BC HEALTH
Saved by @Mollyycolllinss

I think @SamAdlerBell in his quest to be the contrarian on Fauci gets several things wrong here. 1/

 First, the failure last year actually was driven by the White House, the #Trump inner circle. Watch what's happening now, the US' scientific and public health infrastructure is creaking back to life. 2/
I think Sam underestimates the decimation of many of our health agencies over the past four years and the establishment of ideological control over them during the pandemic. 3/
I also am puzzled why Tony gets the blame for not speaking up, etc. Robert Redfield, Brett Giroir, Deb Birx, Jerome Adams, Alex Azar all could have done the same. 4/
Several of these people Bob Redfield, Brett Giroir, Alex Azar were led by craven ambition, Jerome Adams by cowardice, but I do think Deb Birx and Tony tried as institutionalists, insiders to make a difference. 5/
I wrote to them privately and spoke publicly about the need to do more, but Sam misunderstands how long-time civil servants operate. The entire CDC staff could have resigned in protest, other agencies could have had everyone fall on their swords in protest as well. 6/
This isn't to excuse their behavior. It's just to say expecting people who have devoted their careers to places like CDC or NIH to resign in protest, speak out and get fired, is unrealistic. 7/
Lots can be said about the institutional failures--outside of Trump's influence--that happened last year. The testing debacle, the failure to real screen for new compounds against SARSCOV2 instead of just putting everything in the vaccine basket...8/
We were slow on masks. Yes. I agree. But there were also shortages of supplies even for healthcare settings in March. Remember the bandanas and panty-shields being worn by some on the wards, recycling N-95s? There was some worry about run on PPE by general public. 9/
Not an excuse, but context. The statement on herd immunity that Tony made. Dumb. Yeah. I get it. 10/
And Trump's obsession with loyalty twisted some of them to the breaking point. Redfield collapsed almost reflexively at the beginning. Birx thought she could control the situation. Tony though he could thread the needle, keep silent mostly, try to squeeze in some facts. 11/
No one came out of last year looking good and even if Fauci got accolades from some, those in public health saw what was happening. Shit was flying everywhere, everyone got soiled. 12/
But the biggest problem about @SamAdlerBell piece is not that it's slightly obsessive on Fauci (and I won't even start on the ACT UP sections, since I was there for many of these events), but gets the politics wrong in a big way. How so? 13/
At the end of the article Sam suggests that Tony should have resigned to lead the resistance. I mean, please. And then a bureaucrat arose to lead us. Really? The director of NIAID was going to be at the barricades? 14/
The big political question was NOT where was Dr. Fauci last year, but where were WE? Why didn't those not in government service rise up when the stakes were so much lower for resistance for us? Why didn't all the major non-governmental institutions mobilize on the pandemic? 15/
Many of us in public health were writing furiously about the failures of what was happening, as were others, but no one was doing the mobilization work to tip the scales from op-eds to direct action. 16/
Yes, those in government service do have to answer for their silence last year, but so do we. I am not holding up Fauci as a hero, but flipping him into the anti-hero of the story doesn't work either. 17/
I just posted a report from Brazil, about how Bolsanaro's policies drove the pandemic in Brazil. A fish rots from the head down. Trump and his circle hold the vast majority of blame for 2020 and our predicament today. It's just true. 18/
Bolsanaro's health ministers resigned and he just got other ones. This was also Trump's MO for 4 years, anyone who left, got replaced with people increasingly more loyal. The late arrival of Scott Atlas is a case in point here. 19/
So as a political history this piece fails. That's my main point. I've said terrible things about Fauci in the past in the press during the height of the AIDS epidemic, trashed Obama on global health/HIV in the 2000s. "Heroes" shouldn't be immune from criticism. 20/
Would it have been great if one by one federal scientists got to the mic and denounced Trump in 2020? Yeah, sure. And I want to be 35 again. Not gonna happen. 21/
The most startling thing to me and which no one has written about yet is why the rest of us were frozen like deer-in-the-headlights? 400,000 dead and "the resistance" to it all from outside the Administration was mostly in strongly worded op-eds. 22/
The press played the both sides game early on--kept saying "experts disagree" when Trump's policies were patently insane. This is the @NYTimes political desk's lingering shame, which they will never admit. 23/
Members of Congress sat on their hands. Mayors, governors just tried to keep their own cities and states from going under, but many aided and abetted the President. 24/
But political advocacy organizations, non-governmental actors could have mobilized. We did for the Women's March, after the Parkland shootings, for the March for Science. Yeah. big in-person events were a no-no, still are, but big not-in-person-events didn't happen either. 25/
In the aftermath of all of this, this is what's worry. Tony will retire soon. Take him off the playing field. Now what? We have to rebuild public health, not because of its failures last year, but because it was in shambles before 2020. 26/
We made our beds long before Trump. No national healthcare, a weak social safety net, a desperately under-funded and under-resourced public health infrastructure coast to coast under Republicans and Democrats. 27/
If Tony had spoken out all these structural issues would remain and frankly, it's the structures that outlast us, pave the way for crises out years into the future. 28/
And what are we going to do about that? end/

