Podcasts about epidemiologists

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Evan S. Dellon, MD, and Elizabeth T. Jensen, PhD, about a paper they published on predictors of patients receiving no medication for treatment of eosinophilic esophagitis. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:52] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:14] Holly introduces today's topic, predictors of not using medication for EoE, and today's guests, Dr. Evan Dellon and Dr. Elizabeth Jensen.   [1:29] Dr. Dellon is an Adjunct Professor of Epidemiology at the University of North Carolina School of Medicine in Chapel Hill. He is also the Director of the UNC Center for Esophageal Diseases and Swallowing.   [1:42] Dr. Dellon's main research interest is in the epidemiology, pathogenesis, diagnosis, treatment, and outcomes of eosinophilic esophagitis (EoE) and eosinophilic GI diseases (EGIDs).   [1:55] Dr. Jensen is a Professor of Epidemiology with a specific expertise in reproductive, perinatal, and pediatric epidemiology. She has appointments at both Wake Forest University School of Medicine and the University of North Carolina at Chapel Hill.   [2:07] Her research primarily focuses on etiologic factors in the development of pediatric immune-mediated chronic diseases, including understanding factors contributing to disparities in health outcomes.   [2:19] Both Dr. Dellon and Dr. Jensen also serve on the Steering Committee for EGID Partners Registry.   [2:24] Ryan thanks Dr. Dellon and Dr. Jensen for joining the podcast today.   [2:29] Dr. Dellon was the first guest on this podcast. It is wonderful to have him back for the 50th episode! Dr. Dellon is one of Ryan's GI specialists. Ryan recently went to North Carolina to get a scope with him.   [3:03] Dr. Dellon is an adult gastroenterologist at the University of North Carolina at Chapel Hill. He directs the Center for Esophageal Diseases and Swallowing. Clinically and research-wise, he is focused on EoE and other eosinophilic GI diseases.   [3:19] His research interests span the entire field, from epidemiology, diagnosis, biomarkers, risk factors, outcomes, and a lot of work, more recently, on treatments.   [3:33] Dr. Jensen has been on the podcast before, on Episode 27. Holly invites Dr. Jensen to tell the listeners more about herself and her work with eosinophilic diseases.   [3:46] Dr. Jensen has been working on eosinophilic gastrointestinal diseases for about 15 years. She started some of the early work around understanding possible risk factors for the development of disease.   [4:04] She has gone on to support lots of other research projects, including some with Dr. Dellon, where they're looking at gene-environment interactions in relation to developing EoE.   [4:15] She is also looking at reproductive factors as they relate to EoE, disparities in diagnosis, and more. It's been an exciting research trajectory, starting with what we knew very little about and building to an increasing understanding of why EoE develops.   [5:00] Dr. Dellon explains that EoE stands for eosinophilic esophagitis, a chronic allergic condition of the esophagus.   [5:08] You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have EoE, it is a long-term condition.   [5:24] Eosinophils are a type of white blood cell, specializing in allergy responses. Normally, they are not in the esophagus. When we see them there, we worry about an allergic process. When that happens, that's EoE.   [5:40] Over time, the inflammation seen in EoE and other allergic cell activity causes swelling and irritation in the esophagus. Early on, this often leads to a range of upper GI symptoms — including poor growth or failure to thrive in young children, abdominal pain, nausea, and symptoms that can mimic reflux.   [5:58] In older kids, symptoms are more about trouble swallowing. That's because the swelling that happens initially, over time, may turn into scar tissue. So the esophagus can narrow and cause swallowing symptoms like food impaction.   [6:16] Ryan speaks of living with EoE for decades and trying the full range of treatment options: food elimination, PPIs, steroids, and, more recently, biologics.   [6:36] Dr. Dellon says Ryan's history is a good overview of how EoE is treated. There are two general approaches to treating the underlying condition: using medicines and/or eliminating foods that we think may trigger EoE from the diet.   [6:57] For a lot of people, EoE is a food-triggered allergic condition.   [7:01] The other thing that has to happen in parallel is surveying for scar tissue in the esophagus. If that's present and people have trouble swallowing, sometimes stretching the esophagus is needed through esophageal dilation.   [7:14] There are three categories of medicines used for treatment. Proton pump inhibitors are reflux meds, but they also have an anti-allergy effect in the esophagus.   [7:29] Topical steroids are used to coat the esophagus and produce an anti-inflammatory effect. The FDA has approved a budesonide oral suspension for that.   [7:39] Biologics, which are generally systemic medications, often injectable, can target different allergic factors. Dupilumab is approved now, and there are other biologics that are being researched as potential treatments.   [7:51] Even though EoE is considered an allergic condition, we don't have a test to tell people what they are allergic to. If it's a food allergy, we do an empiric elimination diet because allergy tests aren't accurate enough to tell us what the EoE triggers are.   [8:10] People will eliminate foods that we know are the most common triggers, like milk protein, dairy, wheat, egg, soy, and other top allergens. You can create a diet like that and then have a response to the diet elimination.   [8:31] Dr. Jensen and Dr. Dellon recently published an abstract in the American Journal of Gastroenterology about people with EoE who are not taking any medicine for it. Dr. Jensen calls it a real-world data study, leveraging electronic health record patient data.   [8:51] It gives you an impression of what is actually happening, in terms of treatments for patients, as opposed to a randomized control trial, which is a fairly selected patient population. This is everybody who has been diagnosed, and then what happens with them.   [9:10] Because of that, it gives you a wide spectrum of patients. Some patients are going to be relatively asymptomatic. It may be that we arrived at their diagnosis while working them up for other potential diagnoses.   [9:28] Other patients are going to have rather significant impacts from the disease. We wanted to get an idea of what is actually happening out there with the full breadth of the patient population that is getting diagnosed with EoE.   [9:45] Dr. Jensen was not surprised to learn that there are patients who had no pharmacologic treatment.   [9:58] Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are early in their disease process and still exploring dietary treatment options.   [10:28] Holly sees patients from infancy to geriatrics, and if they're not having symptoms, they wonder why bother treating it.   [10:42] Dr. Jensen says it's a point of debate on the implications of somebody who has the disease and goes untreated. What does that look like long-term? Are they going to develop more of that fibrostenotic pattern in their esophagus without treatment?   [11:07] This is a question we're still trying to answer. There is some suggestion that for some patients who don't manage their disease, we very well may be looking at a food impaction in the future.   [11:19] Dr. Dellon says we know overall for the population of EoE patients, but it's hard to know for a specific patient. We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range.   [11:39] Some people get symptoms and get diagnosed right away. Others might have symptoms for 20 or 30 years that they ignore, or don't have access to healthcare, or the diagnosis is missed.   [11:51] What we see consistently is that people who may be diagnosed within a year or two may only have a 10 or 20% chance of having that stricture and scar tissue in the esophagus, whereas people who go 20 years, it might be 80% or more.   [12:06] It's not everybody who has EoE who might end up with that scar tissue, but certainly, it's suggested that it's a large majority.   [12:16] That's before diagnosis. We have data that shows that after diagnosis, if people go a long time without treatment or without being seen in care, they also have an increasing rate of developing strictures.    [12:29] In general, the idea is yes, you should treat EoE, because on average, people are going to develop scar tissue and more symptoms. For the patient in front of you with EoE but no symptoms, what are the chances it's going to get worse? You don't know.   [13:04] There are two caveats with that. The first is what we mean by symptoms. Kids may have vomiting and growth problems. Adults can eat carefully, avoiding foods that hang up in the esophagus, like breads and overcooked meats, sticky rice, and other foods.   [13:24] Adults can eat slowly, drink a lot of liquid, and not perceive they have symptoms. When someone tells Dr. Dellon they don't have symptoms, he will quiz them about that. He'll even ask about swallowing pills.    [13:40] Often, you can pick up symptoms that maybe the person didn't even realize they were having. In that case, that can give you some impetus to treat.   [13:48] If there really are no symptoms, Dr. Dellon thinks we're at a point where we don't really know what to do.   [13:54] Dr. Dellon just saw a patient who had a lot of eosinophils in their small bowel with absolutely no GI symptoms. He said, "I can't diagnose you with eosinophilic enteritis, but you may develop symptoms." People like that, he will monitor in the clinic.   [14:14] Dr. Dellon will discuss it with them each time they come back for a clinic visit.   [14:19] Holly is a speech pathologist, but also sees people for feeding and swallowing. The local gastroenterologist refers patients who choose not to treat their EoE to her. Holly teaches them things they should be looking out for.   [14:39] If your pills get stuck or if you're downing 18 ounces during a mealtime, maybe it's time to treat it. People don't see these coping mechanisms they use that are impacting their quality of life. They've normalized it.   [15:30] Dr. Dellon says, of these people who aren't treated, there's probably a subset who appropriately are being observed and don't have a medicine treatment or are on a diet elimination.   [15:43] There's also probably a subset who are inappropriately not on treatment. It especially can happen with students who were under good control with their pediatric provider, but moved away to college and didn't transfer to adult care.   [16:08] They ultimately come back with a lot of symptoms that have progressed over six to eight years.   [16:18] Ryan meets newly diagnosed adult patients at APFED's conferences, who say they have no symptoms, but chicken gets caught in their throat. They got diagnosed when they went to the ER with a food impaction.   [16:38] Ryan says you have to wonder at what point that starts to get reflected in patient charts. Are those cases documented where someone is untreated and now has EoE?   [16:49] Ryan asks in the study, "What is the target EGID Cohort and why was it selected to study EoE? What sort of patients were captured as part of that data set?"   [16:58] Dr. Jensen said they identified patients with the ICD-10 code for a diagnosis of EoE. Then they looked to see if there was evidence of symptoms or complications in relation to EoE. This was hard; some of these are relatively non-specific symptoms.   [17:23] These patients may have been seeking care and may have been experiencing some symptoms that may or may not have made it into the chart. That's one of the challenges with real-world data analyses.   [17:38] Dr. Jensen says they are using data that was collected for documenting clinical care and for billing for clinical care, not for research, so it comes with some caveats when doing research with this data.   [18:08] Research using electronic health records gives a real-world perspective on patients who are seeking care or have a diagnosis of EoE, as opposed to a study trying to enroll a patient population that potentially isn't representative of the breadth of individuals living with EoE.   [18:39] Dr. Dellon says another advantage of real-world data is the number of patients. The largest randomized controlled trials in EoE might have 400 patients, and they are incredibly expensive to do.   [18:52] A study of electronic health records (EHR) is reporting on the analysis of just under 1,000. The cohort, combined from three different centers, has more than 1,400 people, a more representative, larger population.    [19:16] Dr. Dellon says when you read the results, understand the limitations and strengths of a study of health records, to help contextualize the information.   [19:41] Dr. Dellon says it's always easier to recognize the typical presentations. Materials about EoE and studies he has done that led to medicine approvals have focused on trouble swallowing. That can be relatively easily measured.   [20:01] Patients often come to receive care with a food impaction, which can be impactful on life, and somewhat public, if in a restaurant or at work. Typical symptoms are also the ones that get you diagnosed and may be easier to treat.   [20:26] Dr. Dellon wonders if maybe people don't treat some of the atypical symptoms because it's not appreciated that they can be related to EoE.   [20:42] Holly was diagnosed as an adult. Ryan was diagnosed as a toddler. Holly asks what are some of the challenges people face in getting an EoE diagnosis.   [20:56] Dr. Jensen says symptoms can sometimes be fairly non-specific. There's some ongoing work by the CEGIR Consortium trying to understand what happens when patients come into the emergency department with a food bolus impaction.   [21:28] Dr. Jensen explains that we see there's quite a bit of variation in how that gets managed, and if they get a biopsy. You have to have a biopsy of the esophagus to get a diagnosis of EoE.   [21:45] If you think about the steps that need to happen to get a diagnosis of EoE, that can present barriers for some groups to ultimately get that diagnosis.   [21:56] There's also been some literature around a potential assumption about which patients are more likely to be at risk. Some of that is still ongoing. We know that EoE occurs more commonly in males in roughly a two-to-one ratio. Not exclusively in males, obviously, but a little more often in males.   [22:20] We don't know anything about other groups of patients that may be at higher risk. That's ongoing work that we're still trying to understand. That in itself can also be a barrier when there are assumptions about who is or isn't likely to have EoE.   [23:02] Dr. Dellon says that in adolescents and adults, the typical symptoms are trouble swallowing and food sticking, which have many causes besides EoE, some of which are more common.   [23:18] In that population, heartburn is common. Patients may report terrible reflux that, on questioning, sounds more like trouble swallowing than GERD. Sometimes, with EoE, you may have reflux that doesn't improve. Is it EoE, reflux, or both?   [24:05] Some people will have chest discomfort. There are some reports of worsening symptoms with exercise, which brings up cardiac questions that have to be ruled out first.   [24:19] Dr. Dellon mentions some more atypical symptoms. An adult having pain in the upper abdomen could have EoE. In children, the symptoms could be anything in the GI tract. Some women might have atypical symptoms with less trouble swallowing.   [24:58] Some racial minorities may have those kinds of symptoms, as well. If you're not thinking of the condition, it's hard to make the diagnosis.   [25:08] Dr. Jensen notes that there are different cultural norms around expressing symptoms and dietary patterns, which may make it difficult to parse out a diagnosis.   [25:27] Ryan cites a past episode where access to a GI specialist played a role in diagnosing patients with EoE. Do white males have more EoE, or are their concerns just listened to more seriously?   [25:57] Ryan's parents were told when he was two that he was throwing up for attention. He believes that these days, he'd have a much easier time convincing a doctor to listen to him. From speaking to physicians, Ryan believes access is a wide issue in the field.   [26:23] Dr. Dellon tells of working with researchers at Mayo in Arizona and the Children's Hospital of Phoenix. They have a large population of Hispanic children with EoE, much larger than has been reported elsewhere. They're working on characterizing that.   [26:49] Dr. Dellon describes an experience with a visiting trainee from Mexico City, where there was not a lot of EoE reported. The trainee went back and looked at the biopsies there, and it turned out they were not performing biopsies on patients with dysphagia in Mexico City.   [27:13] When he looked at the patients who ended up getting biopsies, they found EoE in 10% of patients. That's similar to what's reported out of centers in the developed world. As people are thinking about it more, we will see more detection of it.   [27:30] Dr. Dellon believes those kinds of papers will be out in the next couple of months, to a year.   [27:36] Holly has had licensure in Arizona for about 11 years. She has had nine referrals recently of children with EoE from Arizona. Normally, it's been one or two that she met at a conference.   [28:00] Ryan asks about the research on patients not having their EoE treated pharmacologically. Some treat it with food avoidance and dietary therapy. Ryan notes that he can't have applesauce, as it is a trigger for his EoE.   [28:54] Dr. Jensen says that's one of the challenges in using the EHR data. That kind of information is only available to the researchers through free text. That's a limitation of the study, assessing the use of dietary elimination approaches.   [29:11] Holly says some of her patients have things listed as allergies that are food sensitivities. Ryan says it's helpful for the patients to have their food sensitivities listed along with their food allergies, but it makes records more difficult to parse for research.   [30:14] Dr. Dellon says they identify EoE by billing code, but the codes are not always used accurately. Natural Language Processing can train a computer system to find important phrases. Their collaborators working on the real-world data are using it.   [30:59] Dr. Dellon hopes that this will be a future direction for this research to find anything in the text related to diet elimination.   [31:32] Dr. Jensen says that older patients were less likely to seek medication therapy. She says it's probably for a couple of reasons. First, older patients may have been living with the disease for a long time and have had compensatory mechanisms in place.   [32:03] The other reason may be senescence or burnout of the disease, long-term. Patients may be less symptomatic as they get older. That's a question that remains to be answered for EoE. It has been seen in some other disease processes.   [32:32] Dr. Dellon says there's not much data specifically looking at EoE in the older population. Dr. Dellon did work years ago with another doctor, and they found that older patients had a better response to some treatments, particularly topical steroids.   [32:54] It wasn't clear whether it was a milder aspect of the disease, easier to treat, or because they were older and more responsible, taking their medicines as prescribed, and having a better response rate. It's the flip side of work in the pediatric population.   [33:16] There is an increasingly aging population with EoE. Young EoE patients will someday be over 65. Dr. Dellon hopes there will be a cure by that point, but it's an expanding population now.   [33:38] Dr. Jensen says only a few sites are contributing data, so they hope to add additional sites to the study. For some of the less common outcomes, they need a pretty large patient sample to ask some of those kinds of questions.   [33:55] They will continue to follow up on some of the work that this abstract touched on and try to understand some of these issues more deeply.   [34:06] Dr. Dellon mentions other work within the cohort. Using Natural Language Processing, they are looking at characterizing endoscopy information and reporting it without a manual review of reports and codes. You can't get that from billing data.   [34:29] Similarly, they are trying to classify patient severity by the Index of Severity with EoE, and layer that on looking at treatments and outcomes based on disease severity. Those are a couple of other directions where this cohort is going.   [34:43] Holly mentions that this is one of many research projects Dr. Jensen and Dr. Dellon have collaborated on together. They also collaborate through EGID Partners. Holly asks them to share a little bit about that.   [34:53] Dr. Jensen says EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join.   [35:07] EGID Partners also needs people who don't live with an EGID to join, as controls. That gives the ability to compare those who are experiencing an EGID relative to those who aren't.   [35:22] When you join EGID Partners, they provide you with a set of questionnaires to complete. Periodically, they push out a few more questionnaires.   [35:33] EGID Partners has provided some really great information about patient experience and answered questions that patients want to know about, like joint pain and symptoms outside the GI tract.   [36:04] To date, there are close to 900 participants in the registry from all over the world. As it continues to grow, it will give the ability to look at the patient experience in different geographical areas.   [36:26] Dr. Dellon says we try to have it be interactive, because it is a collaboration with patients. The Steering Committee works with APFED and other patient advocacy groups from around the world.    [36:41] The EGID Partners website shows general patient locations anonymously. It shows the breakdown of adults with the condition and caregivers of children with the condition, the symptom distribution, and the treatment distribution.   [37:03] As papers get published and abstracts are presented, EGID Partners puts them on the website. Once someone joins, they can suggest a research idea. Many of the studies they have done have come from patient suggestions.   [37:20] If there's an interesting idea for a survey, EGID Partners can push out a survey to everybody in the group and answer questions relatively quickly.   [37:57] Dr. Dellon says a paper came out recently about telehealth. EoE care, in particular, is a good model for telehealth because it can expand access for patients who don't have providers in their area.   [38:22] EoE is a condition where care involves a lot of discussion but not a lot of need for physical exams and direct contact, so telehealth can make things very efficient.    [38:52] EGID Partners surveyed patients about telehealth. They thought it was efficient and saved time, and they had the same kind of interactions as in person. In general, in-state insurance covered it. Patients were happy to do those kinds of visits again.   [39:27] Holly says Dr. Furuta, herself, and others were published in the Gastroenterology journal in 2019 about starting to do telehealth because patients coming to the Children's Hospital of Colorado from out of state had no local access to feeding therapy.   [39:50] Holly went to the board, and they allowed her to get licensure in different states. She started with some of the most impacted patients in Texas and Florida in 2011 and 2012. They collected data. They published in 2019 about telehealth's positive impact.   [40:13] When 2020 rolled around, Holly had trained a bunch of people on how to do feeding therapy via telehealth. You have to do all kinds of things, like make yourself disappear, to keep the kids engaged and in their chairs!   [40:25] Now it is Holly's primary practice. She has licenses in nine states. She sees people all over the country. With her diagnosis, her physicians at Mass General have telehealth licensure in Maine. She gets to do telehealth with them instead of driving two hours.   [40:53] Dr. Jensen tells of two of the things they hope to do at EGID Partners. One is trying to understand more about reproductive health for patients with an EGID diagnosis. Only a few studies have looked at this question, and with very small samples.   [41:15] As more people register for EGID Partners, Dr. Jensen is hoping to be able to ask some questions related to reproductive health outcomes.   [41:27] The second goal is a survey suggested by the Student Advisory Committee, asking questions related to the burden of disease specific to the teen population.   [41:48] This diagnosis can hit that population particularly hard, at a time when they are trying to build and sustain friendships and are transitioning to adult care and moving away from home. This patient population has a unique perspective we wanted to hear.   [42:11] Dr. Jensen and Dr. Dellon work on all kinds of other projects, too.   [42:22] Dr. Dellon says they have done a lot of work on the early-life factors that may predispose to EoE. They are working on a large epidemiologic study to get some insight into early-life factors, including factors that can be measured in baby teeth.   [42:42] That's outside of EGID Partners. It's been ongoing, and they're getting close, maybe over the next couple of years, to having some results.   [43:03] Ryan says all of those projects sound so interesting. We need to have you guys back to dive into those results when you have something finalized.   [43:15] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [43:22] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [43:31] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [43:41] Ryan thanks Dr. Dellon and Dr. Jensen for joining us today. This was a fantastic conversation. Holly also thanks APFED's Education Partners GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Evan S. Dellon, MD, MPH, Academic Gastroenterologist, University of North Carolina School of Medicine   Elizabeth T. Jensen, MPH, PhD, Epidemiologist, Wake Forest University School of Medicine, University of North Carolina at Chapel Hill   Predictors of Patients Receiving No Medication for Treatment of Eosinophilic Esophagitis in the United States: Data from the TARGET-EGIDS Cohort   Episode 15: Access to Specialty Care for Eosinophilic Esophagitis (EoE)   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I've been working on eosinophilic gastrointestinal diseases for about 15 years. I started some of the early work around understanding possible risk factors for the development of disease. I've gone on to support lots of other research projects." — Elizabeth T. Jensen, MPH, PhD   "You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have it, it really is a long-term condition." — Evan S. Dellon, MD, MPH   "There are two general approaches to treating the underlying condition, … using medicines and/or eliminating foods from the diet that we think may trigger EoE. I should say, for a lot of people, EoE is a food-triggered allergic condition." — Evan S. Dellon, MD, MPH   "I didn't find it that surprising [that there are patients who had no treatment]. Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are … still exploring dietary treatment options." — Elizabeth T. Jensen, MPH, PhD   "We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range. Some people get symptoms and are diagnosed right away. Other people might have symptoms for 20 or 30 years." — Evan S. Dellon, MD, MPH   "EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join. EGID Partners also needs people who don't live with an EGID to join, as controls." — Elizabeth T. Jensen, MPH, PhD

