One measles case in New Mexico cost $53,522. A dose of MMR costs $26.35. Save and send to other parents before the kids go back to school: https://www.celinegounder.com/p/measles-outbreak-cost-per-case-new-mexico Read & subscribe for free: celinegounder.com
Dr. Céline Gounder
@celinegounder.com
MEDICINE / INFECTIOUS DISEASES / EPIDEMIOLOGY / JOURNALISM 🔹 Editor-at-Large for Public Health at @KFFhealthnews.bsky.social 🔹 Medical Correspondent for CBS News 🔹 Prof/Doc at NYU Grossman School of Medicine & Bellevue Hospital
"Public health got more comfortable with p-values than podiums." Spencer on MAHA's opening: the field went quiet and let data become an alibi for inaction. Save and send to a communicator: https://www.celinegounder.com/p/does-public-health-need-maha Read & subscribe for free: celinegounder.com
RFK Jr. demanded a citation six times on CNN. Then he cited the 2013 IOM review, which says the committee "finds no evidence that the schedule is unsafe." Save and send to a parent: https://www.celinegounder.com/p/rfk-jr-cnn-fact-check-vaccines-autism Read & subscribe for free: celinegounder.com
ChatGPT Health syncs your records out of your patient portal. HIPAA doesn't follow. 1 in 3 adults use AI for health. Listen: https://www.thenewsworthy.com/shownotes/080126 Save and send: https://www.celinegounder.com/p/ai-health-podcasts-no-oversight Read & subscribe for free: celinegounder.com
Sen. Moody asked Dr. Fauci whether public trust depends on candor. He invoked the Fifth. On masks her charge holds. On the six-foot rule it doesn't. Save and send to anyone who lost trust: https://www.celinegounder.com/p/fauci-hearing-fact-check-part-3 Read & subscribe for free: celinegounder.com
80,000 animals at Wuhan market? Nationwide data. At the market: 457 specimens. Removed Jan 1, before sampling. No testing of raccoon dogs, palm civets, bamboo rats—the likely intermediate hosts. https://www.celinegounder.com/p/fauci-senate-hearing-fact-check Read & subscribe: celinegounder.com
Fauci hearing exposed a decade of shifting gain-of-function definitions. Same facts, six frameworks—no wonder both sides won. That's evolving policy. Save & send: https://www.celinegounder.com/p/fauci-hearing-fact-check-part-2-origins-chain Read & subscribe: celinegounder.com
Cyclospora, measles, and Legionnaires. Three pathogens, three failing systems: the food supply, vaccination coverage, building water. None of it gets fixed locally, and MAHA is reshaping the federal policy and budgets behind all three. The Atlantic Festival, Sept 17-19: theatlanticfestival.com
The anti-vaccine wing is small. It just has the loudest mic. KFF: only ~1% of adults believe all the common vaccine myths. Spencer spent a year inside MAHA. Save and send to a communicator: https://www.celinegounder.com/p/does-public-health-need-maha Read & subscribe for free: celinegounder.com
They swabbed the counters at the Wuhan market. The animals themselves were mostly never tested. Save and send to anyone told this was settled: https://www.celinegounder.com/p/fauci-diary-what-it-actually-says Read & subscribe for free: celinegounder.com
The animals that would settle COVID's origins were gone before anyone swabbed them. Save and send to anyone told this was settled: https://www.npr.org/2026/07/30/nx-s1-5911854/infectious-disease-expert-on-faucis-senate-hearing-face-off-with-lawmakers Read & subscribe for free: celinegounder.com
MAHA's top demand isn't vaccines. It's lower medical bills. KFF: cost is MAHA supporters' #1 health worry, and on costs the public trusts Democrats more. Save and send to a MAHA-curious friend: https://www.celinegounder.com/p/does-public-health-need-maha Read & subscribe for free: celinegounder.com
Utah's cases are down. The US isn't: 2,295 measles cases, a 35-year high. Kasey is 7 weeks old, too young for MMR. She hasn't met her great-grandparents. Save and send to a new parent: https://www.celinegounder.com/p/measles-outbreak-newborn-family Read & subscribe for free: celinegounder.com
My new Columbia Journalism Review interview on the cyclospora outbreak: https://www.cjr.org/the-interview/to-have-any-kind-of-relationship-with-a-reporter-is-a-scarlet-letter-celine-gounder-cbs-news-public-health-epidemiology-cyclospora-explosive-diarrhea-parasite-trump-doge-cuts.php
