So, I've had some questions about nominations and recess nominations, so here is an executive branch appointments and recess appointments 101 primer.

In the executive branch of the federal government, the President is the only one directly elected. 1/n Aside from the President, there are three other types of people appointed. The two top tiers are appointed under the appointment clause. If you're just interested in the most current events, just read about 1, but I'll cover all three.
2/nconstitution.congress.gov/browse/essay/a…

Federalism and ACA loopholes from @christina_s_ho in the panel on Federalism and Health #LSA2024: three statutory regimes affect boundary between state and federal regulation:1) Mc-Carran'-Ferguson Act preserves state insurance regulation, waives dormant commerce clause. Federalism and ACA loopholes from @christina_s_ho from @RutgersU in the panel on Federalism and Health #LSA2024: Federal regulation of health coverage under HIPAA - enforcement structure. Government inserted whole knew section under PHSA act, to cover all plans.

How anti-vaccine activists mislead (in this case, it may be because the anti-vaccine activist does not understand what's going, but still): The FDA has not been ordered to remove any tweets from social media, and has not been found to lie about ivermectin. 1/2 The FDA did agree to a stipulation to dismiss a case in which the Fifth Circuit, in a poor, badly reasoned decision, said they cannot make recommendations, and as part, agreed to remove past information. Background: 2/3 skepticalraptor.com/skepticalrapto…

Thorough, detailed debunking of an anti-vaccine book: Cardiologist @han_francis detailed a response to anti-vaccine book Turtles All the Way Down. From his Facebook post (image from him too) (Link at end of thread): n/1 "If you have ever heard of friends or family recommend the book "Turtles All the Way Down" in reference to COVID vaccines, ... the following essays explaining why that book is full of mistakes. 2/n

Note how the anti-vaccine activist is misleading readers.
A. The article did not say to test people generally with small doses to see if there's an allergic reaction, only those with severe penicillin allergies. The speaker misrepresented that. 1/3

https://twitter.com/catsscareme2021/status/1725248598152036752

If we have since learned it's not an issue, it makes sense to drop the requirement.

B. Immune compromised people should not be given live vaccines; but what is the basis to leave them unprotected when the vaccine isn't live? They deserve disease? Same question for HIV. 2/3

Says @DrPanMD on getting a Legislative Leadership Award in the 2023 summit of @ImmunizeCa: early on, there was a pertussis outbreak. In 2012 - acted to improve rates already. Then bills 2015, 2019. This coalition was with him every step of the way, in many ways. Says @DrPanMD on getting a Legislative Leadership Award in the 2023 summit of @ImmunizeCa: example - in 2012, Governor Jerry Brown wrote in a religious exemption to the educational requirement. People were disturbed. But needed to work with him. Not in the legislation..

Says Dr. Susan Ducore on receiving the Dr. Ronadl P. Bangasser Immunization Leadership Award in the 2023 summit of @ImmunizeCa: truly honored, feel honored to be among recipients.
Reminder: nobody can do this on their own - and lots of hard work ahead of us. Says Dr. Susan Ducore on receiving the Dr. Ronadl P. Bangasser Immunization Leadership Award in the 2023 summit of @ImmunizeCa: it's a challenge, and we can match it and rise above it.

Says @DrPanMD in the 2023 summit of @ImmunizeCa: public health is always political, but #vaccines are about saving lives. When you see a political difference in death because conservatives don't vaccinate, is that partisan? Goal: save lives!!! Says @DrPanMD in the 2023 summit of @ImmunizeCa: politics should not determine how long you live.

Says @DrPanMD in the 2023 summit of @ImmunizeCa: the anti-vaccine effort is now bleeding into policy making - now Florida's surgeon general is an anti-vaccine activist willing to fake information and manipulate data about #vaccines. Says @DrPanMD in the 2023 summit of @ImmunizeCa: and Ron DeSantis creates a group "public health integrity committee" with people working actively to promote anti-vaccine misinformation (Like Bhattacharya, Kuldorff, Hoeg, etc' - right wing anti-vaccine network).

Says @DrPanMD in the 2023 summit of @ImmunizeCa: pivot of anti-vaccine movement from appeal to liberal natural communities to right "freedom" views (there was always a right view).
E.g. Rand Paul and Ben Carson - physicians running for office on the right - pivoted v. vaccines. Says @DrPanMD in the 2023 summit of @ImmunizeCa: SB277 was a bi-partisan bill (though more democrats), and some Republicans already realized they needed to cater to anti-vaccine people showing up.