Send us a textSeth Berkley, MD has been at the front lines of the world's biggest battles against infectious disease. As the longtime CEO of Gavi, the Vaccine Alliance, the cofounder of COVAX, and the founder of the International AIDS Vaccine Initiative, Berkley has helped bring lifesaving vaccines to billions of people.In his new book, FAIR DOSES: An Insider's Story of the Pandemic and the Global Fight for Vaccine Equity, Berkley lays out the hard truths of what went wrong during COVID—and how we can do better next time. From the rise of vaccine nationalism and political roadblocks to the explosion of misinformation, Berkley explains why inequitable vaccine access cost millions of lives and weakened global stability.On this episode of FUTUREPROOF., we discuss:Why the next pandemic is not a question of if, but whenWhat COVID-19 revealed about the politics of global healthHow vaccine nationalism and misinformation threaten our collective safetyLessons from COVAX and how to design faster, fairer systems in the futureWhy global cooperation isn't just moral—it's economic and existentialThis is a candid conversation about science, trust, and survival in a world that will inevitably face future pandemics.

Epidemiologist Joseph Mangano, head of Radiation and Public Health Project (RPHP) This Week’s Featured Interview: Such a national study of the health risks posed by existing reactors should: LINK: Why a national cancer study near US reactors must be conducted before any new expansion of nuclear power – original article by Joseph Mangano and the...

In the chaos of a global pandemic, clarity and trust became as vital as any vaccine. In this episode of the Public Health Insight Podcast, Dr. Tista Ghosh reveals the untold stories behind rural and urban divides, the confusion of shifting public health guidance, and the fragile foundation of trust that shapes our collective response. This conversation cuts through the noise to spotlight the real challenges and urgent lessons that public health must face before the next crisis arrives.References for Our Discussion◼️Tista Ghosh | Author◼️Bird flu's deadly return: Are we flying blind into the next pandemic?◼️Trump's Cuts to FEMA Leave Us Unprepared for Disasters ◼️The CDC at a Crossroads: Budget Cuts, Public Health, and the Growing Threat of Infectious Diseases ◼️Social Impact Authors: How & Why Author Tista S Ghosh Is Helping To Change Our WorldGuest◼️Dr. Tista Ghosh, MD, MPH; Physician, Epidemiologist, Award-winning Health Journalist, & AuthorHost & Producer(s)◼️ Gordon Thane, BMSc, MPH, PMP®Production Notes◼️ Music from Johnny Harris x Tom Fox: The Music RoomSubscribe to the NewsletterSubscribe to The Insight newsletter so you don't miss out on the latest podcast episodes, live events, job skills, learning opportunities, and other engaging professional development content here.Leave Us Some FeedbackIf you enjoy our podcasts, be sure to subscribe and leave us a rating on Apple Podcast or Spotify, and spread the word to your friends to help us get discovered by more people. You can also interact directly with the podcast episodes on Spotify using the new “comment” feature! We'd love to hear what you think.Send us a Text Message to let us know what you think.

We treated the world as if everyone was living the same pandemic. But what if that was our biggest mistake? Dr. Tista Ghosh takes us inside her new book, Before The Next Crisis, sharing untold stories from the frontlines—stories that challenge what we thought we knew about COVID-19. This episode dives deep into the chaos, confusion, and courage that defined the crisis, and asks: how do we rebuild trust in science, and what should we do differently next time?References for Our Discussion◼️Tista Ghosh | Author◼️Bird flu's deadly return: Are we flying blind into the next pandemic?◼️Trump's Cuts to FEMA Leave Us Unprepared for Disasters ◼️The CDC at a Crossroads: Budget Cuts, Public Health, and the Growing Threat of Infectious Diseases ◼️Social Impact Authors: How & Why Author Tista S Ghosh Is Helping To Change Our WorldGuest◼️Dr. Tista Ghosh, MD, MPH; Physician, Epidemiologist, Award-winning Health Journalist, & AuthorHost & Producer(s)◼️ Gordon Thane, BMSc, MPH, PMP®Production Notes◼️ Music from Johnny Harris x Tom Fox: The Music RoomSubscribe to the NewsletterSubscribe to The Insight newsletter so you don't miss out on the latest podcast episodes, live events, job skills, learning opportunities, and other engaging professional development content here.Leave Us Some FeedbackIf you enjoy our podcasts, be sure to subscribe and leave us a rating on Apple Podcast or Spotify, and spread the word to your friends to help us get discovered by more people. You can also interact directly with the podcast episodes on Spotify using the new “comment” feature! We'd love to hear what you think.Send us a Text Message to let us know what you think.

Vidcast:  https://www.instagram.com/p/DPazFqDjUYF/If you have a problem with alcohol, so-called alcohol use disorder, you are at a more than 50% higher risk of developing dementia.  Epidemiologists from Britain's University of Oxford and Yale studied adults with data in the UK Biobank and the US Million Veteran Program.The tabulated case data revealed that heavy drinkers consuming more than 40 alcoholic drinks/week have 41% higher risk of dementia compared with non-drinkers and those with alcohol use disorder have a 41% higher risk. A genetic analysis shows that every standard deviation increase in the log transformed number of drinks/week is associated with 15% higher dementia risk.The researchers emphasize that those having an occasional drink need not worry about this dementia risk.  Again, moderation is the best policy.https://ebm.bmj.com/content/early/2025/09/16/bmjebm-2025-113913#alcohol #dementia 

From family stories of freedom fighters to the chaos of COVID-19, Dr. Tista Ghosh's journey is anything but ordinary. In this episode of the Public Health Insight Podcast, she opens up about growing up between cultures, navigating political minefields as Colorado's Chief Medical Officer, and what she learned listening to frontline workers, which she captures in her new book, Before The Next Crisis.References for Our Discussion◼️Tista Ghosh | Author◼️Bird flu's deadly return: Are we flying blind into the next pandemic?◼️Trump's Cuts to FEMA Leave Us Unprepared for Disasters ◼️The CDC at a Crossroads: Budget Cuts, Public Health, and the Growing Threat of Infectious Diseases ◼️Social Impact Authors: How & Why Author Tista S Ghosh Is Helping To Change Our WorldGuest◼️Dr. Tista Ghosh, MD, MPH; Physician, Epidemiologist, Award-winning Health Journalist, & AuthorHost & Producer(s)◼️ Gordon Thane, BMSc, MPH, PMP®Production Notes◼️ Music from Johnny Harris x Tom Fox: The Music RoomSubscribe to the NewsletterSubscribe to The Insight newsletter so you don't miss out on the latest podcast episodes, live events, job skills, learning opportunities, and other engaging professional development content here.Leave Us Some FeedbackIf you enjoy our podcasts, be sure to subscribe and leave us a rating on Apple Podcast or Spotify, and spread the word to your friends to help us get discovered by more people. You can also interact directly with the podcast episodes on Spotify using the new “comment” feature! We'd love to hear what you think.Send us a Text Message to let us know what you think.

Has there been a noticeable increase in Covid-19 cases recently? What is the protocol to be taken once a diagnosis or positive result has been given? Lester Kiewit speaks to Dr Jocelyn Moyes, an epidemiologist at the National Institute for Communicable Diseases (NICD). Good Morning Cape Town with Lester Kiewit is a podcast of the CapeTalk breakfast show. This programme is your authentic Cape Town wake-up call. Good Morning Cape Town with Lester Kiewit is informative, enlightening and accessible. The team’s ability to spot & share relevant and unusual stories make the programme inclusive and thought-provoking. Don’t miss the popular World View feature at 7:45am daily. Listen out for #LesterInYourLounge which is an outside broadcast – from the home of a listener in a different part of Cape Town - on the first Wednesday of every month. This show introduces you to interesting Capetonians as well as their favourite communities, habits, local personalities and neighbourhood news. Thank you for listening to a podcast from Good Morning Cape Town with Lester Kiewit. Listen live on Primedia+ weekdays between 06:00 and 09:00 (SA Time) to Good Morning CapeTalk with Lester Kiewit broadcast on CapeTalk https://buff.ly/NnFM3Nk For more from the show go to https://buff.ly/xGkqLbT or find all the catch-up podcasts here https://buff.ly/f9Eeb7i Subscribe to the CapeTalk Daily and Weekly Newsletters https://buff.ly/sbvVZD5 Follow us on social media CapeTalk on Facebook: https://www.facebook.com/CapeTalk CapeTalk on TikTok: https://www.tiktok.com/@capetalk CapeTalk on Instagram: https://www.instagram.com/ CapeTalk on X: https://x.com/CapeTalk CapeTalk on YouTube: https://www.youtube.com/@CapeTalk567 See omnystudio.com/listener for privacy information.

