Richard M. Carpiano, PhD, MPH
@RMCarpiano
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Prof. of Public Policy @UCRSPP . Public health scientist & sociologist studying population health & community issues. Sometimes in the news. Views mine. 🇺🇲🇨🇦
Riverside, CA
Joined June 2014
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Tell me you live in Huntington Beach without telling me you live in Huntington Beach...
(Yes, this is a Huntington Beach restaurant).
Tell me you live in America without telling me you live in America.
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Good news... TX Medical Board filed a complaint against otolaryngologist Mary Talley Bowden (who garnered attn for controversial claims during the COVID pandemic) alleging she violated standard of care in treating an ICU patient in a TX hospital.
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Fact: Like Neil Young, Joni Mitchell is a child polio survivor. It weakened her left hand, which is why she's known for using a range of alternate guitar string tunings that make certain notes and chords more accessible and playable than if she just used "standard tuning."
Joni Mitchell: “I’ve decided to remove all my music from Spotify. Irresponsible people are spreading lies that are costing people their lives. I stand in solidarity with Neil Young and the global scientific and medical communities on this issue.”
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At this point, I'm convinced we're so close to seeing a tweet from some influencer like this:
"Gravity doesn't exist. Scientists are lying to you. I'll give $100k to Neil deGrasse Tyson's charity of choice to give Americans the overdue debate they deserve on this."
Between Kirsch and Rogan, so much money being thrown out to platform their views in a "debate," yet it can't change science.
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Glad to see many substantive critiques of "Urgency of Normal" advocacy initiative's "toolkit," showing how much this group of MDs & a scientist irresponsibly pushes disinformation to justify their policy goals (shameful). I compiled ones I have seen into a thread... 1/
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Between Kirsch and Rogan, so much money being thrown out to platform their views in a "debate," yet it can't change science.
“Vaccines cause autism unless you show up and perform for me on demand. The people demand a show.”
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Great segment that gets to the heart of the matter & weird positions RFK Jr. took including fact vax scientist Hotez bypassed Pharma co's for vax to save lives, yet RFK Jr. calls him a "pharma shill." 🤷
.
@PeterHotez
responds to being asked to debate anti-vaxxer RFK Jr.
"Anti-vaccine disinformation...is now a lethal force in the United States. I offered to go on Joe Rogan but not to turn it into the Jerry Springer show with having RFK Jr. on."
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Scientific American isn't most ppl's usual reading, but this excellent piece really should be read widely. In some ways, it seems appropriate it is in this forum vs. The Atlantic or NY Times given their opinion content of late, but sadly smaller exposure.
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Based on what we saw during the pandemic and in last ~10 years with school vaccination mandates, would mandatory seatbelt laws have been adopted so easily if the internet had existed at the time? I have doubts.
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The tyranny of ignorance. It's been my honor to work w/ Peter Hotez. Maddening to see such a concerned, committed scientist (and decent human being) experience this and all for what? His efforts to reduce suffering around the globe.
Dispatches from a broken society: a professor and world-leading expert on vaccines has to have dogs sweep his classroom to make sure his students won’t be blown up by anti-vax extremists. These are the canaries in the coal mine for a society that is deeply, deeply unhealthy.
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Sadly, a pattern:
Me: "Actor w/ neuroscience PhD has history of pushing pseudoscience; uses PhD for cred peddling brain pills."
Twitter Rando (insert response option): "You're [discrediting a woman]/[calling her PhD fake]/[insulting my fave celeb]."
Me:🤦♂️
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@gregggonsalves
@CDCgov
Glad you asked this. In a sense, it's a classic US chronic, non-communicable disease approach to an infectious disease epidemic. It's also treating a public health problem as if it is just a (personal) medical problem.
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Yes. Also, anti-vax and anti-trans are not separate worlds/groups. If you follow antivax discourse, there is a lot of anti-trans sentiment, blaming vaccines for causing gender dysphoria and the rise in trans/nonbinary identity.
