My parent’s wedding in NYC
…..years before their marriage would be legal in my father’s home state of Virginia
Today is the 56th anniversary of Loving v Virginia
Happy
#LovingDay
!!
The AMA is tremendously pleased to announce Kirsten Bibbins-Domingo, MD, PhD, MAS, as the new editor-in-chief of
@JAMANetwork
.
@KBibbinsDomingo
is a first-rate physician-scientist with a remarkable professional background.
As an MD & epidemiologist who closely follows COVID, knows & has contributed to COVID literature
As a daughter in a family who has known Nazi horrors
I’m appalled by comparisons of this regime with pandemic response
Inflammatory, unhelpful to the discourse, ultimately harmful
The base-rate fallacy is about to become a daily nuisance when it comes to processing outbreak data in highly vaccinated societies. Here's a cautionary tale.
...janitorial staff didn’t have access to hospital email so vaccine info sent to hospital staff did not reach them
what structural racism looks like
@GeorgesBenjami7
@KHNews
Black Americans are getting vaccinated at lower rates than white Americans
Jobs associated w greatest risk of death during pandemic in CA?
Cooks
Packaging machine operators
Agricultural workers
Bakers
Construction workers
Production workers
Sewing machine operators
Shipping clerks
Full list in new preprint
@UCSF_Epibiostat
This graph made me catch my breath
Vaccine equity is not a slogan or a feel-good idea
The consequences of failing to focuse on those most affected throughout the pandemic is devastating.
Black residents now account for 8 in 10 COVID cases in DC
54 years ago, we represented Mildred and Richard Loving in the Supreme Court case Loving v. Virginia. We won the case and overturned unconstitutional bans against interracial marriage.
#LovingDay
Phenomenal profile of
@Cleavon_MD
- a hero even before the pandemic. Great work telling his story
@ushamcfarling
A ‘duty to warn’: An ER doctor, shaped by war and hardship, chronicles the searing realities of... via
@statnews
“Business owners & operators have a corporate, moral & social responsibility to their employees & their families to provide a safe work environment that adheres to all of the health officer directives-this responsibility is important, now more than ever”
I became a mom in med school
To anyone being told they have to put their parenting plans on hold until training is done, don’t listen-this decision is for you to make! We need more representation of parents in training, change systems to promote family health & increase support
I became a mom in fellowship
To anyone being told they have to put their parenting plans on hold until training is done, don’t listen-this decision is for you to make! We need more representation of parents in training, change systems to promote family health & increase support
My first week as EiC of JAMA & the JAMA Network & my inaugural editorial
JAMA Editor in Chief: My Commitment for JAMA and the JAMA Network via
@JAMA_current
part of
@JAMANetwork
New
@UofCalifornia
policy
“For the safety & well-being of the entire university community, the policy will require, with few exceptions, that all students, faculty & staff be vaccinated against the COVID-19 virus before they will be allowed on campus
Threats, demonstrations in front of her home where she lives with three young children
....because she issued a face mask order
Orange County Health Officer Nichole Quick Resigns After Facing Threats For Issuing Face Mask Order �� CBS Los Angeles
Never got a K award (two submissions).
Took me 3 tries to get my
@RWJF
career development award.
If this is the career you want- don’t give up
#grateful
#mentorship
#ucsfPROUD
Junior-level scientists who persisted after their grant proposals were initially rejected eventually outperformed those who were successful first time round
To be clear
If your hospital doesn’t do universal coronavirus testing & selectively tests based on
- patient appearance
- zip code lists where “those people” live, not where the virus is
...without informed consent or community buy-in
This is racist, unethical, unscientific
Pregnant Native American women were singled out for COVID-19 testing based on their race and ZIP code, clinicians say. While awaiting results, some mothers were separated from their newborns, depriving them of the immediate contact doctors recommend.
❤️ the fact that we have ZERO COVID patients at
@ZSFGCare
for the first time sine March 5th 2020
So proud of my colleagues many of whom are called out in this 🧵
A truly momentous day at San Francisco General Hospital
@ZSFGCare
@UCSF
@SFGHFoundation
: for the first time since March 5, 2020, we have zero patients with
#COVID19
in our hospital. A huge milestone in our battle against this pandemic.
We can debate on where, when, how to institute new measures during this surge
…but the fact that we have states where it is ILLEGAL for local officials to mandate masks or require verification of vax status is the height US dysfunction
Must read piece by
@zeynep
w great recs
From
@NYTOpinion
: "Already, we are seeing rises in hospitalizations and deaths, almost entirely among the unvaccinated, and the Delta surge has just begun,”
@zeynep
writes about what Americans must do to combat the coronavirus.
