hospital acquired covid infections resulted in death. From what I gather, this is *before* the removal of masks. 3/
Appreciated this interview with @khwangreports on the unjust end to masks in healthcare.
"When you look at the number of hospitalizations per day, we were doing better one year ago than we are right now. So there’s no data-driven rationale." 🧵 1/4
“'When we learned about blood-borne pathogens, we wore gloves. Gloves suck, they’re uncomfortable, some people are allergic to them, and you can’t feel what you want to feel,' Aboelata said. 'They’re not awesome, but we do it…I think we need to do the same thing here.'” 2/4
"...if the state is going to rely on a 'do-it-yourself public health approach,' it needs to tell the public about any COVID outbreaks at facilities and publish information about facility policies."
So the People's CDC undertook a yearlong External Review to evaluate its performance, surveying nearly 500 public health experts & community leaders, reviewing >200 journal articles, govt reports, news articles, and white papers. 92 page report here. 2/5 peoplescdc.org/2023/04/05/too…
The findings won't come as a surprise, but they are clear. Among them:
"CDC guidance pushes individual choice over a population health approach to protect everyone. Life expectancy in the US has fallen drastically because the CDC has lost its focus on population health." 3/6
I've been asked how I have advocated for covid-safer meetings, so I'm sharing some of my more successful correspondence here. I hope it helps! 🙏🏾
1/10 🧵
"I'm hoping to get more details about the meeting. As described here, it sounds like a high-risk event covid-wise, which concerns me, especially given our role in health. Four hours indoors, with an unknown number of attendees, including eating and drinking, is likely risky. 2/
Will there be an option to eat/drink outdoors?
Is there any masking guidance?
Are there limits on room capacity?
What's the ventilation like?
Will there be a virtual option for those who may not feel comfortable in person? Accessibility is so important." 3/
It seems some employers would rather break laws or enact new ones to exploit children than hire full-grown adults with a misdemeanor or felony conviction. The irony. epi.org/publication/ch…
"The number of minors employed in violation of child labor laws increased 37% in the last year." This includes hazardous occupations. And these are just the ones who got caught.
"unaccompanied migrant youth left in limbo by a broken U.S. immigration system have become particularly vulnerable to exploitation by employers and networks of labor brokers and staffing agencies who recruit workers on their behalf." They can pay them less than grownup immigrants
Whatever day the Public Health Emergency Declaration ends or expires, the pandemic is ongoing. SARS-CoV-2 continues to circulate in our environment, and COVID is now the #3 cause of death in the US. 1/
Covid is also a leading cause of death among children 0-19 years old. It's the #4 or #5 cause of death, depending which age group you look at. It's the only infectious cause of death in the top 10 causes of death for most age groups. 2/
49% of children hospitalized *for* covid have NO underlying medical conditions. 3/