Remarkable how closely the characteristics of anti-vaxxers resemble anti-trans activists
(from "Anti-vaxxers: How to Challenge a Misinformed Movement" by Jonathan M. Berman)
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If a faculty member on my campus was spouting garbage like this, I would expect there to be a swell of faculty calling them out. Yet, generally speaking, crickets and tumbleweed at
@UCSF
. Academic freedom means job protection for statements, not protection from criticism.
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Flat-out irresponsible CNN interview w/ Leana Wen abt kids & COVID. Aside from downplaying their risks & potential to infect others in household/community, what Wen does w/her family immaterial vs. what are the ideal things/actions for parents to consider.
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Abdul-Jabbar: "Instead of consulting immunologists, he consulted anti-vaxxer & podcast host Joe Rogan, who also contracted the virus. If he ever requires open-heart surgery will he hand the scalpel to romance writers bc they know abt matters of the heart?"
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As if the title claim isn't bad enough, "...with Jenny McCarthy... Forward by Del Bigtree."
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Newsom issues order allowing California to take over hotels for coronavirus patients
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Well, my copy just arrived in the mail... Wow, I knew
@19joho
had been collecting the receipts, but to see them compiled in one book is something. Looking forward to reading this...
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Full admission: I'm still having difficulty processing that elected officials are taking action to *prevent* kids from wearing masks in schools.
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2/
Regarding their toolkit's claim that “covid is a flu like risk for unvaccinated children.”
Nicely debunked here:
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Today's lesson in cognitive biases: Survivorship bias--making conclusions based only on the ppl who were successful in experiencing some outcome & ignoring those who didn't. This pandering tweet ignores >1.1M who died & millions of long COVID sufferers.
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4/
Regarding their claims about youth mental health during COVID...
Extensively debunked here by physician and suicidologist
@tylerblack32
:
/1 Hi Lucy and your colleagues.
Your advocacy toolkit contains poorly sourced, contexted, and biased information on mental health during the pandemic/schooling.
And I have receipts too!
(thread)
#urgencyofnormal
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5/ On their claim of no evidence for the effectiveness of masking in schools...
Debunked here:
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Profs please: Enough w/ tweeting abt assignment, in-class, etc. mistakes your current students make. Unprofessional & undermines trust, no matter how benign, cute, whatever you think it is. Says to current/future students: "Public shame if I say/do something Prof. doesn't like."
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@aetiology
Not sure if you/others raised this, but just to be sure this was all in defiance of CO state order:
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Today's lesson in logic fallacies/dishonest argumentation: "Poisoning the well." A preemptive ad hominem attack intended to prime an audience w/ adverse info abt your opponent at the outset in effort to make your claim more acceptable.
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🤞🤞🤞Rightfully criticized by public health community for substance of many pandemic-related "hot takes," made (alone & w/ COVID minimalists like M. Makary & T. Hoeg), that are misguided or inaccurate, & for fueling misunderstanding & distrust of public health & decision-makers.
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Hey Public Health Twitter: When has "herd safety" ever been a word?
3 grad degrees in public health, postdoctoral fellowship in population health, and academic for 16 yrs and yet I've never encountered this until today.
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No Twitter algorithm. No matter how often you continue to recommend it to me as something I "might like," I will not follow Eric Feigl-Ding.
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Temecula: The Huntington Beach of Riverside County...
UPDATE: Temecula Valley Unified School District held their CRT event tonight. After a black community member made a public comment, he was told by a white woman to leave the country if he didn’t like it.
Chaos erupted when a Trustee tried removing the man NOT the racist woman.
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Many downplaying
#COVID19
death risk for younger ages. Risk aside, it ignores BIG issue: lasting impairment. This personal acct by healthy early 30s runner shows how bad it can be. Impt stuff that gets overlooked. Imagine impacts on your life/work/family.
Young, healthy Americans like me are getting very, very sick from the coronavirus.
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3/ Continuing with that "flu like risk" debunking and adding to it, this from Dr.
