Michael Tynan, MPH

I should have tagged @altcdc.altgov.info

I will be fine. But people will die and this critical work to end the tobacco use problem became harder and less efficent. The tobacco companies may have won today, but I trust that states, communities, nonprofits, researchers, and advocates will prevail and eliminate commercial tobacco use.

Cigarettes are the only consumer product that when used correctly kills the user. If you’re worried about chemicals in cereal and food, wait until you find out about the 7,000 chemicals in cigarettes, including at least 69 known to cause cancer.

Despite our progrsss, tobacco use remains the leading cause of preventable disease and death. Cigarette smoking kills more than 480,000 Americans each year. Tobacco companies know we were closing in on them and they used their influence to eliminate this highly effective and efficient work at CDC.

We ran the National Youth Tobacco Survey, which is how we know that current tobacco use among HS students has declined dramatically over the last decade to 10.1% (cigarette smoking is at 1.7%!).. and how we know e-cigarettes the most common product used by kids. It’s how we monitor trends.

We provided funding to every state health department to run evidence-based public health programs that help adults quit and prevent kids from starting. We know that these programs are highly effective — states with strong tobacco control programs have seen a $50 return on every program $ spent.

Tobacco companies know we were closing in on them and they used their influence to eliminate this important, effective, and efficient work at CDC. Our media campaign (which was on the air today) saved an estimated $7.3 billion in smoking-related healthcare costs in its initial 6 years.

CDC’s tobacco program wasn’t eliminated to save money. Federal employee salaries are only about 4% of the Federal budget. The Office on Smoking & Health was eliminated BECAUSE our work is highly efficient and cost effective. Make no mistake that tobacco companies won today.

Today is the end of my 14 years at CDC. My part of the agency (the Office on Smoking & Health) was eliminated and every employee was fired. I loved my job and it was the pleasure of my life to work with such dedicated & brilliant colleagues at CDC (both in tobacco and during my Covid rotations).

My wife said “I’ve never heard the term Apocalyptic Permanent Wave Art Rock before, but Spotify nailed it for you.”

It’s not Kentucky Derby Day, but you can still serve a derby pie on Thanksgiving (my recipe is essentially a pecan pie with chocolate chips and bourbon).

Wirehaired Pointing Griffon - Wikipedia

She is a Wirehaired Pointing Griffon. She is the best. en.m.wikipedia.org/wiki/Wirehai...

Thanks! Great idea to put that together @mhef.bsky.social !

Here they are at a frisbee tournament. The springer spaniel puppy was watching frisbee while the seasoned and wiser pointer carefully watched for nearby birds.

I’m going to have to find my voice on here. I’m going to be very careful, but would still like to make observations on public health. Alternative is hiking and dog photos and musings about horse racing and Radiohead.

Anyway, here are my dogs on a walk looking at birds.

a man in a bucket hat says so i got that going for me ALT: a man in a bucket hat says so i got that going for me

It has been a weird couple of weeks. But I deleted the other app for good.

Shocked that he is employed by a medical school.

My dog had a great time on this hike yesterday

Alpine lake with clear water surrounded by trees.

Alpine lake with clear water with perfect clouds in the sky

View of Alpine lake from several hundred feet above. View of surrounding mountains.

My wife and I won a lottery for rare permits to backpack and camp in The Enchantments, the set of alpine lakes in Washington State. We hiked 8-10 miles a day for 3 days and went from 1400ft to over 7500ft of elevation and back. It was an unreal experience.

Been reading you since I was a intern in DC 20 years ago. You’ll get followers back. Twitter is secondary.

100% him

Seems like Jeffrey Clark is going to “go through some things.”

Looks like Jama says 5 and NEJM says 6, so maybe I was a little low.

Anything over 4 total tables/figures seems unnecessary.

Oppenheimer was 50% physics and 50% bureaucracy… and I fucking love bureaucracy.

I often think it would benefit him to take a few semesters of biostats and epi… and be able to at least understand a 2x2 table.

We hiked to the top of ski runs at Mt Hood. Coming down was not as fun as it would have been in the winter.

Manually merging the people I was following on Twitter is going to be time consuming.