More from Gregg Gonsalves

Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
I've spent the past year as angry as I've been since the early days of the AIDS epidemic when I had to bury friends in their 20s, 30s because our government didn't care if gay men lived or died from a new virus among us. 1/


Some were put off by my anger, some thought scientists shouldn't be political or if they were tone it down a bit. 2/


I work in public health. I am not a basic scientist or a theoretician. I work in a field that is hemmed in by history and politics on every side. 3/


From the 19th century onwards, we've known that who lives and who dies isn't just a function of biology. The data support this thesis, we call them the social determinants of health. 4/


My friend and colleague Paul Farmer calls out these determinants in more direct terms as pathologies of power, structural violence. 5/
LIFE
Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
And this pathetic move by @JDVance1 isn't what is so odious about him. He's just a phony, all ambition, no real interest in public service. He made a big show out of moving back to #Ohio to start a group to work on the #opioid epidemic. 1/


I work on the opioids, on research on the epidemic, its relationship with HIV/HCV, overdose. I work with data from Ohio, so care deeply about what is going on there. I was excited. Until I started digging. There's no there there. 2/

More here. 3/

You can even read their IRS-990-N filing. Sure looks like @JDVance1 tried real hard on combatting the opioid epidemic in his state. Um. Not. 4/

Now he's moved on to venture capital. Money is more interesting than the suffering of the people of #Ohio I guess. 5/
ALL
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Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
Here @playbookplus goes again: ‘HOW MUCH IS BIPARTISANSHIP WORTH?’ I don't know @politico, how many more months would you like the pandemic to drag on for? How many more dead? How many more people, businesses ruined economically? I'm sorry but this is garbage framing in a crisis.

Oh but this is what powerful people are talking about in DC! Might that point itself be examined with more seriousness than taking this BS at face value? Don't you understand, we just reflect back what people are saying? We are mirrors on the world, we offer no commentary.

If "very serious people" are talking about what "nice number" would be $1.3T, 1.2T and not what we need to get out of this mess, might it be worth saying, perhaps, this conversation w/o reference to epidemiologic or economic reality is just a failure of leadership, governance?
ECONOMY
Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
Eight years ago, Spencer Cox died of #AIDS. He had access to #antiretroviral therapy, but in his own struggles with #depression and substance use, he stopped taking them. 1/

Spencer left college, dropped out like me in the 80s, and we both found ourselves in @actupny where we joined the Treatment and Data Committee, doing battle with drug companies, the @US_FDA, the @NIH on a quest to save ourselves and our friends from near-certain death. 2/

Now everyone knows what those dark days before the advent of antiretroviral therapy were like. Waves upon waves of dying friends. A government who couldn't care less for the sick and dying. 3/

All this has happened before, and all this will happen again. AIDS. #COVID19. The next pandemic. The fire next time. 4/