Epidemiologist & Health Economist - New England Complex Systems Institute, Dr. Eric Feigl-Ding appraises RFK Jr's embarrassing testimony to Congress. Also Epstein's 50th birthday book: who is in it and what did they say? It has a distressing central meme of seemingly abusing young girls. Good News Alert! New Mexico will become the first state to offer free universal childcare, setting a model for all. Poland shoots down Russian drones in its airspace. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Many Americans who want to get the newest COVID vaccines may now have a harder time doing so. The Food and Drug Administration limited approval for the shots to adults 65 and older or those who are "high risk" for severe disease. The vaccine was previously available to individuals six months of age and older. Amna Nawaz discussed the changes with Dr. Katelyn Jetelina of Your Local Epidemiologist. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

Many Americans who want to get the newest COVID vaccines may now have a harder time doing so. The Food and Drug Administration limited approval for the shots to adults 65 and older or those who are "high risk" for severe disease. The vaccine was previously available to individuals six months of age and older. Amna Nawaz discussed the changes with Dr. Katelyn Jetelina of Your Local Epidemiologist. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

Swedens state epidemiologist Magnus Gisslén has resigned, criticising the leadership of the Public Health Agency. Also this week: Swedish Radio's foreign correspondents gathered in Stockholm to share insights from around the world, we speak to three of them, covering U.S. politics and life in war-torn Ukraine and the Middle East.Presenters: Babak Parham & Michael Walsh.

A round-up of the main headlines in Sweden on August 19th, 2025. You can hear more reports on our homepage www.radiosweden.se, or in the app Sveriges Radio. Presenter/Producer: Kris Boswell

About this episode: Fall vaccines for flu, RSV, and—more recently—COVID have long followed a uniform rollout schedule allowing clinics and pharmacies ample time to order and administer shots. But that process looks different this year, raising concerns about access. In this episode: Katelyn Jetelina, publisher of Your Local Epidemiologist, explains how changes to the CDC's Advisory Committee on Immunization Practices (ACIP) and the FDA are pushing back the timeline and changing recommendations for routine vaccinations. Guest: Katelyn Jetelina, PhD, MPH, is an epidemiologist and scientific communicator. She is the co-founder of Health Trust Initiative, an adjunct professor at Yale School of Public Health, and a Senior Scientific Advisor to several government and non-profit agencies, including the CDC. In addition, Jetelina is the publisher of Your Local Epidemiologist. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: What's the plan for fall vaccines? If you're confused, you're not alone—Your Local Epidemiologist Covid cases rising in US as officials plan to restrict booster vaccines—The Guardian Will New Vaccine Recommendations Affect Your Fall Flu Shot?—AARP Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.

NPR's Steve Inskeep talks with epidemiologist Michael Osterholm about a Trump administration decision to end funding for research into vaccines that fight respiratory viruses like COVID-19 and the flu.Support NPR and hear every episode of Trump's Terms sponsor-free with NPR+. Sign up at plus.npr.org.Learn more about sponsor message choices: podcastchoices.com/adchoicesNPR Privacy Policy

A leading addiction expert explains how he's driven by the memory of a friend who died, and why he believes giving data on the drug supply to people on the street is more important than using it to inform national drug policy.Guest:Nabarun Dasgupta, Epidemiologist, University of North Carolina Street Drug Analysis Lab and Opioid Data LabLearn more and read a full transcript on our website.Want more Tradeoffs? Sign up for our free weekly newsletter featuring the latest health policy research and news.Support this type of journalism today, with a gift. Hosted on Acast. See acast.com/privacy for more information.

Dr. Katelyn Jetelina, epidemiologist and CEO of Your Local Epidemiologist, shares how her public health newsletter helps to educate readers about the policies and science impacting public health today; Tracy Gruber, Executive Director of the Utah Department of Health and Human Services, explains how the state's new behavioral health commission works to connect its fragmented mental health infrastructure; ASTHO will host a webinar on Wednesday, July 30th, to teach participants how to navigate the new suicide prevention infrastructure legal maps; and a new ASTHO resource can help jurisdictions promote public health and avoid adverse childhood experiences by prioritizing economic support policies.  Your Local Epidemiologist Utah Behavioral Health Master Plan ASTHO Webinar: State and Territorial Infrastructure for Suicide Prevention: Exploring New Legal Maps ASTHO Web Page: Prioritizing Economic Support Policies to Prevent ACEs and Promote Public Health  

Howie and Harlan are joined by public health communicator Katelyn Jetelina for updates on COVID-19 and other issues, and to discuss how her emails to students and colleagues in the early days of the pandemic turned into a platform with global reach. Harlan looks at how AI is being used on both sides of the battle between providers and insurers over claims; Howie reports on a setback with a promising gene therapy for Duchenne muscular dystrophy. Links: Insurance Claims, AI, and Wearables “Elevance Health Reports Second Quarter 2025 Results” “Elevance lowers profit outlook, warns things will get worse for health insurers ““Blue KC wrongfully denied medical diagnoses, hospital alleges in AI-driven claims lawsuit” “Oscar Health cuts full-year guidance, estimates 2025 loss as ACA marketplace stumbles” Whoop “WHOOP Delivers Innovative Blood Pressure Insights for a Deeper Look at Your Well-Being” “Introducing Heart Screener: A smarter way to stay connected to your heart health” “Whoop says FDA is ‘overstepping its authority' with warning about blood pressure feature” FDA: WARNING LETTER, WHOOP, Inc. “RFK Jr. wants everyone to use wearables. What are the benefits, risks?” “Apple to Sell Watches With Blood-Oxygen Feature Disabled After Legal Setback” Your Local Epidemiologist Your Local Epidemiologist “Poll: Trust in Public Health Agencies and Vaccines Falls Amid Republican Skepticism” “Popular epidemiologist lays out future path of public health communication” Yale School of Public Health: PopHIVE Katelyn Jetelina: “NIH: The quiet engine of science is being dismantled” Katelyn Jetelina: “Covid-19 in pockets, sugar cane isn't better, ticks march on, rescission cuts (vs. everything else), bright spots, and more” Mayo Clinic: Norovirus infection Katelyn Jetelina: “The show must go on...” Katelyn Jetelina: “Harassment against scientists is out of control” Katelyn Jetelina: “Medicaid cuts: The how and why” CDC: H5 Bird Flu: Current Situatio CDC: Current Epidemic Trends (Based on Rt) for States” CDC: Measles Cases and Outbreaks Treating Duchenne Muscular Dystrophy Cleveland Clinic: Duchenne Muscular Dystrophy (DMD) “FDA approves Sarepta's Duchenne gene therapy for nearly all patients” “AAV gene therapy for Duchenne muscular dystrophy: the EMBARK phase 3 randomized trial” “Patient dies in Sarepta gene therapy trial, adding to safety concerns” “FDA Requests Sarepta Therapeutics Suspend Distribution of Elevidys and Places Clinical Trials on Hold for Multiple Gene Therapy Products Following 3 Deaths” “In surprise reversal, Sarepta Therapeutics says it will pause shipments of Duchenne gene therapy” “Sarepta to lay off about 500 employees after Duchenne gene therapy setbacks” Learn more about the MBA for Executives program at Yale SOM. Email Howie and Harlan comments or questions.

Website: Marketplace– The Wellness Company

What does it take to track down an outbreak in one of the world's busiest cities? Dr. Don Weiss reveals his step-by-step playbook for disease surveillance and investigation in New York City—a global crossroads where public health threats can escalate fast.From rapid detection to pinpointing sources, discover how Dr. Weiss and his team used science, strategy, and detective work to protect millions in a city where every second counts.References for Our Discussion◼️ [New Book] Disease Detectives: True Stories of NYC Outbreaks◼️ Debate Over Monkeypox Messaging Divides N.Y.C. Health DepartmentGuest◼️Dr. Don WeissHost(s) & Producer(s)◼️ Leshawn Benedict, MPH, MSc, PMP®◼️ Gordon Thane, BMSc, MPH, PMP®Production Notes◼️ Music from Johnny Harris x Tom Fox: The Music RoomSubscribe to the NewsletterSubscribe to The Insight newsletter so you don't miss out on the latest podcast episodes, live events, job skills, learning opportunities, and other engaging professional development content here.Leave Us Some FeedbackIf you enjoy our podcasts, be sure to subscribe and leave us a rating on Apple Podcast or Spotify, and spread the word to your friends to help us get discovered by more people. You can also interact directly with the podcast episodes on Spotify using the new “comment” feature! We'd love to hear what you think.Send us a Text Message to let us know what you think.

