Ally Brown

@allybrown.bsky.social

Research Associate in Social Policy @ Strathclyde Uni. Food policy for THRIVING Food Futures. Also policy approaches to health inequalities, and to mental health.

What most of these trite "did we get the balance wrong" takes miss is they're delivered a safe distance from the prospect of taking responsibility for the thousands of extra deaths that would have happened if we'd struck a different balance.

Sobering: initial trials with huge effect, large follow-up trial showing no evidence for an effect. But practice is already locked in and criticism is defused by pointing to random effects meta-analyses which are necessarily dominated by the initial trials. polypharmacy.substack.com/p/we-should-...

We should stop running clinical trials that cannot change practice

The case of prazosin for PTSD nightmares and the PACT trial

polypharmacy.substack.com

This is bad “More than half of adult smokers in the UK wrongly believe that vaping is as harmful or more harmful than cigarettes, making them less likely to switch to vapes and quit the deadly habit…some people have even tried to quit vaping by switching to cigarettes.”

Majority of UK smokers wrongly believe vaping is as harmful as cigarettes, experts find

Analysis shows public understanding about vaping, which is far less harmful than smoking, has plummeted in past decade

theguardian.com

This feels like a case study of something bigger: it's almost always safe for policymakers to individualise issues. I suspect this hits transport too: nobody ever got fired for building a housing estate and simply running a road to it and assuming everyone will drive individual cars

Prof. Ian Walker@ianwalker.bsky.social · last mo.

Can't help thinking that closing schools because it's hot shifts the problem from cooling one building to cooling a thousand homes

"It's not your fault, it's a disease" very handily functions to obscure "it's not your fault, it's systematic/political". Disease-blaming keeps the focus downstream on the individual, enabling pharma to capitalise on their new products (see also Prozac and the "chemical imbalance" claim).

Amy Hall@amyh4ll97.bsky.social · 2mo ago

As someone who works in pharmaceuticals and studies history of science, I could write a series on the new Eli Lilly advert ‘Obesity is a disease’ Now a product is available, the narrative around obesity has entirely shifted, to the much more biological ‘it’s not your fault’ ‘it’s a disease’ trope

As someone who works in pharmaceuticals and studies history of science, I could write a series on the new Eli Lilly advert ‘Obesity is a disease’ Now a product is available, the narrative around obesity has entirely shifted, to the much more biological ‘it’s not your fault’ ‘it’s a disease’ trope

I can't but help think that to some extent we are witnessing a moral panic that isn't really actually about children at all. It's about adults' fear of what social media is doing to them, to politics, to their friends. But rather than grapple with that, fear is projected onto children.

That’s the thing. It’s really hard methodologically to determine the causal effect of ultraprocessing in isolation of poor nutritional content. It’s not helpful to put people off *affordable* foods that provide healthy nutritional content because some might contain more than 5 ingredients.

thing.xn--its-so0a

Pete Scarborough@petescarbs.bsky.social · 2mo ago

"Collectively, available randomized controlled trials provide weak support for an ultraprocessing-specific effect of UPFs on body weight regulation and cardiometabolic function that is independent of established nutritional determinants." New piece in Science from Magkos, Forde and Robinson.