And it changes you. Seeing so much death so young. Seeing those in power turn away from the catastrophe, even joke about it (find, listen to the tape of Larry Speakes in Oval Office w Reagan laughing about AIDS). 5/
HEALTH
Gregg Gonsalves
Gregg Gonsalves
@gregggonsalves
One thing I will never understand. In 2020, we let ~340,000 Americans die, sometimes in the thousands per day. And we watched. There were no protests, no daily banner headlines befitting a national tragedy on this scale. It's as if we watched 9/11 in a loop for 300+ days. 1/

It was the non-chalance of all of it, the sangfroid. Yes, of course, there were stories in the media, some great ones, but we were shoving bodies into makeshift morgues in America in 2020, and it all became background noise. 2/

And no one rose up. Punctuated outrage from some. But no one on the streets in any substantial numbers asking for, demanding answers, action. 3/

If it weren't for the #BlackLivesMatter protests you'd think most of America was already dead. 4/

You don't have to ask what would I have done if I was present at one of history's great tragedies where people made choices to let barbarism flourish. We've done it now. 5/
SOCIETY

More from Health

Adam Wagner
Adam Wagner
@AdamWagner1
🚨Important changes to lockdown/self-isolation regulations from 5pm

The Health Protection (Coronavirus, Restrictions) (All Tiers and Self-Isolation) (England) (Amendment) Regulations 2021

£800 'house party' FPN & police can now access track & trace data

https://t.co/k9XCpVsXhC


“Large gathering offence”

As trailed by Home Secretary last week there is now a fixed penalty notice of £800 (or £400 if you pay within 14 days) for participating in an gathering of over 15 people in a private residence


Fixed Penalty Notices double for each subsequent “large gathering offence” up to £6,400

Compare:
- Ordinary fixed penalty notice is £200 or £100 if paid in 14 days
- Holding or being involved in the holding of a gathering of over 30 people is £10,000


Second big change:

Since September has been a legal requirement to sell-isolate if you test positive/notified by Track & Trace of exposure to someone else who tested positive

Police can now be given access to NHS Track & Trace data if for the purpose of enforcement/prosecution


This will make it easier for police to enforce people breaking self-isolation rules. Currently there has been practically no enforcement.

Data says only a small proportion of people meant to be self-isolating are fully doing so.
HEALTH
Tamar Haspel
Tamar Haspel
@TamarHaspel
Let’s talk about ORGANIC.

Robert Paarlberg’s new book on the food system is out today, and here’s an excerpt.

He’s not a fan of organic, and he makes some good points but misses others.

Here we go.

Organic's biggest shortcoming is that you need more land to grow the same amount of food.

The yield penalty happens in almost every crop, in almost every study.

The gap could narrow with more research/varieties, but it won’t go away.

This has big, bad climate implications.

The second issue I have with organic, which Paarlberg shares, is that its basic criterion is naturalness.

Natural doesn’t mean safe, or even safer. A farming standard based on it forces farmers to sometimes use more dangerous, less effective tools.

On human health, there’s scant evidence that pesticide residues on conventional produce are harmful to consumers (though it’s possible farmworkers could be at risk).

What I don’t want is for folks who can’t afford organic to worry about feeding their kids conventional produce.

On the plus side, Paarlberg acknowledges that the organic standard has some real advantages for animal welfare.

This is why I buy organic animal products.

Many in the organic world would like more regs ensuring animals have decent lives.
HEALTH
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Enigma
Enigma
@ainittomai
On December 29 we were dillucidating here if the drops meant "surprise, relatively neutral expression" or "a negative expression, horror" (Remember: https://t.co/J2gjQjAENw ). Well, December 22 drops seem to clarify it. First, the December 29 drop that generated the confusion 1/*


didn't appear in today drops, while several old ones have been posted again. I would say that all December 22 drops regarding facial expression mean and clarify "surprise". 2/*


More 3/*


And more. So, they didn't point to a negative event, just to one that generates surprise. 4/*