A 15-year-old died from complications of influenza B on Saturday. Otago University epidemiologist, Professor Michael Baker spoke to Ingrid Hipkiss.

Website: Marketplace– The Wellness Company

Send us a textGreat conversation with the one and only Dr. Katelyn Jetelina, AKA Your Local Epidemiologist, about the power of showing up, the experience with members of the Make America Healthy Again movement on the Why Should I Trust You podcast, the work of distinguishing public health from the industrial complexes of food and pharma and insurance and also acknowledging that the status quo of public health needs to change and taking that first step no matter how small because it matters.  Such a rich conversation and we were so honored to have her!Dr. Katelyn Jetelina is an epidemiologist and scientific communicator. She is the co-founder of the non-profit Health Trust Initiative, an adjunct professor at Yale School of Public Health, and former Senior Scientific Advisor to the White House and Centers for Disease Control and Prevention. In addition, Dr. Jetelina is the publisher of Your Local Epidemiologist- a public health newsletter that “translates” ever-evolving science to the public, reaching over 500 million views in over 133 countries. Dr. Jetelina has received numerous national awards, including recently being named a TIME100 Most Influential Person in Health. Check out her newsletter https://yourlocalepidemiologist.substack.com/p/what-would-making-america-healthyCheck out our YouTube Channel https://www.youtube.com/@helpmakeitmakesense6769/aboutSend us your questions and comments to drtonianddraimee@gmail.comThanks to Jeff Jeudy for our themesong!

What is the best way to support people living in extreme poverty? Could unconditional cash transfers and universal basic income be viable options? How can we know if such programs will work? Today's episode of stats and stories focuses on addressing the needs of people living in extreme poverty with Miriam Laker. Dr. Miriam Laker is the Global Director of Research at GiveDirectly and a Senior Research Scientist and Epidemiologist with nearly two decades of experience conducting research. Amongst her extensive experience, she led the design of the evaluation plans for GiveDirectly's recently launched Yemen Refugees program; the learning agenda for large cash for refugees in Rwanda, and the evaluation of cash transfers in a disaster (floods and landslides) response in Uganda. She was also involved in a recently concluded randomized controlled trial evaluation of the impacts of large lump sum cash transfers on refugee and host households in Uganda.

Vaccines have become one of the most polarizing topics in public health, and frankly, for valid reasons. What we've witnessed over the past few years is an unprecedented breakdown in trust between medical institutions and the public - and that didn't happen in a vacuum.What is the truth about Vaccine Safety and Efficacy? Dr. Roger McFillin sits down with vaccine safety epidemiologist Allison Krug to expose the hidden forces shaping public health, from vaccine safety to the weaponization of fear. They dive deep into the failures of placebo-controlled trials, the truth about natural immunity vs. vaccine-induced immunity, and why good evidence is harder to find than you think. Allison shares what she learned working inside the pharmaceutical industry and reveals how mindset, belief systems, and disconnection from nature and spirituality are fueling today's chronic illness crisis. If you've ever questioned mainstream medicine or want to reclaim your health and autonomy, this conversation will change how you see the world.00:00 Introduction00:05:32 The Danger of Outsourcing Health to "Experts"00:20:45 Mindset, Pain, and the Illusion of Powerlessness00:42:49 Consciousness and the Healing Power Within01:05:32 Germ Theory, Genetics, and the Loss of Agency01:15:47 Awakening to Frequencies: A Spiritual Revolution01:22:23 Dark Spiritual Forces and the Battle for Consciousness01:31:27 How Public Schools Crush Creativity and Independence01:49:05 Medical Paradigm Flaws: What They're Not Telling You01:55:40 Spiritual Emptiness: The Hidden Cost of Modern Culture02:00:12 Radical Responsibility and the Return to Divine LoveAllision Krug WebsiteAllision Krug on XAllison Krug on Megyn Kelly COVID-19 vaccine boosters for young adults: a risk benefit assessment and ethical analysis of mandate policies at universities  Dr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here

Send us a textImagine being a detective not of stolen jewels but of diseases—tracking invisible viruses, uncovering patterns, stopping outbreaks before they grow. Sounds heroic? Well, that's exactly what an Epidemiologist does. They are the unsung heroes who safeguard our communities by investigating the spread of diseases and designing public health solutions.Connect With Kapeel Guptaor Click on the link: http://bit.ly/4jlql8sWhat You May Learn00:00 Introduction01:23 Mission Statement01:39 Scope in India & Abroad04:22 Nature of Work06:27 Skills & Educational qualifications required09:01 Salary in India and around the world10:24 Template to be an Epidemiologist 11:49 Conclusion12:34 Call to action Support the show

Jessica Malaty Rivera is an infectious disease epidemiologist and science communicator renowned for making complex public health information accessible, particularly during the COVID-19 pandemic. While initially premed at USC, she pivoted to studying health promotion and disease prevention, and worked in the nonprofit sector after college. She was later recruited to research emerging biological threats at Georgetown University and simultaneously decided to pursue a master's degree there in biohazardous threat agents and emerging infectious diseases. While she's always loved science, she began to realize that where she truly excelled was in “speaking science.” And the deeper Rivera got into infectious disease epidemiology—whether through work or academia—the more she realized how critical the communications aspect of science was to public health. When the COVID-19 pandemic hit, she joined The Atlantic to lend her expertise to the COVID Tracking Project to provide publicly available, comprehensive data on COVID-19 cases in real time. She then began using Instagram to explain and interpret global health news, unexpectedly gaining a large following for her easy-to-understand information. Over the past five years, she has grown her platform, launched a Substack, and is currently completing a Doctorate in Public Health from Johns Hopkins University, all while remaining dedicated to science facts and public health literacy.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Leaded petrol has made us measurably dumber.Scientists suspect that leaded petrol has also made us more aggressive and of course it kills people as well. And the same guy who put lead in fuel also created a miracle refrigerant that tore a hole in the one thing that protected our planet from runaway radiation from the sun. This is the first of our Microgreens episodes where I spend a short amount of time answering your questions, or talking about something that may not get a whole, full episode.For the first episode I wanted to talk about the guy who really f*ed the planet twice.In this episode I share:The story of Thomas Midgley Jr.The issues with cars in the 1920s and how Thomas fixed itHow lead got added to petrolThe repercussions of lead in petrol started rapidlyWas Thomas Midgley really to blame?Thomas's second F up – the problem of leaking fridgesUnderstanding the science around lead and why it's so harmful to humansWhy Freon was Thomas's solution to the killer fridge problemThe science behind Freon and how it destroyed the ozone layerThe Montreal Protocol and the healing of the ozone layerKey quotes:"Epidemiologists have since pinned a global loss of IQ points to this very factor""Higher lead levels also correlate with spikes in violent crime""A UN campaign only just got the last countries out of leaded fuel in 2021""Back in the 1920s fridges killed people""The only reason our planet is habitable at all is because the ozone layer prevents about 90% of that radiation from reaching the earth's surface"Find our full podcast via the website here: https://www.nowthatswhaticall.com/Instagram: https://www.instagram.com/nowthatswhaticallgreen/You can follow me on socials on the below accounts.Instagram: https://www.instagram.com/briannemwest/TikTok: https://www.tiktok.com/@briannemwestLinkedIn: https://www.linkedin.com/in/briannemwest/For our latest big project, find out more about Incrediballs here: https://incrediballs.com/

Go to https://stewpeters.petclub247.com/ for natural goodness and immume support to your pets. Jaymie Icke joins Stew from the UK to speak out about fake puppet regimes, depopulation agenda, white replacement, and more! Nicolas Huschler, Epidemiologist at The McCullough Foundation joins Stew to discuss the continuing War on Fertility, including a shocking new study that revealed that the Covid shots DESTROY over 60% of women's egg supply! Kurt and Cristin Ludlow of PetClub 247 joins Stew to discuss the War on Pets in America, and how they are being poisoned and killed via their toxic food and product supply!

