“How is it possible you ordered #covid19 tests via fax & tracked in excel at the beginning of the pandemic?”

“How is it possible you don’t know how many ppl are hurt by guns each yr?”

“How is it possible ppl with treatable disease don’t get treatment?”
cnn.com/2023/07/14/hea… BECAUSE WE DON’T FUND FEDERAL OR STATE PUBLIC HEALTH DEPARTMENTS CONSISTENTLY.

My friend @GitaPensaMD just published this brilliant piece in @TIME about the unspoken fear that is driving many docs, nurses, & other #healthcare providers out of clinical care. It’s not what you think. Take a read.

time.com/6267208/doctor… In tandem, I learned that UCSF nurses are protesting exactly the same conditions that Gita describes: overcrowding, insufficient staffing, a place in which it is IMPOSSIBLE to provide high quality care. sfstandard.com/public-health/…

None of us - NONE OF US - are immune to our American epidemic of #gunviolence. Worse, the effects of the daily trauma on our children - on ALL of us - are nearly unimaginable.

We need hope.

Which means: we need change. What got us here, will not get us to a better space.

https://twitter.com/MNPDNashville/status/1640383339893800964

PS: I do a LOT of work with firearm owners, with communities affected by daily #gunviolence, and with communities affected by suicides.

It is worth highlighting that the extremist positions of a few, are not the beliefs of the many.

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.

https://twitter.com/TheProblem/status/1631610370887491584

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…

. @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

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…

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)

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.)

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.

This uniquely American epidemic of #gunviolence leaves none of us untouched.

Our communities & our country deserves better.

https://twitter.com/nancychennews/status/1617235801137446914

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/

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).

Qs from my ER doc brain:
- was it commotio cordis?
- an unstable Cspine injury (Unlikely given that he got up right away)?
- a regular cardiac arrest?
- a ruptured aneurysm?

Regardless, waiting; & thankful for great medical professionals in Cinci. @BuffaloBills #billsmafia 🙏🙏

https://twitter.com/meganranney/status/1610097419768979456

Commotio cordis ahajournals.org/doi/full/10.11….