The hottest Public Health Substack posts right now

And their main takeaways
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Top Health & Wellness Topics
The DisInformation Chronicle 885 implied HN points 05 Feb 25
  1. A new journal aims to improve communication in public health and share a variety of expert opinions. This is important since many voices were silenced during the pandemic.
  2. The journal will pay peer reviewers for their work, making the process fairer and more efficient. This could help improve the quality of published research.
  3. By publishing peer reviews alongside articles, the journal hopes to promote openness in scientific discussions. This can help challenge the existing norms and biases in traditional scientific publishing.
Force of Infection 110 implied HN points 03 Mar 25
  1. Influenza-like illness is declining, which is good news for everyone, especially parents. Although rates are still above the national baseline, both children and adults are seeing fewer doctor visits for flu symptoms.
  2. COVID-19 activity remains low with a decrease in hospitalizations and emergency department visits. Most states are reporting stable or decreasing cases.
  3. Norovirus rates are still very high and have been consistent since December. It's affecting many people, particularly in the Midwest, so it's important to take precautions.
Your Local Epidemiologist 3078 implied HN points 21 May 25
  1. The FDA has changed Covid-19 vaccine guidelines, now recommending them only for people over 65 or those with chronic conditions. This means younger, healthy adults might not get access to vaccines soon.
  2. Normally, big health decisions follow a clear process involving many experts and public discussions. But this recent change was made by just a few appointed officials without involving the usual expert groups.
  3. Many believe this new approach is worrying because it skips the detailed, evidence-based discussions that are important for public health decisions.
Rory’s Always On Newsletter 575 implied HN points 24 Oct 24
  1. Small changes can lead to big improvements in the NHS, like having administrators handle tasks normally done by doctors, which can cut waiting times significantly.
  2. Many missed hospital appointments could be avoided by improving text reminders and allowing patients to choose their own appointment times, which leads to better attendance rates.
  3. Using simple tech solutions or AI to remind patients about appointments can really help reduce the number of people who don't show up, making the system work better for everyone.
Your Local Epidemiologist 1591 implied HN points 28 May 25
  1. Ultra-processed foods (UPFs) can be convenient and affordable, but they are often linked to health issues like obesity and heart disease. It's important to know that not all processed foods are bad; some can actually be nutritious.
  2. Research shows that diets high in UPFs may lead to overeating and poorer health, but the exact reasons for this aren't fully understood yet. The type of UPF matters, with sugary drinks and processed meats being the most harmful.
  3. To eat healthier, you can look for foods with lower added sugars and sodium, while being mindful of marketing claims. Sometimes, it’s okay to include UPFs in your diet, especially when they meet your specific needs.
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Vinay Prasad's Observations and Thoughts 118 implied HN points 01 Mar 25
  1. The media often overlooks the larger issues in biomedical policy and fails to connect the dots in their reporting. They focus too much on individual actions instead of discussing significant systemic problems.
  2. There is a need for reform in the current biomedical system, particularly regarding how funding and resources are allocated. Many aspects of this system are outdated and not effectively serving public health needs.
  3. It's important to have honest discussions about proposed changes in biomedical policies, rather than framing them as attacks on science. Constructive debate can lead to better solutions and improvements in healthcare.
The DisInformation Chronicle 670 implied HN points 04 Feb 25
  1. The CIA recently suggested that the COVID virus likely originated from a lab in Wuhan, which contradicts earlier claims that labeled this idea as a conspiracy theory. This has caused a stir among scientists and writers who previously dismissed these claims.
  2. Some scientists who once strongly rejected the lab leak theory are now reconsidering their stance, as new assessments show that the virus's origin is still unresolved. They admit there is no definitive proof for either a natural or lab-based origin.
  3. The claim that calling the lab leak theory a conspiracy was unfounded has been echoed by various commentators. Many are now acknowledging that skepticism about the virus's origin deserves more serious discussion.