@AlastairMcA30
:
@drlucymcbride
@TracyBethHoeg
@MonicaGandhi9
@JeanneNoble18
@kwadwo777
@notaproviderMD
@DrScottBalsitis
@DrAmyBeck
@doctortara
@JVergales
@korystotesbery
@etholland71
A) Covid is NOT a “flu-like illness” in kids. It has killed over 1000 in the US and hospitalized tens of thousands.
B) Kids don’t exist in a vacuum. To minimize spread in the community we must minimize spread in kids
C) “Focused protection” is GBD nonsense. Abandon the term.
Etc
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@RepBera
@RepBillFoster
: Why was Lucy McBride invited as a witness for your Subcommittee's 3/31 hearing? With her COVID positions extensively criticized by the public health community & no background in public health, she is fundamentally unqualified to speak on pandemic policy.
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6/
Regarding their "focused protection" language (which sounds an awful lot like Great Barrington Declaration-speak/logic), debunked here:
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Wow! Hearing Kirsch explain his research is even more painful than his tweets. Evident from his explanations/responses to q's that he has little to no grasp of statistical tests/analysis & confounding. Even non-scientists asking him q's he can't answer.
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Epoch Times covers for group whose founders have been organizing/attending/speaking at anti-vax/govt events in CA & beyond, hype militia ties, & share stage w/antigovt extremists (just Google names), BUT claim to be "Little House on the Prairie meets the Girl Scouts." 🧵1/
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Cable news on in the background and I can see the "delta is more infectious than chicken pox" line taking off. Sounds catchy but sci communication problem: does avg. person really know how infectious chicken pox is overall/relative to delta?
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.
@UCSF_Epibiostat
's Vinay Prasad featured/promoted by RFK Jr's antivaccine organization, Children Health Defense.
An illustrative case study of when a physician jumps the credibility shark and hits rock bottom.
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Tip: Any comment you hear resembling "RFK Jr. has some good points about vaccines" is a quick way to know that the person uttering them has no idea what they are talking about. Also unsurprising here: Rogan & Carano show they have no idea how NIH research funding works...
1st a DeSantis endorsement, now this…not a good week for biomedical science. I worry about a new far right authoritarian effort in America that portrays scientists as enemies of the people. I discuss this alarming trend in my new book working title “antiscience kills”
@JHUPress
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🧵2 things that can co-exist:
1. Documented assoc btwn COVID & elevated risk/probability of bad outcomes like stroke via *systematic study*
2. Random person suffers stroke mos. post-COVID but COVID had no role
Tweets claiming "Likely COVID" abt ppl w/ bad outcomes unhelpful. 1/
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Great profile of science communicator
@ENirenberg
, whom I have had the pleasure to interact w/ a lot this year. I tweet a lot about misinfo/bad actors, but he's among the helpful ppl you shld be following/reading for COVID science--if you aren't already.
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@DrHarryThomas
And two of the three died of infectious diseases too, but hey, what was some UCSF oncologist saying the other day about the value of being infected...?
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7/
Regarding prior claims/efforts of one of the members of this initiative (i.e. one with a faculty appointment at
@UCDavis
). Note: this is just for one of several members in group w/a rep for pushing bad science/disinformation:
@drlucymcbride
@TracyBethHoeg
@MonicaGandhi9
@JeanneNoble18
@kwadwo777
@notaproviderMD
@DrScottBalsitis
@DrAmyBeck
@doctortara
@JVergales
@korystotesbery
@etholland71
As a reminder, one of your collaborators wants children sick. Parents, I don’t know if a group that includes people who openly want children sick with
#COVID19
- at a time when children are hospitalized and dying in larger numbers - is the best place to go to keep kids safe.
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More than 70% of US household COVID spread started with a child, study suggests | CIDRAP
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To say 6 mos. to a safe/effective vaccine/therapy is irresponsible & dangerous to communicate such certainty on something uncertain at this point. Then we have issues of logistics and distribution amidst culture of
#COVID19
disinfo. Risk to public trust is great w/such comments.
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Is there an odds board on how Prasad, Hoeg, and their pals will react to these findings...?