「 SUPPORT OUR SPONSORS 」 Find out more about the brands that make this show possible and get special discounts on Dr. Drew's favorite products at ⁠⁠https://drdrew.com/sponsors⁠⁠  • ACTIVE SKIN REPAIR - Repair skin faster with more of the molecule your body creates naturally! Hypochlorous (HOCl) is produced by white blood cells to support healing – and no sting. Get 20% off at ⁠⁠https://drdrew.com/skinrepair⁠⁠ • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at ⁠⁠https://drdrew.com/fatty15⁠⁠ • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at ⁠⁠https://drdrew.com/paleovalley⁠⁠ • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at ⁠⁠https://twc.health/drew⁠⁠ 「 MEDICAL NOTE 」 Portions of this program may examine countervailing views on important medical issues. Always consult your physician before making any decisions about your health. 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (⁠⁠https://kalebnation.com⁠⁠) and Susan Pinsky (⁠⁠https://twitter.com/firstladyoflov⁠⁠⁠⁠e⁠⁠). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Learn more about your ad choices. Visit megaphone.fm/adchoices

Guest: Adam Kucharski, Mathematician and Epidemiologist, and Author of 'Proof: The Uncertain Science of Certainty'.

H5N1 is a highly pathogenic avian flu affecting birds globally, with a higher mortality rate than COVID-19 but limited human-to-human spread Australia is the only continent without H5N1 cases, with strong pandemic preparedness, including antivirals and vaccine stockpiles At-risk groups include poultry workers and dairy farmers; exposed individuals should be tested, treated with antivirals, and reported to authorities Symptoms include respiratory and early GI issues; conjunctivitis has been common in U.S. dairy workers Australia’s new CDC has improved outbreak notification systems, using lessons learned from COVID-19 Host: Dr David Lim | Total Time: 27 mins Guest: Prof Adrian Esterman, Epidemiologist and Biostatistician Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

To celebrate the confirmation of Jay Bhattacharya as director of the NIH, this week's “Kibbe on Liberty” features unseen footage from Matt Kibbe's series “The Coverup,” in which Dr. Bhattacharya explains how he was demonized and attacked for his opposition to COVID lockdowns, as well as some greatest hits from Jay's previous appearances on the show.

Vidcast:  https://www.instagram.com/reel/DH9RTkqxwwO/Pregnant women with very slightly elevated but consistently near normal blood pressures but no second trimester blood pressure drop are nearly 5 times more likely to develop serious blood pressure problems within 5 years after delivery.  Epidemiologists at the USC School of Medicine report this phenomenon in the Journal of the American College of Cardiology following their study of 854 women during their pregnancies and for 5 years afterwards.The tabulated data separated these women into 3 groups.  The majority, 80.2%, had consistently normal to low pressure readings, and these women risked no later pressure issues..  Then 7.4% of the group had abnormally high pressures but a mid-pregnancy drop, and they were likely to suffer serious consequences including pre-eclampsia during their pregnancies and were more than 5 times more likely to also have pressure issues later.The most interesting group were the 12.4% with pressures on the high normal side throughout their pregnancies.  These were the women who most thought would remain healthy but instead developed serious blood presssure-related problems by 5 years.The take hone: pregnant women with consistently high blood pressures but also those with near normal pressures but no mid-pregnancy drop should be monitored very carefully for pressure issues years after delivery.https://www.sciencedaily.com/releases/2025/03/250318175024.htmhttps://www.sciencedirect.com/science/article/pii/S2772963X25000778?via=ihub#women  #bloodpressure  #hypertension  #pregnancy  #preeclampsia

Have you been thinking about weaning your baby or toddler and you have NO clue how to start? Daytime or nighttime first? What if they cry for it? How long will it take? All of these questions and MORE answered in today's episode with Rachael and "Weaning Pal" Candace St. John, MPH, CLC. This week, Rachael and Candace emphasize the need to normalize extended breastfeeding and dive into the emotional aspects of the weaning process (both for parent and baby!), as well as discuss the complexities of weaning from breastfeeding- addressing common concerns such as guilt, attachment, sleep associations, and the right age to wean. Here's what you'll hear inside this informative episode: Candace's Journey into Weaning Expertise Rach and Candace's Personal Weaning Experiences and Strategies Navigating Boundaries or "Loving Limits" While Weaning Understanding Nursing Aversions and Their Impact Navigating Weaning Guilt Is there a "Right" Age for Weaning? Managing Weaning-Related Depression Addressing Picky Eating During Weaning Alternatives to Cow's Milk Distinguishing Between Comfort and Hunger Needs + so much more! About Candace: I'm a public health professional (MPH), pediatric sleep specialist, & Certified Lactation Counselor (CLC, #34044) — but most importantly, I am a mom of one weanling! I hold a Master of Public Health from Boston University School of Public Health & worked as an Epidemiologist for 5.5 years in a rural hospital setting. After becoming a mom (& having the most tumultuous start to breastfeeding my baby), I realized that there are many gaps in parenting education & practice. Now, I provide evidence-informed guidance & support to parents in order to feel confident at the end of their breastfeeding journey! You can connect with Candace and get support on your journey on Instagram @yourweaningpal Rachael is a mom of 3, founder of Hey, Sleepy Baby, and the host of this podcast. Instagram | Tiktok |  Website  ✨For sleep support and resources, visit heysleepybaby.com and follow @heysleepybaby on Instagram!

Dr. Katelyn Jetelina joins us at the fifth anniversary of the newsletter she has spearheaded,Your Local Epidemiologist (YLE). “An incredibly wild ride,” YLE reaches 370,000 subscribers, while social media accounts reach 700,000. To cross the political divide, we need to listen more, be more selective in the choice of words. The YLE operation now includes a team of 15 managing the newsletter, podcasts, speaking engagements, and social media—and trusted messengers. She's joined Dean Megan Ranney at the Yale School of Public Health focused on social listening and upgrading communications. Two months plus into the Trump second term, have we rebounded back to mistakes and abuses allegedly committed during Covid-19? It has become a “proxy war” of multiple societal battles and “pandemic revisionism.” Is there a path out of this widening polarization? Perhaps, but “we're going to have to move backward in order to move forward.” Secretary RFK Jr.'s ideas on chronic diseases are promising; it remains to be seen how far he can go, and how progress there measures up against what damage is imposed on vaccines. Her biggest worry? Erosion of the public health workforce. 

Dr. John Swartzberg, Clinical Professor Emeritus at the UC Berkeley School of Public Health, provides an update on Avian Influenza; Dr. Susan Hernandez, an Epidemiologist at Public Health Seattle and King County, explains how her team used novel data to improve identification of Medicaid members who use tobacco; and a new ASTHO resource is available for your department's accreditation and reaccreditation. ASTHO Web Page: Highly Pathogenic Avian Influenza Scientific Symposium CDC Web Page: Notes From the Field: Enhanced Identification of Tobacco Use Among Adult Medicaid Members — King County, Washington, 2016–2023 ASTHO Web Page: A Guide for Sustainable Public Health Accreditation ASTHO Web Page: Stay Informed  

Cardiologist & Epidemiologist, Peter A. McCullough, MD, joins Del with a shocking study linking the origins of the current clade of H1N5 dominating the news cycle and crushing the egg industry can be tracked back to a USDA poultry research lab in Georgia.Become a supporter of this podcast: https://www.spreaker.com/podcast/the-highwire-with-del-bigtree--3620606/support.