Jobs w most excess deaths during pandemic in CA
Laborers & freight, stock movers
Drivers & truck drivers
Construction laborers
Cooks
Grounds maintenance
Security guards
Agricultural workers
Customer service rep
Chefs & head cooks
New preprint
@ch272n
Over 35 years, women MDs in academic medical centers were less likely than men to be promoted to assoc or full professor or to be appointed to dept chair - no apparent narrowing in gap over time
Women Physicians and Promotion in Academic Medicine | NEJM
.
@CAPublicHealth
guidance for COVID +
✅stay home at least 5 days
✅end isolation if symptoms end/resolve AND neg test on day 5
✅unable to test? 10 days isolation
✅fever? must resolve to end isolation
✅Wear well-fitting mask around others for a total of 10 days
👏🏽👏🏽👏🏽👏🏽
Pleased to announce Dr Alicia Fernández -a national leader in healthcare equity & director
@UCSF_LCOE
- as Associate Dean for Population Health & Health Equity
@UCSFMedicine
& thrilled by the continued commitment to this important work that so many are engaged in across
@UCSF
Great 🧵 on masks w useful info, including hope as we brace for Jan
“If you're vaccinated, & boosted, & wearing an N95, that's as low risk as anything in your life, *regardless of what anyone around you is doing*.”
Pandemic ebbs & flows, so reqs will too
For now
#MaskUp
I see a lot of people - on both "sides" - making simple mistakes about masks. I've studied PPE, taught PPE, and overseen PPE programs, including teams implementing fit testing in hospitals, long before covid.
A thread
We lost my mother-in-law at the end of the 2020.
She was a strong, deeply traditional, and thoroughly modern woman, from whom I learned so much particularly as we were starting our family.
We miss her and are grateful she was part of our lives. 🙏🏽🙏🏽
Lessons from recent surge in France?
Lockdowns work & do so fairly quickly
BUT France also provided economic support for people & businesses
✳️Small businesses access to $11,700/month
✳️employee short-term work assistance
✳️help with rent
6/ Does shelter-in-place work? Here, from
@UCSF
's George Rutherford, is example of France, which saw cataclysmic numbers in Oct-Nov but turned things around in wks, via a tough set of policies.(Note that schools stayed open.) “If they can turn it around, so can we,” says George.
JUST IN: Southwest Airlines, American Airlines, and Delta Air Lines will NOT REQUIRE employees to get vaccinated, breaking with United Airlines' mandate that workers get vaccinated by October 25th or face getting fired.
New guidelines on Acute Respiratory Distress Syndrome
#ARDS
from
@ESICM
were published Friday in
@yourICM
Derek Angus
@seymoc
@PittCCM
& I summarize the highlights & offer reflections in this JAMA Clinical Guideline Synopsis
Kansas issued a mask mandate. Some counties opted out.
The difference is striking
-as reported by
@CDCgov
@CDCMMWR
Trends in County-Level COVID-19 Incidence in Counties With ... via
@CDCgov
Dr. Michelle Albert
President-elect of the American Heart Association
@American_Heart
Say it out loud- Sounds pretty good to me!
Congrats to an outstanding leader & physician-scientist, and my dear colleague & friend
@UCSF
#ucsfproud
#WomenLead
I’ve been Editor in Chief of JAMA & the JAMA Network for nearly 10 months- time flies!
Check out our JAMA 2022 Year in Review
and thank you to the authors, peer reviewers, readers, listeners, viewers, & editors who make this all possible!
Great figure by
@bhrenton
based on
@CDCgov
data
48% of US population fully vaccinated, but not boosted
35% eligible, but not fully vaccinated
6% under age 5 (not eligible for vaccination)
Only 11% fully vaccinated and boosted
#GetVaccinated
#GetBoosted
#StaySafe
I think about the truth & implications of
@edyong209
principles daily
1️⃣Vaccines are beating variants
2️⃣Variants are pummeling unvaccinated
3️⃣The longer 2️⃣ goes on, the less likely 1️⃣ will hold
With ⬆️cases, sensing more masking, testing in our future
My colleagues across
@UofCalifornia
@UofCAHealth
worked together to create this document on how to reduce
#coronavirus
transmission during civil
#protests
. Check it out!
This is what Everyone Can Do to Reduce SARS-CoV-2 Spread During Civil Protesting
Beautiful piece
@brittny_mejia
w stories of our CA hospitals frontline environmental services staff & their oft overlooked heroism
They risk their lives cleaning hospitals. Now, they are getting vaccinated. 'I want people to know that we exist'
Loving that blue!
California the only state in US with low community transmission of coronavirus!
Congrats to everyone doing their part- small or large- to keep our communities safe from
#COVID
Now let’s get even more vaccinated!
#vaccinate
Congratulations to Dr George Rutherford -our
@UCSF_Epibiostat
chief of ID & global epi &
@IGHSatUCSF
faculty- on being selected for 2021 Chancellor Award for Public Service!!