New meta-analysis on risk of myocarditis from COVID infection & vaccination
Risk of myocarditis in teens 12-17:
🔹after COVID💉vaxx was no higher than after other vaccinations.
🔹after COVD INFECTION was SIGNIFICANTLY HIGHER than after COVID vaxx💉.
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Twitter this week: "OMG, these anti-stay at home order protestors, I can't believe it. Did you see..."
Anyone who already follows anti-vaccine activism/protests/lobbying: "Yes. We know..."
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Per CNN now, head of Op Warp Speed says per OWS plans, we'll hit herd immunity levels w/ vaccine in May. I'm highly skeptical--not bc of logistics, supply, and access, but hesitancy. Educ. & outreach efforts will be critical, esp after months of distrust and disinfo circulating.
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Yes, but regardless, Bass' social media exit is a win for the public... One less person pushing bad science claims to the public and, in his case, using his med school student status to come off authoritative about it.
Here’s hoping his med school finally took notice.
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@GermHunterMD
Texas is already among quite a few states on the UC system's no travel list--no California state funds are allowed to be used for conference/work travel there except in the rarest of instances.
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@MartinKulldorff
Seriously? I don't want to infer too much about your age, but based on your comment, did you ever venture outside/view the news in the 1980s? Or, simply read the Bible or Poe and Camus? More broadly, ever consider Google scholar-ing "stigma?"
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Meet the new
#COVID19
conspiracy theory boss, same as the old antivaccine movement boss. Great analysis by
@aetiology
&
@doritmi
shows how Del Bigtree only had to slightly tweek his disinformation messaging to remarket for the pandemic. 1/n
#PBPL222
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Hmmm... As my former students can attest, my "Ethics and Professionalism in Public Policy" course never covers "simple man code"--for good reason.
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Can anyone recall a prior time when an n of 8 made this much news...?
8 healthy volunteers given an experimental covornavirus vaccine made antibodies that were then tested in human cells in the lab, and were able to stop the virus from replicating — the key requirement for an effective vaccine
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Excited to be part of this large, multidisciplinary, cross-sectoral project... This is the latest development in the NSF-funded Resilient collaborative based at UCSD, which I've had the pleasure to be involved in building to promote societal resilience to pandemic threats.
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Got
#COVID19
findings? Report them as scientists do? Nah! Go for press hype, public view, evid. be damned!
-hold press conference at urgent care clinic you own
-wear scrubs (looks expert-y)
-get news to lead w/your creds bf your epid. 101 weak findings
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@timgill924
And if you can't list at least 4 well-known scholars to thank in the acknowledgements of that top-tired pub, your social capital signalling game is weak. Cover for this by adding "household names" who inspired you, be it Big Bird, Dolly Parton, &/or Bill Nye.
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@timgill924
Better yet, just throw out a student at the start to "set the tone." Assign a bouncer at the outset, so that you can just signal to them to handle it w/ minimal disruption to you as you lecture away. Even better, travel w/ one & get the school to cover their costs.
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.
@PeterHotez
: "In this context, moral courage & standing up for democratic values demands that the American people throw their full support behind scientists & scientific institutions. To do otherwise is to capitulate to the forces of insurrection."
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@AlexGoodwinTSM
@JohnQBarrett
I suggest that you wait until Monday. There is no reason you need to reply outside of normal work hours just because this student demanded it. Good luck!
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Today's lesson in logic fallacies: Appeal to incredulity. Just because you claim that you cannot comprehend a research finding or concept doesn't mean it is invalid. And in this case, the explanation offered to Kennedy was not jargon-laden.
Sen. John Kennedy (R-LA): “Why do you think that Chicago has become America's largest outdoor shooting range?”
Dr. Megan Ranney of the Yale School of Public Health: “Mississippi, Louisiana, and Missouri actually have higher firearm death rates.”
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Bumper sticker noticed while out and about. Focused on the fundamentals of causality...
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Seriously,
@CNN
? An internist w/ no public health experience, who's branded herself into a public health expert, chases media attn, & co-leads a policy initiative that got pilloried by public health community for cherry-picking bad stats & pushing dishonest talking pts.
