Alastair McAlpine, MD

@alastairmca30.bsky.social

Pediatric infectious disease physician, author, runner, metal fan. Dislikes Pseudoscience and bigotry. Views ≠ my employer 🏳️‍🌈🏳️‍⚧️ Prescription: Ice Cream available now! https://www.amazon.com/Prescription-Doctors-Journey-Discover-Matters-ebook/dp/B0CY347H4D

This MAGA/MAHA/Trump/RFK Jr/Dr Oz/Dr Bhattacharya press conference right now is quite possibly the worst press conference—from the viewpoints of medicine, public health, & medical ethics—that I’ve ever seen. These men are so shameless & deeply irresponsible. Wherever happened to science & evidence?

Rolling the dice on a vaccine preventable illness is never the better option. Subacute sclerosing panencephalitis is a rare and fatal complication of measles that can occur several years after the original infection. This is sad, this is avoidable. Vaccinate kids! www.nbcnews.com/health/healt...

Los Angeles child dies from rare measles complication years after recovery

The county health department said the death is a "painful reminder" of how dangerous measles can be in unvaccinated people.

nbcnews.com

A reminder that countries that have implemented mass HPV vaccination are on course to ELIMINATE cervical cancer entirely (with no discernible common adverse effects). RFK Jr and Lied Suddenly want women (and men) to die a painful death from a preventable disease.

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Let me get this straight: RFK Jr’s $500m cut to mRNA contracts was based on a non‑peer‑reviewed, self‑published, anti-vax bibliography authored by his cronies who are all tied to a ‘vaccine detox’ supplement company? Got it 👍 www.importantcontext.news/p/experts-ci...

‘Experts’ Cited By RFK Jr. to Justify mRNA Vaccine Funding Cut Have Ties to Anti-vax Supplement Company

Four authors of the non-peer reviewed, anti-vax bibliography cited by Kennedy’s HHS are involved with The Wellness Company.

importantcontext.news

This is clownish nonsense. A) What on earth is Bhattacharya doing on this guy’s show? B) Why is he spreading ridiculous nonsense on this guy’s show? To claim *all* mRNA vaccines are no longer viable is just absurd. He is an embarrassment. Bought and paid for.

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EXTREMELY proud to announce that my memoir, “Prescription: Ice Cream”, has been long-listed for the Sunday Times Literary Prize. If you’re interested in a story about working in the busiest hospital in the world, overcoming addition, or finding the meaning of life-check it out!

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In case you were worried by this despicable lie: There is ZERO association with receipt of vaccination and sudden infant death syndrome (SIDS). In fact, many studies have found a negative association between vaccines and SIDS (ie they’re associated with REDUCED SIDS)

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Disingenuous nonsense. We know why autism rates have increased. Expanded diagnostic criteria and increased awareness. The causes are not fully elucidated, but predominantly genetic. (RFK Jr wants to blame vaccines. We all know it).

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I thought I would spend my days on social media making funny memes and nerding out with fellow medics. Instead, I’m debunking AI-generated anti-vaxx slop from the head of frikkin Health & Human Sciences. While pointing out that Pubmed searches aren’t evidence. Astonishing.

Kennedy provides a bunch of references for his claim that thimerosal in vaccines (barely used anymore) is harmful. If a high-school student submitted this as their reference list, they would fail. I will do what Kennedy didn’t - actually look at them. 🧵

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The result of the antivaxx movement is death for kids. Whooping cough can be fatal for young infants - it causes them to stop breathing. Kids can only be vaccinated at 6-8w of life. Before then, protection is provided by vaccinating mum during pregnancy.

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Two babies have died from whooping cough in Kentucky. Neither they nor their parents had been vaccinated. The current whooping cough outbreak in the U.S. hasn’t grabbed the media spotlight as much as measles has, but it’s important to update your vaccination if you’re going to be around babies.

These parents clamored to enroll their children in the Covid vaccine trials. But they say it'll be tough — and unethical — to enroll children in placebo trials again. And they feel betrayed that their sacrifices are now going ignored. My latest: www.theguardian.com/us-news/2025...

A ‘war on children’: as US changes Covid vaccine rules, parents of trial volunteers push back

Frustration and anger mount as Trump administration contemplates new trials and restrictions for Covid vaccines

theguardian.com

Harm reduction reduces harms. Period. That’s why it’s called that. We have decades of data. There are mountains of evidence showing that it does not increase drug harms (a pure fallacy) & does not increase drug use. Most of the data actually shows harm reduction interventions LOWER rates of drug use

Pertussis (whooping cough) causes babies to stop breathing… I’ve seen older children cough so hard their eyes bleed… It’s an awful illness and it’s prevented by an incredibly safe vaccine. Mums should get it when they’re pregnant and babies when they’re old enough.

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Couldn’t disagree more. Medicine and the real world are inextricably intertwined. To advocate for our patients is to engage beyond simple academia. Essentially, this article argues we should remain detached in our ivory towers. THAT is what causes decreased trust.

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This isn't a new product. It's an updated vaccine to account for new strains and viral evolution. Are they going to do this for all COVID and influenza vaccines yearly? Because that effectively shuts them down. There isn't enough time between identification of strains included & release of vaccine.

Tweet from Marty Makary "To be clear, this is a new product that Novavax is trying to introduce to the market with a study of a different product from 2021. New products require new clinical studies.

Under this administration, we are prioritizing the Gold Standard of Science--not what saves pharma companies "tens of millions of dollars."" Included is a headline saying "FDA Asks Vaccine Maker to complete new clinical trial for delayed COVID-19 shot A new randomized study could cost Novavax tens of millions of dollars, vaccine experts say."