Popular Rationalism 1803 implied HN points 11 Oct 24
  1. A court ruled that Merck can lie about vaccine data and not face legal consequences, which many find troubling. This means that companies can manipulate important health information without being punished.
  2. The FDA is criticized for allowing Merck to use misleading data for years while still approving its vaccines. This raises questions about whether the FDA is really protecting public health.
  3. The ruling sets a worrying example because it may reduce public trust in vaccines and pharmaceutical companies. People might feel less safe knowing that companies can distort facts without repercussions.
Popular Rationalism 1486 implied HN points 13 Oct 24
  1. The FDA has created a new Office of Inspections and Investigations, which gives it more power to regulate food production. This raises worries that the agency might focus on favoring big corporations instead of local farmers.
  2. There are concerns that the FDA's actions might align with global agendas, particularly from organizations like the World Economic Forum, which could limit local food production and farmers' rights in the name of environmental goals.
  3. If the FDA continues to enforce regulations that prioritize industrial farming over local agriculture, it could threaten food sovereignty, making the U.S. more reliant on centralized agricultural systems instead of supporting local food sources.
The DisInformation Chronicle 2075 implied HN points 23 Jan 25
  1. Dr. Matthew J. Memoli has been appointed as the acting NIH director to help ease tensions within the agency during the transition.
  2. There are concerns about the previous NIH leadership, particularly Lawrence Tabak, who some claim has been dishonest and evasive regarding the origins of the COVID pandemic.
  3. Memoli's leadership could lead to changes within NIH, as the Trump transition team aims to remove other officials linked to past controversies and restore transparency.
Popular Rationalism 970 implied HN points 17 Oct 24
  1. The CBS News report about whooping cough vaccines contained misinformation, suggesting adults need a booster every ten years for pertussis. This is misleading because the CDC does not recommend regular boosters for pertussis.
  2. The effectiveness of the pertussis vaccine decreases significantly within a few years, meaning people can still get infected and spread the disease even after vaccination. This poses risks, especially to infants who are not fully vaccinated.
  3. The vaccine does not provide herd immunity, making it difficult to rely on vaccinated adults to protect vulnerable groups. The public should be educated about the limitations of the vaccine and the risks of asymptomatic carriers.
Common Sense with Bari Weiss 3909 implied HN points 21 Jan 25
  1. The FDA recently banned Red Dye No. 3 due to concerns about its link to thyroid cancer in animals. It's a small victory, but there are many other potentially harmful additives still being used.
  2. Red Dye No. 3 will likely be replaced by Red Dye No. 40, which also has warnings about its effects on children in Europe. This shows that simply switching one dye for another isn't a true solution.
  3. There is a growing concern that synthetic dyes are just a small part of a larger problem with harmful chemicals in our food and products. It's important for consumers to demand safer options.
COVID Reason 793 implied HN points 18 Oct 24
  1. Masks became a way for people to show off their moral values, as if wearing one makes them better than others. It's interesting how people judge each other based on this simple piece of fabric.
  2. There’s a lot of confusion about how effective masks really are, with people switching their opinions constantly. This confusion helps keep people divided and distracted.
  3. Wearing masks has turned into a sign of tribal loyalty, where people identify if someone is 'with them' or 'against them.' This shows how easily they fall back on basic group instincts.
Popular Rationalism 534 implied HN points 21 Oct 24
  1. U.S. public health officials and researchers may have acted in ways that helped foreign countries, especially China, instead of focusing solely on American interests. This raises questions about whether they were following the law.
  2. There is evidence suggesting that decisions made by U.S. health leaders, like lifting a ban on risky research, potentially contributed to the COVID-19 outbreak. Their actions may not have prioritized public safety.
  3. A lack of transparency and accountability in how health officials manage information during the pandemic has eroded public trust. Many feel that critical details about the virus's origins were suppressed to protect certain interests.
Bailiwick News 1783 implied HN points 09 Oct 24
  1. From 1911 to 1943, U.S. Congress didn't create laws to establish clear definitions or standards for biological products, like vaccines and toxins. This meant there were no guidelines for safety or labeling requirements.