I can’t imagine enduring the pandemic without George’s extraordinary work!
Award on Founders Day May 21
Humbled, honored, inspired, energized
Just a few of my emotions during the induction ceremony today at
@americanacad
Great to meet those I’ve long admired & make the acquaintance of so many doing wonderful work
Congratulations to JAMA EIC Dr Kirsten Bibbins-Domingo who will be inducted this afternoon into the American Academy of Arts and Sciences for her role as an international leader in advancing knowledge.
@KBibbinsDomingo
@americanacad
@ashishkjha
@CarlosdelRio7
@meganranney
Add me to this list as well.
Vaccinated & feeling safe
Working hard to get more vaccinated
Wearing my mask indoors just awhile longer until the rates are higher
Senegal's quiet COVID success: Test results in 24 hours, temperature checks at every store, no fights over masks
Ranked
#2
globally (New Zealand
#1
)
Reasons: quick action, clear comm, reliance on facts & science, experience w Ebola
via
@usatoday
Want to know the up-to-date reproduction number for the
#coronavirus
in California regions or states in the US?
Our outstanding
@UCSF
modelers
@leeworden
& Travis Porco have a great new website - Check it out!!
California- the pandemic is not over....
Please take two minutes and watch this clip of James Baldwin
You will be reminded of his extraordinary brilliance in this pointed extemporaneous response
And the challenge of having comments from 1968 continue to ring true today
The pandemic killed so many dialysis patients that their total number shrunk for the first time in nearly half a century. Few people took notice.
They Were the Pandemic’s Perfect Victims
Thrilled Dr Sharon Inouye
@sharon_inouye
@harvardmed
is the next Editor in Chief of
@JAMAInternalMed
eff 7/1/23
Sharon is a leader in internal medicine & geriatrics & I look forward to working with her to publish the best work shaping internal medicine
We’ve launched UCSF Health atlas ()!! Maps social, demographic, environmental factors that affect health in communities in CA.
And.... from
@palewire
@latimes
who have done outstanding job reporting on COVID - we also have daily updated COVID cases!!
Thibodeaux says that the key to convincing hesitant people is keeping it personal.
“The secret is to keep it 100,” she said.
👏🏽👏🏽👏🏽👏🏽👏🏽
This SF woman convinced 1,270 people to get vaccinated. Here's her secret. via
@SFGate
Wanna know when to wear a mask & why?
Wanna know what clear communication at the intersection of science & policy looks like?
Read this great piece from
@zeynep
The CDC's Outdoor Mask Guidelines Are Too Timid & Too Complicated—The Atlantic
Beautiful, compelling essay from
@slsatel
“The altruism of getting vaccinated is a more diffuse kind of sentiment. It is an act of generosity — a “love thy neighbor,” communitarian ethic — aimed at the nameless and faceless: me and my immunologically challenged cohort.”
Compromising the immunocompromised
People lacking intact immune response to vaccines are common and need others to get vaccinated to be protected
A compelling essay by
@slsatel
"It's not like we're asking you for a kidney"
❤️ 5 tips for
#COVID
@ASlavitt
1️⃣find 2-3 reliable sources & discuss implications for choices w family/friends. Good sources? cite evidence/acknowledge “don’t know”
2️⃣wear a mask
3️⃣pandemics require sacrifice, what’s yours?
4️⃣great time to be nice
5️⃣only bad guy is virus
Read!
ACGME requires access to abortion training for OB-Gyn residency
Given states likely to ban abortions, 44% of OB-Gyn residents will lack access to in-state abortion training
Projected Implications of Overturning Roe v Wade on... : Obstetrics & Gynecology
No apparent trade off between public health & economic recovery in 1918- longer social distancing- better recovery.
Cities That Went All In on Social Distancing in 1918 Emerged Stronger for It
Dr Quick’s address was read aloud at an open meeting when a protestor invited demonstrators to her house to do calisthenics in masks, so that when they died Dr. Quick would be charged with murder
They also appeared with signs depicting her as Hitler.
We're thrilled to reveal the
@statnews
inaugural STATUS list, 46 most impactful changemakers and leaders in health and science. Grateful to
@bbuderi
and Jason Heathcote for leading this months-long project and to our distinguished judges.
#STATUSlist
Sunday
#COVID19
thoughts
1) Hospitalists are asking where non-COVID admissions are that used to fill hospital wards- Averted? Unnecessary? Deteriorating?
