Whoever controls the data, controls the narrative, right?

Whoever controls the data, controls the narrative, right?

Not everyone in public health uses data on a daily basis, but the information from those data is used in public health to inform our work and how we do it. We know this was happening in the first administration, and "data hoarders" started saving the data again in the second administration. But I personally was not aware of the extent. This is madness!

>Over the past year and a half, at least 28 federal datasets have been deleted and another 338 data collections have been modified, according to an online tracker released last week from dataindex.us, a group of data policy experts, researchers and developers that formed last year to monitor changes to government data.

Full article here: https://www.theguardian.com/us-news/ng-interactive/2026/aug/18/trump-federal-data-deleted-altered

u/RenRen9000 — 2 days ago

Iowa Public Health colleagues… Are you okay?

From defunding to privatizing public health, Iowa's public health system "is on the ropes" according to this article.

>Today, public health in Iowa is frayed. Tattered threads are held together by a dedicated corps of health professionals who refuse to let the public down.

>On her way out the door, Governor Kim Reynolds has put in motion a process that will sideline local public health agencies and eventually privatize public health in Iowa.

>The Department of Health and Human Services (HHS) calls it “public health system alignment.” It kicked off (publicly) with an “update” at town hall meetings in April. The upshot: County health boards will lose access to most state and federal funding, which they need to ensure the delivery of services to their citizens.

>Instead, money for “public health core services” will flow through regional “lead entities” contracted with the state. Lead entities will be responsible for distributing public dollars directly to service providers in their areas.

>Counties now teaming with local providers will be stripped of their roles. In Dubuque County, for example, the health department contracts with UnityPoint Health’s Visiting Nurse Association to deliver services. That association will now have to compete for a contract with the lead entity.

Folks in Iowa, how are you, and what can we do to help?

bleedingheartland.com
u/RenRen9000 — 3 days ago

Colorado health officials issued a public health order on ICE detention center

This is going to be interesting. Back at the beginning of the current administration, I had a lengthy conversation with many health officers on Signal. One thing we discussed at length was the authority of the local health officers to oversee the health and safety of any detainees at ICE facilities. As you can imagine, some of the health officers were weary of this. Others were more defiant.

Now, it looks like this is about to be tested in Colorado. I'll be curious to see how it plays out. Because if the court reaffirms the authority of the local health departments to police health in their jurisdictions, then things might change with regard to the epidemics at these "detention centers" (which is an interesting way to spell "concentration camps").

News link: https://www.denver7.com/news/local-news/colorado-health-officials-order-aurora-ice-processing-center-to-hand-over-tuberculosis-records

u/RenRen9000 — 4 days ago

Pregnant women seeking Tdap vaccine answers on Reddit are looking for reassurance

Interesting article about a research study that looked at why pregnant women posted on Reddit asking questions about the Tdap vaccine. It turns out they were looking for reassurance that they were making the right decision in taking the vaccine.

>The most common theme among pregnant women who posted on Reddit was responses from family and friends, describing pushback from people over getting vaccinated before having contact with newborns. Women described disagreements with partners, parents, and in-laws and sought advice on how to deal with these conflicts and set boundaries with family and friends. 

For years, we have been recommending "cocooning" as a way to protect newborns from pertussis (whooping cough), and it seems like this whole anti-vaccine movement is making people push back on that advice. So mothers-to-be are looking for answers.

I know that we on Reddit are careful about personal health advice requests, but maybe we (here on r/publichealth and mods on r/vaccines) should be a little flexible? Whooping cough is resurging, and we need parents to know they're doing the right thing by requiring visitors to be vaccinated.

Article contains link to study: https://www.cidrap.umn.edu/childhood-vaccines/when-pregnant-women-turn-reddit-about-tdap-vaccine-it-tends-be-clarity

u/RenRen9000 — 6 days ago

Do I even bother opening?

It got here just today. This has got to be the longest I waited for something that didn’t end up being vaporware. But all the bad reviews have me wondering if I should just post it on EBay.

u/RenRen9000 — 6 days ago

Texas: Watch out for the heat with students, not so much for outdoor workers

Apparently, Texas schools are requiring sports practices to be mindful of the heat. At the same time, local governments are not allowed to pass laws that mandate breaks and other heat protections for outdoor workers. It really is like its own country. (I lived in El Paso for most of my youth, and it seems more and more foreign to me each year I go back.)