  2. The 1902 Virus-Toxin Act only focused on the licensing of manufacturers, not the products themselves. This led to a lack of oversight on what was in those products and whether they were safe to use.
  3. Even with new regulations in later years, there was still confusion and gaps in laws about the safety and efficacy of biological products, allowing manufacturers to operate without strict requirements.
Michael Shellenberger 1628 implied HN points 23 May 25
  1. The Biden Administration labeled people against COVID-19 mandates as 'Domestic Violent Extremists'. This led to concerns about freedom of speech.
  2. Documents suggest that this label allows authorities to investigate these individuals, often starting with assessments by the FBI.
  3. Criticism of the mandates is linked to various conspiracy theories, which could influence actions by social media companies to remove related content.
Common Sense with Bari Weiss 2049 implied HN points 29 Jan 25
  1. Trump's approach to foreign policy focuses mainly on the Americas, which could leave the U.S. vulnerable in other parts of the world. It's important for the U.S. to stay influential globally as it affects everyone back home.
  2. The release of DeepSeek, an AI model from China, could push the U.S. to enhance its technology efforts. This represents a big moment for innovation, similar to the space race.
  3. San Francisco is reconsidering its harm reduction strategies for drug addiction as overdose rates rise. Some leaders are looking for stricter laws, including mass arrests to get users into treatment.
Common Sense with Bari Weiss 1683 implied HN points 30 Jan 25
  1. Robert F. Kennedy Jr. is facing strong opposition in his Senate confirmation hearing as Trump's pick for Health and Human Services. The situation shows a surprising shift in political relationships as former friends now oppose him over party lines.
  2. The rise of the MAHA moms is being compared to the influential soccer moms of the past. These women are rallying around health issues for their children and using their voices to impact legislation.
  3. Critics of the MAHA movement warn that it may overlook the needs of working-class Americans who struggle with health issues and don’t have the means to support the lifestyle changes promoted by the movement.
Asimov Press 206 implied HN points 23 Feb 25
  1. Lenacapavir is a new injectable drug that can prevent HIV for up to six months, showing a higher effectiveness than daily pills.
  2. The drug is being offered at reduced prices in many low-income countries, but there are concerns about access and affordability in some regions.
  3. Despite its promise, lenacapavir's future depends on getting it to those who need it, especially given changes in government funding for HIV prevention programs.
Disaffected Newsletter 2457 implied HN points 06 Sep 24
  1. Oktoberfest in Burlington was canceled due to health concerns about Eastern Equine Encephalitis, which affects mosquitoes in the area.
  2. Despite the low number of cases, local officials advised residents to avoid outdoor activities during certain hours to prevent infections.
  3. The response reflects a larger trend of reacting emotionally to health risks, leading to broader community actions that some see as extreme or unnecessary.
COVID Reason 753 implied HN points 15 Oct 24
  1. During the COVID-19 pandemic, there was a flood of poor-quality scientific studies. Many rushed papers were published that had unreliable findings, highlighting a major issue in research standards.
  2. To improve science in the future, researchers need to focus on real problems and provide real-world data instead of relying heavily on models. Transparency is also crucial so everyone can trust the research and its sources.
  3. Healthcare workers faced immense challenges during the pandemic and deserve more support. The lessons learned from this crisis should help us prioritize quality scientific work and the human aspect of healthcare.
Noahpinion 13470 implied HN points 27 Nov 24
  1. RFK Jr. has been a strong opponent of vaccines, which may influence U.S. vaccination policies if he takes a leadership role in the government. This could lead to less public support for vaccinations.
  2. Beliefs can be useful for creating group unity, even if those beliefs are not based on facts. Sometimes, being a part of a group means accepting ideas that might not be true in reality.
  3. The tension between what is real and what people believe can impact society. It shows how important it is to balance scientific facts with how communities view and accept those facts.