Join me tonight at 9 pm ET on
@CNN
with
@thelauracoates
, talking abt mask mandates, schools, balancing risk, the CDC ...
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Beware the
#COVID19
Influencer: Some of my thoughts on how ‘Hot-take’ culture contributes to public health misinformation.
#pophealth
#medsoc
#soctwitter
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This is brilliant--and, as someone who religiously returns his shopping cart, so validating.
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Please don't ever attend a "COVID party." Absolutely nothing good can come from it. Even if what you get is mild, you then have risk of long COVID & all that offers, For example, see the ppl on here reporting ongoing loss of taste or most food tasting bad.
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Good news. CA, OR, & WA begin to "build out a West Coast framework" Principles:
"-Our residents’ health comes 1st
-Health outcomes & sci--not politics--will guide these decisions
-Our states will only be effective by working together"
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Great news: National Science Foundation Awards $1M to Multi-Disciplinary Team to Plan Pandemic Prevention Hub
Very excited to be part of this team connecting the natural & social sciences, statistics, engineering, & public policy.
@ucrspp
@UCR_ScienceNews
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TX Senate approves bill to eliminate tenure from public colleges/universities.
Wow... If passed, wld mean slow death of 6 state univ. systems: U of TX, TX A&M, U of Houston, U of N. TX, TX State U, & TX Tech systems. Good luck in competitively hiring.
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Had to check this out for myself. At least Feigl-Ding's grift is abundantly obvious now... Trust me and loads of other public health field experts, on Twitter or elsewhere: Save your money. There is zero value here. Well documented at this stage as to why (see below).
Make no mistake, Eric Feigl-Ding is a shameless grifter and this was the predictable end game. He steals other people’s work, hyperbolizes it, usually misinterprets it terribly, and tweets it (burying the link deep in a thread). He provides ZERO original content.
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It's perhaps unsurprising that 2 musicians old enough to remember a) harms/fears of an infectious disease (that afflicted them both) & b) extent society embraced a vaccine to prevent it are now the 2 taking a stand against vaccine disinfo. It's just sad that it's only 2 musicians
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Sigh. Rather than🤦♂️I'll use this as an opportunity for public health education:
They have invented one & people do get it. The HPV vaccine helps prevent cervical, penile, anal, & other cancers. Get the vaccine for you (if eligible)/your kids.
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More stories, vids, pictures, etc. of lines. Fewer stories on vaccine hesitancy. And while we're at it, more resources/supply so that we don't need to see lines this long. Ht
@GovindPersad
1,000 people lining up in ‘hotspot’— community vaccine confidence in motion.
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Today's lesson in logic fallacies: Burden of Proof
When you make a claim, the burden of proving it's valid falls on you, not w/ anyone else to disprove. Also, your claim doesn't have validity or credence simply bc one is disinclined/unable to disprove it.
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I'm not a usual viewer of Ingraham Report, but tonight realized how much she contributes to COVID-19 disinfo by mocking Fauci, spinning vaccine statistics under liberal conspiracy threads and loaded language, w/guests in tow (e.g., one tonight from Hoover Inst. defending Atlas).
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Profile in leadership, public service, and self-discipline: RFK Jr. was sworn in as an Asst. DA in NY and then failed the bar exam and resigned...
Just your regular, everyday patient-blaming, ableism, and science illiteracy from a leader in the anti-vaccine movement.
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Dr. Phil on Fox: "The fact of the matter is 40k ppl die a yr from automobile accidents, 480k from cigarettes, 360k a yr die from swimming pools, but we don't shut the country down for that. But yet we're doing it for this?"
Also Dr. Phil: Cha-ching!
Yes, for his employees but...
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Super curious to learn what Atlas' backstory is: from respected radiology expert (textbook author), dept. chair at top med school; to conservative ideology Hoover Institution gig, writing health policy books few cite, and now Trump darling. Like Navarro, must be a story there.