All these drops were completed with a Christmas gift one, confirming the surprise neutral meaning and adding a related positive one connected to the surprise. 5/*
HEALTH
Sandeep Mall
Sandeep Mall
@SandeepMall
Every podcast, journal or book that I have read on health and upstream work boils down to these few steps. If u can get them right, u will be in great shape. A thread

1) Move. Though 10000 steps is just a number but a good goal to keep. This should be one keystone habit
2. Lift. Do strength training. Twice a week Four movements X 3-5 sets X 3-5 reps at 80% one rep max is good

3. Cardio - Not needed if u do 10000 steps but good to bring in for endurance and heart health.
4. HIIT once a week is good to improve anaerobic capacity
5. Sunlight - One of the most important thing that u can do for ur health is spending some time early in the morning

outdoors amidst nature
6. Protein- Make sure to get in 1.5-2gm protein per kg body weight.
7. Fibres - Aim to have 15 gms fibre per 1000 calorie. Half plate every meal preferably should be veggies.

8. Dietary fat is important for brain and hormone health.
9. Processed Sugar best avoided.
10. Fasting has its own advantage but u can do without it if u are managing ur calories. If u eat ur protein and fibre , u will not feel the hunger for rightly processed carbs
HEALTH , ALL
writer sam
writer sam
@writersamr
Some thoughts on this: Firstly, it might be personal preference, but I am not keen on this kind of campaign as I feel like it trivialises cancer. Sometimes the serious message gets lost because people are sharing pics of cats or whatever and the important context is gone.


More importantly, the statistic being used in the campaign is misleading. It says 57% of women put off cervical screening if they can't get waxed. But on further investigation, that's not accurate.

The page here goes on to say "57% of women who regularly have their pubic hair professionally removed would put off attending their cervical screening appointment if they hadn’t been able to visit a beauty salon."

So the 57% represents a concern not across the whole population of women, but only those who regularly get waxed. So how big of an issue is this across the whole population? And what else is stopping people getting smears?

I think campaigns for cancer screening are really tricky because there is so much nuance that often doesn't fit into a catchy headline or hashtag. It's certainly not easy and is part of a bigger conversation.
HEALTH

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Anshul Pandey
Anshul Pandey
@Anshulspiritual
TYPES OF SINS(PAAP) AS PER SKAND PURAN.

There are three types of Adharma- Sthool, Sukshma and Ati Sukshma. The group of Sins in the Sthul section carries you to Narak. These sins are committed through your thoughts, words and deeds.


It is of four types.

1)First is the sin committed by your mental state-
Thinking about woman other then your spouse.

A)Resolution to amass wealth from others.

B)Thinking ill about others.

C)Thinking of doing a forbidden or unworthy deed.

2)Second is the sin that you commit through your words :-

A)Talking irrelevant things.

B)Telling a lie.

C)Speaking harshly.

D)Talking ill about others.

3)Third type of sin is committed through your body actions-

A)Eating food not prescribed to you or forbidden.

B)Violence.

C)Eating fancier food.

D)Acquiring other's wealth.

So these twelve types of sins.

There are six types of sinners or Mahapatak

1)One not bowing his head in front of a temple.

2)Never praise Shiva.

3)People who behave untowardly way in front of Ishwar.

4)People who do not show respect to Ishwar, guru or one who are undignified.

5)One who do not behave properly.

6)One who is jealous of other bhakts.

Below is the list of sins which people may commit.

1)One who does not help a needy person or a person in pain,
RELIGION
Anu Satheesh \U0001f1ee\U0001f1f3
Anu Satheesh 🇮🇳...
@AnuSatheesh5
Samayapuram Mariamman Temple
#Trichy
#Tamilnadutemples 🚩

Samayapuram Mariamman Temple is located in Samayapuram of
 Tiruchirappalli district.  Mariyamman here is worshipped as Samayapurathal a form of Parashakti.
Amman vigraham here is made of sand and clay so


no abhishekam done to the main vigraham. Samayapuram Mariamman Temple is one of the famous Shakthi Sthal of Tamilnadu.