TK News by Matt Taibbi 18799 implied HN points 08 Nov 24
  1. The vaccines didn't work as well as promised, and it's important to look at how the public was informed about them. Many people might have been misled about their effectiveness.
  2. There was a lot of pressure from officials to follow strict guidelines, but some of these recommendations may not have been based on solid research.
  3. The narrative that there was a 'pandemic of the unvaccinated' was likely part of a larger campaign, aimed at stirring emotions and turning the public against each other.
Unsettled Science 948 implied HN points 27 Jan 25
  1. The U.S. Dietary Guidelines are based on low-quality science that is hard to replicate. This raises questions about their reliability for healthy eating.
  2. A new study found serious flaws in how the USDA reviews the research for these guidelines, including mistakes in their search strategies and lack of transparency.
  3. Despite criticism and calls for improvement, the USDA has not made the necessary updates to ensure the guidelines are trustworthy and based on solid research.
TK News by Matt Taibbi 14365 implied HN points 19 Nov 24
  1. The term 'fringe' is often used to dismiss views that many people actually support. It's important to reconsider what we label as fringe.
  2. Critics can be quick to judge individuals based on their views without considering the larger public opinion that might align with those views.
  3. There seems to be a disconnect between mainstream experts and the beliefs of the general population, leading to debates about academic freedom and public health policy.
David Friedman’s Substack 206 implied HN points 23 Feb 25
  1. The pandemic response showed many mistakes, like unnecessary lockdowns and wrong theories about how the virus spread. Learning from these errors can help us better handle future pandemics.
  2. Politics played a big role in how people reacted to health measures, with facts becoming linked to personal beliefs. This shows how polarized views can affect public health decisions.
  3. Trust in science was low because there were no clear, reliable sources of information. It's important to establish trustworthy scientific reporting to avoid confusion during health crises.
Your Local Epidemiologist 1287 implied HN points 19 May 25
  1. A recent breakthrough in genetics used new tools to fix a baby's rare disease by editing their DNA. This could lead to treatments for many other genetic disorders.
  2. Florida is removing fluoride from drinking water, which could affect many people's dental health. This decision might inspire other states to follow suit.
  3. Proposed cuts to Medicaid could leave 8.6 million people without health coverage, highlighting the importance of contacting lawmakers about healthcare access.
Popular Rationalism 574 implied HN points 16 Oct 24
  1. mRNA vaccines face big challenges because of how fast RNA viruses can change. It's unlikely they'll be able to completely eliminate the virus over time.
  2. These vaccines can push viruses to evolve in ways that make them escape detection and survive better. This means the virus can keep changing and might even become more dangerous.
  3. Natural immunity, from getting the virus instead of a vaccine, can be broader and may help prevent newer variants. This shows how different immune responses can affect how the virus evolves.
Your Local Epidemiologist 1591 implied HN points 15 May 25
  1. Drug prices in the U.S. are much higher than in other countries because drug companies set their own prices, and patents keep competition away for many years. This results in Americans paying more for medications.
  2. High drug prices lead people to skip doses or avoid taking medicine altogether, which can result in serious health issues. Many people can't afford their medications, causing preventable health problems.
  3. There are possible solutions to lower drug prices, like the government negotiating prices and reforming patents to allow generics more quickly. However, it requires public pressure and political will to make these changes happen.
Unmasked 92 implied HN points 27 Feb 25
  1. There was a lot of misinformation about COVID vaccines when they came out. Experts made claims that were not supported by facts, leading to confusion about their effectiveness.
  2. Key figures like Dr. Fauci and Rochelle Walensky made statements that turned out to be incorrect, which worsened public trust and guided harmful policies.
  3. Recent research suggests that the long-term side effects of vaccines are more significant than previously acknowledged, highlighting ongoing issues around vaccine communication and transparency.
COVID Reason 1050 implied HN points 08 Oct 24
  1. Chaos and confusion can be more powerful than a virus. When people are confused, they struggle to find the truth.
  2. Control is the real goal, not just dealing with the virus itself. Keeping people afraid and divided helps maintain that control.
