Julia Raifman, ScD

@juliaraifman.bsky.social

Evidence-based posts about public health & equity. All views are my own and without AI.

Did you know? The US health system already has far higher administrative costs relative to single-payer. AI could raise those costs Also a good example of how technology such as AI will not inherently improve health or other outcomes — how health changes depends on how people use the technology

Kathleen Bachynski@bachynski.bsky.social · 5d ago

“My nightmare is that we have bots on Emory Healthcare’s side, bots on Cigna’s side that keep talking to each other,” said Dr. Joon S. Lee, the chief executive of Emory Healthcare. “A whole data center could be occupied just doing that.”

The Trump administration’s proposed Census changes would ban race and ethnicity questions, eliminating a key source of data that researchers use to understand racial and ethnic disparities in health and health care, including trends over time. https://on.kff.org/3T8Q5Nn

A timeline chart titled "U.S. Census Collection of Race and Ethnicity Data Have Evolved Over Time" shows the inclusion of various racial and ethnic groups in census data from 1790 to 2020. Categories listed on the left include White, Hispanic, Black, Asian, AIAN (American Indian or Alaska Native), and NHPI (Native Hawaiian or Pacific Islander), among others. Dots indicate the years each category was included. The chart is sourced from KFF.

“Fiji, a Pacific island nation of fewer than one million people, recorded more than 2,000 new H.I.V. cases in 2025 — 16 times as many as in 2019, the government said in an official statement on Tuesday. One in 60 adults on the archipelago is living with the virus that causes AIDS”

Fiji Declares a National Emergency as H.I.V. Cases Skyrocket

Surging drug use has contributed to an epidemic in the Pacific island nation, where one in 60 adults is estimated to be living with the virus.

nytimes.com

Just in time for the 2026-2027 vaccines, a new review shows that COVID19 vaccination significantly reduces the risk of severe illness and hospitalization across all age groups, including kids. Pregnant women were also protected, as were their babies. Don’t forget to schedule your vaccination!

COVID-19 Vaccine Effectiveness and Safety for the 2026-2027 Respiratory Season

This Special Communication aims to identify and summarize the most recently published evidence evaluating the effectiveness and safety of US-licensed COVID-19 vaccines and report on the epidemiology o...

jamanetwork.com

New evidence heading into respiratory virus season: an independent review of hundreds of studies found current flu, COVID-19 and RSV immunizations are safe, effective and critical in protecting against severe illness, hospitalization and death. Learn more: spr.ly/63324B17m9g

Are Small Language Models a way to benefit from AI with more control over content & lower costs to energy & the environment? It seems there are many use cases, such as report writing based on an org’s own prior content to retain voice & avoid plagiarism Thanks to Joachim Klement for writing

The future of AI may be small, cheap and unprofitable

The AI boom is built on the idea that bigger is better. A recent study suggests the opposite may soon be true: small language models running on desktop computers may be able to handle most of the ​tas...

reuters.com

“I think this is really an important achievement,” said Jedd Wolchok…”It tells us what might have been considered science fiction 15 or 20 years ago —that we can produce a personalized vaccine based on sequencing from a tumor from a pathology specimen —could be used to delay progression of melanoma”

Moderna and Merck say mRNA cancer vaccine succeeded in late-stage melanoma trial

A personalized mRNA cancer vaccine succeeded in a late-stage melanoma study, results that could herald a new, powerful approach in oncology.

statnews.com

Well said by Mayor Sadiq Khan on tragic death of #JasonArday: Arday faced "an unacceptable public hounding and campaign of abuse…He was a victim of a pernicious public shaming that other people in his position simply wouldn't have faced" www.bbc.co.uk/news/article...

Tributes paid to Jason Arday after ex-Cambridge professor found dead

His family said they were "in shock" to have lost him, adding a "campaign of misinformation" had been too much.

bbc.co.uk

Who benefits from combined MMR+V (chickenpox) vaccines? “Children who received MMRV were from minoritized racial & ethnic groups; received a catch-up dose; were VFC-eligible; were vaccinated at safety-net clinics… & Might be at risk of not receiving recommended vaccines if options become limited”

Measles-Containing Vaccine Use for Children Aged 12 to 47 Months

This cross-sectional study examines patterns of measles-containing vaccine selection for children aged 12 to 47 months in King County, Washington.

jamanetwork.com

Haitian TPS holders are business owners, caregivers, faith leaders & more who are essential to our communities & economy. TY @mayorwu.boston.gov, @ruthzee.bsky.social, & every local leader joining us in urging Congress to extend TPS for Haiti. The House did its job, and now the Senate must act.

The Boston Globe@bostonglobe.com · 2mo ago

Mayor Michelle Wu has joined more than 100 mayors and local government leaders nationwide in signing a letter calling for Congress to extend protected status for Haitians until early 2029 after the Trump administration terminated it.

The health, social, & economic disruptions of the pandemic were challenging for each of us & our shared society Grateful to all who did their best to help us through this historic period May we one day have more constructive reflection on what we may learn to strengthen our collective way forward

'I still have nightmares every night' — health workers struggle with PTSD symptoms as coronavirus takes toll

Health care workers are fighting a new battle regarding their mental health and well-being due to Covid-19, as deaths have recently topped 120,000 people.

cnbc.com

The cyclosporiasis outbreak illustrates the importance of public health expertise, data, & systems for maintaining a good standard of living Investments in public health people & infrastructure reduce the risk of substantial costs to health, well-being, & the economy

US outbreak of parasite causing ‘watery diarrhea’ rises to more than 2,800 cases

Cyclosporiasis outbreak comes a year after Trump officials cut funding for state and local health departments

theguardian.com

Happy 250th, USA! May we reach for the best of ourselves as we shape the next 250 I draw inspiration from this 1941 Jacob Lawrence painting celebrating new opportunities for Black children through the Great Migration Lawrence describes how policies shaped a standard of living conducive to learning

Jacob Lawrence painting and description:

With arms stretched high, these three girls reach to write numbers on a large, clean chalkboard. Their bright dresses and modern classroom suggest that these students enjoy a standard of living that allows them focus on school work. Lawrence’s picture of a childhood education in the North contrasts sharply with his depiction of underage labor in the South in panel 24, in which bare-chested children work in cotton fields under the sun.

Source: https://www.moma.org/interactives/exhibitions/2015/onewayticket/panel/58/