So similarly, when we see people who prefer ChatGPT or a similar synthetic text extruding machine as a source of medical information, that means those are people who are under-served in the current system.
09.12.2025 14:17 β π 365 π 44 π¬ 6 π 6
Students, staff, faculty turning to ChatGPT? That means they are being asked to do things they don't have the time, resources, support, etc to do.
09.12.2025 14:16 β π 344 π 64 π¬ 12 π 7
In early 2024, I got to speak to Deans from up & down the West Coast of the US & Canada about "AI". I told them that the only value of ChatGPT for university administrators is as a contrast-dye test to show where resources are lacking.
09.12.2025 14:16 β π 304 π 62 π¬ 1 π 10
Vaccination coverage doesnβt collapse overnight.
Yes, we are definitely already seeing outbreaks, and yes we are already seeing substantial declines in vaccine coverage.
But the true horror awaits a few years from now, barring another pandemic of a novel pathogen.
08.12.2025 21:45 β π 218 π 35 π¬ 6 π 1
One of the most disturbing things about the U.S. government getting themselves into the anti-vaccine game is that it is a time-release poison pill.
It will take a few years before the worst of the harm is visible to enough people that they will truly understand what has been done to them.
08.12.2025 21:43 β π 1352 π 428 π¬ 52 π 22
In voting to eliminate the universal birth dose of the hepatitis B vaccine, ACIP ignored decades of evidence confirming its strong safety profile and effectiveness. Its decision will result in more hepatitis B infections and more people with chronic liver disease.
05.12.2025 20:03 β π 45 π 25 π¬ 3 π 0
Lastly, we may not see the consequences of this devastating changes in recommendations for years - because an infant who acquires Hep B usually won't present with symptoms until they are an adult in their 30s or 40s with cirhhosis or worse yet, liver cancer.
05.12.2025 20:12 β π 11 π 3 π¬ 1 π 0
Moving to individual decision-making places the burden on parents/caregivers, and clinicians, whereas a clear, universal recommendation provides structural support that doesn't put the onus on them.
05.12.2025 20:12 β π 7 π 1 π¬ 1 π 0
The decision by the Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention to downgrade its recommendations to protect infants from hepatitis B is a dangerous move that will harm children.
Click here to read AAP's full statement: bit.ly/3Y9ZQJT
05.12.2025 16:15 β π 1158 π 635 π¬ 35 π 38
The #ACIP just voted to harm children. What a sad day.
05.12.2025 17:17 β π 51 π 12 π¬ 0 π 1
From 1918 to COVID-19, epidemics are stories about people. Will we remember?
A centuryβs worth of science has helped us fend off infectious pathogens. But we have a lot to learn from the people who lived and died during epidemics.
It's because of the massive success of vaccines that many infectious diseases are no longer a regular threat to health. Here's a reminder of the times before shots for smallpox, polio and measles were available (including Dr. Anthony Fauci's memories of getting the smallpox shot when he was six).
05.12.2025 19:54 β π 1 π 0 π¬ 0 π 0
Limiting childhood vaccines puts everyone's health at risk
Recent U.S. decisions about vaccines signal bigger changes to come that could threaten the foundation of the national childhood immunization schedule.
As the new members of ACIP β some of whom have ties to anti-vaccine groups β chip away at the childhood vaccine schedule, it threatens to take the United States back in time, when infectious diseases regularly hospitalized children and unnecessarily cut short young lives.
05.12.2025 19:43 β π 2 π 0 π¬ 0 π 0
I've talked the last few semesters with my public health students (in a building celebrating the Jonas Salk legacy) about the way that Americans' lack of memory of things like smallpox and polio drives a hubris about not needing to safeguard vaccine access and mandates. But it wasn't THAT long ago!
05.12.2025 18:44 β π 4 π 2 π¬ 0 π 0
I am real sick of hearing "We haven't had a case of X in 30 years, why do we need to get a booster or initial vaccine?" COME ON, PEOPLE. USE THOSE CRITICAL THINKING SKILLS. The reason you haven't seen a case in years IS BECAUSE OF THE VACCINE.
05.12.2025 18:28 β π 82 π 17 π¬ 6 π 2
The country's biggest anti-vaccine lawyer, the guy behind weakened school mandates in Mississippi and West Virginia, who pulls in millions a year harassing the CDC on behalf of Del Bigtree's anti-vaxx org is ... presenting at ACIP. This panel is anti-vaccine theater. It's a cruel joke.
05.12.2025 17:16 β π 1104 π 328 π¬ 35 π 26
A CDC panel has struck down universal newborn hepatitis B vaccination
A reshaped vaccine committee voted to scale back newborn hepatitis B shots despite decades of data showing the birth dose is safe, effective and vital.