  3. History shows us that fear can tear communities apart. Encouraging suspicion between neighbors can lead to a lot of conflict and chaos.
Chartbook 615 implied HN points 01 Feb 25
  1. The government is increasingly using executive orders to make decisions quickly. This shows how urgent some issues are right now.
  2. There's a connection between Deepseek, uranium, and current events. This is an important topic as it relates to energy and security.
  3. Avian flu is impacting the supply chain. This situation highlights how health issues can affect product availability.
Vinay Prasad's Observations and Thoughts 180 implied HN points 24 Feb 25
  1. FDA approvals for Pfizer drugs may not have enough safety and effectiveness data. This raises concerns about the reliability of the drugs available to the public.
  2. There is a pattern of FDA regulators moving to jobs at pharmaceutical companies after approving their products. This can create a conflict of interest and lead to questions about transparency.
  3. The system seems designed to favor big pharmaceutical companies rather than prioritize patient safety and well-being. This indicates a troubling relationship between regulators and the companies they oversee.
The DisInformation Chronicle 1105 implied HN points 21 Jan 25
  1. Biden pardoned Fauci just before leaving office, suggesting he might have faced serious charges. This pardon has raised concerns about accountability for his actions during the pandemic.
  2. Fauci allegedly misled Congress about funding for the Wuhan Institute of Virology, which has drawn a lot of scrutiny and could lead to further investigations.
  3. There are ongoing tensions within the NIH, as leadership changes are expected following discussions about corruption during the pandemic and the Trump team's influence.
Astral Codex Ten 27324 implied HN points 01 Jan 25
  1. H5N1 bird flu started in birds but can spread to other animals and possibly humans. There are concerns about it becoming a bigger threat as it mutates.
  2. Currently, experts estimate a 5% chance of H5N1 causing a human pandemic in the next year, but it could rise to 50% over the next 20 years.
  3. If H5N1 does become a pandemic, most forecasts suggest it won't be as deadly as the Spanish flu, with risks ranging from normal flu severity to several times worse.
Unreported Truths 28 implied HN points 11 Jun 25
  1. The Berenson v Biden case is on hold until a judge makes a decision. The government asked for more time, which both sides agreed to.
  2. There are different claims in the lawsuit, some against government officials and some against private individuals. It's complicated because some defendants have roles in both categories.
  3. Everyone is waiting for the judge's ruling, and it’s unclear what the outcome will be. The situation involves a lot of legal details and intertwining parties.
COVID Reason 495 implied HN points 15 Oct 24
  1. Government lockdowns during the pandemic didn't work as intended and caused more harm than good, affecting people's mental health and education.
  2. Censorship stifled important discussions and alternative viewpoints, which are essential for scientific progress.
  3. Academic institutions didn't uphold free expression and debate, which is key for critical thinking and finding the truth.
HEALTH CARE un-covered 439 implied HN points 23 Sep 24
  1. Ten states have not expanded Medicaid, leaving millions of people without health coverage. These states have some of the highest rates of uninsured residents.
  2. Many people in the coverage gap are working but still can't afford health insurance. Their incomes are too high for Medicaid but too low for ACA subsidies.
  3. The refusal to expand Medicaid often comes from political choices, not a lack of need. Many residents want the expansion, but their state governments are not listening.
Common Sense with Bari Weiss 2160 implied HN points 15 Jan 25
  1. Climate change isn't the main cause of the L.A. fires; rather, the amount of flammable material and infrastructure choices play a bigger role. Clearing brush and using fireproof materials in construction can help save areas from fires.
  2. Steven Koonin argues that focusing solely on reducing carbon emissions won't address the immediate fire risks. He believes there are more direct and practical solutions to prevent such disasters.
  3. The discussion highlights differing opinions on climate issues, especially in relation to immediate environmental disasters like wildfires. It's important to consider various factors rather than attributing everything to climate change.