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Measles outbreaks in the USA are a public health problem

Physicians are concerned about recent measles outbreaks in the USA, citing misinformation as a contributing factor. Lack of public memory of measles’ severity, due to vaccine success, has lowered vigilance. Highly contagious, measles’ complications can be severe including death, with no cure but the highly effective MMR vaccine. Low vaccination rates and anti-vaccine sentiments risk exacerbating these outbreaks, undermining herd immunity and public health.

vaping safety

Vaping safety — what does science say about electronic cigarettes

I wanted to go back to vaping, and the safety of electronic cigarettes (EC, to save my typing fingers). ECs were originally developed as a tool to quit cigarette smoking, which is factually linked to lung cancer and other respiratory diseases. And if that’s all they did, then this article would be very short. But we really need to look at the science of the safety of vaping, and that’s going to take a lot of writing.

ECs have become much more than a tool to end smoking, they have evolved into a popular subculture phenomenon known as the “vaping community” that, in many respects, seems to parallel the marijuana advocates. The vaping community continues to push a belief that ECs are safer than traditional cigarettes, have little health risk to the vaper (electronic cigarette smoker), and is much more socially acceptable than smoking cigarettes or cigars.

One of the most ironic and amusing stories about ECs is that Jenny McCarthy, the antivaccination expert who thinks that all ingredients in vaccines are dangerous, has become an advocate for vaping. I bought a brand new, upgraded version 4.7, nuclear-powered irony meter, and it just broke. Thanks, Jenny.

During the 2022 midterm election, California voters decided to support a ban on flavored tobacco products, including flavored electronic cigarettes. That’s a step in the right direction to keep people, especially children and teens, from thinking that it’s like candy.

What are the dangers of electronic cigarettes? Are there any at all? Has the safety of vaping ever been adequately researched? This article is going to dig into it. And we’re going to have a boatload of fun from commenters because I have got a feeling that their beliefs matter more than science with respect to the overall safety of vaping.

Read More »Vaping safety — what does science say about electronic cigarettes
leana wen

Public health expert Leana Wen skips talk because of “credible threats”

Many of you know who Dr. Leana Wen, MD, Research Professor of Health Policy and Management at George Washington University, is because she is one of the current voices in public health issues. She has written two books and she has been outspoken during the COVID-19 pandemic. She was also the CEO of Planned Parenthood.

However, you may be like me, and you may have never heard of her before. It’s possible I read something about her in the past, but I just don’t remember it.

Unfortunately, she has been a target of both sides of the political spectrum — during the first part of the pandemic the anti-mask and anti-vaccine community despised her because she supported COVID-19 restrictions. Lately, she has supported the relaxation of those restrictions and has been attacked by some who think that those restrictions should remain, especially masks.

To be clear, I support keeping COVID-19 restrictions, at least through this winter, but I do not advocate violence against anyone, including Dr. Wen. No matter what the source of the attacks is, and I am embarrassed that it is my side that is the attacker, attacking scientists is against everything I stand for.

This week, Dr. Wen was supposed to speak at a panel discussion at the American Public Health Association (APHA) annual meeting in Boston that focused on countering backlash against public health. Ironic, isn’t it? At any rate, she withdrew because of “credible threats” against her.

Whether or not you support her public health policy statements, and I know a lot of my friends don’t, she is a credible scientist that shouldn’t be forced from an important public health forum because of reasons.

Read More »Public health expert Leana Wen skips talk because of “credible threats”
health gun control

Public health policy — gun control and vaccines to save children’s lives

Another day, another mass shooting in the USA. Gun control and vaccines should be public health issues, but they aren’t. In fact, anti-vaccine and anti-gun control activists seem to show a huge overlap in the Venn diagram of being opposed to the health of children. They both make the same excuses and the same lies.

There have been over 200 mass shootings in the USA just in 2022 alone. And that’s as of 26 May 2022! Americans are so numb to it that it’s becoming harder and harder to express outrage and disgust.

Gun control should be a public health issue no different than what we do with vaccines. The CDC should be posting rules to reduce gun violence as much as they do to reduce deaths from COVID-19 by pushing vaccines.

But here’s what’s going to happen. After 19 children and two adults were killed at an elementary school in Texas, a state which thinks all guns are good, politicians will express their useless “thoughts and prayers,” and in a few days, all will be forgotten. If 19 children and two adults had died of COVID-19, we’d try to fix it. If 19 children and two adults had died in a school bus crash, we’d try to fix it. But gun violence? There seems to be no willpower among the political elite to do anything, especially in our nation of minority rule.

What some of the anti-gun control people are saying is that the risk of dying from a gun is so small, that gun control is outweighed by the benefits of owning guns. I’ve heard this logic before, and it’s from the anti-vaccine zealots. They argue that because only a few children will die of measles (or any vaccine-preventable disease), vaccines should not be mandated. 

Yes, the chances of dying from measles are rare (thanks to vaccines). Yes, the chances of one person dying in a mass murder are small. The problem with the logic of the anti-vaccine and anti-gun control activists is the same — we have the power to prevent both. And we should prevent both. Our public health advocates should be on the side of vaccines and gun control.