The majority of ACIP members, all handpicked by the current administration, dismissed decades of evidence that supports the safety and efficacy of the universal hepatitis B birth dose. The committee's decision to no longer recommend the vaccine for all newborns will harm babies, experts say.
05.12.2025 18:10 β π 5 π 7 π¬ 0 π 0
When we say "vaccines are a victim of their own success," this is exactly what we mean: ACIP is trying to justify altering the very vaccine recommendation that is the reason why we're not seeing much disease [Hep B]. The HBV vaccine is *that* successful, and safe, and effective.
05.12.2025 15:21 β π 11 π 2 π¬ 0 π 0
If anyone says we "don't have enough evidence" on HepB vaccine safety, that's just wrong.
Our review has found 42 HepB RCTs plus decades of post-licensure monitoring (VAERS, VSD, FDA BEST, big cohort studies).
The problem isn't lack of data, it's ignoring it.
docs.google.com/spreadsheets...
04.12.2025 22:00 β π 14 π 7 π¬ 0 π 0
World map labeled βGlobal hepatitis B birth dose vaccination policies,β with many countries in green indicating universal HepB birth-dose, others in yellow (partially universal), orange (selective), and red (no birth dose).
A claim that the U.S. is an βoutlierβ for having a universal hepatitis B birth dose is false.
ACIPβs own September map shows many countries with universal birth-dose policies. Weβd become an outlier only by rolling ours back.
www.cdc.gov/acip/downloa...
04.12.2025 19:05 β π 48 π 23 π¬ 1 π 2
According to the WHO, 45% of people in its member states receive a hepatitis B birth dose.
The US isn't an outlier.
04.12.2025 15:45 β π 23 π 9 π¬ 0 π 1
Risky behavior for acquisition of hep B in children include: putting things in their mouths, biting, scratching, touching their eyes, etc.
"Waiting for vaccination until risky behavior" = shortly after birth, so no change?
#ACIP #hepatitisB #HepBVaccine #vaccines
04.12.2025 17:11 β π 13 π 3 π¬ 0 π 0
An ACIP member reports that they received 3 versions of the votes in past 72 hours, committee now on break because CDC presenter is having to deal with making sure slides align w current vote language, which seems not to be what she was last given. Once again, the committee has devolved into chaos.
04.12.2025 17:35 β π 64 π 21 π¬ 1 π 6
Risks of Revising Newborn Hepatitis B Vaccination Recommendation
This Viewpoint from infectious disease experts cautions about the consequences of rescinding the ACIP policy to immunize all newborns against hepatitis B.
βDelaying the first hepatitis B vaccine dose beyond the newborn period introduces risks that have lifelong detrimental consequences and no measurable health benefit.β
Important and timely piece by an amazing team - Mike Abers, Angela Ulrich, & Rochelle Walensky. ππ
jamanetwork.com/journals/jam...
04.12.2025 01:49 β π 197 π 103 π¬ 2 π 2
From the βfirst consolidated World Health Organization report on viral hepatitis epidemiology, service coverage and product access,β
βGlobally, 115 countries have introduced universal hepatitis B birth-dose vaccination, and 45% of infants received the hepatitis B birth dose within the first 24 hours of birth in
2022. Twenty-three countries have selective programmes with targeted provision of the hepatitis B birth dose (the vaccine is provided to the infants of mothers who are HBsAg positive). Infant immunization schedules in 190 countries include the hepatitis B vaccine. Of the 38
WHO focus countries for the viral hepatitis response, 25 have introduced birth-dose programmes and all provide the hepatitis B vaccine (usually as part of pentavalent vaccines) in their infant vaccination programme. In theory, if these vaccines are included in the national programme, all children should have access; however, in practice, coverage varies widely across regions and countries (Table 3.23 and Fig. 3.32). Chapter 4 presents detailed information for the 38 WHO focus countries for viral hepatitis.β
https://www.who.int/publications/i/item/9789240091672
Did you know?
190 countries have infant immunization schedules that include the Hep B vaccine
115 countries recommend a universal birth-dose of the Hep B vaccine, one of the key actions WHO recommends to reduce Hep B prevalence
Read more in the WHO Hep B Report β‘οΈ
iris.who.int/server/api/c...
23.11.2025 22:44 β π 404 π 152 π¬ 8 π 6
The ACIP meeting sounds like an anti-vaccine convention.
04.12.2025 16:51 β π 44 π 10 π¬ 2 π 0
The Advisory Committee on Immunization Practices (ACIP) is meeting today to discuss newborn hepatitis B vaccines. Here's what you need to know.
04.12.2025 15:14 β π 10 π 8 π¬ 0 π 1
This doesnβt prove shingles vaccination treats dementia but it strongly suggests preventing VZV reactivation (or boosting immune fitness more broadly) may slow cognitive decline across the entire dz course.
03.12.2025 20:11 β π 21 π 4 π¬ 1 π 0
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