The Trump administration plans to roll out a new strategy against the bird flu. There are few details, but to bring egg prices down, the plan is aimed at trying to minimize the slaughter of chickens when the flu strikes a flock. More than 150 million poultry have been affected since 2022 and 58 people have been sickened by it. Geoff Bennett discussed more with epidemiologist Dr. Katelyn Jetelina. PBS News is supported by - https://www.pbs.org/newshour/about/funders

The Trump administration plans to roll out a new strategy against the bird flu. There are few details, but to bring egg prices down, the plan is aimed at trying to minimize the slaughter of chickens when the flu strikes a flock. More than 150 million poultry have been affected since 2022 and 58 people have been sickened by it. Geoff Bennett discussed more with epidemiologist Dr. Katelyn Jetelina. PBS News is supported by - https://www.pbs.org/newshour/about/funders

President Donald Trump has signed an executive order that would withdraw the United States from the World Health Organization. Epidemiologist Katelyn Jetelina and TPR's Bonnie Petrie talk about whether Trump's concerns are valid and what the U.S. could lose if it leaves.

About this episode: Throughout history, humans have been engaged in public health work. In a new book, epidemiologist Caitlin Rivers shares lessons from past outbreaks, what's changed since COVID-19, and how, at a difficult moment for public health, she's thinking about the future and keeping a watchful eye on mpox, H5N1, and more. Guest: Caitlin Rivers is an epidemiologist at the Johns Hopkins Center for Health Security who specializes in preparedness and response for epidemics and pandemics. Host: Stephanie Desmon, MA, is a former journalist, author, and the director of public relations and communications for the Johns Hopkins Center for Communication Programs, the largest center at the Johns Hopkins Bloomberg School of Public Health. Show links and related content: Dr. Caitlin Rivers' New Book ‘Crisis Averted' Explores Public Health Lessons and Provides Insights for Future Pandemic Preparedness—The Center for Health Security Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @‌PublicHealthPod on Bluesky @‌JohnsHopkinsSPH on Instagram @‌JohnsHopkinsSPH on Facebook @‌PublicHealthOnCall on YouTube Here's our RSS feed

About this episode: Science communication is a vital skillset for public health practitioners. But what does it really take to cut through the noise? In today's episode, Katelyn Jetelina, the publisher of Your Local Epidemiologist, talks about the art and science of science communication, and why it's less about being right and more about a commitment to changing the way people think. Guest: Dr. Katelyn Jetelina is an epidemiologist and scientific communicator. She is the co-founder of Health Trust Initiative, an adjunct professor at Yale School of Public Health, and a Senior Scientific Advisor to several government and non-profit agencies, including the CDC. In addition, Dr. Jetelina is the publisher of Your Local Epidemiologist. Host: Lindsay Smith Rogers, MA, is the producer of the Public Health On Call podcast, an editor for Expert Insights, and the director of content strategy for the Johns Hopkins Bloomberg School of Public Health. Show links and related content: Your Local Epidemiologist Public Health Professionals Must Engage The Public. Communications Training Is Key.—Forbes

SIO466 - Dr. Gary Slutkin has been cited in Salon and other outlets as an expert epidemiologist who runs an impressive NGO that helps reduce violence. While he may be an epidemiologist, almost everything else about him and his claims seems to be... very likely bull shit. Dr. Jenessa Seymour joins us to break this down. It gets more and more bull shit as we go, and eventually we're both live debunking parts of this nonsense. Are you an expert in something and want to be on the show? Apply here! Please please pretty please support the show on patreon! You get ad free episodes, early episodes, and other bonus content!

Epidemiologist, science author, and co-founder of the nutrition service Zoe, Dr. Tim Spector joins Stacy to share the importance of getting back to the basics of eating a diverse diet and why that means getting more stuff on our plate, not less! Dr. Spector talks about how why this is beneficial to our microbiome and overall health, and will also increase our fiber intake and help get our microbes out of retirement. Find Dr. Spector: Zoe.com Instagram.com/zoe Facebook.com/joinzoe1 X.com/join_zoe YouTube.com/@joinZOE Don't forget to subscribe to this channel and visit realeverything.com! We also want to give a big thank you to this week's sponsors! BetterHelp.com/WHOLEVIEW | Get 10% off your first month Learn more about your ad choices. Visit megaphone.fm/adchoices

Over the next few months, I'll be mixing in some of our earlier Motherhood Meets Medicine interviews with new episodes. These ‘best of' episodes are the most shared and listened to episodes of all time! Here is today's featured episode with Dr. Katelyn Jetelina, listen as she talks about gun violence and the changes that need to be made. Gun violence has become a devastating problem in the United States. To put it into perspective, there's about 120 firearms per 100 people in the United States. It may feel like we have no control over making changes, but there are steps that we can take. The number one place to start is educating ourselves about gun violence. We need to know more about it, and understand how we can reduce these fatalities in our everyday culture. We all want to make our country safer for our children and for ourselves. That's why I'm bringing Dr. Katelyn Jetelina on the podcast. In this episode Dr. Katelyn Jetelina and I discuss statistics, demographics of shooters, how the stats in the United States compares to other countries, and so much more.  Dr. Katelyn Jetelina is a violence epidemiologist, biostatistician, wife, and mom of two little girls. During the day she works at a nonpartisan health policy think tank and is engaged as a scientific communication consultant by the CDC, and at night she writes an independent newsletter called Your Local Epidemiologist, which covers a wide array of public health topics including gun violence. In this episode we discuss: The definition of what a mass shooting is. Why the United States is higher in gun violence than many other countries it's often compared to. What the purpose of the leakage plans are. The most common motivation behind shootings. Whether or not the effect of Roe V Wade will play into more gun violence in the future.  What individuals can do to help reduce gun violence. Resources: Check out the Gun Violence Archive - https://www.gunviolencearchive.org/ Moms Demand Action - https://momsdemandaction.org/ Show Notes: https://lynzyandco.com/podcast/ Connect with Dr. Katelyn Jetelina: Sign up for Dr. Katelyn's newsletter, Your Local Epidemiologist  - https://yourlocalepidemiologist.substack.com/ Follow her on Twitter - https://twitter.com/dr_kkjetelina? ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor Discount Codes from Our Sponsors:  Navy Hair Care Shampoo + Conditioner: use code LYNZY for 30% off Navy Hair Care Charcoal Mask: use code LYNZY for 30% off Connect with Lindsay: Join the Motherhood Meets Medicine community atpatreon.com/motherhoodmeetsmedicine - https://www.patreon.com/motherhoodmeetsmedicine Instagram:@motherhoodmeetsmedicine - https://www.instagram.com/motherhoodmeetsmedicine/ Sign up for the weekly newsletterherelynzyandco.com - https://www.lynzyandco.com/ Disclaimer: This podcast does not provide medical advice. The information on this podcast is for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis or treatment.  Learn more about your ad choices. Visit megaphone.fm/adchoices

The arrival of fall means so-called “sick season” is right around the corner. It's a time when respiratory viruses like flu, COVID and RSV tend to peak. So, what can you expect this year? Today we're talking with epidemiologist Dr. Katelyn Jetelina. You may know her from social media or her popular Substack newsletter, “Your Local Epidemiologist.” She also co-founded the Health Trust Initiative and is a senior scientific advisor to the CDC.  Today, she's sharing insights about the type of flu season to expect, what to know about this year's vaccines (and when to get them), and even new guidelines for parents.   Join us again for our 10-minute daily news roundups every Mon-Fri!  Learn more about our Dr. Katelyn Jetelina: https://www.theNewsWorthy.com/shownotes Become an INSIDER and get ad-free episodes here: https://www.theNewsWorthy.com/insider Sign-up for our weekly EMAIL: https://www.theNewsWorthy.com/email Get The NewsWorthy MERCH here: https://www.theNewsWorthy.com/merch Sponsors: Download the FREE Ibotta app to start earning cash back and use code NEWSWORTHY to get $5. Shop the SKIMS Soft Lounge Collection at SKIMS.com. Now available in sizes XXS - 4X. To advertise on our podcast, please reach out to libsynads@libsyn.com #covid #vaccines #rsv