How anti-vaccine activists mislead. A story in three parts.
The anti-vaccine activist said: Denmark bars vaccination for most those under 50. 1/3 The Denmark government says: we are offering additional boosters to people over 50 or who have conditions who increases their risk of severe #covid19 or who are staff in longterm care facilities or who are relative of high risk people. sst.dk/en/English/Cor… 2/3

#COVID19 ripped through the Jewish community and left a bad trail in its wake, days where 3-7 people died each day. Painful. And yet #vaccines rates are low. Higher in older. People below 40 and young moms are not vaccinated, need to reach them, say @MarcusBlimi and Tobi Ash. Reminder: until 1964 rampant discrimination - quotas in school, other events. There was justified mistrust of government, explain @MarcusBlimi and Tobi Ash. Included loss of trust in public health.

Why was the Jewish orthodox community targeted? Exploded after WWII, explained nurse Tobi Ash in #ncicp22. Often large family sizes, in part in response to the Holocaust murders. The drive for large families affects the way the community providers services. Also affects how the families see it: children are precious. With large families - more autism, asthma, etc’ visible in the community. When antivaccine groups explain rise by falsely blaming vaccines -

Panel on dealing with burnout related to #vaccines at #NCICP22: @lynn_bahta on work with the Minnesota Somali immigrant community. Group of parents whose children were diagnosed with autism. New to them, trying to figure it out, caught by anti-vaccine groups. Panel on dealing with burnout related to #vaccines at #NCICP22: @lynn_bahta the parents in the community did not know what to do - lost friends and people avoided them because of children's autism, and anti-vaccine groups stepped in, created contact.

Panel on dealing with burnout related to #vaccines at #NCICP22: @SereseMarotta as ACIP member, how does vaccine hesitancy contribute to burnout, @lynn_bahta? Panel on dealing with burnout related to #vaccines at #NCICP22: @lynn_bahta with #covid19 we saw something we don't usually see in #vaccines, partisanship. Concern - that vaccine resistance may become mainstream.

Panel on dealing with burnout related to #vaccines at #NCICP22: Dr. Michael Leiter: his research looked at several things that contribute to burnout: A. Workload - excessive (or too low) workload can interfere. 1/n B. Control - how much decision making power do you have? It can be too high or too low. C. Rewards - if work is not intrinsically rewarding, need to add rewards, or make it more rewarding. 2/3

Antivaccine activists seem to think a new slogan they came with - “I know it’s early but I won’t be taking the monkey pox vaccine either” - is smart.

It’s not. A thread. 1/5 Right now there’s not, to my understanding, justification for mass vaccinating to fight #monkeypox, and there may never be: the first step would be ring vaccination. But if it gets to the point of high risk for all from monkey pox, not vaccinating is taking a big risk. 2/5

Shared from the Hawaii Department of Emergency Management, at facebook.com/11337392874368…, tagging @HawaiiDOH - seven stages of severe covid, a thread - from op-Ed by @kgallardo_ in @latimes: 1/n Stage 1: 2/n

This is a good example of how antivaccine activists generate and spread misinformation.
FOIA does one thing. It allows you to get access to existing agency records, unless there’s an exception. So whatever you are asking for has to be an agency record. 1/n

https://twitter.com/theeliklein/status/1458943488494641154

So for CDC to find anything her, there would have to be an agency record for an unvaccinated individual infecting an unvaccinated one. Why would CDC have such a record? CDC officials do conduct studies on data. But the data is often not theirs as agency records. 2/n

Conspiracy theory circles have floated a new claim, under which a whistleblower has provided data of lots of deaths from #covid19 #vaccines. I have the complaint and the affidavit. It's Kraken-level. Both unconvincing and misleading. 1/n As might be of interest to #legaltwitter, the alleged information is an affidavit filed as part of the request for preliminary injunction in a lawsuit in which the conspiracy theory organization, America's Frontline Doctors, filed a TRO request before making any claim. 2/n

What rights do employees who are not keen to get the vaccine, asks aria Simon of @KELSEYORTH on @HiMamaSocial webinar. Explains @KELSEYORTH : for a policy to be reasonable it needs to be clear, and consequences of not following also need to be clear. If we can mandate, need to consider the legal framework.