On schools: https://www.ksat.com/weather/2026/08/06/texas-schools-are-required-to-follow-wet-bulb-globe-temperature-protocols-as-fall-sports-begin/

On outdoor workers: https://publichealthwatch.org/2025/11/25/texas-workers-keep-dying-in-the-heat/

Those of you in public health in Texas, how are you holding up? Anything those of us in the People's Republic of [Insert Liberal State Here] can do to help?

u/RenRen9000 — 9 days ago

New Executive Order on Vaccines (sigh)

Here we go again. Under the guise of "Gold Standard Science" (more like gold leaf, am I right?), he's ordering HHS to work on some dumb vaccine policy.

>“For example, at one year, you should have five separate visits for vaccines rather than getting them all in the same day," President Trump said at the signing.

Yeah, because he's going to pay for all those doctor's visits?

>The president also said that the United States recommends more immunizations than peer nations. This is confusing at best. As Stat News explained earlier this year, many other wealthy countries, including the United Kingdom, Israel, and Australia, recommend kids receive more immunizations than the United States would if an HHS immunization recommendation in January were to go into effect. 

Because *clap* We *clap* Have *clap* a *clap* Different *clap* Epidemiology, *clap* Healthcare *clap* System, *clap* and *clap* Acceptance *clap* of *clap* Public *clap* Health *clap* That *clap* "Peer *clap* Nations" *clap* (Whatever That Is) Have *clap*.

This is going to end up getting kids killed.

https://www.cidrap.umn.edu/trump-signs-executive-order-break-measles-mumps-rubella-vaccine

u/RenRen9000 — 10 days ago

Rabies alert: Second beaver at Cunningham Falls State Park tests positive

The Frederick County Health Department reports that a second beaver from Cunningham Falls State Park has tested positive for rabies within the past two weeks.

The beaver was collected after a person was attacked while fishing at Hunting Creek Lake on Wednesday morning. The William Houck day-use area, boat ramp, and Big Hunting Creek above the lake are currently closed, and visitors should stay out of all posted closed areas until officials determine they are safe.

Possible warning signs of rabies in an animal include:

  • Excessive drooling or difficulty eating or drinking
  • Stumbling, limping, weakness, or poor coordination
  • Unusual aggression, fearlessness, or friendliness
  • Confusion or other behavior that is abnormal for that animal

Seeing a normally nocturnal animal during the day can sometimes be a warning sign, but it does not by itself mean that the animal has rabies. Rabies cannot be confirmed simply by looking at an animal.

If you encounter an animal acting strangely:

  • Keep your distance and do not touch, feed, corner, or try to capture it.
  • Keep children and pets away.
  • In Frederick County, report contact with a stray or wild animal to Animal Control at 301-600-1544.
  • Make sure dogs, cats, and other eligible pets are current on their rabies vaccinations.

If you are bitten, scratched, or may have gotten saliva from a wild animal into your eyes, mouth, or an open wound:

  1. Wash the affected area immediately with soap and running water for 15 minutes.
  2. Contact a healthcare professional promptly.
  3. Call the Frederick County Health Department’s Community Health Services Office at 301-600-3342.

If a pet or livestock animal was bitten or scratched, contact a veterinarian and call the Health Department’s Environmental Health Office at 301-600-1717.

Rabies is preventable when treatment is started promptly after an exposure, but it is nearly always fatal once symptoms begin. Please do not wait for symptoms before seeking advice.

Official alert:
https://health.frederickcountymd.gov/DocumentCenter/View/14233/20260806-Beaver-from-Cunningham-Falls-State-Park-Tests-Positive-for-Rabies

reddit.com
u/RenRen9000 — 14 days ago
▲ 88 r/AynThor

About to finish nSMB2 on the Thor

Gee, I hope I can make it in 517 lives. (Why was it so easy to farm lives in this game? And coins!) I wish I would have played it when it first came out. By show of hands, was this game better on the 3DS?

u/RenRen9000 — 19 days ago
▲ 41 r/AynThor

Finished New SMB DS on the Thor… I feel accomplished

Not gonna lie. I'm kicking myself that I didn't play this game when it first came out. It's a fun take on the classic. What should I play next?

u/RenRen9000 — 1 month ago

MV Hondius Hantavirus Outbreak is at 13 Cases

Link: https://www.cidrap.umn.edu/misc-emerging-topics/hantavirus-outbreak-linked-cruise-ship-grows-13-cases

All are primary cases from the ship. Still no secondary cases.