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@GidMK
As a former journal editor, I'm shocked any editor worth their salt would allow such as hominem comments to be published by anyone, regardless of stature. Says as much about the journal (editor) as it does about Ioannidis.
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If you wanted to know how to pilot a 747, would you turn to a non-expert "influencer?" Of course not! So why do it for public health &
#COVID19
? Was asked about this recently, giving me chance to write this brief take. Variant on anti-expertise phenomenon.
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New study: "Private equity acquisition of hospitals, on average, was associated with increased hospital-acquired adverse events despite a likely lower-risk pool of admitted Medicare beneficiaries, suggesting poorer quality of inpatient care."
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Since this tweet sort of went viral, I'm including the background story of this restaurant and the owner who has cried foul/tyranny about public health throughout the pandemic, amassing fines he refuses to pay.
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@fitterhappierAJ
Not the first time, but it's worse than that: she's an academic with no relevant training background or research program trying to be a journalist riding off high profile, non-expert hype who has used her platform to legitimize herself as a public health & pandemic expert.
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@TheChiefNerd
Bizarre red herring you used there. In my past work, many, but that's irrelevant to the matter: TX Med Board & 2 Hospitals have issues w/her care practices. My anonymous software eng. & med freedom merch peddler troll, pls find someone else to troll, & w/o such logic fallacies.
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Imagine this: intending to have a COVID-19 science piece you write be taken seriously while also concluding, "I'm going interview Vinay Prasad for an expert take to quote/include in it." How many appropriate options exist, including mask scientists, and yet going with him?
Here's my latest for
@Slate
on the
@CochraneLibrary
review of masks for
#COVID
prevention. Thanks
@JenniferNuzzo
,
@Jabaluck
&
@VPrasadMDMPH
for comments (& apologies to those who ended up on the cutting room floor due to space limitations). 1/
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@AGoldsmithEsq
I agree with you. No teeth enforcement doesn't help either. The owner has amassed fines in the 6 figures but refuses to pay. They could have made an example of him/his place months ago for all the flagrant violations amidst attn seeking.
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My goodness... First anti-vaccine legislation lobbying in CA, now this. It's like Biel and Timberlake are hell-bent on being a public health menace... cc:
@skarlamangla
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Good read...
How Musk Sold MAGA on HCQ — and Opened the COVID-19 Disinformation Floodgates - many thanks
@karamballes
@whowhatwhy
for your thoughtful comments and support of my new book, The Deadly Rise of Anti-science
@JHUPress
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Nice debunking of FL Surg. Gen. Ladapo's COVID vaccine claims & Del Bigtree (RFK Jr.'s new comms head & antivax show host).
Really shows Brandolini's Law: The amt of energy needed to refute BS is an order of magnitude bigger than that needed to produce it
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🤔🤦Sigh... You've got to be kidding me. I thought candidate attention to quackery would be over with Marianne Williamson out of the debate spotlight, but here we go again apparently...
Excited to speak to
@DrOz
on his show tomorrow - he’s made a lot of people smarter about their health. 👍💪😀
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A concerning case study of how antivaccine activists have moved into more extremist positions & networks. Thanks to
@MPerlmanNews
for reaching out to talk about this group, whose leader has said, "Public Health is Public Enemy
#1
."
@ucrspp
@UCRiverside
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"Maybe"...?! Complaint for years by US health-focused social & behavioral scientists, who've long noted NIH priorities ignore them. E.g., no mention of "social" or "behavioral" in
@NIAIDNews
's COVID-19 Strategic Plan (Fauci's own Institute).
Dr. Collins, asked if there's anything he wishes NIH had done: "maybe we under-invested in research in human behavior..I never imagined a year ago that there would be 60 million people who refused/declined to get the vaccine because of misinformation & disinformation"
@NewsHour
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3 yrs ago today--phone reminded me of this photo I took at a local supermarket. Remember when stores looked like this & toilet paper was scarce? A time when I naively thought, "Well this pandemic shld suck the wind out of the antivax movement in the US." Yep, how wrong I was...
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8/8
Feel free to append other substantive criticisms via replying to this.
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