Watching H5N1 extend its host range, now show respiratory symptoms in a human case, should concern us all. We are whistling past the graveyard, not remotely prepared for what comes next. Perhaps H5N1 will not acquire the mutations necessary to ensure efficient human-to-human transmission, but counting on good fortune is not a strategy.
I really don't know who Uri Berliner is, but he gets it wrong on COVID19 origins. He castigates NPR's reporting on the subject for not giving ample credence to the lab leak theory, when in fact, it is less-well supported by the data. He wants us to talk "both sides" to show his independent bona fides when it simply speaks to his scientific ignorance.
Nice piece by CDC Director Mandy Cohen in NEJM on Integrating Public Health & Health Care. However, the relationship between public health & healthcare isn't that simple. First, a piece on the medicalization of public health and the consequences of that move. 1/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2791244/
Now, along with public health being essentially taken over by physicians and slated as a poor relative of biomedicine, we've seen the rise of the financialization of medicine. This piece by the great Don Berwick, puts it bluntly. 2/ https://jamanetwork.com/journals/jama/fullarticle/2801097
And let's face it, medicine is vastly, vastly more well supported than public health. This creates a problem that isn't just solved by "partnerships." The late Elizabeth Fee described this 20 years ago. We simply do not invest in public health. 3/ https://www.healthaffairs.org/doi/full/10.1377/hlthaff.21.6.31
So, yes, we need to talk about the relationship between public health & healthcare, but if you do not talk about the role of politics, money & power that are central to how both fields are constructed in this country, this is just happy talk. There are structural problems we need to face now. end/
I was on Twitter/X for several years and as the COVID pandemic started it became a key way for people to communicate--scientists, clinicians, policy-makers, advocates. But since Musk took over many have fled and the place has become incredibly toxic (yes, I am slow to learn that not all things get better...). It's just really filled with hate now of all kinds. I just deleted my account. I feel free.