A viral post says this parasite was released to sell mRNA vaccines. It's wrong. Cyclospora shows up every summer, and there's no mRNA parasite vaccine to sell. The accounts pushing 'bioweapon' are usually selling something too. Read & subscribe: celinegounder.com
Fake Ozempic exists online. Fake chemo doesn't. A drug gets a gray market only when it's cheap to make and you take it yourself. Peptides clear that bar. Save and send to anyone trying peptides. Read & subscribe for free: celinegounder.com https://www.celinegounder.com/p/peptide-proven-loophole
One part of the military tests to keep steroids out. Another just ordered testosterone screening for troops 30+, to hand it out. Save & send to anyone in a military family. Read & subscribe free: celinegounder.com/p/military-testosterone-screening-hegseth
In a healthy man, testosterone shuts down sperm production and grows breast tissue, two things no low-T ad mentions. Save and share with anyone weighing a testosterone prescription, or serving in the military. Read & subscribe for free: celinegounder.com/p/military-testosterone-screening-hegseth
We cleaned up America's air by law, then got told to buy it back one box fan at a time. Wildfire smoke isn't even regulated under the Clean Air Act. A filter helps for a day; it doesn't touch why the smoke's there. The real fix is cleaner air by design. Read & subscribe: celinegounder.com
I asked the FDA one yes-or-no question about this outbreak. They dodged. The lab check that confirms we can even detect this parasite was cut last year. Watch how they answer. Read & subscribe: celinegounder.com
Testosterone is real medicine for men who can't make enough. For a man with a normal level, it's risk and no proven benefit: clots, infertility, breast tissue. The only question that matters: are you actually deficient? Read free: celinegounder.com
Officials confirmed the source of the cyclospora outbreak: Taylor Farms iceberg lettuce served at Taco Bell. It hit thousands before anyone could name the food, because the teams that catch outbreaks fast were cut last year. Read & subscribe: celinegounder.com
Everyone's watching the smoke. The part they're missing is the heat sitting on top of it. Together they're worse than either alone, pushing heart and lung ER visits higher. No AC? You're stuck. That's why cities need cooling centers. Read & subscribe: celinegounder.com
Same smoky air, two different risks. Healthy adult? Low-stakes today. Asthma, heart/lung disease, pregnant, older, or a kid? That air can send you to the ER within hours. Check AirNow; clean indoor air (MERV-13/HEPA). Read & subscribe: celinegounder.com
On July 23, an FDA committee votes on letting pharmacies make peptides the FDA never approved. No human trials. Who benefits? The sellers. Save this and send it to anyone trying peptides. Read & subscribe for free: celinegounder.com https://www.celinegounder.com/p/peptide-proven-loophole
A found aortic aneurysm is manageable: watch its size, repair before it ruptures. But most are never found. The one proven screen: men 65 to 75 who ever smoked get a one-time abdominal ultrasound (USPSTF). Read: https://www.celinegounder.com/p/aortic-aneurysm-dissection-graham-wahl
NYC's medical examiner runs the only genetics lab in a US ME's office, finding an inherited cause in about 1 in 5 sudden deaths. It now offers free genetic testing to living relatives, so the next death can be prevented. Read: https://www.celinegounder.com/p/aortic-aneurysm-dissection-graham-wahl
Tall, long fingers, a caved-in chest, severe nearsightedness, a shifted lens can be clues to an inherited aortic condition. None alone is a diagnosis; with a family history, look at the aorta. Women get missed most. Read: https://www.celinegounder.com/p/aortic-aneurysm-dissection-graham-wahl
When Grant died of an aortic aneurysm in 2022, his autopsy came with a genetic test. A known genetic risk lets living relatives get screened before anything goes wrong. One death, a head start for the family. Read: https://www.celinegounder.com/p/aortic-aneurysm-dissection-graham-wahl
Aneurysm, dissection, rupture aren't the same thing. The bulge you can watch and repair. The tear and the burst are measured in minutes. Save this. Read & subscribe (free): celinegounder.com https://www.celinegounder.com/p/aortic-aneurysm-dissection-graham-wahl #CauseOfDeath