Read More »Public health policy — gun control and vaccines to save children’s lives
personal liability

No personal liability for officials who impose COVID public health restrictions in California schools

This article about personal liability for officials who impose public health mandates in schools was written by Dorit Rubinstein Reiss, Professor of Law at the University of California Hastings College of the Law (San Francisco, CA), who is a frequent contributor to this and many other blogs, providing in-depth, and intellectually stimulating, articles about vaccines, medical issues, social policy, and the law.

Professor Reiss writes extensively in law journals about the social and legal policies of vaccination. Additionally, Reiss is also a member of the Parent Advisory Board of Voices for Vaccines, a parent-led organization that supports and advocates for on-time vaccination and the reduction of vaccine-preventable disease. She is also a member of the Vaccines Working Group on Ethics and Policy.

I was asked to address a piece of misinformation that has, apparently, taken off in anti-vaccine circles. Starting from the end — no, activists (or parents) cannot hold school boards and superintendents personally liable for imposing COVID-19 restrictions. No, there is no surety bond that would freeze school funds. The threat to use a surety bond in this context is not a valid legal threat.

If school boards and superintendents receive such threats, they should realize this is, in fact, a pseudo-law used by science deniers to try and intimidate, just as sovereign citizens use similar tactics to attack traffic courts, and the officials’ job is not to give in.

The claim I am addressing appears to be a national effort, with a California-specific branch. In this post, I will try to explain why this personal liability does not hold generally, but also give specific points for California. 

Read More »No personal liability for officials who impose COVID public health restrictions in California schools

COVID vaccine mandates are working

I know we keep reading about lawsuits and protest about COVID-19 vaccine mandates, but I think we (pro-science, pro-vaxxers) are too focused on the negative. Actual data is showing us that these mandates are working and they are substantially increasing vaccination rates.

There have been a ton of court rulings and public protests about COVID-19 vaccine mandates. Dorit Rubinstein Reiss has written about a few of them, but she is barely keeping up with them. I’m on a mailing list from her, and I swear that it appears that there is a new lawsuit against these mandates every single day. And court rulings have been both positive and negative.

But, as I said above, there is good news. The mandates are actually working. So, let’s take a look at what we know.

Read More »COVID vaccine mandates are working
a sick man covering his mouth

Thanks to COVID-19, we beat the flu for the first time in history

The COVID-19 pandemic has been a horrible experience for the past two years, but it had one silver lining – beating the flu.

As I have written before, the annual rite of winter life, flu outbreaks, became almost nothing during the 2020-21 flu season. On average, the flu infects roughly 30 million Americans every year and kills over 30,000. Worldwide, the World Health Organization estimates that over 650,000 people die of respiratory illnesses related to the flu.

As with COVID-19, the elderly, the poor, and people of color are all overrepresented among the victims of the flu. Moreover, the annual economic cost of the flu in the USA averages nearly $90 billion.

Of course, things changed during the 2020-21 flu season. The US had only around 2,000 cases of the flu. No, that is not a typo, there were only 2,000 flu cases in the USA during the 2020-21 flu season. In other words, there were 17,000 times fewer flu cases than the 35 million cases during the 2019-2020 flu season.

During the 2019-20 flu season, 199 children died of the virus. In 2020-21, only one child died.

In fact, other respiratory viruses nearly disappeared during the COVID-19 pandemic – respiratory syncytial virus, parainfluenza, rhinovirus, and adenovirus. I’ve been watching infectious diseases for decades, and this was truly amazing.

So how can we stop the flu once the COVID-19 pandemic is done? And that’s where it gets complicated.

Read More »Thanks to COVID-19, we beat the flu for the first time in history
independent CDC FDA

Create an independent FDA, CDC – new COVID-19 vaccines required it

The COVID-19 pandemic and the subsequent rush for treatments and vaccines for the virus have renewed calls for a more independent FDA and CDC. Professor Dorit Rubinstein Reiss, who is a frequent contributor to this space, has written two powerful articles arguing for an independent CDC and FDA.

If you have followed the progression of the COVID-19 pandemic in the USA, the Centers for Disease Control and Prevention (CDC) and the United States Food and Drug Administration (FDA) responses have been politicized to the point that even those of us who have strongly supported those two agencies are appalled. 

The CDC has been pushed to scrub information and data to make the Trump administration look good. Recently, it was reported that one of Trump’s minions tried to pressure CDC regarding the transmission of the virus to kids to get it in line with the nonsense being pushed during Trump’s failed presidential campaign.

And then the FDA gave Emergency Use Authorizations (EUA) to hydroxychloroquine and remdesivir for treatment of COVID-19. Unfortunately, the data showed that hydroxychloroquine does not work and remdesivir has only a marginal effect on outcomes. In each case, it appears that the FDA was more interested in promoting these drugs to support President Trump’s wild claims that he was “doing something” about the pandemic, rather than relying upon robust science.

Professor Reiss has written two articles about how we might create a more powerful and independent FDA and CDC by utilizing the types of structures of actual independent agencies within the Federal Government. I want to quickly review what she proposes because I think it’s a conversation that we hope that President-elect Joe Biden might embrace during the next few years.

The problem is that 

Read More »Create an independent FDA, CDC – new COVID-19 vaccines required it