The median incubation period for hantavirus is 18 days, so we saw half of the cases in the first 18 days (or so). We'll see the other half in the next 18 days. Half of the secondary cases should be appearing now. With none, the chances of secondary cases outpacing the primary cases are very low. The R-naught and/or R-eff are probably both less than 1.

u/RenRen9000 — 3 months ago

WHO Declares PHEIC for Bundibugyo Virus (Ebola) Outbreak in DRC and Uganda

WHO has officially declared the Bundibugyo virus disease (BVD) outbreak in the Democratic Republic of the Congo and Uganda a Public Health Emergency of International Concern (PHEIC). However, it does not meet the threshold of a pandemic emergency under the IHR.

The Numbers (as of May 16, 2026):

  • 8 laboratory-confirmed cases, 246 suspected cases, and 80 suspected deaths in Ituri Province, DRC (across Bunia, Rwampara, and Mongbwalu health zones)
  • 2 confirmed cases (1 death) in Kampala, Uganda, both in ICU and linked to travel from DRC, with no apparent epidemiological link to each other
  • A suspected case in Kinshasa was ruled out by confirmatory testing
  • At least 4 healthcare worker deaths from suspected viral hemorrhagic fever, so nosocomial transmission is a concern (as usual in these settings)

The initial sample positivity rate was unusually high (8/13, or about 62%), suggesting the true case count is likely much larger than reported. The affected area mirrors the geography of the devastating 2018–19 North Kivu/Ituri Ebola-Zaire epidemic, with the same compounding factors: conflict, humanitarian crisis, high population mobility, and informal health facilities.

The critical difference this time? There are no approved vaccines or therapeutics for Bundibugyo virus, unlike Ebola-Zaire strains (which have ERVEBO and mAb114/ZMapp). This is not the Zaire strain. Clinical trials for countermeasures are urgently called for.

This is a rapidly evolving situation with significant epidemiological uncertainty. The high positivity rate, healthcare worker deaths, and cross-border spread to Kampala within days of the initial cluster are all red flags. Watch this space closely.

reddit.com
u/RenRen9000 — 3 months ago
▲ 31 r/AynThor

See on Amtrak Train

Can you believe I found this Rainbow Max with PvZ loaded, and with all the achievements unlocked? What are the odds? LOL.

Commutes are a thousand times better now.

u/RenRen9000 — 3 months ago
▲ 23 r/AynThor

Kiddo on Goat Simulator 3. Me on Red Dead Redemption via GameNative. Wife reading a book. Life is good, y’all.

u/RenRen9000 — 4 months ago

Welcome to this megathread on Hantavirus, a topic that's back in the headlines following a cluster of recent events. This is a space for public health professionals, students, and curious members of the public to ask questions, share resources, and discuss the science civilly (and with citations where possible).

A few developments have put hantavirus in the spotlight:

reddit.com
u/RenRen9000 — 4 months ago
▲ 19 r/AynThor

EDIT: *A christening of sorts

The long nightmare of waiting for this thing has ended. It arrived yesterday, and some of you read about the negotiation with my wife to go to the houses and bring it in from the elements. Thank you all who kept me entertained while I nervously died of anxiety at someone walking up my driveway and swiping it.

I got home, opened it, and began a two hour journey into setting it up. It’s not for people who are not technically inclined, by the way. I had to change language from Chinese to English, change all sorts of settings, add media, add software, and add games.

This morning, it was eager to join me on the train into Philly, and I played SMB3 as I’ve done first with all my devices.

It runs the Ace Combat series on NetherSX2 emulator just fine. And the one switch game I managed to dump from my broken Switch (“Mario Kart Deluxe”) runs silky smooth with the right GPU drivers.

I followed a combination of Retro Gaming Corps and TechDweeb guides. By the time I went to sleep at 2 in the morning, needing to get up by five, I had the biggest grin on my face.

Tech toys that take me back to my childhood do that. Tech toys that I can share with my daughter as she plays Roblox and Stumble Guys on my Flip 2 while I play NES on the Thor are even better.

Thank you for attending my Ted Talk. And thank you for all the tips and tricks you all share on here. It’s a good community.

u/RenRen9000 — 4 months ago
▲ 88 r/AynThor

It’s right there, guys. Right outside my house. Delivered this morning as I was on the commuter train. Question is… Do I ask my wife to take her lunch break to go and get it inside? She doesn’t know I bought it.

In the meantime, the live stream of the front camera is on full time on another screen in my office.

Is there something in the Diagnostic and Statistical Manual of Mental Disorders that matches how I’m behaving right now? LOL.

UPDATE: Wife went home and took it inside. It is now sitting in my home office, safe and sound. Little pillow under it, hot chocolate by its side.

u/RenRen9000 — 4 months ago