I’ve been working
#ZSFG
urgent care & cheering my colleagues doing primary care by telemedicine - we are worried as well
Today is the 53rd anniversary of Loving v. Virginia - the Supreme Court case that struck down laws banning interracial marriage nationally
Decision came several years after the marriage of my parents
#HappyLovingDay
Hippocrates proclaimed that “walking is man’s best medicine.” The good doctor also knew that walking provided more than mere physical benefits when he suggested: “If you are in a bad mood, go for a walk. If you are still in a bad mood, go for another walk”
“We should immediately match variant surges with vaccination surges that target the most vulnerable by going where they are, in the cities and states experiencing active outbreaks”
@zeynep
Modeling suggests it’d work in Michigan
New from Dr Josh Adler, Chief Clinical Officer
@UCSFHospitals
Effective now: Everyone – regardless of vaccination status – must wear a mask or face covering at all indoor locations
@UCSF
(except while eating & drinking) & while riding in or standing in line for campus shuttles
Free
#coronavirus
testing in San Francisco’s Bayview, Sunnydale, Visitacion Valley- Proud that
@UCSF
is partnering on this important work.
These neighborhoods- & the Mission- have highest cases in SF & as many as 50% asymptomatic
Help us get the word out!
#UnitedInHealth
@ASlavitt
I agree this is a false dichotomy
Here’s guidance faculty from
@UofCalifornia
@UofCAHealth
just released on actions everyone (protestors, police, public health) can take to stay safe during civil protests. . Thank you for your work
@ASlavitt
OSHA's new mandatory COVID protection applies only to healthcare
"science tells us that health care workers... are most at risk”
Actually, science tells us highest risk in
-food/agriculture
-manufacturing
-facilities
-transportation/logistics
Labor Secretary Marty Walsh said that DOL's forthcoming mandatory Covid workplace safety rules will be limited to health care settings, a major loss for advocates and unions representing grocery and meatpacking workers
Hey - our
@UCSF
Health Atlas () now lets you visualize data on
#COVID19
& social determinants of health by "places" (e.g. zip codes), as well as county & census tract
Here's
#COVID
cases/100,000 & unemployment in Los Angeles & San Francisco -check it out!
Happy
#LovingDay
!
The day commemorates the June 12, 1967 ruling in Loving v. Virginia, declaring a Virginia law prohibiting mixed-race marriage unconstitutional — and thus legalizing interracial marriage in every state.
Proud of new paper in
@JAMACardio
today
1/4 of adults 36-64 yrs (31 million) are low SES- they have 2x risk of dying of heart disease vs higher SES
Excess smoking, obesity, HTN, diabetes explain <half, suggesting important to focus on upstream poverty
New S.F. survey finds 63% of restaurants back indoor vaccine mandate for diners and staff
Nearly 66% also support an indoor mask requirement.
Just under 60% already require their workers to be fully vaccinated
via
@sfchronicle
“I feel my throat tightening. It’s not the coronavirus or smoke. It’s rage—rage radiating up from my belly & my heart. We’re trapped inside because of the pandemic & because of the fires, but ultimately we are most confined by inequality, selfishness, & greed that created this”🔥
“The claustrophobia of this—of fire turning the entire West Coast dim with smoke, on top of the fear, isolation, and long-term lockdown imposed by the pandemic—is almost too much to bear,”
@Emma_Marris
writes:
For my family, our multi-generational household, my 84-year-old mother (who I hope will have hers soon)
For those who will need medical care until the vaccine is offered to everyone.
Great seeing my primary care colleagues here this morning as well
@UrmimalaSarkar
📢new preprint on occupation & death in working age adults during pandemic
🟢essential workers have borne brunt, esp in surges & even in hi vaxx counties
🟢risk to agricultural workers ⬆️60% overall
🟢emergency workers highest risk sector July-Nov ‘21
Great read, with practical advice from very smart people (including our own
@UCSF
@UCSF_Epibiostat
@pvolberding
) on how they manage coronavirus risk in their own lives
How Fauci, 5 other health specialists deal with covid-19 risks in their everyday lives
1 million -mostly in the unseen
Grateful to
@nytimes
& those who help us see
w words “what has effectively been a slaughter has been the product of policies & public health failings, & just not caring”
@LouiseAronson
& numbers-
@ch272n
@UCSF_Epibiostat
New
@netflix
show will tackle life as a department chair!! Sandra Oh - pictured here in the dress I often wear to work - will star! Cc:
@amypmurtha
@Jasosamd
Deadline described the series as a ‘dramedy’.” 😂😂
via
@chronicle
3600 healthcare workers died during US pandemic
✳️>50% age < 60 years
✳️>1/3 born outside US (esp Philippines)
✳️Nurses & support staff>>MDs
✳️60% nursing home, 30% hospital (but academic hosp rare), the rest residential facilities, clinics, hospices, prisons
Last Spring
@UCSFMedicine
hosted a series of discussions entitled “Racism and Race: The Use of Race in Medicine & Implications for Health Equity”
Proceeding from these sessions were just published!
Videos can be viewed here w links to transcripts