Story says that paramashiva created Kali, out of the poison that he drank during samudra mathanam.  As Devi originated from the Kaalakoota/ halahala poison,


thus the name Kaali. Mariamman is believed to be a form of Kaali, and is also known as Mahamayi. It is also believed that Maharaja Dasharatha offered his prayers here.

Mariamman is Parashakti herself who blesses with prosperity and she is believed to cure all diseases.


Paramashiva, Mahavishnu and Brahma Deva are believed to have taken blessings of Mariamman here.

Om Shakti Para Shakti
🙏🕉🙏
ALL
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Jaya_Upadhyaya
Jaya_Upadhyaya
@Jayalko1
SRI KALAHASTI KSHETRAM, CHITTOOR (AP)
#bharatmandir

Panchbhootasthalam representing vayu element, also called Dakshin Kailasha.
As per Shiva’s boon, Vayu is incarnated here as Shiva and worshipped as Kalahasteeswara.
The kshetram is also associated with Rahu and Ketu.


The Kshetram is named after 3 devotees of Shiva- a snake, spider and elephant who worshipped a lingam in the forest. Elephant did jal abhishek with water from its trunk, spider protected it from dust by weaving a web on it and snake adorned it with his jewel.
@GunduHuDuGa


Once, the web and jewel got washed away when elephant sprayed water on the lingam. Angered snake entered elephant’s trunk and bit him but died in the process. The agitated elephant trampled the spider accidentally. Shiva gave moksha to all three.


Hence the name-Sri for Spider, kaal for snake n hasti for elephant.

Shiv bhakt Kanappa is said to have plucked his own eye to put it on the lingam here when he saw blood oozing from the eye on the lingam
This place is the ultimate location for Rahu Kethu Sarpa Dosha Nivarana.
ALL
Anu Satheesh \U0001f1ee\U0001f1f3
Anu Satheesh 🇮🇳...
@AnuSatheesh5
Stories of Guruvayurappan
Shri Krishna Leela

This is a beautiful story of Guruvayurappan. Once there lived in Guruvayur a poor family. Kitta, his wife & kids were struggling for their daily needs. With only a coconut tree in house, he earned a living by selling coconuts.


Kitta was from a low caste family. He was a great devotee of Guruvayurappan. Everyday before going to work he always prayed infront of a picture of Guruvayurappan in his house. His only wish was to worship at Guruvayur & have annadanam in temple. But he was not allowed there


It was Utsavam time in Guruvayur. From far behind kitta and family worshipped Guruvayurappan. Annadanam was given daily and no one was left empty stomach. Only Kitta didn't receive. That night, it was only Kitta's family who was sleeping without food. After temple nada closed


Shri Krishna, dressed himself as a Brahmin went to temple Kitchen. He packed food and went directly to kitta's house. Reaching Kitta's house, Shri Krishna told he was sent by a cook of Guruvayur temple and gave them the food he packed. Kitta and family was very happy seeing food.


When Kitta finished his food, Brahmin asked it will be better if he get a tender coconut( karikku)to drink. Kitta climbed the tree and gave all coconuts to him. After having 1 tender coconut, the Brahmin asked to bring remaining coconuts to Guruvayur temple the next day.
ALL
dan spaceman
dan spaceman
@ohlaika
ugh i wanted to do a thread about the wars in Star Wars and how the two outlying wars (the clone wars in the prequels and the cold war/civil war in the sequels) are really weird but i don't feel like it any more.

my first argument is that the Clone Wars were a really complex morally gray moment in Star Wars canon in like, 5 different directions and I'd kind of like to know why Lucas did that.

especially with the direct line that's drawn in the OT with the allegory of WW2 and Vietnam with the rebels being the Vietnamese and the Empire being America. That...doesn't exist in the Clone Wars.

for starters: it's weird it's called the Clone Wars. I get why, because that's what Kenobi calls it in STAR WARS, but the clones are a small facet in the larger story of the war.

the clones basically only exist as a macguffin in AOTC that is...extremely confusing ultimately. Because if you accept that Sidious has this grand master plan to use this war to destabilize the Republic and form an Empire...it's way too complex.
CULTURE